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Dr. Ashish Gupta

MBBS, MS - Neuro Surgery, DNB

Neurologist, Delhi

22 Years Experience  ·  700 at clinic
Dr. Ashish Gupta MBBS, MS - Neuro Surgery, DNB Neurologist, Delhi
22 Years Experience  ·  700 at clinic
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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. Ashish Gupta
Dr. Ashish Gupta is one of the best Neurologists in Okhla, Delhi. He has been a practicing Neurologist for 22 years. He is a qualified MBBS, MS - Neuro Surgery, DNB . You can meet Dr. Ashish Gupta personally at Escorts Heart Institute & Research Centre Ltd in Okhla, Delhi. Save your time and book an appointment online with Dr. Ashish Gupta on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 40 years of experience on Lybrate.com. You can find Neurologists online in Delhi 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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Education
MBBS - Punjabi University - 1995
MS - Neuro Surgery - Punjabi University - 1998
DNB - National Board Of Examination - 2003

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Okhla Road. Landmark:- Near Holy Family HOspital, DelhiDelhi Get Directions
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#1, Tughlakabad Institutional Area, Mehrauli Badarpur Road Landmark : Near Saket Metro StationDelhi Get Directions
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Is there a treatment for migraine problem. I have been facing this from past 7 years and it has come to through heredity. Thank you in advance.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol and Avoid any triggering factor, take folic acid regularly, eat a healthy diet , always be stress free , exercise regularly
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I recently read that researchers believe certain foods might cure alzheimer disease. Is this true? If so, which foods do this and how much would you have to consume to get the benefits.

PDDM, MHA, MBBS
General Physician, Nashik
I recently read that researchers believe certain foods might cure alzheimer disease. Is this true? If so, which foods...
Several epidemiological studies show that eating a Mediterranean diet dramatically reduces the risk of cognitive impairment and Alzheimer’s disease. That means plenty of vegetables, beans, whole grains, fish, and olive oil—and limited dairy and meat.
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I am 30 years old and very often have shivering in my hands. I am suffering from b12 deficiency. Can you suggest me foods to increase this. More over due to my tight work I am not able to do any exercise to reduce weight. I eat low calorie food and home made only.

MBBS
General Physician, Hyderabad
I am 30 years old and very often have shivering in my hands. I am suffering from b12 deficiency. Can you suggest me f...
Good evening lybrate-user better change your food lifestyle complete one-time meal put yourself only on fresh fruits night dinner roti (wheat) without oil and green leaves / green salads/ green vegetables morning take one boiled egg and glass of milk reduce sugar intake avoid sweet s / ghee prepared items avoid fast foods avoid all bakery foods better take green tea 2 times a day without milk and sugar.
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Ayurvedic Medicines for vestibular migraine/push in body while walking. Already taking medicine for cervical spondylosis.(had a perforated ear drum which did not require surgery) problem increases in crowds and while turning neck.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Ayurvedic Medicines for vestibular migraine/push in body while walking. Already taking medicine for cervical spondylo...
Dear lybrate-user Avoid all medicines. Only take Argn. Nit. 30 Three dose in a day of five drops each for one day and after two days call back for some more symptoms for further course of medicine.
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I have migraine problem from last 6 years and i'm taking Tab rizact 5 and Tab Nexdom 250 when ever I feel migraine pain.

BPTh/BPT, BPT
Physiotherapist, Hyderabad
Due lack of sleep Lack of exercise Less intake of vitamio related Not exposure to sunlight Above my be cause Prevent the above then the problem will solve
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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My father's hand shake a lot while writing and is unable to hold a pen o pencil firmly and faces a lot of trouble while writing. Whats the reason behind that?

