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Dr. R Narayanan

Neurosurgeon, Chennai

400 at clinic
Dr. R Narayanan Neurosurgeon, Chennai
400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. R Narayanan
Dr. R Narayanan is one of the best Neurosurgeons in Kilpauk, Chennai. You can visit him at Lifeline Rigid Hospital - Kilpauk in Kilpauk, Chennai. You can book an instant appointment online with Dr. R Narayanan on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 44 years of experience on Lybrate.com. You can find Neurosurgeons 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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English

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No 47/3, New Avadi Road,Kilpauk. Landmark: Opp To Pachaiyappas College, ChennaiChennai Get Directions
400 at clinic
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DEAR SIR, after acupuncture treatment vide wwwacu5solution since 12-09-15, pains, sprains, tightness, numbness all over body, tried Dr. ortho for 45 days, oils, balms, gels, home etc no relief, what to do? I am 66, male on insulin, lantus, amyral-m and madhu sanjeevani-02-0-02, bph on urimax d, regards---narasanna n.

MBBS
General Physician, Mumbai
DEAR SIR, after acupuncture treatment vide wwwacu5solution since 12-09-15, pains, sprains, tightness, numbness all ov...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and for pain take tablet paracetamol 650 mg and also take physiotherapy treatment till recovery.
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Sir mam please provide I have already have phobia some detail I asked doctor regarding that I have unwanted fat on one side that may be due to muscle strength loss but I am able to move my face wholly from both sides but doctor told me that it may be sIGN of bell palsy sir I was shocked to hear that . No symptoms yet even how .

Bachelor of Ayurveda, Medicine and Surgery (BAMS), modern diagnostics
Ayurveda,
Sir mam please provide I have already have phobia some detail I asked doctor regarding that I have unwanted fat on on...
Bells palsy will be cured completely.. Avoid cold exposure cold water etc ayurveda therapies and medications could help improve your condition gradually
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I am 40 yrs and suffering from sciatica ans lower back pain severely as I am unable to walk till my washroom too. I feel numbness too in hands n legs.Please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of ls. Spine sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od do neck, back & shoulder exercises it may have to be further investigated you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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I am suffering from migraine headache from past few years. I got used to pain killers but it dis not work .please suggest me.

PGDHHM, MBBS
General Physician, Delhi
If painkillers don't help,acute treatment thrapy and preventive treatment therapies can be used to prevent and control the migraine attacks. Avoid triggers of ur migraine. Exercise daily. Avoid stress. Consult with more details
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Facts about Dementia

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Facts about Dementia

Facts about Dementia

What is dementia? Dementia is a term used to describe various different brain disorders that have in common a loss of brain function that is usually progressive and eventually severe. There are over 100 different types of dementia. The most common are Alzheimer’s disease, vascular dementia and dementia with Lewy bodies. Symptoms of dementia include loss of memory, confusion and problems with speech and understanding.
Most forms of dementia cannot be cured. There are some drugs available that appear to alleviate some of the symptoms of Alzheimer's disease in some people.
How dementia progresses?

All types of dementia are progressive illnesses. This means that the structure and chemistry of the brain become increasingly damaged over time. The person's ability to remember, understand, communicate and reason will gradually decline.
Genetic factors are responsible for the disease in only a very small number of families. There is no single gene for Alzheimer's disease and inherited factors alone do not explain why some people develop it while others do not.
The Alzheimer's Society estimates that there are currently over 700,000 people in the UK with dementia.

Researchers believe that many factors, including age, genetic background and lifestyle, can lead to the onset of the disease. The prevalence of dementia in people with learning difficulties is higher than in the general population.

What is dementia?
The term 'dementia' is used to describe the symptoms that occur when the brain is affected by specific diseases and conditions, including Alzheimer's disease, stroke and many other rarer conditions. Symptoms of dementia include loss of memory, confusion and problems with speech and understanding.Different areas of the brain are responsible for different skills and abilities. The changes in behaviour, memory and thought in people with Alzheimer's disease may be a direct result of the way the disease has affected their brain.See also information sheet
There are several diseases and conditions that cause dementia.See also information sheet
 

Causes of dementia include:
Alzheimer's diseaseThis is the most common cause of dementia. During the course of the disease, the chemistry and structure of the brain changes, leading to the death of brain cells. Information sheet.

