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Dr. R.Srinivas

Neurosurgeon, Chennai

Dr. R.Srinivas Neurosurgeon, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. R.Srinivas
Dr. R.Srinivas is a popular Neurosurgeon in Tambaram, Chennai. He is currently practising at rm polyclinic in Tambaram, Chennai. You can book an instant appointment online with Dr. R.Srinivas on Lybrate.com.

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Mam/sir, am 23 years old (female), and I have three major health problems in my life…I tired by these problems. Please help me. 1)I having migraine headache that is I already told you. please suggest me any remedies for this. Now am taking “VASOGRAIN” tablets when I got migraine headache is this right? 2)I having 2nd problem is theres is so much of itching in my organ. Likewise uncontrollably. It is from many years. I just can not bear this itching . By this my clothes are tore every time and after itching so much of burning there. Just I cant bear mam/sir. Please telma solution. 3)The 3rd one is there is so much of dandruff in my scalp and my hairs were falling. I.e 8-10 hairs will fall by root in every time I keep my hand in hairs. And so many hairs are becoming white so please telma the proper solutions please. One more am worried about my young brother he is 13 years old, and he having pits from 2.5 years we treated him by a specialized doctor and they gave some tablets we are giving him it regularly but yet he didn’t get cured. And that pits bothering him every time. I can not see him when he encountered by that. I just can not bear his pains. Before he ddint split when pits occurred but nowadays he is spitting and after that moments the whole day he has to suffer with head ache that like very heavy feel and his head is feels very heavy to him in that time. By this he is unable to focus on studies. Please help me. Please in regarding this case.

MD - Homeopathy
Homeopath, Aurangabad
Mam/sir, am 23 years old (female), and I have three major health problems in my life…I tired by these problems. Pleas...
All problems are possible to get cured ny homeopathy, med. Migraine is curable in homeopathy allopathy give temp relief. Also other problems contact me for cure.
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I have epilepsy I am in medication with Oxytol 300 for two years Since then I haven't experienced any seizures my doctor says it will take 2-3 years to cure. I want to ask what is the reason for it? Can the medication cause long term health risks? My CT scan of brain is normal and my recent EEG report shows" Sharp transients occurring from both hemispheres of brain" as it showed two years before. Am I improving?

MBBS
General Physician, Jalgaon
If you didn't got any seizures in last 2 yrs it is good I will suggest few points Pl go for morning walk in greenery to give more oxygen supply to brain Do pranayam in greenery Anulom-vilom pranayam is very helpful Do meditation regularly to give rest to your brain Continue your treatment Take Cap Brahmi by Himalaya 2 2 for 3to 6mths Put some cow ghee drops in both nostrils and take deep breath Repeat EEG after 6mths to see the changes
2 people found this helpful
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Hello Doctor, I have a trigimal neuralgia in my right side of forehead near eye from last 3 years. Very sharp shooting electric pain to touch the eyes or effected area of face. Generally it started in between sept to March. On winter season. Please suggest any permanent solution for this. Thanks & Regards

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hello Doctor, I have a trigimal neuralgia in my right side of forehead near eye from last 3 years. Very sharp shootin...
Trigeminal neuralgia is a very annoying recurrent illness. Fortunately treatment is available. The permanent solution is nerve block. You may consult your neurologist for the same.
1 person found this helpful
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Sir, I have migraine problem since 7-8 years and I m now 17. I m using homeopathy now to treat it. But it has more problem than before, I become very hungry at sometimes, a stage becomes when I become excessive hungry then I get migraine attack. Pls help me.

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 its a clinical diagnosis and we can start with tablet propranolol only after personal examination
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Prevention of Seizure

BHMS, MD - Homeopathy
Homeopath, Chennai
Since the cause of epilepsy is often unknown, it can't be prevented, but the seizures associated with epilepsy can be.

Seizures can occur for a number of reasons and often they can be prevented. One common cause of seizures is epilepsy, and in most cases, seizures associated with the condition can be prevented if you know what's triggering them and take steps to modify or avoid those triggers.

Epilepsy Causes, Treatment, and Prevention

Epilepsy — a disorder in which a person has recurring, unprompted seizures due to abnormal electrical activity in the brain — affects an estimated 50 million people worldwide. In about half of those people, the cause of the epilepsy is unknown. Among the other 25 million individuals, the cause may be a defect in the structure of the brain, a tumor or stroke, or a severe head injury — the most common known cause in young adults, according to the Epilepsy Therapy Project. Therefore, it's important to protect your head with a helmet any time you're engaged in an activity in which your head could be damaged, such as playing a contact sport like football or riding a bicycle, all-terrain vehicle, or motorcycle.

