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Dr. Mukesh Kumar

Neurologist, Delhi

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Dr. Mukesh Kumar Neurologist, Delhi
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Mukesh Kumar is a renowned Neurologist in Saket, Delhi. You can visit him at Max Super Specialty Hospital-Saket in Saket, Delhi. Book an appointment online with Dr. Mukesh Kumar on Lybrate.com.

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#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
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I have recently started getting ocular migraines. My eyes go half blind and blur for 20 to 30 mins and when they get normal I start getting a really bad headache. Any suggestions?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I have recently started getting ocular migraines. My eyes go half blind and blur for 20 to 30 mins and when they get ...
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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How can I recover permanently from bell's palsy? Where to I get health help regarding facial weakness. I just want kick out bell's palsy bt I need surgeon who help me to bring back my smile n all thing which I can't because of b.pasly.

Certificate Course on Epilepsy/ EEG, Fellowship in Pediatric Neurology, DNB (Pediatrics), Diploma in Child Health (DCH), MBBS
Neurologist,
How can I recover permanently from bell's palsy? Where to I get health help regarding facial weakness. I just want ki...
Bells palsy is usually a temporary thing. Few cases with nerve injury it can be long lasting. Need to look into cause for nerve damage then can decide about the treatment.
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I am 64 yrs having sugar, bp and cholesterol, taking medications. Please of late having problem while walking causing imbalance. Please ct scan of brain done - no probs - report says - please age related cerebral and celebellar atrophy. Done some physio, but no improvement, your valued opinion solicited.

MPT, BPT
Physiotherapist, Chennai
Dear , if you' re having imbalance problems then you should do specific balance exercises. Start with simple exercises like in sitting: touch your nose with your finger tip, touch a point in front of you (this can be done by placing a sticker on a wall) making sure you touch the center of the point, walking in a straight line, walking around obstacles. Initially these exercises may prove to be challenging but as you go along it gets easier. Start with one exercise at a time and everyday do the next exercise along with the previous day' s exercise. It takes 3 months for the improvement to be of significant level. If you require anymore clarifications please feel free to contact me. Preethi mathew (mpt, maiap) neuro-physiotherapist
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6 Magical Tips to Cope with Migraine Attacks

Ayurveda, Delhi

6 Magical Tips to Cope with Migraine Attacks

Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America.  Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.

Why Do Most People Experience Weather Related Migraines?

It is not entirely clear why some people experience more migraines around the change of weather.  Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.

In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.

Specific weather triggers included:

  • Changes in humidity
  • Changes in temperature
  • Storms
  • Extremely dry conditions

Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring?   Below are six tips to help you cope and find a solution to preventing your migraines. 

6 Tips on How to Cope With Your Migraines

Tip # 1 – Keep a Diary of Your Migraines:

Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life.  The first step is to try to figure out what triggers your migraines.  One way to do that is to keep a diary of all your migraines.  If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.

In your diary, you should include:

  • What part of the brain do you feel the pain?
  • What does the pain feel like?
  • The time your headache began and when it ended
  • Any changes in the weather, such as storms, high winds, or high humidity
  • Any warning signs – symptoms before the migraine occurred
  • Any treatment you tried, and whether it helped or made the migraine worse

Tip # 2 – Making Changes in Your Daily Regimen:

Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.

  • Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night.  Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
  • Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
  • Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
  • Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
  • Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
  • Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.

Tip # 3 – Incorporate Certain Foods into Your Diet:

If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines.  These foods include:

  • Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
  • Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
  • Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines.  Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
  • Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
  • Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.

Tip # 4 – Consider Dietary Supplements:

  • Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
  • Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
  • Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
  • Vitamin B12 & Folic acid:  Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.

Tip # 5 – Consider the Possibilities of Herbal Supplements:

For centuries, many people have used alternative therapies to help or cure common conditions.    Certain herbs have been used to help reduce or prevent migraines.  Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first.  Make sure it does not conflict with any medications you are currently taking.   You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.

