SG Hospital in Banashankari, Bangalore - Book Appointment, View Contact Number, Feedbacks, Address | Dr. Suresh

SG Hospital

Autonomic Neurologist
Practice Statement
It is important to us that you feel comfortable while visiting our office. To achieve this goal, we have staffed our office with caring people who will answer your questions and help you understand your treatments.

More about SG Hospital

SG Hospital is known for housing experienced s. Dr. Suresh, a well-reputed Autonomic Neurologist , practices in Bangalore. Visit this medical health centre for s recommended by 79 patients.

Book Appointment Recommend Leave Feedback Consult Now
Clinic Address
Ittamadu Main Rd, Anjaneya Nagar, Banashankari
Bangalore, Karnataka
Details for Dr. Suresh
  • Autonomic Neurologist
    Book Appointment
  • B.Sc. Food & Nutrition, M.Sc. Food & Nutrition
    This must always be under control. Over eating is just unnecessary fat for the body and insufficient eating will cause your metabolism to slow down.

    Body goals:
    In your mind you must have a certain goal which you want to attain drop 10 kg's, beach body, fat stomach, bigger biceps they're all part of your body goals.

    Make sure your diet contains enough green leafy veggies, lean protein, carbohydrates and a certain amount of fat. Even the occasional dessert and cheat meal should be incorporated in your diet.

    No matter how often you eat right, how many hours of sleep you get and whether or not you count calories, until and unless your exercise daily you'll never be able to have a totally healthy lifestyle.

    The first step towards a long term healthy lifestyle is frequency. It takes 21 days to form a habit, after that it seems just natural. You need to be frequent and consistent to attain such long term goals.

    Green tea:
    It helps boost the metabolic rate, reduce the belly fat and can lower the risk of various diseases. Try to drink at least 3-5 cups of green tea every day. Plus its 0 calories, so what's the harm?

    Home food:
    This one's the best way to eat healthy and avoid junk food. By cooking at home you know exactly what you're eating and you're well aware of what nutrients go into your mouth. Plus it's the easiest way to maintain a balanced diet (since the balance is in your hands now)!

    You need inspiration to maintain long term success. It could be from apparent weight loss, from reading a book about healthy living or even by watching someone maintain a healthy lifestyle. This can't be done by mindlessly following some diet!

    Sometimes envying others might help you get the best results. When you envy someone for their clean eating habits or perfect body, you will probably want to achieve that yourself - which will be your biggest motivator for long term success.

    You will literally wake up one day and decide you want to start living a healthy lifestyle! it's time to kick start everyday towards making these healthy changes.

    Losing weight safely:
    Who doesn't want to shed 5 kgs in a month? but you can't do this by starving yourself or going on a detox where you just eat fruits and drink water! that's totally unhealthy. It is essential to let your weight loss journey take its time, so that you have long lasting results.

    Mental health:
    Mental and physical health goes hand in hand. It is important that you focus on strengthening your mind as well, not only you body. Falls in metal health will eventually affect your physical health as well!

    From carbs to protein to minerals, each and every nutrient is essential for maintaining a healthy diet as well as to perform normal bodily functions. Eating everything in the right proportion will promote a long lasting healthy lifestyle.

    Observe what changes you are making, divide them into healthy and unhealthy changes and then continue with only the healthy changes. Your observation skills will help you get rid of the unnecessary and unhealthy changes instantly.

    You need to promise yourself you're going to stick to this new lifestyle no matter how hard it gets! promise yourself to eat healthier every day, to exercise a little more everyday and definitely promise yourself to stay away from the unhealthy goodies!

    It's important to quit the bad habits! binge drinking, smoking, stress eating and all these others habits aren't going to help you maintain a healthy lifestyle.

    Raw foods:
    Raw foods are the best form of food you can get! they help prevent diseases, give your body a lot of energy and contain essential vitamins and minerals.

    Sleeping for 6-8 hours every night is a requirement for proper body function! it's the time your body needs to recuperate, repair your muscles and even improves your mood. Exercise and good eating are useless without sufficient sleep.

    Tips like these will really help and motivate your to manage a long term successful healthy lifestyle. Take tips from experts, from dietitians and even from people you look up to for inspiration you never know which trip does the trick.

    You need to understand what your body needs, how much weight you need to gain/lose to be fit (not skinny, not thin- but fit) and how often you should exercise. It is important to understand nutritional facts on packaged items and what goes into your body. Understanding is essential for better results!

    Yes lean protein and meats are important, but you can't have a balanced diet unless you're eating enough green leafy vegetables. Incorporate them in every meal!

    Weight cannot be defined as per your weighing scale or bmi. Your focus cannot be how can I lose weight you need to focus on how you can continue with your healthy lifestyle.

