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Dr. R Narayanan

Neurosurgeon, Chennai

400 at clinic
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Dr. R Narayanan Neurosurgeon, Chennai
400 at clinic
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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 33 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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Lifeline Rigid Hospital - Kilpauk

No 47/3, New Avadi Road,Kilpauk. Landmark: Opp To Pachaiyappas College, ChennaiChennai Get Directions
400 at clinic
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I used propranolol hydrochloride tablets for 2 months to cure migraine pains. Will it have an serious side effects on heart? Does this medicine is the cause of my palpitations? Thank you.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Propranolol does have side effects but it certainly does not cause a rise in heart beats/ palpitations. Side effects depend upon the dose of propranolol taken rather than the duration for which it is taken. Usually the dose taken for migraine prophylaxis does not cause side effects unless you have an underlying heart disease before starting it.
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My hands are being shake, as I doubt he have some nerve problem, what is the solution.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Most of these are related to anxiety familial tremor it is worthwhile getting thyroid profile done then contact.
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I am 18 year old. And I'm having migraine problem since 4-5 yrs. Previously it was very moderate but now pain has increased. Nausea, dizziness and a little light sensitivity symptoms are also accompanied. I don't want to take pain killers again and again. What remedies I should follow. Is there any kind of prevention I should take to prevent pain (eg food ,climate, etc).

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 20 minutes regularly Best Wishes
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Hi, I was experiencing numbness in my extremities (only when sitting in awkward position or if I put pressure on them) since the last two years when I started gaining weight. I have gained almost 30 kg in the last 2 years from 62 to 92 kg. I had my blood sugar, thyroid and Nerve Conduction Velocity tested. All came out to be OK except vitamin b12 deficiency which was severe. I have some fatigue and short term memory problems. Please advice me on the best method to tackle this problem.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
Hi,
I was experiencing numbness in my extremities (only when sitting in awkward position or if I put pressure on them...
Hello sir being a dietitian I can help you in weight loss, for vitamin b 12 deficiency you can ask your Dr. About its injection, its very effective. Hello you need to understand the concept of weight loss, it requires cut down in calories (under the guidance of dietician) along with exercises like brisk walking or cycling or yoga and stretching 5 days a week for at-least 25-30 mins. Include foods like green tea, lemon water, jeera water, salad vegetables like onion, tomato, cucumber, kakri, cabbage and fruits like melon, watermelon, plums. Avoid fried foods, carbonated drinks, sweets and processed foods. Drink plenty of water. Take small and regular meals like 3 main meals and 2 side meals. Take chamomile tea before going to bed. Sleep for 7-9 hours per night. Don't skip breakfast. Thank you.
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Hello I have a muscle and nerve problem in my stomach and having some tingling of nerves at back and also I can not move my body. And run. I can not lift weight also. If I lift weight I feel some internal bowl movements. And I start with breathing problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
Hello I have a muscle and nerve problem in my stomach and having some tingling of nerves at back and also I can not m...
Dear Lybrate user it seems to be vataja roga. Do abhyang with ksheerabala Bala tail daily morning. Cap KBT 1-1-1 for 30 days. Drink warm water all the time.
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Hi, My father got brain stroke on left side. He was in ICU for 35 days on doctors suggestion. But there is no use, he still in his own world. Hardly he is able to opne his eyss when we call him. Now he is feeling some pains and showing his expression s. What is possibility of recovering from current situation to normal position?

MBBS, MD - Community Medicine
General Physician, Jaipur
In stroke, most of benefit or recovery occurs within few hours. After that, minor improvement used to occur by exercise and physiotherapy, and it depends on case to case basis.
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My mom is 45 year old she had an paralysis last year but there is many improvemnt in their body. But now still their hand doesn' t work properly. Right hand.

MBBS, MD - General Medicine
General Physician, Ahmedabad
In case of ischemic cv stroke, generally everything improves well over time except for the fine grip of upper limb of affected side. Go for physiotherapy of affected side
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Brain Stroke: Things You Must Know

BHMS
Homeopath, Ajmer
Brain Stroke: Things You Must Know

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supplyof of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burstor or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke:

  • Treatment depends on the type of stroke.
  • Ischemic strokes can be treated with 'clot-busting' drugs.
  • Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  • The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 45.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.

Rush to the nearest Stroke Centre whenever you experience such symptoms.

You can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures:
Another treatment option is an endovascular procedure called mechanical thrombectomy, strongly recommended, in whichtrained  trained doctors try  removing a large blood clot bysending sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention:
The good news is that 80 percent of all strokes are preventable. It startswith with managing keyrisk risk factors, including 

  • High blood pressure,
  • Cigarette smoking,
  • Diabetes Atrial fibrillation and
  • Physical inactivity.