Herbal supplements used to reduce and prevent migraines include the following:

  • Alfalfa Leaf
  • Barberry Root
  • Bay Leaf
  • Brazilian Guarana
  • Butterbur
  • Catnip
  • Cayenne
  • Chamomile
  • Dong Quai
  • Evening Primrose
  • Feverfew
  • Ginger Root
  • Green Tea
  • Griffonia Seed
  • Hawthorne Leaf
  • Honeysuckle
  • Kola Nut
  • Lemon Balm
  • Passion Flower
  • Peppermint Leaf
  • Valerian Root
  • White Willow Bark
  • Wintergreen
  • Wood Betony

Tip # 6 – Prescription Medications:

Not all experts would recommend using medication to prevent temperature-change-related migraines.  However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.

Below are some prescription medications for patients suffering from migraines:

  1. Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself.  Anti – seizure medications that help migraines include:
    1. Depacon (valproate)
    2. Depakote (divalproex)
    3. Topiragen, Topamax (topiramate)
  2.  Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines.  Beta-blockers that have been proven effective for the prevention of migraines include:
    1.  Blocadren (timolol)
    2. Inderal, Innopran XL (propranolol)
    3. Lopressor, Toprol XL (metoprolol)
  3. Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.

My wife is taking tegrital (Carbamazepine) 200 mg daily, earlier she was taking 600 mg daily but gradually reduced to 200. This medicine she is taking since the age of 12 due to seizures, and now she is 46 years old. The last attach had happened almost 15 years ago, hence my question is that she will continue the medicine or should stop it.

MBBS, MHS, MD - Neurology (USA), Fellowship in Epilepsy, Clinical Attachment in Movement disorders
Neurologist,
You should talk to an epilepsy specialist before stopping it. The chances of seizure recurrence after stopping medications is about 50-50. Studying earlier Mris and repeating the eeg might help in predicting if she needs to continue taking medications.
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My father was admitted two days in high fever in hospital. Doctor take some report but blood ,typhoid, malaria reports are normal but in this report dengue N1 report is positive and now my father is treat in hospital. Please suggest me for this problems.

BHMS
Homeopath, Faridabad
My father was admitted two days in high fever in hospital. Doctor take some report but blood ,typhoid, malaria report...
Hello, your father should follow the treatment given in the hospital. Along with that he should drink plenty of water. Take Homoeopathic syrup Aguenil, 2 tsp thrice daily simultaneously. Take care.
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Hi this question is for my wife. From last few months she is feeling numbness in her wrist and that also few portion of her wrist (near palm, sometimes itching started and sometimes she feels that there is fluid and numbness. Please suggest.

Neurologist,
Hi this  question is for my wife. From last few months she is feeling numbness in her wrist and that also few portion...
Hi lybrate-user- it could be carpal tunnel syndrome- where a nerve is getting pinched in the wrist producing numbness/ tingling/ weakness in the hand (first three fingers are usually affected). An EMG/ NCS can diagnose appropriately.
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My cousin is 5 years old and have problems of cerebral palsy. She is 6 kg in weight can I get any solutions for her. Basic problems indication and low drinking (water, milk etc).

Pediatrician, Pune
Weight is very low, might be having associated swallowing problems, needs a thorough evaluation for her failure to gain weight.
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My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.

MBBS, Diploma in Child Health (DCH)
Pediatrician, Kanpur
I don't know your past history of seizures but if you have given it regularly for 4 years and no seizure, I think you can slowly reduce the dose and stop it with constant watch for some time.
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I'm unable to sleep deeply since a week. It's like I take naps in the nights. I was tensed for my studies because of the lengthy course when my exam dates weren't published. But now as they are declared, I feel relaxed but still can't sleep. I don't know the reason. My doctor advised me to meet a psychologist, who has given me some medicines and now I am able to sleep properly as well. My query is that will I get habitual to these medicines and depend upon them throughout my life? Or is it okay to take them? Also suggest me what should I do to sleep properly as when I don't, my head start aching badly as I have migraine too. Suggest me some natural stress relievers as I think stress is the reason for my sleeplessness. Also if you find any other reason please let e know.

