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Dr. Makesh

Neurologist, Chennai

Dr. Makesh Neurologist, Chennai
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Makesh
Dr. Makesh is a renowned Neurologist in T.Nagar, Chennai. You can visit him/her at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Makesh on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 32 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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No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I am having pricking sensations in my both legs in the feet m. Also having sugar normal than too what should I do?

MBBS, MD - Medicine, ACLS, POST GRADUATE COURSE IN RHEUMATOLOGY
General Physician, Jaipur
these symptoms are usualyy due ti vit B12 deficiency, which is common in India especially in Vegetarian people, take vit B12 supplements.
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I am having nerves problem, it gets numb very soon, what should I do?

Ph.D, MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist,
Numbness is because of nerve deficit so have clinically examined by neuro physiotherapist or neuro physician asap to rule out the exact cause
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Is seizure can be curable?

Certificate in Diabetes update, Post Graduate Diploma In Hospital Administration (PGDHA), PG Dip Ksharsutra, PG Dip Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Depends. N varies for cause to cause. In moderns days one should get cured controlled resolved managed may get triggered.
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I am 19 years old I have headache for 4 months and it is not stopping I think its a turn to migraine so I'm suffering from pain now doctor.

MBBS
General Physician, Cuttack
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest 4. Have adequate sound sleep in the night for 7-8 hours if you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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I have one sided (left side) head ache from last one hour. And small vibration like feel in the remaining part? Any medication.

MBBS, cc USG
General Physician, Noida
I have one sided (left side) head ache from last one hour. And small vibration like feel in the remaining part? Any m...
you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 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) consult physician/me for further management.
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I am 24 year old, male, I am suffering from insomnia from one month and used melatonin medicine and not cured and no sleep from one month and what should I do?

BAMS
Ayurveda, Ambala
Dear, Due to lack of sleep there are many complications arise such as lack of concentration ,irritability, fatigue . So these are some instructions & methods for good sleep : • Frequent oil massage of head with oil relax your mind and enhances sleep .You can also do foot massage daily it destress you . • Do not take stress . Do meditation and long breathing pranayams to relax the mind. • Do not take caffeine, tea & alcohol in excess and these are stimulant ,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Avoid sleep during day time as it makes it harder to fall asleep at night. •Try to sleep early at night . Do not think during sleep . Do exercise and long walk daily . • Avoid to take sleeping pills because these are habit forming drugs and these drugs disturb your normal sleep pattern. • Take a bowl of curd daily in afternoon and one glass of milk at night daily .
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Is there is any medicine to cure colloidal cyst ,which is at 3rd ventricle of brain?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
You have not mentioned about your age and since when it is there? Their position in the roof of the third ventricle immediately adjacent to foramen of Monro can on occasion result in sudden obstructive hydrocephalus and can present with a thunderclap headache or unconscious collapse. Try KALI MUR 6X 4 pills 5 times a day (BIOCHEMIC).
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My father has been hospitalized on last september due to some neurological problem and he is absolutely ok now, but the problem is he is now diabetic patient and taking insulin pen injection after dinner. Please suggest how to reduce the blood sugar and how can he lead his normal life. His sugar is 155 in Glucometre taken before breakfast.

MBBS, MD - Medicine
General Physician, Delhi
My father has been hospitalized on last september due to some neurological problem and he is absolutely ok now, but t...
1. Do regular exercise for 30 minutes daily like brisk walking 2. Reduce weight if overweight 3. Control diet a) avoid sweets, sugar/honey, full cream milk, milk product excess calorie and carbohydrate rich diet like white bread, cereal, rice, pasta b) avoid all refined food like maida, pasta, starchy food like rice, potato, bakery item, processed food, c) include more fiber like pulse, green leafy vegetable, cucumber, tomato, legume. D) avoid sweetened fruit like banana, mango, litchi, chickoo, grape etc. Can have fruits like guava, pineapple, papaya, orange, mousambi, strawberry, watermelon, pomegranate, a handful of walnut daily (akhrot) e) avoid white/polished rice, take unpolished rice like brown rice/wheat/jowar/ragi, moong and chana dal. F) avoid ghee/ butter./coconut oil/excess salt intake like papad/pickle. G) avoid red meat. Take fish/chicken. H) avoid alcohol and carbonated drinks like soft drink 4. Adhere to a strict diabetic diet by consulting dietitian 5. Monitor your fasting, pp blood sugars monthly and hba1c six monthly.
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I had an headache attack which was pulsating Nd uncontrollable. I was nt able to control it. So I went to general doctor. He said if I didn't vomited I dnt have migraine. BT I'm sensitive towards light. Nd whenever I walk in sunlight I get headaches. I get pain in head every time and it lasts for half of the month. How can we make sure that we hv migraine. Is there any test. Nd how to prevent it.

