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Dr. Kiran

Neurologist, Delhi

Dr. Kiran Neurologist, Delhi
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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. Kiran
Dr. Kiran is one of the best Neurologists in Dwarka, Delhi. You can visit her at Kalpavriksh Labs in Dwarka, Delhi. You can book an instant appointment online with Dr. Kiran on Lybrate.com.

Lybrate.com has a number of highly qualified Neurologists in India. You will find Neurologists with more than 30 years of experience on Lybrate.com. Find the best Neurologists online in Delhi. 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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Plot No. 66, sector 12A. Dwarka.Delhi Get Directions
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
53 people found this helpful

Facial nerve palsy . Sir I'm in great trouble sir I have so many tension in mind related to Facial nerve PALSY . I do not have any symptoms related to palsy neither any pain nor any drooping nor any any other then why sir mam advised me to go for MRI sir plzz help me I have been thinking over it and thinking it is making me uncomfortable sir please advice me suggested way to get rid of negative thinking.

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
If you don't have any facial weakness/ drooping of difficulty in closing eyes then there is no need to suspect facial palsy and there is no need to do mri brain.
2 people found this helpful
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Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not walk fr seconds. It happen every time I take my baby on my lap.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Im feeding my baby she is 11 month now. My legs become numb when ever I sit down or take my baby on my lab. I can not...
When you sit crosslegged and taking your child on your lap, there could be atemporary reduction in blood flow to the legs and this could be due to weight gain or nerve compression or blood vessel compression. For your height, of 5.3 feet, your weight is ok, so may be the problems could be due to cramps in muscles and this can be best helped by sitting with legs straight if you sit crosslegged, you must change position everyf ew minutes to allow good blood flow. If tingling numbness if there, it signifies vitamin or calcium deficiency and its better to meet a doctor before popping a pill generally many pregnant women take calcium off and on in pregnancy but do not take calcium in postd elivery period. If you are still feeding your child or if you have not taken calcium in the post delivery period, perhaps you must visit the gynecologist who will evaluate you and provide the necessary treatments.
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Hello sir I am anxiety patent and also my digestion power is not good whatever i eat can't digest and and my hand shaking, do not feel strength in my body.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hello sir I am anxiety patent and also my digestion power is not good whatever i eat can't digest and and my hand sha...
You must immediately seek help from a counselor. Your fear is creating an obsession and that is leading to anxiety. The stress of this anxiety is causing the indigestion and therefore weakness. Before it gets out of control and difficult to deal with seek help earlier, especially about this fear. If the fear is of recent origin, you could perhaps identify it and deal with it. But if it is from a long past, then much work has to be done to sort that out. If medication is required please cooperate with both the therapies to get the best results. Sometimes this kind of nervousness could be genetic too. In the meantime you must do certain things to build your constitution physically, spiritually, emotionally, and mentally. Mental stability can be achieved by learning a few skills in handling emotions in an appropriate manner. Stress management skills, which have a lot to do with expressing emotions, will need to be a major part of your recovery program. Emotionally you need the help of a counselor and that will help you tremendously to move from anxiety to normal fear. Please persevere and cooperate through all the support you need and you will come through successfully. Develop your body’s health by physical fitness through exercise, good rest (sleep), and a proper diet. Any way what you need to focus on is to do vigorous exercise of the aerobic kind for the heart’s fitness; meditation for the brain’s fitness; sleep for a well rested mind and body; a sound spiritual well being for good confidence and stability; and a diet with lots of vegetables, fruits, and whole grains. Vigorous exercise, especially of the callisthenic kind, will make your heart, which is a muscle, grow larger; and then your heart will need to beat less often and you will respond to the anxiety with a calmer disposition. If your mind, constitution, and your emotions are in check and fit, you will never be disturbed again.
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I have numbness for left hand thumb right part. What are the causes. May I need to consult a doctor.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have numbness for left hand thumb right part. What are the causes. May I need to consult a doctor.
It might be of nerve deficit or if pathological cause do consult neuro physician and take appropriate therapy.
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I have pinched nerve in my neck. There is severe pain and numbness. Which runs from neck back to my left hand thumb. What should I do.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take IFT and laser Therapy for 12 days followed by strengthening exercise From Neuro physiotherapist Best Wishes
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I'm Parkinson's patient so Whats diet plan for me and give me some tips I have muscular body and 20 year old boy.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Parkinson's at your age is rare. I hope you have confirmed your diagnosis by a Neurologist. Parkinson's can be effectively treated with medications. There is no special diet to cure parkinsons
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I am a male of 62 yrs. No diabetes or bp. I developed shaking of hands from 22 nd year especially when holding tumbler at top rim with hot liquid or serving with a big spoon. No shaking when keeping quiet. This I feel has increased over decades by say 10%. Will it lead to paralysis as days goes by? what preventive medicine should I take doctor?

