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Dr. S Chitrambalam

Neurologist, Chennai

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Dr. S Chitrambalam Neurologist, Chennai
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Personal Statement

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.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 29 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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St.Isabel's Hospital

No: 49, Oliver Road, Mylapore. Landmark: Next To Luz Church, ChennaiChennai Get Directions
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St Thomas Hospital

No.5/105, Defence Colony Road, St Thomas Mount. Landmark: Near Cantonment Kalyana Mandapam & Mutt Road, ChennaiChennai Get Directions
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Please provide your suggestion on numbness and tingling I joined gym in April-15, and after 2-3 week of work out I found that my lower back is paining slowly. I had a consultation with orthopaedics and he prescribed me few tablets of vitamin D etc. Now I am feeling numbness and tingling in my foot which is bit painful. Doctor said that it might take 6-8 months to get complete relief as my nerve is pinched. My current prescription is: 1: BALAMIN ALA 2: ECOD PLUS 3: D. GAIN Note: I have attached prescription. Please suggest me what should I do. My age is 34 years.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Please provide your suggestion on numbness and tingling

I joined gym in April-15, and after 2-3 week of work out I f...
Requires detailed examination and investigation. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.
2 people found this helpful
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I'm epilepsy patient patient ,or ye sleep disk hai, some people say k is disorder se Mari Jan ja Sakti hai, wt is truth explain me pls, nd m I normal people or not.

MS - General Surgery, M.Ch - Neuro Surgery
Neurosurgeon, Siliguri
People with epilepsy are normal people. It's just that an uncontrolled seizure episode may risk you to injuries from a accident.
3 people found this helpful
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I am facing numbness in hands and feet from last 6 months. Maximum problem is while sleeping. All blood results are normal and there is no deficiency. I have been prescribed several medications but all in vain. Even acupressure does not work. Please help.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
I am facing numbness in hands and feet from last 6 months. Maximum problem is while sleeping. All blood results are n...
It's a deficiency of vitamin B12 & FOLIC ACID so you can improve your diet include. Fish, especially haddock, and tuna Milk, cheese, and yogurt Some nutritional yeast products Eggs.
1 person found this helpful
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My 17 year old daughter have cerebral palsy. She is quaderiplebgic. I have heard about Dr. Bernard brucker. Biofeedback therapy. Can this therapy will help her in any way?

M.P.T. (Neuro), BPTh/BPT
Physiotherapist, Lucknow
Yes it is helpful but other treatments are aldo available like ndt, botox injection. And stem cell therapy.
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I have weekly one day will come migraine, especially Monday, please tell how to cure?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing type of headache. It is usually seen in females but may occur in males too. Management of migraine includes treatment for acute headaches and then treatment for prevention of future attacks of migraine. This is decided according to the onset, type, duration, severity of headaches and also the associated symptoms like sleep problems, stress, anxiety etc.
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
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Hi Issue of insomnia since last 3 years. Taking sleeping pills said to be harmful. Suggest med in Homeo or ayurveda with min side effects.

BHMS, Certified in Aesthetic Skin Treatments, Certified in Applied Behaviour Analysis
Homeopath, Mumbai
Hi Issue of insomnia since last 3 years. Taking sleeping pills said to be harmful. Suggest med in Homeo or ayurveda w...
Insomnia is a sleep disorder in which a person finds it difficult to fall asleep or to stay asleep. Insomnia also includes poor sleep quality, restless sleep, waking up several times during sleep, and feeling un-refreshed or tired after waking up. Homeopathy provides a very safe, effective and non-habit forming treatment of both types of insomnia — acute and chronic. Since the Homeopathic medicines are sourced from natural substances, there are no side-effects.There are various causes of Insomnia. The prominent ones are stress, grief, depression, emotional disturbance, intake of stimulants like coffee and alcohol, and a huge number of medical reasons (like heart diseases, breathing disorders, thyroid problems, and rheumatoid arthritis). Insomnia is also one of the major concerns in elderly people.The Homeopathic remedies are very beneficial in both inducing sleep as well as improving the quality of sleep. Where as the conventional system treats this disease by giving drugs to induce artificial sleep, which frequently may cause side effects or addiction, Homeopathic approach is totally safe and natural. It treats insomnia by giving a tiny dose of a substance that, in large doses, would cause sleeplessness in a healthy person. COFFEA CRUDA is a homeopathic medicine that is most often used for treating insomnia of acute origin and constant thinking. NUX VOMICA is more suited when insomnia is due to the abuse of stimulants e.g. Alcohol, coffee, smoking etc.KALI PHOS top Homeopathic medicine for Insomnia from stress. ARSENIC ALBUM and RHUS TOX are the best Homeopathic medicines for Insomnia with restlessness. BARYTA CARB and PASSIFLORA INCARNATA are the best natural Homeopathic medicines for Insomnia in elderly people. Chronic insomnia needs to be treated according to the cause and also evaluated on the constitutional scale while being prescribed for. The high efficacy Homeopathic treatment for depression needs a special mention as it is the most common cause for chronic insomnia. Please note that Every case calls for detailed study of the patient individually. There are no disease specific medicines in homeopathy. The exact treatment is determined only on "in-depth" evaluation of the individual case. Consult online for homeopathic treatment. Your feedback matters. Thank-you.
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Woke up two days ago feeling like a was walking on a cloud. All my movements feel like they are slow motion it's is like I have to really think about how I need to move my body

MPTh/MPT
Physiotherapist,
Kindly go for yoga and entire body stretches regularly. Adequate exercises will help you to keep fit and avoid doing vigorous activities.
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I'm 50 years old. And i'm having a severe pain in my shoulders. The pain starts from the neck, and comes to the shoulders. Whenever the pain comes, the area gets swelled up. What should I do? Is it related to physiotherapy or should be consulted to neurologist? what should be done to this pain?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to tell me since when have you been experiencing neck pain, the radiation of pain is it to shoulders or goes in your hands also? is there any weakness, numbness, paresthesias etc also associated with it? swelling can be due to multiple reasons, but if your swelling is in both shoulders then it can be related to your physiotherapy, my advice will be to stop your physical therapy till swelling subsides, take anti inflammatory medications initially, do ice packs at home, take adequate calcium and vitamin d as per your requirement and let me know in 2-3 weeks time how you are feeling? do not hesitate to contact me if you need any further assistance.
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