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Dr. Puneet Agarwal

Neurologist, Delhi

1200 at clinic
Dr. Puneet Agarwal Neurologist, Delhi
1200 at clinic
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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. Puneet Agarwal is a renowned Neurologist in New Delhi, Delhi. You can meet Dr. Puneet Agarwal personally at Max Super Specialty Hospital-Saket in New Delhi, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Puneet Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 29 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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8 Common Migraine Triggers You Must Stay Away From

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Faridabad
8 Common Migraine Triggers You Must Stay Away From
8 Common migraine triggers you need to know about

A neurological disease that occurs mostly on one side of the head, migraine is a severe headache that is characterised by a variety of symptoms, ranging from nausea and disturbed vision to sensitivity to light. Since the triggers of a migraine are many, it can be difficult to identify the exact cause of your pulsating headache.

Here are some of the common stimulants associated with migraine:

1. Fasting: Not taking proper meals, insufficient liquid intake and fasting can be a major trigger towards headaches and migraine. It could be associated to lowered blood glucose levels. Skipping meals or fasting must be completely avoided.

2. Sleep: Sleep can also be a trigger factor as well as a preventive factor for migraines. You can suffer from a migraine attack if you sleep too little or too much. Migraine caused by sleep problems usually arises when the brain’s serotonin (a compound that constricts blood vessels) production experiences a fluctuation, and there is a reduction of dopamine (a neurotransmitter that helps in the transmission of signals) levels. While the former neurotransmitter is necessary for regulating your sleep cycle, the latter is vital for helping you to focus. Several studies reveal that developing good sleep habits can bring about a reduction in the intensity as well as number of migraine attacks.

3. Stress: Another common migraine trigger is stress. Emotions like sadness, worry, shock and anxiety can cause migraine attacks as they bring about the release of migraine causing brain chemicals. At the same time, it is also commonly reported that a migraine may occur right after a stressful period, usually during the weekends, and is therefore called a weekend headache.

4. Food: Several studies show that migraines triggered by food occur in 10% of the world population. Many of the food items that cause a migraine attack contain a substance called tyramine or phenylethylamine. This substance can cause the nerve cells of your brain to release a chemical called norepinephrine. The increased quantity of the two (tyramine and norepinephrine) can lead to migraine attacks. These amino acids are present in aged cheese, chocolates, citrus fruits, nuts and soy foods.

5. Caffeine: Too much caffeine consumption can cause you to have a migraine attack. Ideally, you shouldn’t have more than 2 cups of caffeinated drinks (like coffee, tea and cola) a day to prevent yourself from experiencing migraine headaches.

6. Computer screens/ Sunlight: Sitting in front of your computer screen for a long time can trigger a migraine attack. It happens as muscle tension builds up around your head, neck and shoulder areas.To prevent the problem from occurring, you need to take regular breaks, use good lighting, and anti-glare screens.

7. Alcohol: Certain alcohols like red wine, beer, vermouth, and sherry contain substances such as tyramine, phenylethylamine, histamine, sulphites, and flavonoid phenols, all of which have been known to trigger migraine attacks. Red wine is considered to be the worst trigger, and you should avoid it if you suffer from migraine.

8. Exercise: Like sleep, even exercise has been reported to cause as well as prevent migraines. Exercising in a moderate and regular manner is known to prevent the onset of migraine.By doing so, you end up stimulating the release of the body’s natural painkillers, while improving your overall health. On the other hand, by exercising vigorously and without prior planning, your body’s demand for oxygen increases significantly, triggering an attack.

If you would like to consult with me privately, please click on 'Consult'.
6233 people found this helpful

Nerves Pulling reason for that. Is Dates advisable for all ages / sugar patients? I understand dates contain Iron. So its good for all. Explain me.

MBBS
General Physician, Cuttack
Nerves Pulling reason for that. Is Dates advisable for all ages / sugar patients? I understand dates contain Iron. So...
Dates can be used in diabetes as it has low glycemic index. it is a rich source of iron.it can be taken by all age groups
2 people found this helpful
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I am 19. What should be done to increase brain power and stamina as well. I get too tired early.

PDDM, MHA, MBBS
General Physician, Nashik
Take tab full 24 once daily for 15 days and consult privately for personalised assessment and management.
1 person found this helpful
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Hello sir, My daughter 11 years old she have PGE primary general epilepsy. She take Keppra 250 mg medicine. I want know if PGE can cure by operation are possible or not ? Any doctor or hospital in south Asian country? Please give solution without medicine.