    Xtreme activities:
    Go for extreme activity classes like zumba, cross fit, army circuit training, power yoga and other such high intensity activities! it's a good change from your usual workout and will probably have more effective results.

    From increased flexibility to increased strength, from meditating to improving bone health; yoga has all round benefits which are only going to improve your lifestyle.

    Zero dieting policy:
    You cannot diet (and I mean not eating at all) to lose weight and look thin. Starving and minimal eating doesn't help you to maintain a long term healthy lifestyle. Your diet must be full of rich foods.

    In case of any diet/nutrition related query or to book an appointment with dt. Silky mahajan please send us a mail at info@foodsandnutrition. In or call on 08067417780 (dial extension: 778)
  • BHMS
    Depression is a clinical, mental and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per who and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments.

    Symptoms of depression are:

    Sleep irregularity: It relates to either insomnia or oversleeping that is, either you sleep too much or do not sleep at all. This could be because of work or other stress in your personal or professional life.
    Irritation or unnecessarily getting angry: You start losing your temper easily and that too for silly reasons. You think you are losing control.
    Feeling hopeless and sad: The first signal or symptom is the feeling of hopelessness. In this, case the patient loses the hope in everything. They feel like being trapped in some kind of cage, from which they are not able to come out.
    Lack of interest in anything: Everything seems to be of no use or interest, even your daily work. You don't want to do anything; even the things, which you loved to do like your hobbies and passions, which you no longer find interesting.

    Here is a comprehensive list of homeopathic medicines which most doctors are likely to recommend for treating depression:

    Sepia: This medicine is beneficial to women suffering from post-partum depression (sadness or emotional conflict after giving birth) and menopause. Feeling of solitude and hopelessness with no energy to continue with life are some common symptoms that can be reduced with Sepia.
    Arsenicum album: This medicine is prescribed to control the symptoms like diarrhea, gastric problems, indigestion which patients often suffer from as a result of intense anxiety. Patients, appropriate for this medicine tend to be fastidious and restless. It is made of white arsenic and should be taken in prescribed potency because an overdose can cause gastroenteritis.

    The above mentioned medicines are just some of the medicines, which should only be taken only after consulting your doctor, as causes and symptoms differ for each person.
       2236 Thanks
  • C.S.C, D.C.H, M.B.B.S
    General Physician
    Polio is a virus that has the potential to infect any parts of the body including, but not limited to nerves and muscles. Primarily there are 3 types of polio namely, non-paralytic, spinal paralytic and bulbar. This disease shows minimal to no symptoms in more than 90 percent of the cases. 5 percent of the cases can show symptoms such as nausea, diarrhea, vomiting, sore throat and abdominal pain. Polio is a communicable disease and can cause massive damage if a proper dosage is not taken. It can spread through air, physical contact with an infected person, coughs etc.

    Polio can cause paralysis: Polio has a far-reaching permanent effect on the body. It can cause paralysis on any of the limbs leading to permanent disability. This severely alters a child s life. The far-reaching consequences of the virus can only be negated through vaccination.
    Weak muscle: Polio can result in weak muscles, respiratory problems and loss of reflex. If the breathing muscle collapses, it can result in the death of a person. Any of the above-mentioned symptoms can lead to weak body development altering the fate of a child.
    It can spread fast and quick: Polio spreads very fast through the air, physical contact, saliva and water. It not only affects a single life but put millions at risk of the disease. A 1916 outbreak of the disease killed 6000 people in the United States and left several thousands of people disabled.
    It reduces the risk of infection: 3 dosages Polio vaccination under the age of 6 can save a baby from getting polio in future. The body successfully creates polio antibodies from the vaccines and gets enough ammunition to fight it if the virus attacks it in future.
    Social responsibility: Massive amount of awareness campaigns have been run by countries all over the world to permanently eradicate polio from the face of the earth. As per the latest reports, only 3 countries are reported to have babies affected with polio; Afghanistan, Pakistan and Congo. It is, therefore, a social responsibility to take part in the mission of removing polio from the face of the earth once and for all.
    Save future generation: Although polio is not known to be a disease which passes through heredity, there still lies a chance for the future generation to get this disease. In order to negate that from happening, it makes sense to get the vaccines on time.
    Give your kid a head start: Every kid deserves to have an equal amount of privileges like others. One small mistake on part of the parents can heavily cost a child s future. In order to make sure your kids grow up with any apprehension of polio, it is very important to treat them with polio vaccines.
       2449 Thanks
  • MBBS, Master In Health Science
    * Should I be afraid of talking to the doctor?
    No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

    It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

    I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

    * Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
    Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.

    * What are the common tests used to diagnose brain diseases?
    The three tests most commonly used are:
    Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
    1. Mri (magnetic resonance imaging) scan:
    An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

    Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

    Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

    Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.

