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Dr. S Chitrambalam

Neurologist, Chennai

Dr. S Chitrambalam Neurologist, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. S Chitrambalam
Dr. S Chitrambalam is a trusted Neurologist in Rakshith Hospital, Chennai. You can consult Dr. S Chitrambalam at Metro Speciality Clinic in Rakshith Hospital, Chennai. Book an appointment online with Dr. S Chitrambalam on Lybrate.com.

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St.Isabel's Hospital

No: 49, Oliver Road, Mylapore. Landmark: Next To Luz Church, ChennaiChennai Get Directions
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No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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Basic Life Support (B.L.S), MBBS, MD - Internal Medicine, MD - Consultant Physician, MD - Diabetology, MD - General Medicine, ACLS
General Physician, Hyderabad
Sleep Apnea is the most under diagnosed medical condition. It is seen mostly in obese individual and associated with snoring. Untreated sleep apnea can give high blood pressure, diabetes, heart failure and stroke. Discuss with your physician to see if you may have sleep apnea.
2 people found this helpful

I am 30 years old and very often have shivering in my hands. I am suffering from b12 deficiency. Can you suggest me foods to increase this. More over due to my tight work I am not able to do any exercise to reduce weight. I eat low calorie food and home made only.

MBBS
General Physician, Hyderabad
I am 30 years old and very often have shivering in my hands. I am suffering from b12 deficiency. Can you suggest me f...
Good evening lybrate-user better change your food lifestyle complete one-time meal put yourself only on fresh fruits night dinner roti (wheat) without oil and green leaves / green salads/ green vegetables morning take one boiled egg and glass of milk reduce sugar intake avoid sweet s / ghee prepared items avoid fast foods avoid all bakery foods better take green tea 2 times a day without milk and sugar.
1 person found this helpful
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Hi, I have one problem. i was shivered at fear and when I carry some weights even to take selfie with mobile on that time my hand was shivering i'm not alcoholic. But everyday i faced this problem. If i get fear and scary moments the problem will be high. What is the problem of that. please tell me solution.

MBBS, DPM
Psychiatrist, Bangalore
Hi, I have one problem. i was shivered at fear and when I carry some weights even to take selfie with mobile on that ...
Dear Seshuk, Shivering may be due to anxiety, or due to thyroid problem or due to some drugs you use or smoking or other neurological causes. Please don't avoid taking selfie or other scary moments. If you continue, the fear and shivering will be reduced. However consult a doctor for diagnosis and treatment.
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I am 26 years old. I am suffering from Parkinson's disease for 10 years. I consulted with a neurologist but there is no improvement. I have to face a lot of problem with, day life. Please tell me which exercise I will do or which food I will eat to reduce it. Sir please please help me I will remain thankful to you.

DM - Neurology
Neurologist, Rajkot
Its very rare for pd to occur at such a young age. You should consult personally to determine whether you actually have pd or something else and then manage accordingly.
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My 1year old son is cp patient. His development (physical and mental) growth is very slow. He neither sit alone nor his neck stand still. I consult with a paediatric and physiotherapist and they suggest levipil and lioresal syrup and some exercise respectively. But the progress is not so satisfactory. What should I do for his better treatment? Is he be normal in his future life?

DM - Neurology
Neurologist, Hyderabad
Dear friend, unfortunate that your son is a cp patient, but worry, he will definitely improve. Difficult to predict how much he will improve without seeing the patient status. Best thing is that he is only 1 year old. There is ample of time for his development. You started treatment in right time. Continue physiotherapy, provide adequate healthy diet. Learn all type of physical excercises, limb positioning taught by the physiotherapist, practice it daily frequently at home. Improvement will be slow, do not loose your heart, but improvement will definitely occur, how much improvement will occur that depend on your effort and patience.
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I am diabetic my last sugar test report was about 264 post lunch since than my endocrinologist has changed the dosage of my tablets, Now I am using 1.Glimestar M2 (morning 1 tab and evening 1/2 tablet) Today from the mrng I am feeling numbness at my right hand little finger to till now. What could be the reason?

