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Dr. Phitrampalan

Neurologist, Chennai

500 at clinic
Dr. Phitrampalan Neurologist, Chennai
500 at clinic
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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Phitrampalan
Dr. Phitrampalan is a trusted Neurologist in Nandanam, Chennai. Doctor is currently practising at Vijai Nursing Home in Nandanam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Phitrampalan on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 28 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. 39, West Road, West CIT Nagar,Nandanam. Landmark:Back Side of Alpha School, ChennaiChennai Get Directions
500 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

What is the symptoms of brain tumor. I have headache twice in a weak and when I join gym them the problem of headache is gone please tell me what am l do.

MCh
Neurosurgeon, Chennai
What is the symptoms of brain tumor. I have headache twice in a weak and when I join gym them the problem of headache...
Not all the headaches are due to brain tumor. It will be usually associated with other symptoms like vomiting, convulsions, weakness, numbness etc. If you are so much concerned about it go for a neurosurgeon in person consultation and follow his advice.
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She is suffering from migraine for the last 2 years and she has great pain during the headache. So can you suggest me what should be done?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take balanced diet and hyderated avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 15 minutes duration each time regularly best wishes.
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I am getting a tingling in little finger of my right hand. Please suggest.

MPTh/MPT
Physiotherapist,
It might be ulnar nerve palsy. There will partial paralysis. Kindly dip your hands in full mug of lukewarm water for 15 min regularly for a week. This will be help full
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I have gone through 3 cesarean, And I am suffering from a nerve pain which travels from my right gluten to my right ankle?

DM - Neurology
Neurologist, Nagpur
This is radicular pain which is due to compress of nerve roots when they exit from spinal canal to the limbs. You should undergo complete physical examination to ascertain the neurological deficits and a mri of lumbosacral spine.
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I am 36 Years old male. I frequently get migraine pain. I am getting migraine pain once in a ten days period, it often lasts only a day or so but sometimes longer. When headache occur I take paracetamol 500mg, which gives me relief. I have been facing migraine problem more than 4 years. What should I do to avoid migraine pain.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
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I am 18 years old and have serious sleep issues during exams. I guess the insomnia is due to the stress and tension. What should I do?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
I am 18 years old and have serious sleep issues during exams. I guess the insomnia is due to the stress and tension. ...
Adequate relaxation can help. Also, stress and tension should be minimized. Certain medications can help relieve the anxiety and help in sleeping.
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Sir 2 saal pehle mere wrist ka operation hua tha jisme mere tendon nerve injured hua tha operation ke baad mere haath aur ungli toh puri tarah kaam kar rha h lekin saare fingers aur injured area waha jhanjhnahat rehta h iske liye me kya karun.

B.H.M.S,
Homeopath, Muzaffarpur
Sir 2 saal pehle mere wrist ka operation hua tha jisme mere tendon nerve injured hua tha operation ke baad mere haath...
Hello lybrate-user. You are requested to take following homoeopathic medicine as per direction. 1. Arnica 30 200 one drop morning evening. 2. Hypericum 200 one drop afternoon night. Both medicine continue for 15 days and report. Thanks for consult.
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I have migraine since last 10 years. What should 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. Which medicine should I take?

MBBS
General Physician,
Hello . During acute migraine attack take tablet brufen sos. Pls tell me frequency and duration of migraine so accordingly I can prescribe you medicine that will help you in reducing the attacks in future.
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Recently I getting head ace very much, I'm expecting migraine. Doubtly. The head ace will be around my head leaves me pain for some time then I will be okay. I usually spends over nights and wakes at 9 .May be I think this is reason .Help me out physcharit.

BHMS
Homeopath, Ludhiana
Recently I getting head ace very much, I'm expecting migraine. Doubtly. The head ace will be around my head leaves me...
hello.... take following medicine:- 1. natrum muriaticum 30 ( 5 drops twice a day before meal ) 2. spigelia 30 ( 5 drops thrice a day after meal ) take these for one week or 10 days... with medicine avoid night work... take good sleep.... Eat healthy..... revert be back with feedback.... you can consult me privately for any other help.....
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Ways to Treat Insomnia

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Ways to Treat Insomnia

Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.

Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.

Here are the various ways to treat insomnia:

Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly. 

  1. Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.
  2. Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.
  3. Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.
  4. Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.

Medical Treatment: There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.

The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same. If you wish to discuss about any specific problem, you can consult a psychiatrist.

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I am . 33 years old. Have numbness in thigh from last one week.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist,
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Numbness in thigh could be due to multiple reasons, two of common ones are entrapment of lateral cutaneous nerve of thigh called as meralgia, and other could be due to issues in lower back region due to which there could be some nerve compression. If you can tell me the location of your numbness, outer or inner part and whether you have symptoms in your lower back region as well, I can suggest you a treatment plan for it. Do not hesitate to contact me if you need any further assistance.
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My mother is now in coma stage , she was affected 2 times by brain stroke n now her condition is too sensitive her GCS is E4VM5. She is now ice tube feeding n tracheostomy. She is taking all medicine still her condition is not improving. And always she is getting cough.