MBBS
General Physician, Cuttack
I had an headache attack which was pulsating Nd uncontrollable. I was nt able to control it. So I went to general doc...
Cause of migraine is exactlly not known. It could be due to imbalance of a brain chemical serotonin which regulates pain in nervous system. Factors responsible for migraine attack 1. Genetic factor/hereditary 2. In women it is due to hormonal changes during period/pregnancy/menopause 3. Certain food items like salted/processed food, chocolate, aged cheese 4 hunger. Fasting/skipping meals 5. Alcohol/ red wine, caffeinated beverages, continuous use of cell phone 6. Anxiety/stress/depression/agitation/fatigue 7. Bright light/sun glare/loud noise 8. Unusual smell like strong perfumes, passive smoking etc 9. Inadequate sleep 10. Change of weather, humidity symptoms of migraine 1. Unilateral headache, eye pain 2. Throbbing and pulsating pain 3. Nausea and vomiting 4. Increased sensitivity to light and sound 5. Feeling of dizzy or faint.
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What are the symptoms for migraine?

CCEDM(DIABETES), MD - Internal Medicine, MBBS
General Physician,
unilateral headache radiating or non radiating to neck/jaw etc associated with vertigo,nausea and vision problems not relieved with conventional analgesics
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I have a 12 year old boy with klin (chromosome xyx) syndrome. He cannot speak and walk. He can manage a wheel chair. Active to some extent. Only one testis is visible. Head is slight; y bigger. Fair and lovely. Where can I get right treatment for such a child and what is that?

M. Phil Clinical Psychology
Psychologist, Hyderabad
Please identify a multidisciplinary center near your place. They will provide remedial education for your child. If you can tell me the city you're located in, I can try to help.
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How To Treat And Manage Cranial Nerve Palsy?

MD in Ophthalmology, MBBS
Ophthalmologist, Delhi
How To Treat And Manage Cranial Nerve Palsy?

Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.

Symptoms:

One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.

Possible Causes of Cranial Nerve Palsy?

Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.

Treatment:

There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.

Lifestyle Changes:

Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor. If you wish to discuss about any specific problem, you can consult a ophthalmologist and ask a free question.

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May I know that how will Himalayan salt reduces migraine?

MBBS
General Physician,
Who told you this/it is wrong information. Himalayan salt is rock salt, can b used in cooking in place of common salt.//no special benefit.
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Suffering from migraine.what can i do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
Migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I have migraine head ache. I hav undergone many treatments. But I m suffering from it again. What should I do.

MBBS, MBA (Healthcare)
General Physician, Delhi
I have migraine head ache. I hav undergone many treatments. But I m suffering from it again. What should I do.
Check your bp, check your eye sight. Take crocin pain relief if headache is more and unbearable. Take rest and good sleep. Avoid anxiety and stress. Consult if not ok.
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M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Can't Sleep???
Natural home remedies for Insomnia

Insomnia can become a real nightmare as the clock ticks on into the night and you ’re awake to notice. Try these natural approaches to help you get some rest

Before- bed bites

• Have a slice of turkey or chicken , or a banana before heading to bed . These foods contain tryptophan , an amino acid that ’s used to make serotonin . And serotonin is a brain chemical that helps you sleep .
• Carbohydrates help trytophan enter the brain. Try a glass of warm milk (milk contains tryptophan ) and a cookie , or warm milk with a spoonful of honey .
• Avoid big meals late in the evening. You need three to four hours to digest a big meal.
• Spicy or sugary food, even at suppertime , is usually a bad idea. Spices can irritate your stomach , and when it tosses and turns, so will you . Having a lot of sugary food—especially chocolate, which contains caffeine— can make you feel jumpy .

Call on herbs for help

• Valerian helps people fall asleep faster without the “ hangover ” affect of some sleeping pills. It binds to the same receptors in the brain that tranquilizers such as diazepam bind to . Take two capsules of valerian root an hour before bed .
• Take 4 , 000 to 8, 000 milligrams of dried passionflower capsules . Passionflower is widely used as a mild herbal sedative .

Smell your way to sleep

• Lavender has a reputation as a mild tranquilizer . Simply dab a bit of the oil onto your temples and forehead before you hit the pillow . The aroma should help send you off to sleep .
• Put a drop of jasmine essential oil on each wrist just before you go to bed . In studies conducted at Wheeling Jesuit University in West Virginia, researchers discovered that
people who spent the night in jasmine -scented rooms slept more peacefully than people who stayed in unscented—or even lavender-scented— rooms .
• Try a soothing aromatic bath before bedtime. Add 5 drops lavender oil and 3 drops ylang- ylang oil to warm bathwater and enjoy a nice soak .