DNB, FELLOWSHIP IN COMPLEX SPINE SURGERY, MCH - Neurosurgery
Neurosurgeon, Delhi
Hello sir, My daughter 11 years old she have PGE primary general epilepsy. She take Keppra 250 mg medicine. I want kn...
U need complete evaluation with epilepsy protocol mri. Why do you want operation if it can be treated with medicines. Brain operation is not without risks. If its medically refractory and surgically curable I may be of help. Whethet it can be cured by surgery we will only know after thorough evaluation.
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I am 50 years aged woman. Recently I am getting tingling feeling in my right palm. Please advise

MPTh/MPT
Physiotherapist,
Kindly dip your hands in full mug of lukeworm water for 15 min regularly for a week. It will come down to normal
1 person found this helpful
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I have migraine since 15 years I have done many treatment but there is no good result please suggest me medicine which have no size effect.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing headache disorder. It causes episodic one sided headache associated with nausea and/ vomiting, relieved by medicines and rest and aggravated by factors like impaired sleep, stress, allergies, loud noise, sun exposure etc. In addition to taking medicines for acute headache attacks you also have to take treatment foe prevention of further episodes. This can be decided according to the type, duration, severity of headaches, medicines taken so far and associated symptoms like stress, anxiety, depression, sleep problems etc.
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I have migraine problem can you help me. Hello send me your answer. And given your no.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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I am suffering from sciatica pain on the left side starting from hip to heel .Got the x-ray and MRI also done and it confirms the compression of nerve at L4 and L5 level .Kindly suggest a solution.

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
I am suffering from sciatica pain on the left side starting from hip to heel .Got the x-ray and MRI also done and it ...
Sir, You need to consult neurologist and orthopedics, immediately. The nerve compression should be released immediately. Ayurvedic and homeopathic medicines will not help you. Please get back to me for any clarification.
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I am suffering from a severe migraine from 4 days. How can I cure this completely?

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 For headache take tablet paracetamol
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I am facing a lot of mental stress now a days, since January 2016 I am thinking about kill myself so many time in a day. I feel that negativity is fully occupied my mind and soul. Due to this I am suffering from insomnia and other mental ailments. My professional and familiar life is totally smashed. Please advice me as soon as possible. Also my weight is reduced to 43 Kg from 52 Kg.

Masters in Clinical Psychology
Psychologist, Lucknow
I am facing a lot of mental stress now a days, since January 2016 I am thinking about kill myself so many time in a d...
Hi lybrate-user, you must be going through a lot, thanks for recognizing the severity and seeking help. It seems you are undergoing depression for which you will have to start medication as soon as possible. Apart from that please consult a psychologist to help you manage your problem- family and career life. You may need cognitive behavioral therapy for negative thoughts. I would like you to practice deep breathing exercise daily. Consult for same.
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Sir, My index finger is moving without my knowledge, is it weakness or what, kindly suggest medical advice.

MBBS, cc USG
General Physician, Gurgaon
This seems to be tremor may be due to anxiety/ stress is any other problem like altered sensation/numbness/ tingling/ pain also present? you need physical examination Kindly consult Physician
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On 4th April 2015 I got an Epilepsy attack in morning around 5 A.M. My wife told me that whole body got folded and after Epilepsy I was feeling vomiting issues. After 5 days I realized that some sound is coming from my mind or Ear I do not know but it is coming continuously. Till then I have contacted many Neuro /ENT .Some one says its Tinnitus and I have started medicine. Epilepsy : Encorate Chrono 500 MG two times (Regularly). For Tinnitus : Bilovas and rejunex cd. Some of my friends have told that you are not taking correct medicine for Epilepsy so you are hearing this sound as an side effect. I am not sure because all 3 Neuro doctors have prescribed me same medicine for Epilepsy. Kindly suggest me that if this can be the case or not. I am really confused and getting depressed / anxiety issues now.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Epilepsy is a complex disorder of the brain which has various psychiatric components in it. Anxiety and depression are common. Encorate chrono is no doubt a very good medication for epilepsy. But i hope you have investigated yourself in detail for the first attack of epilepsy at your age. Epilepsy due to some reversible and treatable cause should always be sought for complete cure. Sounds from your mind/ ear need evaluation because sounds in tinnitus are peculiar and can hardly be confused with anything else.
1 person found this helpful
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My Son (3 years, 3 Months) is diagnosed with Mild PDD. Is it form of autism? What are the best treatment Options ?Can he outgrow it by age ?He does not exhibit all age appropriate skills.

