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Dr. H S Kothari

Neurologist, Delhi

800 at clinic
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Dr. H S Kothari Neurologist, Delhi
800 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. H S Kothari
Dr. H S Kothari is an experienced Neurologist in Kirti Nagar, Delhi. You can visit him at Kalra Hospitals in Kirti Nagar, Delhi. Book an appointment online with Dr. H S Kothari on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 39 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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Hindi

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Kalra Hospitals

#A 4,5,6 Kirti Nagar. Landmark : Near Metro Pillar Number 326, DelhiDelhi Get Directions
800 at clinic
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Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?
Daxid is sertraline which is an antidepressant which increases the serotonin uptake in neurons of brain. It is usually prescribed for depression or anxiety symptoms primarily. Now in sleep apnea it can be prescribed for the secondary mood symptoms of the disorder but if it is prescribed only for sleep apnea symptoms then it's not a rational prescription.
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Sir I have been faced by the problems Like shivering and tampering Please give me solutions for that THANKS.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
You are probably heading for some fever, which could be viral, malaria or urine infection. Try paracetamol tablets and bed rest for two days, if no relief better to see yourdoctor.
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I am 25 years female. Having migraine and sarvical from more than 4 years. What should I do?

BHMS
General Physician,
Hello , thanks for question on lybrate, you should follow three different levels of migraine treatment for complete relief:- acute treatment (treating an attack as soon as it happens) preventative treatment (stopping attacks from happening) rescue treatment (dealing with an attack if acute treatment does not work). You can consult me in private chats for further details.
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I'm 67 yrs. Old. I'm suffering from migraine. Whenever it starts I take 1/2 migranil tablet. What is the precaution to avoid it?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Take ½ glass of carrot juice + Add ½ glass of spinach juice + Mix well + Drink this juice to cure headache 1-1 drop of cow ghee in both nostrils at night time before sleep. Take pranacharya no tens capsule 1_1 twice a day. Take shirshooladi vajra ras twice a day with honey. Avoid tea and coffee.
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Symptoms: .Numbness/tingling in cheeks, chin, lower lip - both sides of face - going on for four months - started out on and off - been almost constant past 3 week - no pain -face moves normally. Cough Going on for 2 weeks Coughing fits off and on Little coughs here and there No wheezing Pediatrician says lungs sound fine Mild chest pain .Headache Sharp pain usually in back of head Don’t really remember when it started Off and on .swollen lymph nodes (I think?) in neck and under chin .Pain in left calf Off and on Don’t really remember when it started. Weight loss - no appetite. But I'm a very picky eater and I don't eat school food - not trying to lose weight .Difficulty sleeping - falling asleep -staying asleep .Fatigue -tired fast while standing and walking Possible factors? .Lots of anxiety School health .Recent medicine changes .extreme fear of the dark Sleeping with lights on Sleeping with movie on (just to listen to) .multiple medications .depression .mood disorder .ADHA .Extremely aware of everything that feels wrong in my body .Yesterday I found out I had strep throat (no fever) Medications: Lithium Prazosin Lamictal Gabapentin Medication history: Medications I’ve been taken off of a week and a half ago: Seroquel, Trazodone, Ritalin Lithium dosage was reduced I’ve been on Lithium, Prazosin, and Lamictal for around two years. Gabapentin was just added. Lithium levels have been checked multiple times; most recently 5 days ago. Each time I was told that my Lithium levels were normal, but they decreased the dosage so I’m not sure if that was just in case the Lithium was the problem or if there was a change in my Lithium levels from two weeks before that. Nobody really told my much about the change in my meds. What I understand of what my doctor has told me: They think that the facial numbness is caused by my medications (concerned with the Seroquel and Lithium) and anxiety. Sleep problems are probably related to my psychological issues. Anything neurological has been ruled out by a neurologist. They drew blood and I know they checked vitamin b12 and iron levels. I have no idea what else they tested when they drew blood. My main concerns and what I’m looking for: My main concerns are the symptoms that haven’t been addressed, because I haven’t brought it up, and that there facial numbness that came out of nowhere. I haven’t brought up the headache, leg pain, cough, and chest pain mostly because I’ve been to the doctor a lot recently concerning the facial numbness and I feel like it’s starting to seem like I’m trying to find something wrong with me. When I was complaining of a sore throat she tested my for strep throat and was care less; the swab thing didn't even touch the back of my throat. Few days later I went to urgent care and they do it right and I did of strep throat. Kind of feeling like I'm not being taken seriously because I'm young. Doctors noticed the swollen lymph nodes, but I got strep throat so that might be why. I am concerned mostly about the things I haven’t mentioned and I wanted to know if I should be concerned about those problems. If so, what should I ask my doctor? When should I go see a doctor? What do you think could be wrong if anything is wrong? I really just need to what to do and if I should do something. And do you have any idea how long it will take for the numbness/tingling in my cheeks, jaw, chin, and lower lip to go away if it is my meds that were causing it? I’m a trumpet player and it is difficult to play when my face feels numbish. I also want to know about numb chin syndrome.