Be a slave to schedule

• Wake up at the same time each day, no matter how little sleep you got the night before. On weekends, follow the same schedule, so your body adheres to the same pattern all week long . You ’ll fall asleep faster.
• Every morning , go for a walk . It doesn ’t have to be a long walk, but it should definitely be outdoors. The presence of natural light (even if the day is overcast ) tells your groggy body it’ s time to wake up for the day. With your body clock set by the great outdoors, you ’ll sleep better at night .
• Try not to nap during the day, no matter how tired you feel. People who don’ t have insomnia often benefit from a short afternoon nap. However , if you ’ re napping in daytime only to turn into a wide -eyed zombie at night , there’ s a good chance that that afternoon snooze is disrupting your body clock.

Pillow tricks

• Once you get into bed , imagine your feet becoming heavy and numb . Feel them sinking into the mattress . Then do the same with your calves, and slowly work your way up your body, letting it all grow heavy and relaxed . The idea is to let yourself go, in gradual phases .
• If you’ re still awake after this progressive relaxation exercise, count sheep . The point is to occupy your mind with boring repetition , and , not to cast aspersions on sheep , there’ s nothing more boring or repetitive than counting a herd of them . Any repetitive counting activity will lull you .
• If you just can’t sleep , don’ t lie in bed worrying about it. That will only make sleep harder to attain. Get up, leave the bedroom , and grab a book or watch TV .

Prep your bedroom

• Turn your alarm clock so that you can’t see it from bed . If you ’ re glancing at the clock when you wake up— and it’s almost impossible not to —you ’ ll soon start wondering how you can function tomorrow on so little sleep tonight .
• Turn your thermostat down a few degrees before heading to bed . Most people sleep better when their surroundings are cool .
• If you share your bed , consider buying a queen - or king- size mattress so you don ’t keep one another up. Or consider sleeping in separate beds . ( Be sure to emphasize that your wish for separate beds is based on pragmatism rather than preference . )

Check the label

• Be cautious about taking an over - the -counter painkiller before bed . Some of them, like Excedrin , contain caffeine . Read the label first.
• Check labels of decongestants and cold remedies too. In addition to caffeine, they may contain ingredients , such as pseudoephedrine, that rev up your nervous system and leave you unable to fall asleep.

More " don ’ ts" for better dozing

• Avoid exercising within four hours of bedtime— it’s too stimulating. Instead , exercise in the morning or after work . An exception is yoga . A number of yoga postures are designed to calm your body and prepare you for sleep.
• Avoid caffeinated beverages, particularly within four hours of bedtime. Though people have varying ranges of sensitivity to caffeine, the stimulating effects can be long - lasting .
• Also avoid alcohol in the evenings. While a glass of sherry might help you fall asleep a bit faster than usual, the effects soon wear off , and you’ re more likely to wake up during the night .
• If you smoke within four hours of your bedtime, look no further for the cause of your insomnia . Nicotine stimulates the central nervous system, interfering with your ability to fall asleep and stay that way .
8 people found this helpful

My hands and cheeks are shivering most of the time. Two years before I consulted a Dr. in med college and they said this because of essential tremor. Can you pls help me?

BAMS
Ayurveda, Ambala
To get relief from shaking of hands * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. Practice sarwangasan and sit with the gyan mudra in hands. These asans & mudra calm down your brain & relieve from nervousness & restlessness. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * take 2 teaspoon of ashvagandharistha added in a glass of water once a day
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I am 22 years old nd I have weak eyesight (especially right) nd have migraine prblm also nd bearing migraine pain on alternate basis; my exams are coming nd I found my eyes so loaded while studying nd even swell what can I do?

FICO-1, DOMS
Ophthalmologist, Delhi
I am 22 years old nd I have weak eyesight (especially right) nd have migraine prblm also nd bearing migraine pain on ...
Wear the right glasses sit and study in good light do not rub your eyes you can also splash water on closed eyes for relaxation can also use some lubricanting eye drops.
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I am 77 years old having diagnosed with parkinsons. It is two years since hand tremor started. Neurologist prescribed ropark (ropinirole) 2 mg, rasalect (rasagiline) 0.5 mg (both after breakfast) and betacap (proponolol) 0.5 mg (morning and after supper) further tests show hypothyroidism and two months after having medication tests show normal. No investigation was done to ascertain as to why thyroid is under performing. I have lost a lot of weight too. I would appreciate your reply to all my points

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Thyroid is normal if not overactive since you have not gained weight. You need to check what has caused loss of weight and how much? are you eating well? if not consult your doctor.
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My mother is on treatment for seizure. She was taking levipril 500mg BD and Valence 250mg BD. On 9.8. 15 she got seizure and the doctor put her on levipril 500mg BD and valence 500mg BD.

DM - Neurology
Neurologist, Hyderabad
She has been rightly prescribed. But before increasing the dose of medication, ensure that she was taking previously prescribed medication regularly even without missing a single dose, ensure that she has not concomitantly taken any other medication that known to induce seizure, ensure that she was not sleep deprived prior to the episode of recent seizure, if none of these precipitating factors are present, then increasing the dose of valance is rational.
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