    2. Ct (computerized tomography) scan:
    The ct scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

    Ct scan has a few advantages over mri:
    (i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
    (ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

    Unfortunately, ct scanning has some significant disadvantages:
    - the picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

    - ct-scan exposes your body to radiation.
    Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

    If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

    (iii) Eeg (electro-encephalo-graphy):
    Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

    To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.

    1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
    The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

    If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

    Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.

    2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
    No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

    Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.

    3. What causes parkinson's disease?
    Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

    Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

    Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.

    4. Ok so what are other symptoms of parkinson's?
    You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
    - Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
    - They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
    - They have difficulty turning around when they are walking.
    - Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
    - In later stages, they can fall frequently.
    - Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

    All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.

    5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
    Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease.

    Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

    These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

    If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.

    6. How can you be sure that I have parkinson's disease?
    A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

    There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.

    7. So isn't there a test for parkinson's disease?
    Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and
    Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

    Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.

    8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
    you are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

    These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.

    9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
    Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

    Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. Th ese medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.

    10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
    You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.

    11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
    Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

    For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

    Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

    Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.

    12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
    Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.

    13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
    Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
    Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.

    14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

    Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

    Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

    And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

    I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

    Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

    Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
    Example of this earlier: entacapone can prolong the eff ect of levodopa.

    15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
    I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

    If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

    Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.

    16. Well. How is this surgery done?
    This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.

    17. I see. Doctor, does dbs cure all symptoms of parkinson's disease?
    No. Dbs surgery improves only those symptoms which improve after levodopa. Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs. 2. Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

    Significant, but non-dramatic, improvement in many patients.

    Two problems can become worse after dbs:
    (i) severe psychiatric problems such as severe depression and hallucinations and
    (ii) severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.

    180. Okay doctor, what are the risks of this surgery?
    Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
    - The risk of death is less than 1%
    - Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
    - A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lt 2%).

    190. Can the doctor guarantee a signifi cant benefi t after dbs surgery?
    No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

    Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here:
       2 Thanks
    Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

    What are the different stages of Sleep

    Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

    Sleep and its benefits
    Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

    Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.
       2410 Thanks
  • BHMS
    Insomnia is a mental condition, which is characterized by a difficulty in falling asleep, even when you have the chance to do so. The causes of insomnia include stress, emotional or physical discomfort; environmental factors like noise, light or extreme temperature that interferes with sleep; and depression or anxiety.

    The visible symptoms of insomnia are inability to fall asleep no matter what, irritability, depression, lack of concentration and enthusiasm, and distressed stomach and intestine. Complications associated with insomnia can cause psychiatric problems, obesity, increased risk of long-term diseases or conditions like high blood pressure, heart disease and diabetes.

    Insomnia can be classified in the following ways -

    Secondary insomnia: it stands for sleep problems that may be caused by health conditions, medications, pain or any other causes.
    Acute insomnia: it is also known as short-term insomnia and usually lasts for a night or a few weeks.
    Primary insomnia: it refers to sleep problems which aren't directly related with any health condition.
    Chronic insomnia: insomnia is described as long-term or chronic if you suffer from it for about 3 nights a week for 1 month or longer.

    Homeopathy is a boon towards treating insomnia.

    Efficiency: The efficiency of homeopathic medicines in curing the several problems associated with insomnia is unquestionable. Plus, targets at providing long-term cure for insomnia instead of just temporary relief. The approach that homeopathy adopts includes getting at the root cause of the problem, and weeding it out so that there's never a relapse of your condition.
    Safety: Homeopathic medication are far safer therefore, it is preferable and highly recommended. It serves invaluably during insomnia and does not involve any side effects.
       3677 Thanks
  • Fellowship in Neonatology, MRCPCH(UK), Diploma in Child Health (DCH), MBBS
    Sleep problems, which can be defined as a sleeping pattern where the parents are unsatisfied, are one of the leading concerns of parents. Children should get a minimum nine hours of sleep so that their health and brain development can occur. Sleep problems can affect not only their health, but also their social and school life. Any interruption or abnormality in a child's sleeping patterns should be examined by a doctor and parents should make necessary efforts for knowing the actual causes of sleep interruption of their kids.

    What are the causes of sleep disorders in children?

    Injuries and accidents
    Behavioural troubles
    Slow-reaction times
    Performance problems
    Mood problems
    Learning, concentration and memory troubles

    Commonest signs of sleep troubles in kids:

    Difficulty in falling asleep
    Occurrence of unusual events at the time of sleeping like nightmares or sleep-walking
    Snoring and breathing pauses
    Difficulty in staying awake in daylight
    Daytime performances can be adversely affected

    Best methods for dealing with sleep disorders in children:

    Regular bed-timing should be sincerely maintained at night.
    Relaxing routine for bedtime needs to be followed,including story-book reading, getting warm bath and others.
    Noise in the house, especially at night, should be minimized so that unwanted disturbances can be eliminated.
    If the room temperature is pretty comfortable, then your kids can sleep peacefully.
    Giving caffeine in excess quantity, especially before sleeping, should be reduced otherwise the kids will not sleep well.
    Meals should not be provided just before bedtime; rather they should be taken a few hours before sleeping.
    If your kids are so very addicted to different electronic gadgets or devices like telephones, televisions, computers and others, then they might face sleeping troubles. Thus, it is your duty to keep your kids away from this kind of addiction.
    If your kids are too very tired, then do not keep them awake forcibly; rather you should make them sleep immediately so that they can get a relaxed sleep at night.

