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Dr. Sreenivasan

Neurosurgeon, Chennai

Dr. Sreenivasan Neurosurgeon, Chennai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sreenivasan
Dr. Sreenivasan is an experienced Neurosurgeon in Tambaram, Chennai. You can visit him/her at Cosh Multispeciality Clinic in Tambaram, Chennai. Book an appointment online with Dr. Sreenivasan on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 33 years of experience on Lybrate.com. You can find Neurosurgeons 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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#9, Duraiswamy Nagar, IAF Road,East Tambaram, Landmark : Near Madras Christian College, ChennaiChennai Get Directions
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I have migraine problem What can I do? Since 2-3 months please suggest the best way.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, *Avoid hot, spicy foods, fermented foods, white sugar, white flour products, and sour or citrus fruits, because they aggravate the Pitta in your body. *Drink more water and eat more fiber, fruits and vegetables, and whole grains. *Avoid excessive sugar or salt, refined foods, animal products (meats and dairy), caffeine, tea, and alcohol, as these items will further lead to aggravation of Pitta. *Avoid direct exposure to the sun, as migraine headaches are predominantly a Pitta disorder and can be triggered by the hot sun. *Head massage with Bhringraj Oil is also beneficial. This massage gives a calming effect to your nervous system. *Headaches caused due to tension and worry can be alleviated through deep breathing and relaxation, especially in a lying down position in a quiet place. Inverted postures, or those where the head is lowered briefly, increase oxygen to the brain and can reduce headache-causing strain.
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I am 24 year old man. I am suffering from migraine. Can you suggest me best medicine for this.

BHMS, DEMS
Homeopath, Pune
Ice Packs: Always opt for cold rather than heat to stop migraine pain. "Ice is an anti-inflammatory, missed meal=" Fluctuations in blood sugar can cause a cascade of escalating pain that sets up your migraine response, so don't go longer than 3 hours without food. Include a lean protein whenever you eat to help keep glucose levels steady Flaxseed=Some headaches are caused by inflammation, which can be reduced by consuming omega-3 fatty acids. Flaxseed can help provide headache relief because it’s rich in omega-3s. Flaxseed can be used as a home remedy in several forms, including as an oil and ground or whole seeds. CONSTITUTIONAL HOMEOPATHIC TREATMENT WILL GIVE U BEST RESULT kindly consult :)
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My mother is undergoing migraine tt still there is no relief .now she complains of ear pain with migraine .is there any other alternative medicine for pacinac 500 mg for migraine treatment. Plzz suggest ayurvedic treatment for migraine.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take balanced Diet and hyderated avoid stress anxiety and do focus one thing at a time Do regular physical activity with breathing exercises for about 20 minutes in stipulated time. Best wishes.
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I am 30 years old male. I have a sickness of migraine. I used many medicine s and balm as hand balm. But I could not get relief.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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I am 29 years old suffering from Migraine since 6 years. I have not recognised that the headache, vomiting and blurred vision are due to migraine. I have takenhomeopathy medication for 4 months. Since then it was less frequent. Now a days headache and vomiting was very less but sudden vision disturbances persist i.e, blurred vision and not able to view the side vision. As of now no medication is been taken. Kindly suggest the cause and cure for the same.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
migrane etc occures due to following reasons forceful stoppages of mal urine sneezing etc 13 vegas of body day time sleeping late night jagaran cold drinks freeze stored food freeze water basi food virrudha food like milkshakes fruitsalads khichadi with milk etc overeating of salt salty spicy non veg garam masala etc udada dal paneer lassi curd in regular diet may cause migrane etc raktmokshan leech application will be benificial avoiding of above causes is neccessary follow periods paricharya strictly during period days avoid heavy food heavy food bathing travelling exercise during period days for more details and medication consult privetly
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I am 45 yrs and I suffer from cramps and numbness in my right fingers and it pains in the night while sleeping and this is happening from past 6-7 months. What should I do?

DM - Neurology
Neurologist,
I am 45 yrs and I suffer from cramps and numbness in my right fingers and it pains in the night while sleeping and th...
The diagnosis of carpal tunnel syndrome should be seriously considered, among other things, and a nerve conduction study should be done for the same.
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I am continuously getting migraine problem(Sinus issue).Last 10 years I am having this issue.I felt very bad and irritate due to this migraine.Please guide me.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Migraine is usually in hypersensitive patients. Have good sleep, avoid stress, constipation, irritation, sun exposure.There are many drugs to treat. Kindly consult a Neuro
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My mother 64 years is suffering from hereditary parkinson having unbalanced body, hand shaking, absent mindedness, loss of memory, difficulty in speech, excessive urination during night, lost control over urine and stool, no feeling of pain in lower legs and mostly winters are the most difficult times. So kindly suggest the remedy for parkinson

(MRCPSYCH-UK), MD - Psychiatry, MBBS
Psychiatrist, Hyderabad
She can benefit from some anti-parkinson medication for most of her symptoms. It appears her disease is progressing. Consult a Neurologist for more options. He may suggest other options like Deep Brain Stimulation for better quality of life. It may cost Rs. 6lakhs to 8lakhs for this procedure in Private Hospitals. Its like a pacemaker in the Brain. He may liaise with a Neurosurgeon for this procedure.
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I have been suffering from chronic migraine for past many years, is it possible to get rid of it?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for treatmnet.
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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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I have migraine and disk problem and I am underweight, what food habits should I select to be healthy.

