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Dr. J.Reginald

Neurologist, Chennai

Dr. J.Reginald Neurologist, Chennai
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. J.Reginald
Dr. J.Reginald is one of the best Neurologists in Chetpet, Chennai. You can meet Dr. J.Reginald personally at Padmini Nursing Home in Chetpet, Chennai. You can book an instant appointment online with Dr. J.Reginald on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 34 years of experience on Lybrate.com. You can find Neurologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#9, Pachiyappa College, Hostel Road, Chetpet, Landmark: Near Maharishi School, ChennaiChennai Get Directions
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Hey doctor! suddenly today in the morning my thumb started flickering, it's been an hour it's shivering, it's a little difficult for me to write and type, I am getting a bit worried what is it?

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Hey doctor! suddenly today in the morning my thumb started flickering, it's been an hour it's shivering, it's a littl...
It may be due to excessive writing or use of fingers, please take calcium supplements for a week if then also it persist it may be a kind of writers cramp and we can provide medicines if you want.
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Hi, I hav bell's palsy on my right side of face from last 20 days. Im taking medicine but deres no effect. please sugest wht to do? Any test or medicine!

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
Unfortunately for Bell's palsy there is no particular effective medicine. Still in initial period one might take steroids and vitamins after consulting doctor. But mainstay is Physiotherapy.
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Fits/Seizures - Do and Don't's in this Emergency

MBBS
General Physician, Bangalore

Definitions:

Seizure - Sudden surge in electrical activity of the brain; which affects how a person looks or behaves for a short time.

Epilepsy - Two or more seizures separated by a time duration of 24 hours, with reversible causes of seizures having been ruled out.

FIRST AID:

Be Calm - 

  • You must be calm. Reassure People.
  • Place a soft object below the head.
  • Be Reassuring and friendly as the person recovers.

Remove

  •  Ensure that the person does not hurt themselves by removing objects that may injury them.

Always Time

  • Always time every attack. The time beginning of the attack until the person regains composure and awareness.

If fallen - Position

  • Turn the person gently to one side - Recovery Position. This will ensure airway remains patent and prevent aspiration.

Never to do

  • DO NOT hold the person down or try to stop the movements.
  • DO NOT try to force open the mouth or insert hard objects like wooden sticks, spoons or finger, as this will increase injury to you and the patient.

Once Person recovers, offer him help to reach his residence or hospital, if he seems confused and dazed. Be Reassuring and Friendly as person recovers.

Helpful Resources:

  • Epilepsy Foundation
  • Indian Epilepsy Centre
2 people found this helpful

After vagus schwannoma surgery I almost lost my voice. And I got thyroplasty 1 to fix it but did not get any improvements even after one and half month of thyroplasty. Are there any chances for improvement in waiting or go for anything else.

B.A PSYCHOLOGY HONOURS, M.A PSYCHOLOGY, M.Phil - Psychology, PhD PSYCHOLOGY
Psychologist, Delhi
If you feel comfortable try ramdev PATANJALI chikitsalaya for your problem. Also start practice as you see daily astha channel 5_7. 30 am. Definitely you can hope to be cured. God bless you.
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I take it a medicament sinogan, because I was desperate not to sleep and hurt much head the doctor I visited told me that had no importance and not he sent me nothing to sleep, then I was told that drug was used for sleeping and I bought it, but really not is the reason for the insomnia If I was thinking about not taking it more, because it says that it is for schizophrenia and other things, and the adverse effects they are scary because they affect many things Is that according to what I think is that both antibiotic affect me the nervous system and as I think that can not sleep. Because from January to may of this year I took as 9 different antibiotics, including antifungal and amoebas. And all those caused me acidity and hurt my throat with the acids of the stomach And that is why I have now destroyed bacterial flora I think it could be poisoning of antibiotics my body maybe.