    If you think that sleep disorder has become a serious issue with your kids as well, then nothing can be a better option than consulting any health physician. They can best analyse the underlying cause of this issue with your kids.
       4662 Thanks
  • PhD Human Genetics
    Apart from affecting your memory, health and looks, sleep deprivation can lead to decreased physical intimacy as well. People who have trouble sleeping often face difficulty in coping with their relationships, as with almost all aspects of their lives. Similarly, in the modern world of continuous work pressure and fast paced lifestyle, stress generally takes away all the energy required to enjoy a fulfilling sex life.

    The following are some of the ways chronic sleep disorders and stress may affect your sex life:

    Mood swings: Sleep disorders often lead to perpetual mood swings. It can make a person grumpy and quarrelsome. If you're sleep deprived, you may get very agitated even by minor stress. This can hurt interaction between you and your partner, leading to a disruptive relationship in the bedroom.
    Anxiety: Increased levels of anxiety and stress attributed to lack of sleep can lead to loss of sexual function and even sexual disorders at times. Lack of sleep generally decreases your experience of positive emotions, which may lead to pessimism and subsequently lack of sexual interest.
    Decreased social activity: Lack of sleep may decrease your likelihood of engaging in social interactions. People with sleep disorders usually avoid social engagements, as they believe it may disrupt their sleep patterns. They rearrange their sleeping patterns by avoiding social interactions, which leaves them with lesser opportunities to meet with people of the opposite sex, thereby affecting their sex lives.

    So, what you should do?

    Focus on getting rid of other stressful issues from your life: Common tensions of your daily life and everyday issues like the normal household chores, and your duties and responsibilities towards your family often leave you too exhausted to spend time with your partner. Moreover, getting preoccupied with social commitments also minimises the time available for just the two of you.
    Go to sleep and wake up at roughly the same time everyday to tune your sleep cycle. Avoid waking up late into night as far as possible.
    Avoid afternoon sleep or take only a nap.
    Don't take heavy foods, big and late meals.
    Eat at least 2-3 hrs before sleep.
    Avoid coffee and tea in the night.
    Don't get glued to the tv, computer, or mobile till sleep time. Shut them down 30 mins. before retiring to bed.
    Read something calming, meditate, or listen to quiet music just before sleeping.
    Regular workouts helps you get good sleep.
    Avoid serious discussions, work or complex decisions 2-3 hrs before sleep. If any of them bother you much, jot them down on a paper. That will lighten your mind help you get better sleep.

    If sexual problems and concerns make you sleepless, seek help from a sex counselor. If your sleep problems are due to work in shifts or night-only shifts, take the help of a specialist in sleep problems. This way you can overcome sexual problems arising out of sleep disturbances, and have an improved sex life.
       3819 Thanks
  • BHMS
    Autism is identified by characteristics like difficulty in communication, the use of language, understanding abstract concepts and building bonds with other people. This brain development disorder is also characterized by the performance of repetitive behaviors in the affected individual.

    Treatment of this condition requires an understanding of every vital factor associated with the condition. The hardcore approach is vital for understanding the stimulus/response connection of symptoms. This is because whenever an autistic child undergoes stressful situations, the reaction is a sign that a homeopath cannot ignore. By completely understanding the cycle of stress and reaction, a homeopath can only be able to suggest the right treatment program.

    What about the remedies prescribed for treating the condition? Being a holistic branch of medicine, homeopathy takes into account the complete physical as well as the mental makeup of the individual. Additionally, in this alternative medicine, the homeopath also takes into consideration the details of the disease while recommending remedies. Remedies like Carcinocin, Secretin and Thuja are favored the most for treating the condition. At the same time, the appropriate remedies are recommended after having a thorough understanding as to whether the individual falls within the constitutional makeup of the remedies considered.Another essential aspect of this branch of medicine in the treatment of this brain development disorder is the practice of using LM potencies (homeopathic medicines on the last scale of potencies). These remedies are not only acted faster but are also gentler compared to others.
       3481 Thanks
  • FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
    The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

    Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

    Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

    Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

    1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
    2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
    3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
    4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
    5. Surgery to remove half the brain's cortex or outer layer

