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Dr. Thirumaran

Neurologist, Chennai

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Dr. Thirumaran Neurologist, Chennai
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Thirumaran
Dr. Thirumaran is a renowned Neurologist in T.Nagar, Chennai. You can consult Dr. Thirumaran at Bharathiraja Superspeciality Hospital & Research Centre in T.Nagar, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Thirumaran on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 39 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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English

Location

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Bharathiraja Superspeciality Hospital & Research Centre

No.20,G N Chetty Road, T.Nagar. Landmark:Opp To Buhari Hotel & Near Vani Mahal Signal, ChennaiChennai Get Directions
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I am 63 years old male having mild diabetes but very much under contro through medication and regular exercise. I am getting numbness on my left toes during morning walk of late. It subsides after 15-20 minutes or immediately on resting. I was treated for sciatica few years ago. Please suggest long lasting remedy for my problem which persists even while standing continuously for more than half an hour.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am 63 years old male having mild diabetes but very much under contro through medication and regular exercise. I am ...
Please send me the reports of fbs, 2hr ppbs and hba1c. You may be suffering peripheral neuropathy as a diabetic complication. You send me the report personally to me and I can help you. If you get nervigen tab take that as a nerve tonic. Inform me.
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I am 23 years old. Sir mujhe 4 year se migrain hai har waqt headache rahta hai, bahut pain karta hai,what can I do.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can take tablet propranolol after personal examination
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My mom is suffering from migraine since last 5 years. What are the best remedies and how to cure migraine.

MD - Ayurveda
Ayurveda, Delhi
Ayurveda can offer best solution for migraine. Oral medicines and nasal drops provide safe and effective treatment in these cases. Slowly the severity lessens and pain free duration increases.
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Hi, I am 29 year old. I am suffering from juvenile myoclonic epilepsy I am using valparin chrono 500 bd inderal 10 mg bd rivotril 0.5 night my hand shaking doctor change dose morning 500 night 400 after 15 days again change dose morning 500 night 300 withdrawal what type of symptoms tell me sol my ecg is normal.

Mch Neuro Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, International Clinical Fellowship
Neurosurgeon, Mumbai
Thank you for your question. This needs a thorough understanding of your problem to provide you with the best advice and guidance. I’d be happy to see you in our Specialty Epilepsy Clinic at Wockhardt Hospitals on Wednesdays from 3-6 pm where an epileptologist and myself see patients together to give them the best opinion that comprehensively solves their problem.
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I am 29 suffering from insomnia and fear I consult phycatist he prescribed amid 25 tablet loranza2 and bizlo od.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jaipur
I am 29 suffering from insomnia and fear I consult phycatist he prescribed amid 25 tablet loranza2 and bizlo od.
Take brahmi granules 1 tsf twice a day empty stomach with milk. Suvarna brahmi 1 tb twice a day empty stomach. Do meditation. For boosting your mental powers. Consult an ayurveda panchkarma specialist doctor near by for panchkarma procedures like shirodhara and nasya. I am treating such patients with panchkarma on daily basis with excellent results. It will definitely help you. Don't worry you will be completely alright. U can also consult us online with complete history. Medicines would be prepared according to the conditions of patients. And would be delivered to your address via courier. Take care.
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73 years male. Severe sleep apnea and unable to fall asleep with cpap. Able to sleep some with some sleeping tab e. G. Stillnoct 6.25 mg or restyl 0.5 mg.- apprehensive as to long term efficacy. Any other options? long term view if any?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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I am a 63 years old male suffering from chronic nasal congestion, also rhinitis, which aggravates during the current season every year. I also suffer from sleep apnea and i am using c-pap machine during night. Nasal blockage (dry nose) is only relieved by using Otrivin nasal spray once in a day. What should I do?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
Steam inhalation carefully by steam inhaler twice a day for 2-3 days Lot of fluids to be taken Breathing exercises will help Medication Consult Chest Physician for further management
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My mother is now in coma stage , she was affected 2 times by brain stroke n now her condition is too sensitive her GCS is E4VM5. She is now ice tube feeding n tracheostomy. She is taking all medicine still her condition is not improving. And always she is getting cough.

PDDM, MHA, MBBS
General Physician, Nashik
This is something which cannot be managed on an online platform. What she needs is a good nursing care, you can certainly ask doctors over therecto add cough medications and to check whether its infectious or allergic cough.
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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Ludhiana
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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