There are several medications that can successfully treat and manage epilepsy and help keep seizures to a minimum. Anticonvulsant drugs can work if taken correctly. In some cases, a low carbohydrate, high-fat diet known as the ketogenic diet may be prescribed to help treat children with epilepsy and prevent seizures.

Know Your Triggers, Prevent Seizures

Epileptic seizures are often associated with particular triggers or changes in your daily habits or routine. Here are some common behaviors and factors that may trigger an epileptic seizure:

.Stress, anxiety, or other emotional issues
.Alcohol or drug abuse or the process of quitting alcohol or drugs
.Change in sleep schedules, feeling very tired, or significant sleep deprivation
.A change in medications, or skipping or missing a dose of .anti-seizure medication
.Something that overstimulates the senses, like lights that flash brightly, watching television, playing video or computer games, or working on a computer
.Hormonal changes in women, often from pregnancy or menstruation
.Mental strain, such as from solving complex problems

You can't always predict what will trigger an epileptic seizure; sometimes they'll occur for no apparent reason. But many people are able to see a correlation between certain behaviors and their seizures. By taking steps to minimize these factors, you may be able to prevent seizures.

Seizure Prevention Tips

Here are some tips that may help reduce your risk of having an epilepsy seizure:

Get plenty of sleep each night — set a regular sleep schedule, and stick to it.
Learn stress management and relaxation techniques.
Avoid drugs and alcohol.
Take all of your medications as prescribed by your doctor.
Avoid bright, flashing lights and other visual stimuli.
Skip TV and computer time whenever possible.
Avoid playing video games.
Eat a healthy diet.
Until more is known about the causes of epilepsy and how it can be prevented, your best bet to prevent seizures associated with epilepsy is to avoid the things that can trigger your seizures. This can make a measurable difference in the number of seizures you have.
21 people found this helpful

I am getting migraine headache 4 to 5 times a week. If I get headache it may last longer to next morning. I started to use rizora 10 mg prescribed by doctor. If I get headache. Still I am suffering from it. Can I get the permanent solution?

BHMS, M.D.
Homeopath, Pune
hello lybrate user, the symptoms like intense headache, sensitivity to light, sound, and vomiting etc..;are of migraine headache. drink plenty of water (8-9 glass per day), have enough sleep,  avoid stress, avoid certain food which triggers headache.take homeopathic treatment for migraine, it is safe, natural and holistic way of treatment. homeopathic medicines like Nat mur, spigelian etc works great for headache complaints. chronic type of headache needs constitutional treatment where medicine is selected on the basis of thorough details of patient like medical history, cause, routine, temperament etc; such well selected remedy gives complete relief without side effects. message back for first free consultation (excluding medicine and shipping charges). take care.  
1 person found this helpful
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I am 30 year old. I am having migraine. I took so much medicine but not relief. I urge you please suggest me effective way.

BAMS, MD Ayurveda
Sexologist, Lonavala
The following thing if you adapt it will be helpful 1. Remove peels from 5 lemons 2. Grind them well 3. Add a little water and make paste 4. Apply this paste on the forehead surely you will get results. Your problem is permanently cure by ayurvedic treatment.
3 people found this helpful
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

I am 28 year old male suffering from migraine. Using propranolol hcl initially 20-20 mg per day since 1 year and now reduced to 10 mg at one time during the day. Is it good practice? When I stop using this medicine palpitations, heart pain etc starts what to do to quit this medicine?

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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My left hand was trembling since 4 years. I take various types of medicine for it but the result is zero. What can I do pls help me.

MBBS
General Physician, Mumbai
Take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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My father is 55 years old and has recently undergone a surgery to remove tumour in the testicular area along with left testicle and lymph nodes. Post biopsy results in the tumour and lymph nodes have detected cancer. All tumour marker tests i.e. LDH, AFP and HCG have shown normal values. Also FNAC test showed normal value prior to the surgery. What should be our next steps in this case? What are the implications and what is the cure/survival rate for testicular cancer?

MBBS, MS - General Surgery, FIAGES(Fellowship in minimal access surgery), FMAS (Fellowship in Minimal Access Surgery)
General Surgeon, Ghaziabad
My father is 55 years old and has recently undergone a surgery to remove tumour in the testicular area along with lef...
Hi there. Testicular tumor is a slow growing tumor. Since all markers are negative than its most likely a seminoma. I think you should consult a oncologist for the requirement of chemotherapy. Since lymph nodes were involved than chances of recurrence and prognosis is not that good.
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I am suffering from abnormal sensation in body like earthquake. Body shakes from inside many a times during the day.