    Dietary changes
    A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.
       4485 Thanks
  • Skin Diseases Cancer Heart Diseases Musculoskeletal Disorders Male Sexual Disorders AIDS, Hypertension Diabetes Mellitus Blood Disorders Respiratory Disorders, Gastrointestinal Disorders Endocrine Disorders ENT Disorders, Gynecological Disorders Opthalmic Disorders Psychiatric Disorders Urological Disorders
    Absolutely indispensable to your existence is the proper functioning of your brain. Not only does your brain ensure a normal functioning of your body, but also it controls all your vital organs. Yet, brain disorders are among the most common diseases the modern populace has to confront. Tumorous growth in the brain affects the health of the brain in the most significant of manners. Be it benign or malignant, anomalous growth of the brain tissues leads to brain tumor. Some of the most evident causes of brain tumor are genetic dysfunctions, exposure to harmful radiations and immune-suppressants. You may detect the incidence of brain tumors through some of the more obvious symptoms like acute headaches, seizures, projectile vomiting as well as some fairly subtle conditions like a feeling of numbness, coordination problems, etc. The immediate recourse to brain surgeries and expensive treatments often do not yield the desired results. As a consequence, many seek an alternative therapy which can potentially soothe the trauma and fight the disease.

    Replete with the benefits of ancient medicinal knowledge, Ayurveda offers remedies, which heal the diseases without causing any side-effects. The natural, herbal therapies improve your immunity from within; enhance your bodily strength and your will to live. It also aborts abnormal cell growth and helps in normal regeneration. Some of the most reliable Ayurvedic remedies have been enumerated below.

    1. Aswagandha: Aswagandha herb has fascinating healing properties. They play a major role in restoring strength and immunity in your body. It is endowed with anti-inflammatory properties and is beneficial anti-oxidant. It supplements the essential nutrients, which improve the functions of the brain and minimize the adverse effects caused by harmful radiation.
    2. Curcumin: Curcumin has been known to disintegrate malignant cells from your body. It not only is a great anti-oxidant, but also improves immunity. It has gained popularity as a cure for brain tumors as well.
    3. Guggul: Guggul is known to revitalize the damaged cells and impart good health. It enhances oxidation potentials of the body and speeds up recovery from brain tumors.
       4867 Thanks
  • BHMS
    Autism is defined as a neurobiological pervasive development disorder that includes lack of social skills and inability to reciprocate to social interactions. The patient may also have intellectual and cognitive deficits and problems in communication (verbal as well as non-verbal).

    Conventional medicine is mostly used to treat some of the symptoms but is never used to cure or provide remedies for autism. A proper professional homeopath will be able to guide you to get the best results for your child and reduce all the problems of autism, if not outright cure it.

    Some of the medications that could be used to treat autism are as follows:

    1. Cuprum Metallicum - This works wonders when the child is being very obsessive, angry and is inflexible, tense and is very aggressive towards their parents. Some of these children may even exhibit malicious behaviors and are usually averse to touch or being approached.

    2. Androctonus - A child or a patient who tends to swing wildly from a stable good mood to a destructive mode can be calmed down or evened out by Androctonus. These children also exhibit behaviors of suspiciousness and quickness to act on their compulsion.

    3. Carcinosin - This is very helpful in children affected by autism who are talented, but are obsessive, compulsive, stubborn and also have sleep related issues. These children may also have addictive disorders.

    4. Agaricus - This medication is very good for children who may be mentally and physically awkward and show symptoms like indifference, muttering, talking, shouting or singing but not answering to direct calls or questions. Agaricus is very effective for children who suffer from involuntary jerking when they are awake.

    5. Helleborus - This is a very effective medication when the child is slow and under active and seems to be depressed most of the time. Some of these children may also have muscular weakness and helleborus is very effective in treating them. These are only a few examples of how homeopathy can provide remedies for your autistic child and thus is an effective solution.
       3485 Thanks
  • MD - Homeopathy, BHMS
    Sinusitis and migraine both are very painful condition, causing immense discomfort. Homeopathy deals with both the conditions very well.

    1) Sinus and Homeopathic cure

    Sinusitis is the inflammation or infection of one or more of the sinuses. It can be caused by a virus, bacteria, fungus, allergies or excessive nose blowing and results in the blockage of the sinus opening. Sinusitis can be acute (lasting 4 or lesser weeks), subacute (lasting 4 to 8 weeks), chronic (lasting beyond 8 weeks) and recurring (several attacks in a year).

    There are different remedies available to treat the different symptoms of sinusitis, which work together to completely cure it by boosting the body's immune system without having any side effects.