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day. For Disc problem: If it's slip disc, then will have to opt for physiotherapy and yoga. For gaining weight: The food what and how you eat, makes the difference! For increasing your weight, concentrate on the below points ( if you don’t have any medical condition) which helps in gaining weight in a right way without harming your body. - Consume more healthy fats. Foods containing healthy fats are full of nutrients and also high in calories, making them a great option for weight gain. Foods containing plant fats should be your first option - this includes items such as nuts, seeds, peanut butter, avocados and olive oil. Foods containing healthy animals fats include lean meats and full fat dairy products - although if you have high cholesterol, you should probably stick to low-fat options. -Eat more protein. Good sources of protein include lean meat, fish and poultry, in addition to eggs, whole grains, dairy products and legumes. -Drink more calories. Try drinking a large glass of orange juice in the mornings (along with your normal breakfast). Drink a glass or two of full-cream milk throughout the day.Protein shakes will help you to gain muscle mass, particularly if you're working out. -Have 6 small and frequent meals in a day. -Gain muscle mass. It's a good idea to continue to exercise while you attempt to gain weight the healthy way. Strength training includes working with weights and performing exercises such as squats, deadlifts, bench presses, bicep curls, crunches, chin-ups and leg curls. Just keep in mind that the more you exercise, the more calories you will need to consume to replace those you lost while working out. This is where protein shakes and bars really come in handy. -Quit smoking. As it suppresses the appetite. -Stay healthy. The most important thing through the entire weight gain process is to stay healthy - eating a balanced diet and continuing to exercise throughout. -Take enough of rest and sleep for rejuvenation of the cells and tissues. -Think Positive which will help you in achieving your target of gaining weight. -Avoid taking unnecessary stress/ tension. Medication: Take Schwabe’s Alfaalfa Tonic and Five Phos., both thrice daily ½ an hour before meals for 1month.
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What is meant by mild changes of cerebral atrophy in MRI Brain scan .My dad age is 56 yr.PLease tell.

PDDM, MHA, MBBS
General Physician, Nashik
What is meant by mild changes of cerebral atrophy in MRI Brain scan .My dad age is 56 yr.PLease tell.
Cerebral atrophy is a common feature of many of the diseases that affect the brain. Atrophy of any tissue means a decrement in the size of the cell, which can be due to progressive loss of cytoplasmic proteins. In brain tissue, atrophy describes a loss of neurons and the connections between them.
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I an 40 years old lady, suffering from migraine for the past 25 years. I take homeopathy medicine, if the pain does not subside I take vasograin. Is there any other way to get instant relief?

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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I am 57 years woman recently having signs of parkinson disease, how to tackle the same?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Get checked fully blood tests, mri, Meanwhile rule out bp and diabetes and cholesterol you take citicolin, contact with results.
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My father is 60 years old have paralysis in last 02years ago. Now he is not able to move anywhere. Now he is taking medicine only amlovas at. Pls guide me what can I do.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
give him tab. citicoline 500 mg twice a day. cap. ecosprin gold -10 at night. cap. neurokind plus once a day. for 3 months. avoid oily,fatty foods. give him liquid foods, consult physiotherapist also for exercises. may he get well soon.
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MD, MBBS
Neurologist, Gurgaon
Regular medications are important in patients with epilepsy.
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I am 65 yrs old.My both feet have numbness with burning sensation at their bottom. I am not diabatic but taking bp & cholostral tablets which are under control, as er doctor advice, I am taking duloxetine-20mg& oxcarbazepine-300mg daily but there is no improvement. Please suggest further treatment.

Mch Orthopaedic, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Ghaziabad
Hi, I am Dr. Saurabh gupta from max hospital and I would like to answer your query. Numbness with burning sensation in feet suggests neuropathy. The reason may be due to defeciency od nutrients or due to vascular compromise or due to any pressure effect. 1. So you can take multi vitamin supplements consisting of pyridoxine, methyl cobalamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids 3. Daily out door exercises (150 min per week). Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I have bad headache daily in the afternoon almost at the same time everyday I take saredon almost everyday is it migraine please help.

MBBS
General Physician, Delhi
Do you have any associated photophobia, vomiting sensation, increased sensitivity to light? Pls tell me
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I have migraine and no medicine helps me in getting relief. please suggest the best one.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep . Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music . Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular for medicine prescription contact on private chat.
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I am suffering from migraine everyday. I'm a 20 year old female, I'm student and work as a waitress part time. So, I started with a headache on the 18th January this year, took painkillers but didn't touch it.

DHMS (Hons.)
Homeopath, Patna
Dear lybrate user, it reveals, that you suffer from stress & anxiety due to work pressure, causing headache. Take, plenty of water to eliminate toxins. Go for meditation for 30 mnts either in d morning one evng to carry oxygenated blood to your brain to calm your nerves to reduce stress & anxiety to ease your migraine. Take, your breakfast, lunch & dinner on time, homoeo medicines. @ spigelia 200-6 pills, thrice a day. @ natrum mur30-6 pills, thrice a day. Please, report, fortnightly. Take, care.
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