BHMS
Homeopath, Secunderabad
I am diabetic my last sugar test report was about 264 post lunch since than my endocrinologist has changed the dosage...
It might be a temporary symptom, so don't worry. Get back to your doctor, (it may me due to uncontrolled diabetes, peripheral neuropthy.) be regular in taking your medications and add some physical activity so that your sugar control balances efficiently. See that you eat something before and after the activity. Increase your activity level in a graded manner according to your convenience.
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My left hand is shaking at times. When watching fb or browsing something coming after work. Right hand is normal but left hand is much powerless. Any nerve problem?

MBBS
General Physician, Cuttack
. 1. It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 other causes of tremor could be stress, anxiety, panic, nervousness, inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4. Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/coffee/ smoking/alcohol if you have 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9. Consult neurologist for further advice.
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Know The Warning Signs of Brain Tumor!

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Know The Warning Signs of Brain Tumor!

There is no trustworthy evidence regarding what causes brain tumors, but there are a few risk factors that have been substantiated through research. Children and young people who receive radiation around the head are susceptible to developing tumors in the brain once they grow up. Also, people with a certain kind of rare genetic condition like neurofibromatosis may develop a brain tumor though such cases are very few in number. Age is also an important factor as people aged over 65 years are diagnosed with brain tumors at quadruple times higher than children and younger people.

Types of Brain Tumours:

A primary brain tumor originates in the brain, and they may or may not be cancerous. Some tumors can be benign, which do not spread in the surrounding tissues and are not very malicious. However, that does not signify that they will not cause any harm over time. Sometimes these tumors can be severe and cause a threat to the life of the sufferer. The National Cancer Institute reports that approximately there were 23, 380 fresh cases of brain tumors in 2014.

Identifying the Symptoms of Brain Tumors:

The symptoms of the brain tumor are dependent on various factors such as the size, type as well as the exact location of the tumor. These symptoms are triggered when any tumor is pressed or clashed against a nerve or disturbs a part of the brain. Symptoms are also felt when any tumor particle blocks the fluid flowing around the brain or when there is a swelling in the brain owing to the build-up of fluid.

Common symptoms include: headaches that get worse in the morning, nausea along with vomiting, an alteration in the speech, hearing and imbalances in walking and movement, mood swings, change in personality and ability to concentrate or remember things and seizures or convulsions.

Treatment for Brain Tumor:

Surgery is normally the most usual treatment for brain tumors, and the patient is given anesthesia, and the scalp is shaved before the surgery. Then, craniotomy is performed to open the skull, and the surgeon removes a bone piece out of the skull. Then the tumor is removed as much as possible. The bone is then restored back, and the incision on the scalp is closed. Sometimes surgery is not viable in case the tumor has developed in the brain stem or some other complex parts.

Neurosurgeons can surgically remove some tumors completely (called resection or complete removal). If the tumor is near sensitive areas of the brain, neurosurgeons will only be able to remove part of it (called partial removal). Even partial removals can relieve symptoms and facilitate or increase the effectiveness of other treatments.

The role of surgery in treating brain tumors:

Surgery can provide:

  • The complete removal of some brain tumors
  • A sample to enable doctors to diagnosis the tumor and recommend the most appropriate treatment
  • Better quality of life:
    • Reduced symptoms and improved ability to function (e.g., to think, speak or see better)
    • Less pressure within the skull from the tumor
    • A longer life

In case you or any of your near ones is affected with brain tumor, you should visit the doctor to know the possible treatments other than surgery and other important questions related to brain tumor.

2658 people found this helpful

I am having trouble with migraine and I have tried and taken a lots of pills but nothing happened, please tell me a permanent solution.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Migraine has no permanent solution. You have not mentioned the medication that you have taken till now. Preventive medications in appropriate doses are most helpful Follow these health tips to get some relief. 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily ( aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do meditation and pranayam. 7. Acupuncture treatment has shown some benefits in migraine. For further queries consult again.
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The neurologist has prescribed aten-50, cilacar-10. Rebiprazole-20, revortril0. 5 & rejunex cd3 for me for shaking of body and hypertension. Please Advise me are these medicines appropriate?

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Believe in your doctor prescription or go for second opinion online prescription without study your case might be no more useful for you.
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Respected Sir, I am Sudip Goswami from West Bengal. My father suffering with Parkinson's disease from last 3 years. We had visited several hospital india including NIMHANS, AOPLLO (Chennai, Bangur (W. B) Now please suggest me the way to recover from this situation. Also suggest me the best treatment for P. D in india.