    Homeopathy for Nasal Polyps: Soft growths arising from the mucous membrane of the nose or paranasal sinus are referred to as nasal polyps and causes acute sinusitis. The most common treatment option suggested by a conventional system in nasal polyps is surgical removal. In most cases, nasal polyps reappear after surgery. However, surgery is a temporary fix since it does not address the body's tendency to form polyps. Homeopathy, on the other hand, offers a permanent solution by treating the root cause.

    Following six homeopathic medicines are usually recommended for nasal polyps - Lemna Minor, Sanguinaria Can, Calcarea Carb, Kali Bichrome, Teucrium, and Phosphorus.

    2) Migraine and Homeopathic cure

    A migraine is a headache that causes a distinct pulsating pain, usually in one side of the head. It is different from normal headaches in the sense that the pain is much more intense and it may be accompanied by nausea or vomiting as well.

    Some of the common and known causes, which may trigger migraines in people are:

    Dehydration is known to trigger migraines.
    Patients with hypoglycemia may also face migraines if the blood sugar level drops within their body. Change in air pressure due to change in altitude may also cause migraine. - Lack of sleep - Stress

    Remedies for Migraine in Homeopathy

    Glonoine: For people who frequently have migraines due to congestion of the sinuses, this medicine has been known to be very effective.

    Spigelia: To treat migraines in the left side of the head.

    Natrum Mur: This provides great relief from migraines, which may have been caused by stress. Also, if a proper dosage is taken, it can help cure it as well.

    Belladonna: This had been known to be a great provider of relief for people who regularly face throbbing headaches.
       3847 Thanks
  • D.P.H, MBBS
    General Physician
    It is the most common problem seen in society today. A migraine is a common neurological condition characterised by a headache, but some people have associated symptoms of eye and ear.
    Classic symptoms of a migraine:

    Severe throbbing headache on one side of head
    Nausea and vomiting
    Sensitivity to light and noise.
    Prefer quite a dark room to sleep

    Vestibular symptoms:

    Sensitivity to motion

    Hearing symptoms:

    Muffled hearing
    Ear fullness
    Ringing in the ear or tinnitus

    Causes of a migraine:
    Migraine headaches probably relate to both abnormal discharges in cells within the brain and to the construction of the walls of the blood vessels in and around the brain. But the exact cause of a migraine is not known. Following are the provocating factors which make the condition worse

    Hypoglycaemia (low blood sugar)
    Stress altered sleep patterns
    Diet fast food, oily food, processed food
    Chocolates, cheeses
    Coffee sodas with caffeine

    Factors related to a migraine

    More common in women than men
    Symptoms are often worse during menstruation
    Family history


    Avoid food, which triggers migraines e.g. Chocolate, alcohol, cheese, oily, spicy, junk and processed food
    Relaxation exercise
    Stress management
    During menstrual period decrease the salt intake and take some diuretic
    Ibruphen for pain after meal
    Other treatment with the advice of neuro physician e.g.
    Beta blockers agents
    Calcium channel blockers
    Tricyclic antidepressants
    Seratonergic agents
    Gabapantin or neurontin
    Acetazolamides or diamox
    Sodium valporate or depakots
    Oxycarbazapine or trieptal
  • DM - Cardiology, MD-Internal Medicine , MBBS
    We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

    High blood pressure
    When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

    As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

    An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

    Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

    Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

    Continuous positive airway pressure (cpap)
    This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto cpap machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

    Oral devices
    Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than cpap machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.
       4710 Thanks
  • MANNS, DNB (Neurosurgery), MBBS
    There is no trustworthy evidence regarding what causes brain tumors, but there are a few risk factors that have been substantiated through research. Children and young people who receive radiation around the head are susceptible to developing tumors in the brain once they grow up. Also, people with a certain kind of rare genetic condition like neurofibromatosis may develop a brain tumor though such cases are very few in number. Age is also an important factor as people aged over 65 years are diagnosed with brain tumors at quadruple times higher than children and younger people.

    Types of Brain Tumours-

    A primary brain tumor originates in the brain, and they may or may not be cancerous. Some tumors can be benign, which do not spread in the surrounding tissues and are not very malicious. However, that does not signify that they will not cause any harm over time. Sometimes these tumors can be severe and cause a threat to the life of the sufferer. The National Cancer Institute reports that approximately there were 23, 380 fresh cases of brain tumors in 2014.

    Identifying the Symptoms of Brain Tumors...

    The symptoms of the brain tumor are dependent on various factors such as the size, type as well as the exact location of the tumor. These symptoms are triggered when any tumor is pressed or clashed against a nerve or disturbs a part of the brain. Symptoms are also felt when any tumor particle blocks the fluid flowing around the brain or when there is a swelling in the brain owing to the build-up of fluid.

    Common symptoms include- headaches that get worse in the morning, nausea along with vomiting, an alteration in the speech, hearing and imbalances in walking and movement, mood swings, change in personality and ability to concentrate or remember things and seizures or convulsions.