MBBS
General Physician, Cuttack
. 1. It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 other causes of tremor could be stress, anxiety, panic, nervousness, inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4. Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/coffee/ smoking/alcohol if you have 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9. Consult neurologist for further advice.
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I am 42 years old, had asd closure in 2010, presently suffering from backache, neck pain, migraine, joint pain, numbness. What should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 42 years old, had asd closure in 2010, presently suffering from backache, neck pain, migraine, joint pain, numbn...
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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Chrinoplasty before 6 years rig grd 1, 15 days back, stop enchorate chrono reduced torleva to 750 mg /day. Tremors in left hand {parasys in hand]. What is the first aid and what to do at that time.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. This question has to be answered by a neurosurgeon or a neurophysician as these tremors have a neurological cause for it. Do not hesitate to contact me if you need any further assistance.
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Greetings doctor My brother ananth is suffering from autism. Is there any cure for autism? Recently he is getting fits also and he is hyperactive. He will not cooperate with us for any scanning or any kind of medical tests is there any institute or hospital for this kind of people or any residential hospitals kind are there? Please suggest Thanks in advance.

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Tips on communicating with a child with autism when speaking to your child, come to their level so you are not talking down to them. Use short sentences and constantly comment on what you or your child is doing to continually expose them to language. Avoid repeatedly asking questions as this can be difficult and frustrating for your child. For children who have trouble with speech and language, encourage the use of visual aides, such as pecs and picture schedules, for communication. Using signs is also an excellent option for some children with autism. Children with autism are often better at visual and detail-oriented tasks such as puzzles, for example. It is important to encourage their strengths and provide them with outlets for their interests and hobbies. There are some day care centres run by ngo for autism children but usually they are near metropolitan city. Please consult your therapist for medical problems.
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I am having some migraine problems whenever I use my phone for longer duration sho what should I do?

BAMS, YIC, DEC
Ayurveda,
Hi try to avoid spicy food, good sleep and healthy diet is essiencial for more details consult me in private questions
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I am 64 years old and suffering from restless leg syndrome for about 20 years. For last 5 years I am taking pramipexole 25 mg bid. Up to last year is was doing good but now is has very little or no effect. What should I do?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear, I need more information to make a complete diagnosis but still you can visit my website www. Eswtindia. In and get a lot of information and we have successfully treated case like yours. Kindly go to calf cramps and get the details in faq.
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Epilepsy in Pregnancy and Child Birth

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai

Many epileptic women have a normal pregnancy and give birth to normal offspring but there is a high risk of development of complications.vaginal delivery is recommended.

The frequency of seizures does not change pregnancy child delivery or puerperium.

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My sister is suffering from Hashimoto encephalitis. Currently the seizures are under control with the use of prednisone steroid tablet. Could you please advise if any alternative for prednisone is available in homeopathy?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Take stramonium 200 1 dose and then revert me back after 3 days. But please, it would be better that you remain under supervision of any homoeopath. Just prescribing like-this on 1 question isn't reliable. So better remain under a homoeopath. And ther are many other remedies that comes for seizures and encephalitis.
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How can I remove fear of falling down. I am 64 suffering from parkinson.

MBBS, MD - Psychiatry, (MRCPSYCH-UK)
Psychiatrist,
Consult a psychiatrist. He will prescribe medicines to remove fear and balance the parkinsons medicines as well.
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Sir I have severe migraine with gastic and biles problem. It is maximum during my mensuration with pain in lower abdomen. Some years ago I have operated for galblader stone. Right now I am taking pantop-d for gastic, vasograin for migraine 1/2 a day according to pain and avil 25 for biles(pita). Please suggest. Suffering from last 12 to 14 years, taken treatment from lots of doctors.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Ayurvedic tablets balance hormonal and digestive system simultaneously so that you can get rid of all your problems. Kindly visit my clinic to avail tablets.
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How Serious Are Seizures in Children

DNB Paediatrics, DCH, MBBS
Pediatrician, Delhi
How Serious Are Seizures in Children

During a febrile seizure, the body of a child may convulse, shake and contract, the eyes may roll, and he or she may moan or become unconscious. This type of seizure is usually for a few minutes, but in rare cases can last up to 15 minutes.

Febrile seizures stop on their own while the fever persists until treated. While some children may feel sleepy afterwards, others do not have lasting effects.