DM - Neurology
Neurologist, Hyderabad
Dear friend, unfortunate to know your father suffering from parkinson's disease. It is a disease of brain in which brain cells in particular area of brain degenerate spontaneously so the patient develop problems in body movement like tremor, shaking of limbs and walking difficulty and movement become slow and body became stiff. There is no treatment to permanently cure the disease or stop the disease till now. But patients symptoms can be controlled by medication for a significant years. But he will be symptom free as long as he uses the medication, when he stops the medicine symptoms will reappear. Some centers doing stem cell therapy for parkinson's disease, but it is in experimental stage. Depending on patient's response to symptomatic therapy, a brain surgery is done called bds in which patient may get symptomatic relief without medication for many years. But it is available in selected centres, costly, helpful in some specific parkinson patients.
2 people found this helpful
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Respected Dr, I am posting my wife details as she is under treatment to psychiatrist, she is under treatment since june-2014. We got married in the month of november 2008 she got this problem after miscarriage of six month pregnancy which was unfortunate miscarriage. Before this she got two miscarriage first in the year 2010 at the third month of pregnancy it was ectopic second in the 2012 same at the third month but not ectopic and last in the year 2013. Her blood group is o positive. She has problem of epilepsy too for which she was under treatment before marriage and after marriage too she was taking valpro cr-200 under consultanty to Dr. Shashendra saxena- neurologist. All the report and test related to pregnancy are normal. Under any of the she is normal but whenever there is change in medicine she get epilepsy problem my and her age is 42 years we want a healthy baby I came to know about doon nursing home the it has both psychiatrist and gyno so I got some hope for getting both the treatment at same place which may be helpful by gods blessing and yours kind advice. At a time my wife is taking pyne-50 and colna-0.25 and during taking these medicine she is not having any problem as psychological or epilepsy. Now please give me yours kind advice about hope of of healthy pregnancy without any problem and treatment neuro or psychological problem.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
She has to continue drugs for epilepsy throughout pregnancy for smooth running of it because uncontrolled epilepsy can affect mother and baby badly. Again, we need to check whether drugs levels are adequate or not in pregnancy. Now, miscarriage is different issue- that needs thorough investigations to diagnose the cause of it and then start treatment.
1 person found this helpful
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While exercising (to cure the numbness in my left leg and foot) my left leg and foot actually experience tingling. Is it due to the problem being cured or the opposite. Do I continue the exercises?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Your symptoms could be due to lumbar spondilosys. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
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Hi - My father had a paralysis stroke about six months back, not completely recovered on the impacted left side. Major concern currently - loss of appetite, loss of weight, completely weak, likes to always be on bed and sleep, his daily and night schedules are out of track sometimes Appreciate any help and suggestion on improving above conditions current medication - clopitab, nurospur, eritel, tonact Thanks in advance

Master in Physiotherapy (MPT), Bachelor of Physiotherapy (BPT), CMT-Diploma in Osteopathy
Physiotherapist, Gurgaon
Patient after stroke got depressed thats why they got bed ridden. Try to make them happy and try to involve them in activity of daily living. Try to make them use the effected limbs. Go for ndt approach, it will definitely help.
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my son I having problems of convulsions from this year may month he's taking regular medicines given by doctors, can you pls answer me how much time will he take to recover from this problem.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
convulsions should not occur if he is taking medicines regularly...get him examined by nearest physician first to rule out any intracranial abnormality
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I am in a state of mental stress, my hair have started greying. I think 20-30% have greyed and I am only 25 years old. I feel depressed, frustrated, alone. I also feel lethargic. I don't feel the urge to work, I have Insomnia. Can you help me out?

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Simple answer Yes. But its difficult to give a fit all generic answer to help you get well. Hence kindly get back with further information like your work, do you smoke/drink, take any other medications, how are your energy levels, interests etc. Good Luck
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I get frequent headaches. Have had this problem since childhood. It feels like a migraine. It used to be that overnight sleep would fix it. But these days it last multiple days. What can be the causes and possible solutions.