MBBS
General Physician, Cuttack
It could be due to tension,worries,and anxiety.Check your Hemoglobin and Bp. Avoid stress if any. Take good nourishing diet,green leafy vegetables, fruits,milk etc. Take one tablet of multivitamin daily. Consult doctor for a General check up
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World Autism Day; How To Recognize It Early

MD - Psychiatry
Psychiatrist, Delhi

The Indian government only recognized autism in 2001. Till the 1980s, there were reports that the disorder didn't exist in India. Experts worldwide have estimated that 2-6 children out of every 1000 have autism. In India, currently, 10 million people are suffering.
Autism is a complex developmental disability which starts presenting itself in the first 3 years of a child's life. It is a result of a neurological disorder which affects the normal brain functions of a child, thus eventually affecting their communication (verbal as well as non-verbal) and social skills.

Keep in mind that different children behave differently due to autism; no two children will ever have the exact symptoms. Some may experience mild symptoms while others may experience severe ones.

Social skills: an autistic child will interact in a very different way. If the symptoms in the child are mild, then such people are socially clumsy and awkward, may pass comments which seem offensive to others and may or may not be out of sync with other people of their age group. For those suffering from severe symptoms, they show absolutely no interest in people whatsoever.
Autistic children also find it extremely hard to understand the feelings and emotions of others.
Touch: children with autism have shown dislike to physical contact like being touched, cuddled, hugged etc. However, this is not true for everybody. Many will sometimes hug a parent or a friend, and enjoy that moment of contact greatly.

For children with autism, their social and communicative skills lag behind while their cognitive skills develop quickly enough. Similarly, their language skills might develop rapidly while their motor skills lag behind. For example, they may not be very good at sports, but their vocabulary would be the largest in their age group.

2 people found this helpful

Alzheimer's Disease: How It Affects The Body?

MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
Alzheimer's Disease: How It Affects The Body?

Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.

Let us find out what medical science has found so far:

  1. Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
  2. Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
  3. Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
  4. Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.

It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

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I am 28 years old male, suffering from migraine since 6 years. I have consulted many neuro doctors and gone thru all types of head scanning and found nothing in scan report. I'm taking the prescribed medicines regularly but didn't see any improvement. Request you to suggest me what should I do next.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Massage your hair with good ayurvedic oil like bhring ranj oil. Sprinkle water in eyes. Take sootshekhar ras. Kaparda bhasm and godanti bhasm with honey two times a day. Pranacharya no tens capsule twice a day with warm water. Avoid tea. Coffee. Junk food. Oily food. Fermented food. Stress. Eat green vegetables. Drink fruits juices. And 7-8 glass of water. Do pranayama early in the morning. Walk for minimum 30 minutes in a day.
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After trauma at forehead by struck up head with watertap whether patient can feel memory loss and more sleep? Please advise. Whether we need to wait or need to consult and perform MRI/CT scan?

MS - Counselling and Psychotherapy, Master of Arts in Clinical Psychology, Bachelor of Arts - Psychology and English Literature
Psychologist, Coimbatore
Hi God has created our head or skull to be strong to an extent to protect the brain from such accidents. So watertap would not have created much impact to your brain to loss memory or any inner injury. You must be well aware during that accident how much force or prensure was the water tap to your head or brain. But if you still have fear or want to clear your doubt there is nothing wrong to take a CT scan or MRI scan which would be the best way to clear your doubt and keep going or to lead a normal life forever. Take care. Be relaxed. With regards, Psy. MSV.
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I'm a 18years old girl studying engineering 1st yr. I'm falling in my college regularly, and I consulted a doctor he said me after doing medical checkups I'm in starting stage of fits. Doctor gave me medicine now I'm physically ok but not mentally. I'm not able to read and concentrate on my studies. I'm getting frustrated very easily. So please help me with this problem.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Dear lybrate-user, go for a complete detox of your body with the help of ayurveda's panchakarma therapy. It includes abhyangam (massage with medicated oils) n medicated steam bath. This wud rejuvenate your body - improving your work efficiency and bettering your sleep. It will also strengthen your nerves and muscles. These procedures will take out the harmful toxins out of your body - cleansing your body. Also take shirodhara which would completely take the stress out of your body and you will feel light, fresh and full of energy. Strictly avoid all junks, oily -spicy food, pickles if you r eating, drink lots of water, juices or daily have fresh fruits. Try to keep your bowel clear.
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My body shakes and feel imbalanced. Is it a neurological disease? suggest alternative medicine.

Unani Specialist,
Dear, are you having any illness like diabetes or thyroid problem, please mention. I also need your personal history like smoking, drinking liqor or any other addiction. As cerbellum involvement is an important cause of shaking and imbalance physical examination is must. If you are not taking liqor and not having any other major illness then here are altenative unani medicine for you; 1. Khamira gaozaban ambari jadwar ood salib wala 1 tea spoon morning.
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Im 38 years old, I had paralysis in my left region in 2008, can I do heavy workout?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
If you are absolutely fine now then you can do workout but not so heavy...in the guideline of a gym trainer
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