MBBS
General Physician, Cuttack
I take it a medicament sinogan, because I was desperate not to sleep and hurt much head
the doctor I visited told me ...
1.You may be having anxiety or stress. Avoid stress. 2.You need 7-8 hours of sound sleep to remain healthy. 3.Go for regular exercise, Take part in games and sports, 4.Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5.Adhere to a specific sleep time and regular schedule 6.Take light dinner. 7.Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time . 8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill 12. If no relief consult doctor.
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I am 23 year old and suffering from insomnia, is it because of excess coffee consumption?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I am 23 year old and suffering from insomnia, is it because of excess coffee consumption?
Yes, it may be possible massaging to your head with suitable oil it clears the block in the energy channels that cause a build -up negative energy. It increases energy level, alertness and concentration. Wonderful relaxing therapy. It gives relief from pain, stress, insomnia, tension and tiredness. Helps to reduce the stiffness of muscle reduces physical and mental fatigue. Improve the circulation to head, neck, scalp, face shoulder area. Relieves a headache and migraines. Stimulate healthy hair growth. Prevent hair fall and graying of hair. Anti ageing -relax facial and eye muscles to make you look younger and healthy. Key to increasing eyesight.
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Sir I'v two sons. The elders on is 9 years old. He has problem with epilepsy for the last 4 years. His treatment is going on. He doesn't eat anything. So, his liver is very weak. What should I do?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Sir I'v two sons. The elders on is 9 years old. He has problem with epilepsy for the last 4 years. His treatment is g...
Contitinue antiepileptic medicines without any break for minimum 3 years or as advised by physician. Epilepsy never causes weakness or anorexia. He is suffering from clinical malnutrition as evidenced by just 22 kg (normal 26-27. Give him home made balanced diet at frequent intervals. Encourage daily excercise/sports activity.
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Hello doctor I have migration problem last one year I am 35 year old man what should I do please tell me doctor.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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For my seizure I take medication Twice a day which are following 1.Zenoxa 300 (oxcarbazepine tablets IP 300 mg) 2.Lacotide 150 (Lacosamide Tablets 150 mg) taking twice aday after taking it from 3 days after taking this medicine i feel like i was just drunk 4 bottle of wine what i should have to do just suggest me Doctor.

MD - Psychiatry
Psychiatrist, Udaipur
Because of side effect of Zenoxa u are feeling more sedative. You tell me about ur seizure pattern. I think u should readjust dose and medicine both.
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What is an alternative for Vasograin as a painkiller to be taken in Migraine? What is the dosages and side effects of such medicine, if any.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol 650 mg and for migrane we can start with tablet propranolol after personal examination
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I am severe diabetes and high BP, suffering from insomnia and extensional conditions.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
I am severe diabetes and high BP, suffering from insomnia and extensional conditions.
Bp and diabetes is caused by psychological stress. Please take counselling sessions to learn to deal and cope with it. Also take healthy diet and exercise regularly. Please click on private chat if you have any questions.
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
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I studied competition exam in 2014. That time I am nervous and stress too. I think very much about my success and failure. One day I have pain in brain. I take declorine tablet. But after some time I consult a doctor and he tell I have migraine. I taking medicine long time but I have no relief.in fact I doing every thing but I can not consontrait on my study. I can not explain what is this but my study is stopped. And than I join a job. Now since 2 year I doing job. I have no problem. But whenever I watch TV or reading books I can't focus fully and I can't study like my school days. I want to ask you why my study is affected. I think I never doing study now.

MBBS, DPM
Psychiatrist, Bangalore
I studied competition exam in 2014. That time I am nervous and stress too. I think very much about my success and fai...
Dear Virendra, 1.You have thought about both success and failure. 2.You have stopped studying and took up job. 3, You have no problem with your job. All these are good coping methods you use. Continue them. Studying as such might not have caused pain in brain. It is the nervousness and stress that would have made your brain pain. So when you are prepared for further non stressful studies, you can study.
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I have a son of 4 years and he is showing with a strange symptom when he is awake in the morning his hands are shiver a little bit but after some time he is fine can any one tell me why this happens.

FELLOWSHIP IN PCCM, FELLOW-PEDIATRIC FLEXIBLE BRONCHOSCOPY, FELLOWSHIP IN PEDIATRIC CARDIAC CRITICAL CARE, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
Check his calcium and vitamin d3 and thyroid hormone levels. Sometimes tremors r due to these common cause. Would insist you meet years pediatrician.
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Mere sir me bahut dard rahta h. Bahut tej. Koi sujhav de please Ye dard sir ke ek taraf hota hai raight sight main. Maine bahut jagah dikhaya hai but kahi par se koi fayada nahi hua h. Ap koi acchi madicin batao.

MBBS, cc USG
General Physician, Gurgaon
Kindly follow advises given below to get rid of Headache: you can take: 1. Tablet Crocin (Paracetamol 650 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get your BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis
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His head is paining since 3 years sometimes it pains a lot doctors ary saying that he has a migraine or something.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
His head is paining since 3 years sometimes it pains a lot doctors ary saying that he has a migraine or something.
Migraine is a relapsing type of headache. It needs treatment for acute attacks and a treatment prophylaxis for preventing relapses in future. This has to be decided on taking a complete history of pattern of headaches, duration, severity, associated symptoms of sleep, anxiety, depression etc.
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My mum has meningioma at left side of the brain, is this carcinogenic? And does it need a surgery to get cured?

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Meningioma are rarely carcinogenic. Mostly cured by surgery. In small tumors non operative option like gamma knife therapy also tried.
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