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Dr. Rama Subramaniyan

Neurologist, Chennai

Dr. Rama Subramaniyan Neurologist, Chennai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rama Subramaniyan
Dr. Rama Subramaniyan is a trusted Neurologist in Janani Hospital, Chennai. She is currently associated with Dr. Rama Subramaniyan@Arokya Hospital in Janani Hospital, Chennai. You can book an instant appointment online with Dr. Rama Subramaniyan 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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#32, Pillaiyar Koil Street, Nesapakkam, Landmark: Near To Pilliyar Kovil.Chennai Get Directions
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I am 36 years old and I am suffering with migraine since 3 years. Some times its complications are very painful for me. Please tell me some precautions in migraine. I also wants to know whats are the precautions and complications of migraine?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
DEAR Lybrate USER. You have to follow some basic things so that you get better results in a short period of time. …. 1) take solid diet two times in a day and liquid diet two times in a day …2) drink only 100-150 ml of lukewarm water during meals …. 3) don’t drink water before meal for one hour and one hour after meal…4) avoid oily, spicy, junk, fermented and stale foods…. 5) avoid late night sleeping habits …6) avoid coffee and tea. A) take 30ml of AUDUMBARAVLEHA and 10 ml of honey early in the morning on empty stomach and at night before sleep. B) take 30 ml of DAAAIMAVLEHA after meals along with 30 ml of water. C) take 2-2 tablets of arogyavardhini vati and sutshekhar rasa after meals, do all things for 7 days. This formulation is 100% effective. Consult to me for further suggestion. THANKS.
1 person found this helpful
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Sleep Pyschiatry: Its Stages and Benefits

DPM, MBBS
Psychiatrist, Mumbai
Sleep Pyschiatry: Its Stages and Benefits

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person’s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

  1. Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
  2. Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
  3. It also relaxes our voluntary muscles and thereby, relieves us from physical stress
  4. Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.
 

2412 people found this helpful

My grandfather got paralysis a year ago and past few days he got pits. Why is this happening. His left cerebrum was dried. No other diseases.

DNB(Neurosurgery)
Neurosurgeon, Chennai
Fits can be due to many resons. Most common in this kind of case senarios are. Low sodium or glucose, rarely it can be another episod of stroke. Fits can also occur because the'dried' or dead cerebral tissue acts as irritative focus. But this cause is common in early days post stroke.
4 people found this helpful
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my brother had brain hemorrhage in 2003,(when he was just 26 years old) till date he is not able to walk, he can not talk properly, his left side is not working. He can not stand on his own. Please help us.

DM - Neurology
Neurologist, Nagpur
Most of the recovery after stroke, in your case haemorrhagic stroke, occurs within first 3 months. Some patients continue to have further some recovery in first year. After that there is not much improvement. However continue physiotherapy so as to prevent contractures. If there is any tightening in the limbs, it can be managed with some anti spasticity drugs.
2 people found this helpful

My mother is suffering from lack of sleep since two weeks so is this what called insomnia and if this so then how to treat it because due to insomnia whole body cycle is getting affected, even lack of appetite and feeling lethargy, please provide me with the best solution.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My mother is suffering from lack of sleep since two weeks so is this what called insomnia and if this so then how to ...
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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For over a month now I have been having issues with my eye. Before it was watering and burning. The watering was so bad it was rolling down my check. Its only the one eye really. Now I am having pain like someone is poking me and my check under the eye feels like I was punched and my eye brow hurts too. It seems to also be affecting my migraines. Please help!

DNB, MD - Ophthalmology, FICO
Ophthalmologist, Bangalore
For over a month now I have been having issues with my eye. Before it was watering and burning. The watering was so b...
HELLO SIR, As per Your history, it looks like conjunctivitis. Please consult ophthalmologist to get treatment. Apply cold compresses, avoid sharing towel with family members. Do not rub eyes.
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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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Hello Madam, 10 days complete but no relief in left hand numbness can I still continue? Hypericum 1x, 2 tabs twice daily with warm water. Gelsemium 30 Ch, 3 drops twice daily.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Hello Madam, 10 days complete but no relief in left hand numbness can I still continue?
Hypericum 1x, 2 tabs twice da...
Hello lybrate-user. Leave all these medicines. Just take arnica 6c daily twice in a week. You will be really benefitted with 2-3 days itself.
1 person found this helpful
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I have head ach for last 12 years because of migraine. I am facing some difficulties while having the medicine, they are of very high dosage. What should I do?

MBBS
General Physician, Mumbai
For headache take tablet paracetamol and few tips - Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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Meri dadi ke hath bhut vibrate hote hai. Toh aise koi ilaz bta dijiye jinse unko fayda ho.

MBBS, cc USG
General Physician, Gurgaon
This problem seems to be due to old age Tell me is she taking any medicine for Diabetes/ BP/ Thyroid or we need to do some test Get following test done and review with reports Fasting Blood sugar CBC Thyroid function test (fasting) BP
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I am 56 yrs old retired govt servant. I am suffering from diabetes since last 4 yrs. At present my fasting blood sugar level is 125. And pp 265. And a1c is 6.7%. From the last 4 months i feel very tired , pain under the deltoid region while sleeping . Legs feels numb. My TFT results are normal. Pls give me an advice.

