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Dr. Randeep Solanki

Neurosurgeon, Delhi

500 at clinic
Dr. Randeep Solanki Neurosurgeon, Delhi
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Randeep Solanki
Dr. Randeep Solanki is a trusted Neurosurgeon in Palam, Delhi. He is currently associated with Siddhant Hospital in Palam, Delhi. Save your time and book an appointment online with Dr. Randeep Solanki on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 33 years of experience on Lybrate.com. You can find Neurosurgeons 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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Siddhant Hospital

D-7,Shop No D/7, Main Palam Dabri RoadMahavir Enclave. Landmark: , Behind Orient Bank Of Commerce, DelhiDelhi Get Directions
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I have a serious problem since more than an year now which I have no solution of. I have gone to neurosurgeon, psychiatrist, ent, etc. I feel drowsiness all day long and am not able to concentrate. Below are the symptoms I have followed by the tests I had done including blood test and mri. Symptoms: Day long Drowsiness - standing, sitting, walking, driving Fatigue Lack of concentration Memory loss A little speech problem (rare) Sleepy during driving Blurred vision Reading and Writing problem Headache mainly on both sides of the head nerve pain Understanding things take time Loss of appetite Focus lock Not refreshed after sleep even after 10hr End of the work shift after 8 hrs, I am totally exhausted. Ringing noise in left ear Test done: MRI of the brain and nerve - all clear Front sinuses MRI - all clear Neck xray - clear Blood test - all fine, hemoglobin 14.7, vitamin b12, b5 at good level, tsh 1.75, iron in level Psychoanalysis done - a little OCD but nothing harmful. Ear ent checkup - all clear Current medication: Anti depressant - 3months not effect My body: Height: 6ft 1in Weight: 73kg No feeling of sadness Fatigue 24x7 Strange fact: If I am feeling sleepy any point of the day or night and lay down on the bed with my eyes open, the high sleepy sensation subsides with in hour or two and feel a little comfortable.

Advance Course in Neuro linguistic Programming, Diploma In Dyslexic Studies, Masters In Psychological Counselling
Psychologist, Mumbai
There are many possibilities to this, it is not necessary that there cannot be possibilities of lesions or other abnormalities even if the mri is clear. At the onset it appears to be that you are extremely stressed and are undergoing a anxiety disorder. Yet you also need to rule out seizure disorders since drowsiness accompanied with headache is present.
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My friend is suffering from migraine what should we do as she takes medicine vasograin in case of pain as suggested by physician but their is no sign of improvement.

MD - Microbiology
General Physician, Bangalore
Hi there are many causes of migraine. If the cause can be identified then she can be treated better. She may need some tests to be done.
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I am 30 years old. I will get small seizures with my knowledge(max of 2 minutes). I get to know before it comes and I will inform others to get some water. Frequency- 1 or 2 times / month. I had brain surgery for this(right side), but still I am getting with same frequency. Can you please suggest some solution. Now I am using the below medicine tegritol cr 400mg(1-1) frisium 10 mg(0-1) torleva (500mg - 1000mg)

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Its not good to have seizures. If you could furnish details of findings suggesting causes, we may help after discussing in our panel. Medicine you r taking may have to be taken for life.
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I had sinus or migraine as one side face ache? Severe one sided face ache frequently what is it cure?

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
One sided facial pain is not due to migraine. It can be due to: 1. Tooth infection: Consult a dentist first to rule out dental pathology as cause of facial pain. 2. Sinusitis: Associated nasal congestion, features of upper respiratory infections are present. ENT consultation is needed. 3. Trigeminal Neuralgia: Sharp,shooting electric shock like pain in bursts felt along particular part of face It is easily relieved with medication and if needed intervention like Gasserian ganglion block. Consult a pain specialist for this. 4. Idiopathic facial pain: This condition is simply facial pain without any reason. This can be managed by medication and if needed injection. Consult a pain specialist for this. For detailed evaluation and treatment accordingly consult with a pain specialist.
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I recently read that researchers believe certain foods might cure Alzheimer’s disease. Is this true? If so, which foods do this and how much would you have to consume to get the benefits?

BHMS
Homeopath, Faridabad
Hello , yes this is true certain foods can help in improving Alzheimer's disease.To reduce Alzheimer's risk, focus on healthy fats. Get plenty of omega-3 fats. Evidence suggests that the DHA found in omega-3 fatty acids may help prevent Alzheimer's disease and dementia by reducing beta-amyloid plaques. Food sources include cold-water fish such as salmon, tuna, trout, mackerel, and sardines.Here are few foods you should add into your diet that can help improve your mind:- Green leafy vegetables, Cruciferous vegetables like Broccoli, cauliflower,Beans and legumes.Whole grains, Berries and cherries,Pumpkin, squash, asparagus, tomatoes, carrots and beets.Omega 3s. Almonds, cashews, walnuts, hazelnuts, peanuts and pecans,Sunflower seeds and pumpkin seeds.Cinnamon, sage, tumeric and cumin.
2 people found this helpful
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Have numbness in the body. All over the body and this doesn't go even after a jog. Is it a problem to worry?

BHMS
Homeopath, Faridabad
Have numbness in the body. All over the body and this doesn't go even after a jog. Is it a problem to worry?
Hello, do not worry and take Kali phos6x , 5 tabs twice daily for 7 days, then trevert with feedback. Thanks.
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I'm 23 yrs, old, past 4 months I'm doing masturbation, 2 times per day, will it affect the nervous system or brain? But, now hand are shaking. .