BAMS
Ayurveda, Navi Mumbai
Symptoms:
.Numbness/tingling in cheeks, chin, lower lip
- both sides of face
- going on for four months
- started out...
Chill!!! Stay away from everything for a week.Just do warm water gargles,for strengthening of cheek and face muscle Drink milk and turmeric for cough.
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I am taking eptoin 100mg tablet everyday for the last 4 years for epilepsy. 4 years before I had epilepsy. Now after taking this tablet I am totally out of this problem till now. Can I stop taking this problem permanently now?

DM - Neurology
Neurologist, Hyderabad
You are taking eptoin and epiliv, both are for epilepsy. You are not having any seizure since last 4 years. Its a good sign that your epilepsy is well controlled. Now regarding stopping the medication, epilepsy medicines now can be stopped gradually step wise manner with the guidance of a neurologist. If any fits occurs during reducing the dose of drugs, then these medicines will be restored in its previous dosage.
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I have headache continuously after studying or doing any external activities, is it migraine?

MBBS
General Physician, Cuttack
If you have recurrent attack of headache 1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist.
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I was having severe headache, so I decided to sleep. After sleeping for about half an hour, I experienced sleep paralysis and it was horrible. I want to overcome the problem. Thank you.

MBBS
General Physician, Mumbai
I was having severe headache, so I decided to sleep. After sleeping for about half an hour, I experienced sleep paral...
I will suggest you to get an eeg done and follow up with reports and till than take tablet folvite 5 mg once a day and tablet vitamind (60000iu) once a week and get your vital parameters of the body checked from a nearby doctor and revert back with findings.
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I am 43 years old Male. I can observe numbness in my both great toes since a year (even though it is mild, I can feel the numbness) What is the Reason?

BPTh/BPT
Physiotherapist, Delhi
I am 43 years old Male. I can observe numbness in my both great toes since a year (even though it is mild, I can feel...
This may be the starting of lumbar spondylosis. Start with a few exercises of back that will work on its stregnth and endurance. You can consult me personally to learn the exercises. Get your vit b12 levels checked.
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Last night I have a minor electric shock from the wire of stand fan ,How it affects on my body ,How I can remove the affect of this, Thanks for your help.

MD - Homeopathy, BHMS
Homeopath, Vadodara
It should not have long lasting effect and you should be alright. Though you may take homoeopathic medicine Phosphorus 30 2 doses. Stat at the interval of 1 hour.
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I am having fever since last 2 days. Body ache too, and since morning shivering too. Also feeling very cold. Should I consult specialist doctor or recommend me better solution.