More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation:
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke. If you wish to discuss about any specific problem, you can consult a neurologist. Homoeopathic Remedies which may be helpful during stroke or after stroke: Creategus, Terminalia Arjuna, Arnica, Glonoine, Glycyrrhiza Glabra, Lachesis, Opium, Staphysagria, Gelsemium, Phosphorous etc. 

Note : Do not take any Homoeopathic medicine without consulting any Homoeopath.

I am 53 yrs old. I have foot drop problem on left side numbness, tingling. My MRI Report shows that there is depression on L-5, S1, pain is there on Lower Back.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 53 yrs old. I have foot drop problem on left side numbness, tingling. My MRI Report shows that there is depressi...
Homoeopathic medicine R-71 Drops ( Dr Reckeweg) Drink 20 drops in 20 ml fresh water 3 times daily GNAPHALIUM Q ( Dr Reckeweg) Drink 10 drops in 20 ml fresh water twice daily MAGNESIA PHOS 6X ( Dr Reckeweg) Chew 4 tab every 2-3 hrly depending on severity of pain
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I have been diagnosed with neurocysticercosis on Nov 23, 15 after having seizures and have been taking anti-seizure drugs since then. Thankfully, no episodes of seizure since then. I wanted to know if I can go for wisdom tooth extraction. Will I have any complication during the extraction procedure?

MD(MEDICINE), MBBS
Nephrologist, Chandigarh
Yes, you can under the guidance of a competent dentist. Treated neurocysticercosis is no contraindication to a tooth extraction.
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I am 30 years old. I am suffering from migraine. Kindly suggest. 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, Mumbai
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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My Dad got a paralysis attack in year 2006 . He is fine now his blood pressure is normal . Can he still take medicine named met first xl 25 which is apparently medicine for high bp . Request your advice please.

MBBS, cc USG
General Physician, Gurgaon
My Dad got a paralysis attack in year 2006 . He is fine now his blood pressure is normal . Can he still take medicine...
Yes he should take bp medicine regularly as bp is normal because of medicine bp monitoring is required daily and consult your physician he may reduce dose of bp medicine after seeing bp monitoring chart.
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My penile nerve damaged. Don't send brain to penile sensation. And.activity. Its not erected. And. Do not send brain to penile action. Penile its numbness unsansuable. Fully.loose. Last 8 month. Penile arterial insufficient blood flow. please suggest me. Well treatment. Plz.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My penile nerve damaged. Don't send brain to penile sensation. And.activity.
Its not erected. And. Do not send brain ...
Hi onion is very good vegetable to treat sexual impotence. It increases libido and strengthens reproducing organs. White onions are best for this purpose. Take about 5-10 gm root powder of Ladyfinger in a glass of milk. Add 2 tsp of mishri in this milk and drink it. This will prove helpful in improving sexual vigour. Apply pranacharya gopal oil on your penis and give a massage. It will strengthen your nerves and erection power will get better. You can take ayurvedic medicines too along with this.
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I have migraine problem and I am using medicine regularly prescribed by specialist but some times am getting headache very heavily There is any remedy in Ayurveda.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Take ½ glass of carrot juice + Add ½ glass of spinach juice + Mix well + Drink this juice to cure headache 1-1 drop of cow ghee in both nostrils at night time before sleep...take pranacharya no tens capsule 1_1 twice a day...take shirshooladi vajra ras twice a day with honey....avoid tea and coffee .
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I am staying alone for last 30 years, my age is 55. I used to drink 3-4 pegs of whisky daily and chew pan masala n tobbaco. Often I feel sweat and thereafter some time shivering also. Can you suggest something ?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
I am staying alone for last 30 years, my age is 55. I used to drink 3-4 pegs of whisky daily and chew pan masala n to...
Get blood sugar, f/pp, cbc, lipid profile, usg whole abdomen ecg and echo in the mean time do following 1. No alcohol 3. No smoking/ tobaco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5.30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. Good luck.
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Jab may rat me sota hu to jab mai so kar jagta to mera hath ya pair jhan jhane lagta hai.Please help.

MBBS
General Physician,
that is because of sleeping posture youshoul lie flat and use hard bed due to wrong posture there by presing nervevand arteries and nerves thereby causing the sensation correct the posture you will feel OK

I have headache problem from last two year. I visited so many doctor but I didn't got solution. Some doctor said me that you have migraine. So please suggest what will I have to do now.

MBBS, cc USG
General Physician, Gurgaon
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) 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 complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis Consult me for further management.
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