MBBS
General Physician, Indore
As your PP is high. If you are not taking any medications then its the time to start medications. Better to start with oral hypoglycemic agents. (OHA). These body pain and tiredness may be due to diabetes. Can start with METFORMIN 500mg once a day in between breakfast and see the result after 2 weeks. If it is improved then continue. There are side effects also. If you feel gastric trouble then consult again.
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I am 73. In a recent MRI report' Impression' clause contains the remark -" The lateral ventricles are dilated. The dilation appears to be out of oroportion to the amount of atrophy. This could represent NPH and needs clinical corelation" Kindly explain the remark for layman' s understanding.

MPTh/MPT
Physiotherapist,
The latest ventricles are deleted because blood might be oozing out and third and fourth ventricles are also not receiving blood supply properly. Due to this muscle atrophy result. Kindly consult neuro physician
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I gave migraines once a week and my hands start to shivering when it happens it's creating a lot of problem in my daily rehearsals. Please help.

MBBS
General Physician, Delhi
Hi, there are many different types of headaches. Although not all headaches are the same, they all share at least one thing in common -- they cause pain. But many headaches also cause other unwanted symptoms. Migraines and other types of headaches, such as tension headache and sinus headache, are painful. Migraine symptoms include a pounding one sided headache, nausea, vomiting, and light sensitivity and are treated with anti nausea drugs and abortive or preventive medications. Hypertension is also one of the important causes. Migraine remedies include pain relievers like analgesics and antipyretics along with antimigraine tabs.
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I am having bells palsy (right face) n I m 23 years old. M having since 6 month. It is 70 % cured. Should it consider rest 30% to be permanent for life. N does smoking affect bells palsy.

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Facial physiotherapy and electrotherapy smoking has no direct link but it uaually precipitate respiratory tract infection which has direct role.
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Learning Disabilities and Dementia

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Learning Disabilities and Dementia

Learning disabilities and dementia


Advances in medical and social care have led to a significant increase in the life expectancy of peoplewith learning disabilities. The effect of ageing on people with learning disabilities – including therisk of developing dementia – has, therefore, become increasingly important. This information sheetoutlines some of the issues concerning people with a learning disability who develop dementia.

The causes of learning disability are diverse. They include genetic disorders such as Down’s syndrome, pre- or post-natal infections, brain injury, and general individual differences.

What is dementia?

Dementia is a general term used to describe a group of diseases that affect the brain. Alzheimer’s disease is the most common form of dementia. The damage caused by all types of dementia leads to a progressive loss of brain tissue. As brain tissue cannot be replaced, symptoms become worse over time.

Symptoms may include:
Loss of memory
An inability to concentrate
Difficulty in finding the right words or understanding what other people are saying
A poor sense of time and place
Difficulty in completing self-care and domestic tasks and solving minor problems
Mood changes
Behavioural changes
There is no evidence that dementia has a different effect on people with learning disabilities than it does on other people. However, the early stages are more likely to be missed or misinterpreted, particularly if several professionals are involved in the person’s care. The person may find it hard to express how they feel that their abilities have deteriorated, and problems with communication may make it more difficult for others to assess change.

