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Dr. Sarala

Neurologist, Chennai

Dr. Sarala 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. Sarala
Dr. Sarala is a renowned Neurologist in Perambur, Chennai. You can visit him/her at Sri Balaji Hospital in Perambur, Chennai. You can book an instant appointment online with Dr. Sarala on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 30 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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Sri Balaji Hospital

Old No 36 New No 77, Bricklin Road, Perambur Barracks,Perambur. Landmark: Near Megala Theatre, ChennaiChennai Get Directions
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Narayana Hospital

No 18, Tana Street, Purasavakkam. Landmark: Near To Church, ChennaiChennai Get Directions
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My mother brain blood vessel or nerve get clot 30 mm 2 day ago, her left side is nt working. please share you tips regarding exercise and diet.

MBBS
General Physician, Mumbai
Get her vital parameters of the body checked from the treating doctor and follow up with findings and ask about her Glasgow coma scale index.
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MY MOTHER, 54 YEAR HAS A LOT OF HEALTH ISSUES. THEY ARE GASTRIC, HIGH BLOOD PRESSURE, arthritis, leukemia, WEAKNESS, PILES, migraine, stone, tension. Etc. Any solution for this please tell me.

MBBS, cc USG
General Physician, Gurgaon
MY MOTHER, 54 YEAR HAS A LOT OF HEALTH ISSUES. THEY ARE GASTRIC, HIGH BLOOD PRESSURE, arthritis, leukemia, WEAKNESS, ...
Tell me what medicines she is taking and i have to see her all reports also tell me her latest BP reading consult me again with all medical documents
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I have insomnia and can sleep for only 2 hours. What to do? I have done all the blood test and sugar test and all reports are normal.

PDDM, MHA, MBBS
General Physician, Nashik
I have insomnia and can sleep for only 2 hours. What to do? I have done all the blood test and sugar test and all rep...
1. avoid caffeine found in coffee,tea , chocolate,cola,and some pain relievers.[four to six hours before bedtime.] 2. quiet, dark, and cool environment can help promote sound sleep. . [Use heavy curtains, or an eye mask to block light, and also keeping computers, TVs, and other work materials out of the room will help promote mental bonding between your bedroom and sleep] 3. Avoid stressful, stimulating activities like doing work, discussing emotional issues. Physically and psychologically stressful activities can cause the body to secrete the stress hormone cortisol, which is associated with increasing alertness.
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Is oil massage is helpful for penis .if yes; which oil should be used for massage.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Is oil massage is helpful for penis .if yes; which oil should be used for massage.
CYDONIA VULGARIS 30c.2 drops 6 hourly in 1 table spoon of water for 3 times daily for next one month. please take the measurement of ypur penis before starting this remedy. then take the measurement after a month. strictly avoid mausterbation. you can find this remedy from any big and well reputed pharmacy. massage with Sri Gopal Taila (oil). inform me progres
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Sir, can you tell me the symptoms of brain tumour? I think my friend is suffering from this disease.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
vision problems. hearing problems. balance problems. changes in mental ability (for example, concentration, memory, speech) seizures, muscle jerking. change in sense of smell. nausea/vomiting. facial paralysis.
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I am 25 years old. I often suffer of migrane, specially when I am hungry. And I take some pain killer medicine every time. I get relief for the moment but after some days the headache starts again. After all this I am also suffering from hair fall. Does the reason of my hair fall belong to my migrane. And what medication should take for both my problems?