    Treatment for Brain Tumor-

    Surgery is normally the most usual treatment for brain tumors, and the patient is given anaesthesia, and the scalp is shaved before the surgery. Then, craniotomy is performed to open the skull, and the surgeon removes a bone piece out of the skull. Then the tumor is removed as much as possible. The bone is then restored back, and the incision on the scalp is closed. Sometimes surgery is not viable in case the tumor has developed in the brain stem or some other complex parts.

    Neurosurgeons can surgically remove some tumors completely (called resection or complete removal). If the tumor is near sensitive areas of the brain, neurosurgeons will only be able to remove part of it (called partial removal). Even partial removals can relieve symptoms and facilitate or increase the effectiveness of other treatments.

    The role of surgery in treating brain tumors

    Surgery can provide:

    - The complete removal of some brain tumors
    - A sample to enable doctors to diagnosis the tumor and recommend the most appropriate treatment
    - Better quality of life:
    - Reduced symptoms and improved ability to function (e.g., to think, speak or see better)
    - Less pressure within the skull from the tumor
    - A longer life

    In case you or any of your near ones is affected with brain tumor, you should visit the doctor to know the possible treatments other than surgery and other important questions related to brain tumor.
       4868 Thanks
  • M.Sc. in Counselling and Psychotherapy , M.D.(Medicine), C.S.D.(Skin Diseases), BHMS
    Heavy medication is often not required to treat fatigue. Homeopathy is an effective approch to deal with fatigue as it stimulates the body to heal itself. In most cases, simply replenishing phosphate cell salts in the body can have a beneficial effect and give you more energy. These salts help regulate disturbances in the constitution of a person at a cellular level. Phosphorus salts or phosphate compounds can be found in our body fluids, tissues and organs. These salts are essential for energy production, communication between cells and other regulatory responses. It is also vital for healthy bones, teeth and membrane structures.

    Take a look at these five cell salts and how they can revitalize you and help fight fatigue.

    Calcarea phosphate: This compound is a building block cell salt. It is essential for the healthy growth of teeth, bones and blood cells. It helps with a number of conditions created by structural stress and helps fight tiredness and restlessness. It is also a beneficial tonic for children exhausted by long periods of mental exertion such as studying.
    Ferrum phosphate: This is an iron compound that is critical to the health of blood cells. By fighting cold, cough and slight fever in the initial phase, it keeps the body healthy and helps build up the immune system. When alternated with calcarea phosphate, the iron in this cell salt is absorbed more easily. Thus Ferrum phosphate can also help regulate the hemoglobin levels in the blood and reduce physical weakness and fatigue.
    Kali phosphate: This potassium and phosphorus compound is considered as a nerve nutrient cell salt. It can be used to treat agitation and depression by calming the nerves. It also fastens the healing of damaged nerve structures. It can also help treat insomnia that follows a day of excitement and physical strain.
    Magnesium phosphate: This is an antispasmodic cell salt and is also known as the homeopathic asprin. It is essential for well structured muscles and their connective tissues. Magnesium phosphate helps muscles move smoothly and can be used to treat minor spasms, radiating pains and to relieve pen up tension and cramps. It can also ease painful menstrual cramps.
    Natrum phosphate: The body depends on this compound to break down acids and help with the digestive system. Thus this is considered as an acidity cell salt, which also helps with issues like headache, muscle ache, stiffness and fatigue.
       4928 Thanks
  • MD - Psychiatry, MBA (Healthcare), MBBS
    Dementia cannot be singularly regarded as a specific disease, but rather indicates a group of symptoms associated with your memory, cognitive thinking, and social abilities, up to the point where daily functioning gets affected. In most cases, dementia steadily worsens over time (progressive dementias). Dementia is not to be confused with memory loss alone; because it is natural with old people to experience memory loss, but that does not necessarily mean they have dementia. If the reason is dementia, then you may require medical treatment.


    Dementias are generally caused either by damage to or changes in the nerve cells operating in the brain. The causes can be grouped differently based on the type of dementia experienced and the part of the brain affected. While some causes can be reversed with effective treatment, others, unfortunately, cannot.