MASLP
Speech Therapist, Mumbai
My Son (3 years, 3 Months) is diagnosed with Mild PDD. Is it form of autism? What are the best treatment Options ?Can...
AUtism spectrum disorder is an umbrella term which covers PDD. Focus on occupational therapy, speech therapy to develop age appropriate skills. Regular therapies, consistency in what you do and hard work will help you sail the boat.
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I am suffering from epilepsy and using encorate chrono 500 (2) . What shall I do to cure this disease. Also I am gaining weight and have hairfall.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lucknow
I am suffering from epilepsy and using encorate chrono 500 (2) . What shall I do to cure this disease.
Also I am gain...
You should starts the ayurvedic panchkarma treatment once in 6 months intervals, along with ayurvedic and alopathic medicine, your disease is gradually correct and side effect of allopathic medicine is also nullified, in most of the cases all medicine is stopped after some time, and patient lived with normal life .
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I have a serious migrain problem since last two months ago. Before that I didnot face any kind of migrain problem. I am in a very big dilema. What should I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep.....massage your hair with good ayurvedic oil like bhring ranj oil.....sprinkle water in eyes...take sootshekhar ras...kaparda bhasm and godanti bhasm with honey two times a day.....pranacharya no tens capsule twice a day with warm water.....avoid tea...coffee....junk food...oily food....fermented food....stress...eat green vegetables....drink fruits juices...and 7-8 glass of water.....do pranayama early in the morning....walk for minimum 30 minutes in a day....
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Homeopathic Treatment For Sleep Apnea

Diploma in Gastroenterology, Diploma in Dermatology, BHMS
Homeopath, Hyderabad
Homeopathic Treatment For Sleep Apnea

Sleep apnea is a disorder that affects nighttime breathing and is caused by either a malfunction in the brain that temporarily stops sending signals to the muscles that control breathing, or by an obstruction in the airway. 

Causes of Sleep Apnea-
It occurs when muscles in the back of your throat relax, tonsillitis, adenoids, obesity, middle-aged, heart disease, stroke, sedative medicines, large neck circumference, large tongue etc.

Symptoms of Sleep Apnea-

  1. Feeling of excessively sleepy during a day
  2. Lack concentration and low memory status
  3. Depression
  4. Short temperament
  5. Irritability
  6. Hyperactive children
  7. Leg swelling
  8. Impotency in males
  9. Insomnia
  10. Frequent waking up for urination in night
  11. Tiresome feeling in morning

Homeopathic  Treatment of Sleep Apnea-
Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering.

The aim of homeopathy is not only to treat sleep apnoea but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several well-proved medicines are available for sleep apnoea treatment that can be selected on the basis of cause, sensation and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. Some of the most common homeopathic medicines for Sleep Apnea are-

  1. Arsenicum Album: Arsenicum album is often prescribed for individuals who have breathing difficulties at night and is considered for people with a fearful, tense and agitated response to illness. 
  2. Lachesis: Lachesis is a remedy prescribed for conditions that worsen at night. This medicine is designed for people who are typically fearful and anxious, but also prone to jealousy and excessive talking. 
  3. Sulphur: By reputation, sulphur is a commonly prescribed homeopathic remedy, especially for nighttime congestion and sweating. Homeopathic sulphur combats a wheezy cough and congested head, both of which are suffered in sleep apnea. 
  4. Spongia Tosta: This remedy for croup may help congestive sleep apnea sufferers as it treats respiratory symptoms that worsen when lying down. 

Before taking these medications, it is important to visit the doctor who will take a detailed case history of your problem and prescribe the right dosage and combination of medication.
 

1 person found this helpful

I m 72 years male, weight 75 kgs, hight 5.7" suffering from writers cramp/trimmer/parkinson, After accident in 1980 my right is not working properly, can not write, can not buttons, can not hold anything etc. Kindly advise for remedy for ever. Tku.

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I m 72 years male, weight 75 kgs, hight 5.7" suffering from writers cramp/trimmer/parkinson, After accident in 1980 m...
Dear sir I feel happy regarding you are health conscious which in turn youngsters doesn't have. Regarding you are parkinsons acgording to ayurveda it's sarvanga vata and for it follow below things 1) combination of ashwagandha choorna 50 grams+ kapikacchu choorna 30 grams with milk daily twice before food for 1month it will improve your tremors. There after revert me back I will suggest some medications.
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Hi I have a small problem migraine and headache fever. How to overcome from this.

MBBS
General Physician, Cuttack
1.Take paracetamol 500mg,1 tablet sos after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest If you have recurrent attack of headache 1.It could be a tension headache due to stress, strain,depression,agitation, Hypertension or migraine. 2.Avoid stress, physical and mental exertion, take adequate sleep for 7-8 hours daily 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. Consult Neurologist to rule out other causes of headache 7. consult for further advice
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I am 26 Years old male. I have pituitary macro adinoma. What treat is better for this.

M.S (surgery), M.Ch - Neuro Surgery
Neurosurgeon, Gurgaon
Consult a neurosurgeon who is trained to handle brain tumors. These days multiple treatment options are available for brain tumors but primary treatment still is surgical removal.
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I am a 43 years old man. I am suffering from depression and migrain pain from 8 years. I could not concentrate som time. Please Advice me.

M.D,Psychiatry
Psychiatrist, Amritsar
If your diagnosis is made by psychiatrist then start tab sodium valproate 500mg at night, tab headset sos and take tab dulouxetine 20mgdaily. Report after 10 days.
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