BHMS
Homeopath,
I am 25 years old. I often suffer of migrane, specially when I am hungry. And I take some pain killer medicine every ...
Dear lybrate user, hair growth occurs in cycles. Each cycle consists of a long growing phase (anagen), a short transitional phase (catagen) and a short resting phase (telogen). At the end of the resting phase, the hair falls out (exogen) and a new hair starts growing in the follicle beginning the cycle again. Normally, about 40 hairs reach the end of their resting phase each day and fall out. When more than 100 hairs fall out per day, clinical hair loss may occur. Hair loss have many causes such as:- 1) shrinkage of the hair follicles due to the influence of androgenic hormones. 2) under-nutrition of the hair due to fungal infection on the scalp. 3) effects of radio therapy or chemotherapy. 4) nutritional deficiencies. 5) autoimmune diseases. Modes of treatment for hairfall/alopecia includes surgical modes, oral medicine & local external application. The minimum duration of the course of oral medicines & external application is 6 months. You can start the following medications:- 1) take 5 drops of homeopathic sulphur 200, once in a week. 2) take 5 drops of homoeopathic selenium 200 every morning before brushing your teeth. 3) take 4 tablets from biochemic natrum mur 6x tablets, thrice daily. Just chew the tablets as those tablets are sweet in taste. 4) take homoeopathic mother tincture acid phos q, 30 drops, twice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition.
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I am a paralyzed patient spinal injury level c5 c6 injury in 7 year back. Now I am not using any medicines only doing physio therapy. I am lying in water bed. But I want to lying any normal bed but I can not please give me any solution for lying any other bed and any tablet for recovery.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am a paralyzed patient spinal injury level c5 c6 injury in 7 year back. Now I am not using any medicines only doing...
To prevent pressure sores of bed sores water bed been advised other than water bed alpha bed also available in the market do continue rehabilitation exercises from physiotherapist best wishes.
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I am 62 year, male, 5' 8'ht, 75 kg wt, had a brain tumour (parasagital meningioma) operated in 2004. I am leading perfectly healthy life with daily exercise, yoga n pranayam for 30-40 mnts. But my hands, fingers have started shivering. Kindly advise.

MBBS
General Physician, Cuttack
I am 62 year, male, 5' 8'ht, 75 kg wt, had a brain tumour (parasagital meningioma) operated in 2004. I am leading per...
. 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, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 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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I have back pain and also left leg weak ness. Numbness is there. Can you please tell me the solution for that.

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Delhi
I have back pain and also left leg weak ness. Numbness is there. Can you please tell me the solution for that.
It seems to be sciatica so have a good assessment of low back with a physio. In the mean time take rest and do hot fomentation.
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Hey. I am feeling nervous breakdown every now and then please advise me with proper thing. So I can overcome with it.

MBBS
General Physician,
this is because of your regular stress and strain ,anxiety neurosis . you have to change your lifestyle. and thought process. you have tontake any task atva time you should think about how youvare goingbto accomplish thebtaskthebtask do not think at the same time another task ahead. think it as and when it comes so there is no confusion. have self confidence that cones when you are clear on your goal it will improve.