What are the risks?
Down’s syndrome and Alzheimer’s diseaseAbout 20 per cent of people with a learning disability have Down’s syndrome. People with Down’s syndrome are at particular risk of developing dementia.
Figures from one study (Prasher, 1995) suggest that the following percentages of people with Down’s syndrome have dementia:
30-39 years - 2 per cent40-49 years - 9.4 per cent50-59 years - 36.1 per cent60-69 years - 54.5 per cent
Studies have also shown that virtually all people with Down’s syndrome develop the plaques and tangles in the brain associated with Alzheimer’s disease, although not all will develop the symptoms of Alzheimer’s disease. The reason for this has not been fully explained. However, research has shown that amyloid protein found in these plaques and tangles is linked to a gene on chromosome 21. People with Down’s syndrome have an extra copy of chromosome 21, which may explain their increased risk of developing Alzheimer’s disease.
Other learning disabilities and dementiaThe prevalence of dementia in people with other forms of learning disability is also higher than in the general population. Some studies (Cooper, 1997; Lund, 1985; Moss and Patel, 1993) suggest that the following percentages of people with learning disabilities not due to Down’s syndrome have dementia:
50 years + - 13 per cent65 years + - 22 per cent
This is about four times higher than in the general population. At present, we do not know why this is the case. Further research is needed. People with learning disabilities are vulnerable to the same risk factors as anyone else. Genetic factors may be involved, or a particular type of brain damage associated with a learning disability may be implicated.
How can you tell if someone is developing dementia?Carers play an important part in helping to identify dementia by recognising changes in behaviour or personality. It is not possible to diagnose dementia definitely from a simple assessment. A diagnosis is made by excluding other possible causes and comparing a person’s performance over time. The process should include:
A detailed personal historyThis is vital to establish the nature of any changes that have taken place. It will almost certainly include a discussion with the main carer and any care service staff.
A full health assessmentIt is important to exclude any physical causes that could account for changes taking place. There are a number of other conditions that have similar symptoms to dementia but are treatable: for example, hypothyroidism and depression. It is important not to assume that a person has dementia simply because they fall into a high risk group. A review of medication, vision andhearing should also be included.
Psychological and mental state assessmentIt is equally important to exclude any other psychological or psychiatric causes of memory loss. Standard tests that measure cognitive ability are not generally applicable as people with learning disabilities already have cognitive impairment and the tests are not designed for people without verbal language skills. New tests are being developed for people with learning disabilities.
Special investigationsBrain scans are not essential in the diagnosis of dementia, although they can be useful in excluding other conditions or in aiding diagnosis when other ssessments have been inconclusive.
What can be done if it is dementia?Although dementia is a progressive condition, the person will be able to continue with many activities for some time. It is important that the person’s skills and abilities are maintained and supported for as long as possible, and that they are given the opportunity to fulfil their potential. However, the experience of failure can be frustrating and upsetting, so it is important to find a balance between encouraging independence and ensuring that the person’s self-esteem and dignity are not undermined.
At present there is no cure for dementia. People progress from mild to moderate to more severe dementia over a period of years. New drug treatments seek to slow down or delay the progression of the disease and it is hoped that treatments will become more effective in the future. See the Society’s information sheet Drug treatments for Alzheimer’s disease – Aricept, Exelon, Reminyl and Ebixa.
Strategies for supporting the person with dementia People who develop dementia are, first and foremost, human beings with individual personalities, life histories, likes and dislikes. Dementia affects a person’s ability to communicate, so they may develop alternative ways of expressing their feelings. By understanding something of a person’s past and personality we can begin to understand what they might be feeling and why they respond in the way they do.
Many practical strategies have been developed to support people with dementia and their carers. Here are some ideas:
Enable individuals to have as much control over their life as possible. Use prompts and reassurance during tasks they now find more difficult.
Help the person by using visual clues and planners to structure the day.
Use visual labels on doors to help people find their way around their home in the early stages.
Try to structure the day so that activities happen in the same order. Routines should be individual and allow for flexibility.
A ‘life story book’ comprising photos and mementos from the person’s past may be a useful way to help the person interact and reminisce.
If speech is a problem make use of body language. Simplify sentences and instructions, listen carefully and give plenty of time for the person to respond.
If someone is agitated, the environment might be too busy or noisy.
Relaxation techniques such as massage, aromatherapy and music can be effective and enjoyable.
If someone becomes aggressive, carers and professionals should work together to try to establish reasons for the person’s frustration and find ways of preventing the behaviour or coping with the situation should it arise.
Medication may be used if someone is experiencing high levels of agitation, psychotic symptoms or depression. It is important that any prescribed medicine is monitored closely and that other ways of dealing with the situation are thoroughly explored.

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My 20 year friend is suffering from headache from past five days. Its happening every 2 hours, acute pain in head. What should be done to cure this head ache? is it migraine or sight issue? pls suggest some thing to cure his head ache problem thank you.

MBBS, cc USG
General Physician, Gurgaon
My 20 year friend is suffering from headache from past five days. Its happening every 2 hours, acute pain in head. Wh...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be migraine headache kindly follow advises given below: you can take: 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 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management
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I feel weakness in my half body (right side). Sometimes I feel numbness but there is no pain and not any problem in routine life. I am cervical patient and taking medicine since last 6-7 months.

DM - Neurology
Neurologist, Hyderabad
I feel weakness in my half body (right side). Sometimes I feel numbness but there is no pain and not any problem in r...
As you are feeling weakness on right half of body with numbness, it may be related to some problem in brain or cervical spinal cord. You have to give information weather similar numbness in right side of face, if it is there you may need a brain scanning (mri brain) to rule out any serious problem.
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I'm under treatment for epilepsy, my neurologist has prescribed encorate chrono 500 mg and have been taking it since 3 months. A common side effect of the tablet encorate is hair loss. My hair is thinning and suffering from hair loss. Please let me know a solution to stop or reduce the hair fall. Thanks.

MD - Psychiatry
Psychiatrist, Chennai
Discuss this side effect with your neurologist and ask him for alternative medication or change in dose. All the best.
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Blood got clotted in one of the nerve in brain My grand ma is unable to speak She is trying to speak but the tongue is not supporting and right leg and hand are expected just as paralysed including tongue Doctors have gone surgery through angiogram and passed a medicine through nerve which is clotted Any idea about this case and any other suggested treatments?

MASLP
Speech Therapist, Hyderabad
Rehabilitation physiotherapy and speech therapy will help in recovery. Do not waste further time as better recovery phase is initial few months than chronic conditions.
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