Vascular diseaseIf the oxygen supply to the brain fails, brain cells may die. The symptoms of vascular dementia can occur either suddenly, following a stroke, or over time, through a series of small strokes. Information sheet
Dementia with Lewy bodiesThis form of dementia gets its name from tiny spherical structures that develop inside nerve cells. Their presence in the brain leads to the degeneration of brain tissue. Memory, concentration and language skills are affected. Information sheet

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Any alternative treatment for pituitary macroadenoma of size 4.5×4.7cm? I would not like to go for surgery.

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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I want to know about difference between Parkinson's disease and TICS. I know both are movement disorder but how they differ?

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
I want to know about difference between Parkinson's disease and TICS. I know both are movement disorder but how they ...
Yes you are correct, both of them are movement disorders. But clinical features and cause are different, as well as their treatment are also different. .
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I am suffering from migraine disease what should I do to overcome it please suggest me.

BAMS
Ayurveda, Bangalore
Hi, take tab. Migrakot 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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When I hold anything tightly my hand shivers a lot. My wrist also shivers. I can't hold tightly. Even if I close my palm tightly it shivers. .why it's happening and also is it happening because of masturbation. Is my body weak. But I am well built. Please help.

MBBS
General Physician, Mumbai
When I hold anything tightly my hand shivers a lot. My wrist also shivers. I can't hold tightly. Even if I close my p...
It can happen due to anxiety. Vitamin deficiency and peripheral neuropathy. Take calcium and multivitamin supplements. Do not consume alcohol. Consult for more help.
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My hands tremble while holding anything like book why am only 24 yrs old is it due to weakness or some other reason.

MBBS, cc USG
General Physician, Gurgaon
This may be due to 1. Severe anxiety 2. Medical problems like Thyroid problem/ Multi Mineral and vitamin deficiency get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)
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I am 22 years old I am handicapped both legs and hand. If I want to walk in feature. How I can?

MD - Psychiatry, MBBS
Psychiatrist, Patna
If a little stump with functional shoulder and pelvic joint is available then you may go for artificial limb. If not then only electric wheelchair with voice command is the option.
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Migraine - Know The Causes and Symptoms!

MD - General Medicine, MBBS
General Physician, Mumbai
Migraine - Know The Causes and Symptoms!

Migraine is a severe form of headache wherein, the excruciating pain is accompanied by an extreme sensitivity to sound and light; you also experience nausea. The headaches usually affect either side of the head and are throbbing in nature. Hot flashes, numbness of limbs and blind spots in the eye; these are often considered as warnings. In certain cases, migraines can cause blackouts that can range from a few seconds to a few minutes.

Migraine occurs in four stages:

  1. Pro-drome (symptom indicative of an onset of an illness)
  2. Aura (visual auras including blurred vision)
  3. Headache
  4. Post-drome (the residual effects of migraine characterized by fatigue and lethargy)

But the occurrence of these stages varies across individuals. The causes of migraines aren’t specifically understood. It may be due to the interaction of the brain stem with the trigeminal nerve, which is an important pain pathway of the brain. Imbalances in hormonal levels or in the levels of neurotransmitters such as serotonin may also prove to be a causal factor.

Symptoms

Migraine may be triggered due to stress, physical exertion, and excess intake of alcohol or food additives such as MSG (Monosodium Glutamate). Changes in the environment and sleeping patterns may also be probable culprits.

Migraine can be easily distinguished from regular headaches, given the fact that migraines last longer and are rather severe in nature with pain felt in one part of the head. Most people experience the ‘Aura’stage where they have visual flashes right before headache. Nausea, eye pain or sensitivity to light and sound are other factors helpful in distinguishing migraine from other headaches.