What is proper diet for a diabetic patient with paralysis symptoms? Please help me.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
What is proper diet for a diabetic patient with paralysis symptoms? Please help me.
●Eat regular meals throughout the day at same time everyday..Avoid skipping meals ●Include high fibre foods at each meal e.g. legumes(beans/lentils ),nuts(almonds,walnut),eggs etc ●Take fruit as a healthy snack e.g. apples,pears,papaya,mausami,jamun,guava ●Try to avoid –grapes,mango,bananas,jackfruit(cheeku) ●Vegetables to be included in plenty-at least 2 servings per meal ●Reduce the fat intake,friedfoods,cakes,pastries and foods containing palm oil and coconut oil ●Include healthy foods like daliya,oats ●Reduce salt intake in the diet to 1 tsp or less per day ●stay away from especially labelled diabetic foods(they are of no benefit),and saturated fats ●Limit intake of sugar and sugary foods like sweets ●If so desire can take sugarfree as sugar substitute for sweetening purposes DIABETIC DIET CHART: Morning: 4-5 Almonds soaked overnight in water or 1-2 walnuts 6:30 a.m.: Tea + 2 mariegold biscuits(only for those who can’t skip their morning tea) 8:00-9:00 a.m. : 2 Roti + subzi + daliya /upma/poha/raw cheese/sprouts + 1 glass skimmed milk 11:00-12:00 a.m.: Fruits (only those permitted), salads, guava, papaya, pomegranate, cucumber, carrot, sprouts etc 1:00-2:00 p.m.: 2 roti +dal + salads+curd/raita/buttermilk 4:00-5:00 p.m : tea + roasted chana/bhelpuri(only if hungry) 7:00 p.m : salads/coconut water/lemon water(without sugar) 8:00-9:00 p.m: 2 roti +dal/khicdi + skimmed milk Try to sleep daily on sametime till 11:00 p.m. SPECIAL PRECAUTIONS: Avoid potato/sweet potato/arbi banana/cheeku/grapes/mango/litchi papads/ chatni/pickles/fried foods groundnuts/cashew/pista/raisins sweets/honey/cold drinks/jaggery Note: For preparing chapatis, use whole wheat flour mixed with chana flour or besan in 3:1 proportion alongwith small amounts of soyabean
1 person found this helpful
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I am an epilepsy patient. I took medicine daily 3times, but sometime I face the shivering problem. Pls suggest why it's happening and when will I get rid of this problem?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Epilepsy is a chronic disease, and it needs medicines for a long time. This would keep seizures under control. Shivering can be a side effect of medication too such as sodium valproate.
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Hello Sir I am 22 years old male, I am suffering from one side brain pain and also one side hand, leg, tongue, teeth and also skin go to unconscious sometimes, and also both eyes can not see properly during this full process my mind hanged at all for minimum 24 hours. I can not understand what going on? This full problem happens sometimes but when I don't know. Since last more than 7 years. What should I do?

MBBS, cc USG
General Physician, Gurgaon
Hello Sir I am 22 years old male, I am suffering from one side brain pain and also one side hand, leg, tongue, teeth ...
Hello, Do you mean one sided Headache if yes kindly follow advice's given below 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(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 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. This problem can be solved by Meditation i can give you address of rajyoga meditation center near your house (this is free of cost)
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Mere husband ki arm kuch thodi si uth jaati h but finger bilkul bhi nahi kaam karta h so please ap se request he ki aap mujko apni kuch dawa by post kar de jisse mai unko kuch theek kar paau but unko sugar ki problm bhi he and BP bhi teek rehta he unka bas ap se ye request he k aap unki help kre jise unka arm kaam karne lag jaaye or leg bhi left side se kam krne lag jaye

MBBS
General Physician, Mumbai
Mere husband ki  arm kuch thodi si uth jaati h but finger bilkul bhi nahi kaam karta h so please ap se request he ki ...
Aapki baatohse aisa lagta hai ki aap k husband ko paralysis hua hai aur is bimaari k liye dawa k saath physiotherapy treatment rojaana karna jarrori hai and we have to examine him for further guidance
1 person found this helpful
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When I am excited, my hands do shake more what should I do control shivering too when I get excited?

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
2 people found this helpful
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I have gone through 3 cesarean, And I am suffering from a nerve pain which travels from my right gluten to my right ankle?

DM - Neurology
Neurologist, Nagpur
This is radicular pain which is due to compress of nerve roots when they exit from spinal canal to the limbs. You should undergo complete physical examination to ascertain the neurological deficits and a mri of lumbosacral spine.

He is suffering from brain tumor. He went to Singapore for surgery operation was successful but tumor start get form again. What should we do now?

M.S (surgery), M.Ch - Neuro Surgery
Neurosurgeon, Gurgaon
Consult a neurosurgeon who is trained to handle brain tumors. These days multiple treatment options are available for brain tumors but primary treatment still is surgical removal.

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 friend have migraine problem from last 6 months. Please recommend some natural therapies to cope up with this.

MD - Pathology
General Physician, Amritsar
Natural therapy primarily is avoid precipitating factors which can be something in diet like cheeses chocolates, commonly. It can be loud music , dim light , inadequate sleep. Try pranayaam , yoga and morning walk . take a nutritious diet and plenty of water. RELAX. Take life easily.
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