MBBS
General Physician, Mumbai
I get frequent headaches. Have had this problem since childhood. It feels like a migraine. It used to be that overnig...
Your headache can be due to migrane or refractive error problem or sinusitis and for now take steam inhalation over the forehead.
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Migraine - Causes, Symptoms And its Ayurvedic Treatments

MD
Ayurveda, Pune
Migraine - Causes, Symptoms And its Ayurvedic Treatments

In modern days, migraine has become a common disease that affects the young and the old equally. Migraine as such cannot be cured, but improving lifestyle and Ayurvedic medication can help you keep this disease under control and improve your quality of life.

What is Migraine?
Migraine, commonly known as Sooryavarta in Ayurveda, is a medical condition in which the excessive stimulation of the blood vessels in the brain causes a throbbing pain on one side of the head and is associated with nausea, sensitivity and vomiting. This happens because the vomiting centre of the brain gets activated during an episode. These symptoms are the most common signs; however, it varies from person to person. 

What Causes Migraines?
These headaches worsen upon sunrise and it is at its peak at noon, when the sun is at its highest intensity and slowly subsides on sunset. This is one of the major factors in setting in an episode; it is not true in every case. 

The other triggers that cause migraine attacks according to Ayurveda are:

  1. Spicy and oily food
  2. Stress, anger, grief, jealousy
  3. Suppressed emotions or natural urges
  4. Indigestion
  5. Consumption of too much of dry, salty and pungent food
  6. Consuming polluted food

General triggers may include:

  1. Smoking and drinking
  2. Stress
  3. Fasting
  4. Physical stress and exercise
  5. Fluctuation in hormone levels during the menstrual cycle or the use of birth control pills
  6. Stopping intake of tea or coffee suddenly
  7. Stress to sensory organs in the form of bright noises, bright lights, strong perfumes or odours etc.

Certain foods or beverages may also trigger an episode of migraine. These include baked foods, chocolates, processed foods, spicy foods, onions, dairy products and peanuts. These kinds of foods are known to suddenly increase Kapha dosha or Pitta Dosha and as a result, trigger an attack.

Symptoms of Migraine-
It is usually characterised by a stinging, throbbing pain on one side of the head and is followed by nausea and vomiting. Some people may get visual aberrations called an aura- such as blind spots, blurred visions, distorted lines etc.

Ayurvedic medications that can help migraine are:

  1. Indian licorice – Glycyrrhiza glabra
  2. Sariva – Hemidesmus indicus
  3. Hareetaki – Chebulic myrobalan-Terminalia chebula
  4. Amalaki – amala – Emblica officinalis
  5. Mallika – Jasminum officinale
  6. Hareetaki – Chebulic myrobalan-Terminalia chebula
  7. Bala – Sida cordifolia
  8. Kumari – Aloe vera
  9. Sariva – Hemidesmus indicus

Simple home remedies useful in migraine:

  1. Tender leaves of jasmine or tender leaves of pomegranate are taken along with a pinch of salt and crushed well to obtain fresh juice. Early in the morning, preferably in empty stomach, 2-3 drops of this fresh juice is instilled to both the nostrils. Procedure is repeated once again evening hours (6-7 pm). This reduces the severity of headache in migraine.
  2. One fist full of Doorva grass (cynodan dactylon) is taken and its fresh juice is obtained. To this, 2 pinch of licorice powder is added and mixed well. This is consumed during the noon hours. Procedure is repeated for 20-30 days. This helps to reduce the severity of illness significantly.
  3. Take coriander seed powder – 1 teaspoon. add it to one cup of water, leave it as it is at night, next day morning, drink it on empty stomach.
  4. Soak 5 raisins and 5 almonds in water at night, next day morning, eat them. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.
5592 people found this helpful

Early intervention to avoid long term Disabilities

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
The early intervention is must and prevent much of deformites of the children born with cerebral palsy and birth defects where if identified early help them to on par with other children and achieve their goals in the life and may be independent

Some times I feel swelling in the upper side of my right thigh, it's not painful but uncomfortable, usually when I can feel it I feel stiffness in my thigh muscles and sometimes a little sensation of numbness in my leg, when it goes away everything gets back to normal, what could this be and could it be something serious?, thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hyderabad
Some times I feel swelling in the upper side of my right thigh, it's not painful but uncomfortable, usually when I ca...
U have not mentioned your age I feel you should consult a gp or take sufficient of potassium rich foods like fruits like banana some times due to exhaustionleads to cramps may be d vitamin defficiancy presumably one of the reasons.
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