MBBS
General Physician, Delhi
What you are suffering from is known as intentional tremors. Commonest causes include hyperthyroidism, alchoholism, peripheral neuropathy, multiple sclerosis, etc. Get your thyroid profile done and meet a neurophysician of your choice immediately.
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I have some numbness in my left little and ring fingers. About a month since it first started.

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. You are very young and these symptoms point out c8, t1 or ulnar nerve involvement. As you have stated do you feel pain anywhere from neck region to your hand? is there any radiating pain also in involved upper limb? do you also feel numbness in forearm region as well? numbness is a manifestation that there is some nerve compression somewhere along the course and treatment depends upon where compression actually is? do not hesitate to contact me if you need any further assistance.
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Is there a way to recover from brain hamrage? How one can gain prevention against it?

MCh, MS , MBBS
Neurosurgeon, Mumbai
Patient with brain hemorrhage recover spontaneously in due course of time. For prevention of brain hemorrhage: 1. Control the blood pressure. 2. Control of blood sugar if diabetic 3. Avoid smiking. 4. Avoid alcohol intake. 5. Do regular exercises.
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I am 20 year old male and have been having kind of migraine since past 2 years. What should I do to completely terminate my migraine. I haven't taken any sort of tablets so faar but whenever I miss my meal and get in contact with Sun my migraine triggers. Please help.

PDDM, MHA, MBBS
General Physician, Nashik
Migraine cannot be cured completely. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.
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Hello Doctor, I have a trigimal neuralgia in my right side of forehead near eye from last 3 years. Very sharp shooting electric pain to touch the eyes or effected area of face. Generally it started in between sept to March. On winter season. Please suggest any permanent solution for this. Thanks & Regards

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hello Doctor, I have a trigimal neuralgia in my right side of forehead near eye from last 3 years. Very sharp shootin...
Trigeminal neuralgia is a very annoying recurrent illness. Fortunately treatment is available. The permanent solution is nerve block. You may consult your neurologist for the same.
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I am 43 years old I am suffering from Neuropathy and also I have back pain since three months (L3 l4 Mild disc Bulge. I am not able to sit and stand 5 to 8 hours any permanent solution is there please help me and also submitted my Medical Reports.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 43 years old I am suffering from Neuropathy and also I have back pain since three months (L3 l4 Mild disc Bulge....
DO take IFT and Laser Therapy for 12 days followed by Strengthening Exercises from Neuro Physiotherapist Best Wishes, and use firm even and hard Mattress for sleep.
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I am 24 years female. Since 10 years I am suffering from epilepsy. I am using medicine but of no use. So I request you to suggest me. Thank You.

MBBS, cc USG
General Physician, Gurgaon
CT scan/ EEG was done? can cause of seizure was detected ? I want to tell you that medicine as advised by your Doctor need to be taken regularly and must not missed dose even for single day You can Consult Good Neurologist for second opinion, i can guide you further
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad


What happens to people with autism when they grow up?

Since autism is a spectrum and people have varying skill levels, future is not the same for all people with autism. A lot of children who are able to cope with mainstream school /college education go undiagnosed and are successful at jobs but may be considered quiet or reserved adults by their family, friends and colleagues.

Several adults on the spectrum who have been diagnosed, and been in a supportive environment in their childhood, have written books which have facilitated and enhanced the understanding of the condition. We have examples of people who are professionally very successful. Some have gone on to become famous authors and at least one has won a Nobel Prize. Some advocate and speak for themselves and for other people with autism in the community.

Some of those who are fully independent in their everyday life may find it difficult to sustain the demands of a job and work environment. Some are married and some choose not to.

Some of those who are married face difficulties in forming relationships with their spouses and carry out responsibilities that come with marriage and having a family, and may continue to need support of another person in planning and carrying out the activities in running a house.

As in every other condition, some people on the spectrum will always need support in life and may never be fully independent. As yet, in India, there are few schools which have an environment or the attitude to accommodate the special needs of people on the autism spectrum. Vocational centers and employment opportunities are even fewer.

For most parents struggling with getting services for their child with autism, one of the biggest worry is‘what after us?’ As yet, there are not enough and appropriate lifespan services for people with autism where they can lead a life of dignity and respect.

However, with support from people around them including the family, friends, neighbours and teachers all of them can lead a happy and meaningful life.

3 people found this helpful

I am 49 years old I suffered from migraine since 18 year. Which ayurvedic medicine should I take out of 9 ayurvedic medicins suggested by you.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 20 minutes regularly Best Wishes
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My mom have been suffering from migraine from her childhood. How could it be cured?

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
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I am 68 year old. Since last six months I am feeling numbness in my left foot. Though I was diagnosed diabetic 5 years ago when I was operated for bypass surgery for my heart. But I took no medicine for diabetes as well as for heart as I feel myself perfect healthy except for the above mentioned condition.

MPTh/MPT
Physiotherapist,
Kindly dip your legs inside bucket full of lukeworm water for 15 min and do some free exercises inside lukeworm water regularly for week. This will be helpful.
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