Dr. Shunmuga Sundaram K

Kindly show me photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. Contact me again, if needed.

Yes you should take the medicine on time as advised by the specialist. But syndopa just reduces symptoms and it will never cure Parkinson. While there are more chances of homoeopathic treatment to show better results. It is better to start homoeopathic treatment side by side.

Take homeopathic medicine for best results 1) Alumina 30.4 pills at morning 2) Arsenicum album 30.4 pills at night for 7 days.

Yes. Nausea and vomiting can be side effects of cholinesterase inhibitors and donepezil (donetaz) is one of the cholinesterase inhibitors. It would be advisable to start at a lower dose which is available as Donepezil 5 mg tablet. There are other alternatives too. Please discuss with your doctor who prescribed it or you contact me for further advise.

do not eat diet soda,coffee, chololate,caffein ,hot dog, onion,alcohol, these are triggers for migraine pain. take healthy diet..plenty of water, juice , green veg. you can take tab. vasograine or tab . sumitrax

Nobody knows for sure if it will come, since you have stopped be in peace, if it recurs we can start treatment again. Avoid high altitudes, swimming, working with dangerous machinery and preferably driving and near fire. All the best.

Do consular neuro physio and have ift and laser therapy for 12 days and follow physician medications as such as.

Seems you have suffered from depression and depression. Consult a psychiatrist. Within 15 days of starting treatment you get improvement.

Welcome Enlargement of the pituitary gland is a frequent cause of incidentaloma and of referrals to endocrinologists for hormonal evaluation and therapeutic advice. In neuroradiological series, 25-50% of healthy women who are 18-35 yr old have a convex superior pituitary contour, but pituitary height exceeds 9 mm in less than 0.5% of cases. This study was performed to provide thorough clinical and hormonal data and long-term endocrinological and imaging follow-up data on subjects with incidentally discovered pituitary hypertrophy (height > 9 mm). Seven eugonadal nulliparous women, 15-27 yr old, referred between 1989 and 1998 with incidentally diagnosed pituitary gland enlargement (height > 9 mm) and a suspected pituitary tumor, were studied. At presentation and at yearly intervals, PRL plasma levels and corticotropic, somatotropic, and thyrotropic pituitary function were measured; and pituitary dimensions and signal on magnetic resonance imaging (MRI), before and after iv gadolinium-diethylene-triamine-pentaacetic acid injection, were assessed. PRL plasma levels were normal; and corticotropic, somatotropic, and thyrotropic pituitary function was considered normal in all cases. In all the women, the upper boundary of the pituitary was convex, on MRI, and touched the optic chiasm in four cases. The width and anteroposterior diameter of the gland were normal. The pituitary itself seemed normal, with a homogeneous signal, on plain and dynamic studies with iv contrast injection. Despite normal initial hormone values, two women underwent surgery, by the transsphenoidal approach, in another center. During surgery, the pituitary seemed normal in both cases, with no evidence of tumoral or inflammatory processes. Biopsy specimens showed the morphologic characteristics of a normal, nonhyperplastic pituitary gland. All seven women were seen at yearly intervals for 2-8 yr (median, 4 yr). Clinical and hormonal status remained stable, as did the structure and size of pituitary, on serial MRI. No tumor formation occurred, supporting the diagnosis of physiologic hypertrophy of the pituitary gland. In conclusion, these observations suggest that careful examination of MRI results may help to distinguish physiologic pituitary hypertrophy from pituitary tumors and infiltrating lesions. The former diagnosis is confirmed by normal baseline pituitary function in extensive hormonal tests. Correct identification of such patients is important to avoid unnecessary pituitary surgery and costly MRI surveillance. If you find any problem ask again. Thanks.

Hello, Obesity might cause fatigue, gastric disorder with insomnia. You need ro monitor your weight, please. Irregular life style, alcoholism, consumption of junkfood & nicotine might cause loss of sleep. Go for meditation to reduce your stress in order to calm your nerves to restore sound sleep. Take, plenty of water to hydrate your body to eliminate toxins regulating your metabolism. Your diet be simple,  easily digestible on time to avoid gastric disorder that triggers loss of sleep. Avoid, junkfood,  alcohol & nicotine. Take,  homoeopathic medicines @ Passiflora Q-10/15 drops ,1 hr before going to bed with 2tsfl of water/ daily. Take care.