Symptoms can occur a while before headache, immediately before headache, during headache and after headache. Although not all migraines are the same.

Typical symptoms include:

  • Moderate to severe pain, usually confined to one side of the head during an attack, but can occur on either side of the head
  • The pain is usually a severe, throbbing, pulsing pain
  • Increasing pain during physical activity
  • Inability to perform regular activities due to pain
  • Feeling sick and physically being sick
  • Increased sensitivity to light and sound, relieved by lying quietly in a darkened room
  • Some people experience other symptoms such as sweating, temperature changes, tummy ache and diarrhea.

Complications in migraine may include:

  1. Chronic migraine which last up to 15 days or more
  2. Status Migrainosus where the attacks last for over 3 days
  3. Migrainous infarction where the aura lasts longer than it should, cutting blood supply to the brain. 

    If you wish to discuss about any specific problem, you can consult a neurologist.

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My father [aged 85 yrs] had an episode of cerebrovascular attack about 10 years back.. Has been on Phenytoin Sodium 300 mg HS since then. Also Levetiracetam 500 mg OD had been added since 2010. Recently since last 2 years Clobazam 10 mg HS has been added. Currently he has been very drowsy. Can any of these medication be reduced?

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist, Mumbai
We can try to reduce if his seizures are controlled. Needs to be evaluated for other causes of drowsiness.
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Sir, My grandmother is 75 years old. She is suffering from sleep apnia. She is also having other problems like asthma, diabetes and blood pressure. But my immediate concern is her sleep apnia and weak lungs which are working only 60% at present. Kindly guide me what are the remedies? What should I do?

MBBS, MD (Medicine), DM (Neurology)
Neurologist, Delhi
Sir, My grandmother is 75 years old. She is suffering from sleep apnia. She is also having other problems like asthma...
This problem of your grandparent falls in the realm of chest specialist more than a neurologist's. You may plese consult a chest specialist.
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I have nerve problem fribrolgia the nerves if my hands r painful at times also there is tingling sensation & numbness in the fingers of palms & feet.

MBBS, MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Jaipur
I have nerve problem fribrolgia the nerves if my hands r painful at times also there is tingling sensation & numbness...
Hello sir As per information provided by you, you are suffering from neuropathy which could be due to Diabetes, nerve compression, vit b12 deficiency, etc. Kindly get following investigations done: CBC, ESR, TSH, Blood sugar- Fasting and PP, Vit. B12 levels. Kindly consult me in private with reports for complete treatment. Thank you.
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From today morning my hand are shivering little bit and heart is beating faster than normal and also I am feeling weak. Can you help me with this?

DHB
Homeopath, Sagar
From today morning my hand are shivering little bit and heart is beating faster than normal and also I am feeling wea...
Dear lybrate user there is a homoeopathic medicine which you can take without any side effects that is cardicare drops take 20 drops three times daily.
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diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
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My wife, 66 years, suffered a intracerebral brain hemorrhage stroke more than a year ago. She is not under any medication for this other than her regular drugs for diabetics and hypertension. She still feels numbness around her right cheeks and continues to feel bitter taste in her saliva. Is this a common phenomena as some doctors say? Is there any medicine that can help to improve without much side effects? (She is too sensitive to most of the common medications.)

MD - Ayurveda, Fellowship in Cardiac Rehabilitation, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yoga Instructors Certificate
Ayurveda, Bangalore
My wife, 66 years, suffered a intracerebral brain hemorrhage stroke more than a year ago. She is not under any medica...
Hello. She may feel like that. Use 1 pince of Paccha Karpura (you will get in grocery shop) added in 200 ml of water for gargling twice daily. It'll help her.
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Sir my hands are shivering without tension at am doing to cure from that one so please cure method to me sir.

MBBS, cc USG
General Physician, Gurgaon
This may be due to 1. Severe anxiety 2. Medical problem like thyroid disorder get your following test done and review with reports 1. Cbc 2. Thyroid function test (fasting) consult privately.
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