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
Psychologist, Palakkad
I'm unable to sleep deeply since a week. It's like I take naps in the nights. I was tensed for my studies because of ...
Dear Aayushi. Your present problem is stress related. Please understand stress. Stress is simply a reaction to a stimulus that disturbs our physical or mental equilibrium. In other words, it's an omnipresent part of life. A stressful event can trigger the “fight-or-flight” response, causing hormones such as adrenaline and cortisol to surge through the body. A little bit of stress, known as “acute stress,” can be exciting—it keeps us active and alert. But long-term, or “chronic stress,” can have detrimental effects on health. You may not be able to control the stressors in your world, but you can alter your reaction to them. Physical exercise, creative activities, deep breathing, being away from the situation for sometime etc can help you tackle the stress. Stress disorder is usually treated with a combination of psychiatric medicines, psychotherapy, life style changes, meditation and exercise. Once you make the necessary amendments in your life with the help of the above said therapies and life style changes, learn how to manage the depressive episodes without medicines and learn to relax, the medicines can be weaned off over a period of one year. There are no side effects for the medicines and if you continue for more than one month, you will be addicted. Please consult a psychologist online or in person for advise, counseling and therapy. Take care.
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What is an alternative for Vasograin as a painkiller to be taken in Migraine? What is the dosages and side effects of such medicine, if any.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol 650 mg and for migrane we can start with tablet propranolol after personal examination
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I am 24 year old male. I have acute headache. I had the migraine medication but it did not work. What should I do?

MBBS, cc USG
General Physician, Gurgaon
I am 24 year old male. I have acute headache. I had the migraine medication but it did not work. What should I do?
Hello, you can take: 1. Tablet Crocin (Paracetamol 650 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get your BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis
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I have migration over two months how to solve it give precautions to overcome this problem its urgent sir.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
You have to take Glononium 30 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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Hi Doctor I have half head-ache (Migraine) starts in the evening and last for 4-5 hours every day since a week. Sinus problem too. Please advise.

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
You need to take tab headset stat once and migranil twice a day for 5 days. ping me in private for more detailed prescription.
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I had a 3 seizure attack one 2 year earlier and other 2, one day before. I was not aware of that disease but it's been diagnosed by a doctor, we are in general hospital, What we should do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I hope you have been investigated for the recent seizure attack. If there is no apparent or specific reason for the same, it is probable that you have epilepsy and would need medications for quite a good span of time. I would suggest you to get an EEG and MRI Brain scan done to rule out possible causes of seizures starting at your age. You may consult me online for any further queries or assistance needed
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
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.
CONtact me Privately for any advice
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Which food/ foods is considered best to boost immune systems If some has epilepsy what kind of foods he/she should take.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Foods does not have much effect on epilepsy... To boost immune system you should have vitamins rich food...like salads, green veges, eggs, milk, and if prefer nonveg.
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Dear doctors what are the symptoms of brain hemorrhage and what precaution should we take to avoid such disease and what we eat.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
sudden weakness, tingling, or paralysis in the face, arm, or leg, especially if it occurs on only one side of the body. sudden onset of severe headache. trouble swallowing. trouble with vision in one or both eyes. loss of balance and coordination, dizziness.
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Female age 44 years ct scan report deviation of nasal septum to the left side, is concerned with Migraine all the symptoms she has as per your report. Kindly reply.

B.A.M.S
Ayurveda, Mandsaur
It may be suinusitis and not migraine.You can start Naradiya Lxmivilas Ras 2tablets twice a day. Giloy capsule of himalaya drugs 1 twice a day.for 3 months.
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