BHMS
Homeopath, Faridabad
I am having fever since last 2 days. Body ache too, and since morning shivering too. Also feeling very cold. Should I...
Hello, first of all you should take rest for 1-2 days so that your body can fight with underlying infection wth its full immunity and start the below medication:- take gelesemium 200, twice daily. Take eupatrium perf 200, 5 drops thrice daily. Take antifebrinum 3x, 2 tabs, thrice daily. Take alfavena malt, 1 tsf, thrice daily. Drink lots of water and take light homemade food like dalia and khichdi, avoid oily, spicy, fried, junk and cold drinks. In case of high uncontrollable fever, don't panic you should do cold sponging to lower down the temperature. If fever does not goes then go for a set of blood tests. Revert me with feedback. Take care of your health. Good day.
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I am diagnosed with Epilepsy and its been 3 years that I am on medication. I am taking Epilex Chrono (600 mg) in morning and same at night with 100 mg of Lamictal. Though my EEG report is normal now so just wanted to know how long treatment will take and I have to take medicines.

DM - Neurology
Neurologist, Rajkot
I am diagnosed with Epilepsy and its been 3 years that I am on medication. I am taking Epilex Chrono (600 mg) in morn...
In case of epilepsy since you are on meds for 3 years, if the seizures are completely controlled and eeg is normal, a trial of gradual taper of medicines can be given. But always taper medicines after consulting your neurologist. And there is always a chance of recurrence so that risk has to be borne in mind.
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Hi Please suggest a medicine for migraine headache I have jst undergone an eye operation of retinal detachment. After doing laser. Its hvng severe pain. Can it be of migraine.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
These adverse effects may be .Transient (7-10 days) like Blurred vision, raised intraocular pressure or headaches, which can be controlled by some analgesic, rest,meditation or some pure nutritional supplement can be advised if asked for .
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Sir my son 1o years old. He is erbs palsy (birth injury) affected. We gave tendon transfer surgery treatment to him. There is no strength in his hand. Is there any other latest treatment available.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
It is better to be clinically examined by neuro physiotherapist or neuro physician to do the needful or you can call me further on private consultation via lybrat. Com there are various innovative therapeutic approach were available best wishes
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I am feeling uneasy in my left hand finger. I am not getting pain but its like its getting numb. Finger is working but still feel like numb on it.

Neurologist,
I am feeling uneasy in my left hand finger. I am not getting pain but its like its getting numb. Finger is working bu...
If your symptoms had been in the The first three digits of a hand, it could be carpal tunnel syndrome- a pinched nerve in your wrist. If the symptoms are in last 2 digits of the hand, it could a different type of pinched nerve. If numbness and tingling is in whole hand- it could be neuropathy. If numbness in fingers is associated with neck pain and radiating pain in arm- it could be a pinched nerve in your cervical spine. So based on the information you share, it is hard to draw any conclusions about what you have.
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As I am taking cephagraine tablets to prevent migraine so can I take safi along with it??

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Yes, sure you can take safi along with cephagraine. But with prior advise of doctor. Raktamokshan & virechan is good for miagraine. 1) massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) apply chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) take 8 hrs sleep in the night. 4) avoid oily & spicy food. 5) pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) do eye check up if headache persist
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Can the Immune System Trigger Alzheimer's Disease

DM - Neurology
Neurologist, Rajkot
Can the Immune System Trigger Alzheimer's Disease

Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.

Let us find out what medical science has found so far:

  1. Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
  2. Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
  3. Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
  4. Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.

It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control.

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Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep. Never have a deep sleep almost from last 6 month .now am so weak. I really don't know what to do. Please help.

BPTh/BPT, DMS
Homeopath, Kolkata
Hi doctor I've been facing neck pain, tingling numbness in my hands and arms from last 6 month. And I couldn't sleep....
Most probably you are suffering from Cervical Spondylolisis, So, U confirm the diagnosis by X- Ray and go to the physiotherapist.
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I am suffering migraine from childhood, Dr. said that it will automatically end with age but at the age of 20yo it is not relieved.

MBBS, DNB
General Physician, Mumbai
Migraine is more of a preventable disease than curative. You have to identify the triggers of your headache and avoid them. Avoid exposure to bright light, loud sound, sunlight. Avoid stress. Avoid chocolate and coffee. Have enough sleep. Drink 3-4 litres of water daily. I can prescribe you prophylactic medicines too if you want.
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