Seizures in toddlers may be caused due to the following factors

  • Epilepsy - Epilepsy is defined categorically as two or more seizures without any acute cause. Epilepsy can occur at any age, but it is usually diagnosed in infants and young children.
  • Body temperature - Body temperature may indicate a crisis in small children. High body temperatures or low body temperature can cause seizures in a toddler. These types of seizures occur only once or twice in children two years or younger, often after an illness. This type of seizure due to the fortification of the body temperature is considered a febrile convulsion.
  • Dehydration - Febrile seizures can also occur due to dehydration. Dehydration is a direct result of previous illness that included sweating and fever.
  • Physical condition - A child who is in poor physical condition can also be prone to seizures. Malnutrition or a body weakened by disease or illness makes small children more susceptible to crises.
  • Family History - Family history can play a role in toddlers or children with seizures. If a family member suffered  from the tendency or had convulsions, particularly febrile seizures as a child, this trait can be inherited.

Treating febrile seizures

If your child has a febrile seizure, stay calm and:

  • Make sure your child is in a safe place and does not fall or hit something hard
  • Place your child on his side to prevent choking
  • Watch for signs of breathing difficulties, including any colour change in the face of your child
  • If the seizure lasts more than a few minutes or your child turns blue, it may be a more serious type of seizure; connect with doctors immediately

Febrile seizures can be frightening to witness, but remember they are fairly common and are not usually a symptom of a serious disease, and in most cases does not lead to other health problems.

Related Tip: What is Rickets? How to Prevent Your CHILD From the Disorder??

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Sir, I am 18 years old boy. Mere haath kabhi kabhi kaapte hai, jab me kisi me saamne kuch likhta hu, sign krt hu, air jyadatr jab mobl PR typing krta hu. Akele me kabhi nahi kaapte hei. Pls tell me answer.

M.D. (Ayurveda )
Ayurveda, Patiala
Sir, I am 18 years old boy. Mere haath kabhi kabhi kaapte hai, jab me kisi me saamne kuch likhta hu, sign krt hu, air...
kindly take ashwagandha powder, 1 tsf in a glass of warm milk, twice a day. Take bhruhat vatachintamani of dhutpapeshwara premium gold, 1 tab, after meal, twice a day. Do massage with mahamasha oil over whole body, every alternate day. Avoid excess tea, spicy food, fast food, late night meals in your routine. Continue the regime for 45 days. good luck
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C.S.C, D.C.H, M.B.B.S
General Physician,
4 Simple Ways To Manage Diabetic Peripheral Neuropathy (DPN)

If you?re one of the 26 million Americans living with diabetes, then you?re probably familiar with diabetic peripheral neuropathy (DPN), which is nerve damage that?s caused by chronic high blood sugar. DPN tends to be the most common complication of diabetes. Some of its symptoms include a tingling or burning sensation, difficulty walking, and numbness, especially in your feet and toes. If left untreated, DPN can eventually lead to amputation.
While DPN seems to be a growing problem within the African-American community, here are four ways to keep your DPN under control.

1. Don?t smoke.
Ever notice how ?don?t smoke? is always somewhere on these types of lists? Well, there?s a good reason for it. When you smoke, your arteries narrow and harden, reducing the amount of blood flow to your legs and feet, which makes it more difficult for wounds to heal.
2. Keep your blood sugar levels in check.
If you?re a diabetic, then you already know how important it is to monitor your blood sugar levels. When you have DPN, inconsistent blood sugar levels put you at risk for nerve damage, which can ultimately lead to amputation.
3. Take good care of your feet.
When you have DPN, it?s a definite must that you thoroughly wash and dry your feet on a daily basis. Also, always make sure that your shoes are well-fitted and that your socks are clean and dry. Be sure to trim your toenails straight across ? or have them trimmed by a professional. Lastly, stay away from any antiseptic products and sharp tools, including nail files, as they may cause injury and further damage
4. Communicate with your doctor.
Inspect your feet regularly. If you notice anything unusual, such as a foot injury that?s taking longer to heal than normal, inform your doctor right away! ASK PRIVATLEY
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My wife 35 years old and suffering from migraine.

MBBS
General Physician,
See exact cause of migraine is still not known. I suggest you to take tab brufen sos. For other symptoms such as vomiting you can take emset sos for acute attack. If your symptoms are not relieved you can use another medication like tab bcap plus which contains flunnarizine and propranolol. This drug is generally continued for 3 months daily. Once daily night time. Bit before taking this medicine I advice you to consult your family physician first.
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