    The most common causes of dementia which cannot be reversed include:

    1. Alzheimer's disease
    2. Vascular dementia
    3. Parkinson's disease
    4. Frontotemporal dementia
    5. Dementia with Lewy (dementia which is neurodegenerative and progressive in nature) bodies
    6. Severe head injuries

    Other irreversible causes which are relatively rarer than usual include:

    1. Huntington's disease (breakage of the brain's nerve cells)
    2. Creutzfeldt-jakob disease (irreversible and fatal brain disease)
    3. Multiple sclerosis or amyotrophic lateral sclerosis
    4. Infections like syphilis
    5. Leukoencephalopathies (diseases affecting the brain's'white' areas)
    6. Brain injuries
    7. Multiple system atrophy

    Causes of dementia which can be treated include:

    1. Hypothyroidism
    2. Heavy metal poisoning
    3. Certain brain tumors
    4. Chronic alcoholism
    5. Hiv/aids
    6. Vitamin b12 deficiency
    7. Medicinal side effects or abnormal drug reactions
    8. Normal pressure hydrocephalus
    9. Certain cases of encephalitis


    Symptoms of dementia include:

    1. Memory loss
    2. Difficulty finding the right words
    3. Difficulty exercising judgments, especially during emergencies
    4. Inability to recall particular events or to recognize people and places
    5. Depression or other mood disorders, in addition to symptoms like uncontrolled aggression or constant agitation.
       4072 Thanks
  • MD - Homeopathy, Doctor of Homeopathic Medicine (H.M.D., BHMS
    Children should be brought up with utmost care. A child should not be your centre of attraction only because it is incapable to fend for itself, but also because it is not half as aware as you are or could be about its problems. Parents punish their children for the slightest of their mistakes; they at times even threaten children to bring home a lesson. Patience and observation are two key things in good parenting. The foibles of your child might indicate at an underlying medical condition. Instead of fixating over the mistakes try and locate the root cause. Early diagnosis of autism can save your child from a bleak future.

    The following are a few symptoms of autism in children:

    1. Social interaction is a huge challenge: children suffering from autism are usually noticed to live in a world of their own. They hardly listen to people around them or hardly talk. The presence of many people can scare them or make them conscious. When spoken to, they look away. They do not feel comfortable in revealing their joys or fears. Autistic children like to play alone; they are not interested in group activities with friends.

    2. Difficulties in communicating their needs: communication is the biggest problem autistic children seem to face regularly. They are not able to express their needs and emotions. If they are hungry they might scream or break things but not ask for food. They even fail to comprehend instructions and seem confounded by simple situations. Their speech could comprise of mumbling. Autism in children could make them develop a condition popularly known as echolalia under the effect of which they mouth words without knowing their meanings in an extremely strange tone.

    3. An obsessive, repetitive behavior: children with autism could be persistent in some of their actions. Their body gestures could be repetitive; for instance, they can continue flapping their arms for hours together. Children in certain cases are also very particular about routine. Quite strikingly, objects affect them and they might scrutinize an object meticulously.

    4. Sensory problems: light sound and touch can have a huge impact on children suffering from autism. Patches of light and shade intrigue them whereas high pitched sounds could depress or intimidate them. They usually prefer deep pressure touch and might not respond to anything else.
       4835 Thanks
  • BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
    Asperger's syndrome has recently come under the umbrella of autism spectrum disorder. This syndrome usually affects the social skills of the patient, most heavily. The patient may seem normal and even intelligent at first glance. But on closer interaction, several social skill problems will come to the fore including an obsessive focus on certain topics and issues. Repetitive behaviour is also a part of this disease. Let us find out more about asperger's syndrome.

    Symptoms: the symptoms usually begin to show up early on in one's childhood. The patient will not be able to make eye contact while speaking with others. Also, a perfectly normal person may seem inordinately shy and reserved during social interactions. This awkwardness may come to the fore in the form of looking for expression cues on other people's faces and even the body language. The patient may not be a very happy and lively soul, with hardly a smile to crack at the funniest of jokes. The lack of emotions or the emotionally numb state is also a major giveaway of the condition. Other symptoms may include a strong aversion towards change in food habits and routine.

    Diagnosis: the diagnosis is usually done by mental health specialists like a developmental paediatrician, a psychiatrist, a psychologist or even a paediatric neurologist. These specialists can put the child through a variety of tests that will study the neurological health as well as the speech and emotional behaviour of the child.

    Educating the parent: once the diagnosis has been done, the parents of the patient will have to appraised of the condition and its implications. The symptoms and treatment will have to be duly discussed even as the parents are put through training and therapy to learn techniques with which they can help the child in progressing along more normal lines. The therapy will also help the parents deal with the challenge of living with someone suffering from this condition.

    Treatment: there are varied forms of treatment that aim at fixing the specific areas and symptoms that the patient is learning to live with. Social skills training, speech and language therapy, cbt or cognitive behavioural therapy and other forms of treatment can help the child overcome many symptoms that come from this condition.

    In the course of the treatment, it is important for the child, parent and therapist concerned to realise that there is no single approach that can be applied to all patients suffering from asperger's syndrome. Individual care and therapy will be required for individual cases. At the same time, most of the skills will need to be repeated at home so that the child takes them more seriously.
       3339 Thanks
  • Show more
/ SG Hospital
Need help booking? Call +91.901.555.9900 or email