PDDM, MHA, MBBS
General Physician, Nashik
This is something which cannot be managed on an online platform. What she needs is a good nursing care, you can certainly ask doctors over therecto add cough medications and to check whether its infectious or allergic cough.
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Brain Cancer

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Noida
Brain Cancer

Brain cancer is a disease of the brain in which cancer cells (malignant cells) arise in the brain tissue. Cancer cells grow to form a mass of cancer tissue (tumor) that interferes with brain functions such as muscle control, sensation, memory, and other normal body functions. Tumors composed of cancer cells are called malignant tumors, and those composed of mainly non-cancerous cells are called benign tumors. Cancer cells that develop from brain tissue are called primary brain tumors while tumors that spread from other body sites to the brain are termed metastatic or secondary brain tumors.

Prologue:

  1. Brain cancer is actually the abnormal growth and uncontrolled growth of the cancer cells in the brain that forms a tumor in the brain.Tumours can be either benign or malignant.

  2. Benign brain tumours are abnormal collections of cells that reproduce slowly and usually remain separate from the surrounding normal brain.

  3. Malignant tumours reproduce and grow quickly. Their borders are hard to distinguish from the normal brain around them.

Symptoms:

There are few early symptoms of brain cancer, but as the tumour grows within the confines of the skull, it causes increased intracranial pressure and exerts pressure on the brain, causing signs to develop.

Brain cancer symptoms and signs are varied and depend on the area of the brain involved, but can include:

  1. Headaches.

  2. Seizures.

  3. Nausea and vomiting, which, CANSA reports, may be worse in the morning or after a sudden position change.

  4. Difficulty walking or clumsiness.

  5. Vision changes.

  6. Changes in alertness.

  7. Behavioural impairment.

Causes:

Brain cancer occurs when there is an uncontrolled growth of cancer cells in the brain that form a malignant brain tumor. The underlying cause of primary brain cancer, cancer that begins in the brain, is not known. Secondary brain cancer is caused by a cancer of another organ in the body, such as the breast, prostate, kidney, skin, or bone, that has spread to the brain.

What are the risk factors for brain cancer?

  1. Certain inherited conditions, including neurofibromatosis, Von Hippel-Lindau syndrome, Li-Fraumeni syndrome, and Turcot syndrome

  2. Personal history of cancer or family history of brain cancer

  3. Impaired immune system

  4. Radiation therapy of the head

Treatments Options:

Treatment

Surgery is the main form of treatment for brain tumors that lie within the membranes covering the brain or in parts of the brain that can be removed without damaging critical neurological functions. The goal is to remove the entire tumor, whenever possible, as a tumor may recur if any tumor cells are left behind. Radiation therapy and chemotherapy are generally used as secondary treatment for tumors that cannot be cured through surgery alone.

Stereotactic radiosurgery

Stereotactic radiosurgery is a treatment option that delivers a high concentration of radiation directly to the tumor in order to stop its growth, while delivering only a minimal dose of radiation to the surrounding tissue. Unlike conventional surgery, stereotactic radiosurgery does not require making an incision to remove the tumor. It can be especially effective in patients with many small metastatic brain tumors. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

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I am having Pituitary macroadenoma Prolactinoma from last 4 yrs. The tumor has shrunken in size but my prolactin level is above normal in the range of 40-50. I am taking Cabergoline. 5 mg twice a week. Please tell me upto when I have to take the medicine and Will it be completely cured?

PDDM, MHA, MBBS
General Physician, Nashik
Pituitary macroadenomas often require surgical intervention for cure. The exceptions to this rule are the macroprolactinomas, which usually have an excellent response to medical therapy. The tumor size may be diminished but often does not disappear completely. Medical treatment can play a role in reducing tumor size, controlling hormonal excess, or correcting hormonal deficiency.
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What precautions to take to avoid migraine attacks?

MBBS
General Physician,
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines kindly consult Physician for further management
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My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?

MD - Anaesthesiology
Neurologist, Shimla
My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?
Physiotherapy is the solution. Because once clotting occurs it takes time to heal up. Area supplied by the vessel will become necrose and leads to anxiety symptom. Kindly consult neurologist and and give good psychotherapy to mother through the doctor.
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I have bn diagnosed with hyper anxiety and depression. Have migraine since 2009 n vertigo last year. Since past 4 months have bn experiencing mental fogginess and derealization. Please help.

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
This is due to all stress and worries of life. May be issues of married life/future marriage, you are having insecurities and fear. Just relax. Ask yourself what bothers you? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you cant do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life.
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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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