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGDEMS, DNHE, DYA
Ayurveda, Mumbai
I'm 23 yrs, old, past 4 months I'm doing masturbation, 2 times per day, will it affect the nervous system or brain? B...
According to ayurveda too much masturbation is not good for health in a long run. Though many people find it normal in modern science but such practice may lead to many problems in later stage of life like alopecea (lots of hairfall), weakness of the body.
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Hello My weight is low according to my height. I eat 3-4 times in a day. And take banana shake and some other fruit juice on daily basis. But there is no improvement on my weight. Will you suggest me what to eat so that I can maintain good health and perfect body.

BHMS
Homeopath, Faridabad
Hello
My weight is low according to my height. I eat 3-4 times in a day. And take banana shake and some other fruit j...
Hello,Homoeopathic medicines are less invasive and have more herbal approach towards gaining the weight. There are a number of homoeopathic medicines, which treat the root cause behind the body’s inability to gain weight or bulk up. 1. Take alfalfa tonic(wsi), 2 – 2 tsp. Thrice a day, half an hour before meals. 2. Calcarea phos 200, 5 drops , once in aweek , morning empty stomach for 2 weeks. 3. Take eggs, milk, butter, bananas, potatoes, mangoes, figs, oats, soyabean and dry fruits. 4. do light exercises regularly to keep your body active. These homoeopathic medicines and dietary addition will increase your appetite and give your metabolism a healthy boost.
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Hello sir, I have problem of migraine and high blood pressure so what I do to control? Please tell me.

MBBS
General Physician, Mumbai
Hello sir, I have problem of migraine and high blood pressure so what I do to control? Please tell me.
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 am 23 years old. My questions is in my body any part shaking. Example-how heart is beating, like that only, any part mostly in hand like shoulders, arms please suggest me what should I do.

MBBS, cc USG
General Physician, Gurgaon
This may be due to 1. Severe anxiety 2. Medical problem like Thyroid disorder get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)
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I am 35 years old woman suffering from migraine. Recently I am also having breathing issues. Also, I am acting weird. Is this a caused by migraine or something else is happening to me. Advise!

Fellowship in Endoscopic Neurosurgery , M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Lucknow
sometimes migraine has associated symptoms and are known as migraine variants. change in medications will help your cause
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I'm 50 years old. And i'm having a severe pain in my shoulders. The pain starts from the neck, and comes to the shoulders. Whenever the pain comes, the area gets swelled up. What should I do? Is it related to physiotherapy or should be consulted to neurologist? what should be done to this pain?

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 will have to tell me since when have you been experiencing neck pain, the radiation of pain is it to shoulders or goes in your hands also? is there any weakness, numbness, paresthesias etc also associated with it? swelling can be due to multiple reasons, but if your swelling is in both shoulders then it can be related to your physiotherapy, my advice will be to stop your physical therapy till swelling subsides, take anti inflammatory medications initially, do ice packs at home, take adequate calcium and vitamin d as per your requirement and let me know in 2-3 weeks time how you are feeling? do not hesitate to contact me if you need any further assistance.
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I'm 22 years old. I'm using valproic acid currently for seizures. From past two weeks my urine is smelling sweet. Is it just dehydration or may be diabetes or else? Please do answer.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I'm 22 years old.
I'm using valproic acid currently for seizures.
From past two weeks my urine is smelling sweet.
Is ...
Sweet smelling urine has various causes from just a lack or fluid intake, infections, metabolic diseases, presence of rare organic/ inorganic elements in urine etc. Rather than speculating reasons for it, it would be more appropriate to consult a physician get the examination and investigations done.
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My grandfather is 70 and he's got 3 seizures in last 1 year. Last one was one week ago and while going to hospital he had 2 fractures in his vertebrae and his shoulder too had a fracture. What should be done to cure him. And how much time to cure him?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear lybrate-user you grand pa needs detailed evaluation by a neurophysician and has to be treated on long term basis with regular check up.
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What is the main reason of epilepsy seizer. In MRA scan result no problem. Still it came on twice in month. doctor gives the tab liviphill. Patient is lady 26 age.

MBBS, cc USG
General Physician, Gurgaon
Seizure may be different reason like any injury/ increase pressure in brain/ worm infestation/ any structural abnormality 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
2 people found this helpful
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Sir. She had pain in her head since 5 days. She has migraine problem and taking medicines for same. She has taken pills for headache but it doesn't work. Please tell what to do, she is taking enough sleep but it doesn't work. Also she feels pain when going in sun.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Sir. She had pain in her head since 5 days. She has migraine problem and taking medicines for same. She has taken pil...
Hiii lybrate-user thanks for asking your query causes of migrain irregularity in meals, improper metabolism, mental and physical stress, viewing of tv for long periods, reading with insufficient light, sleeplessness, etc. So try to avoid triggering factors 1) include cooked vegetables without oil in your diet 2) vegetable juices and soup, fruits and fruit juices including apple, mango. 3) highly-fruit based diet for a day or two can relieve pain. 4) grapes, lemons, cabbage juice are especially important. 5) hv rice, salad and buttermilk in your diet thanku.
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My brother is 22 years old. He is facing hand shaking issue both left and right hand many times even he sit comfortably at home or in no anxiety position, no tension position. He does take any durg. He drink very occasionally once in 1.5 month around. He has not bad habit using hand or. Kindly suggest the solution.

MD - Psychiatry, MBBS
Psychiatrist, Patna
It may be due to hyperthyroidism or some neurological illness. Get t3, t4, tsh done and consult a neurologist for detailed evaluation.
1 person found this helpful
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Learning Disabilities and Dementia

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Learning Disabilities and Dementia

Learning disabilities and dementia


Advances in medical and social care have led to a significant increase in the life expectancy of peoplewith learning disabilities. The effect of ageing on people with learning disabilities – including therisk of developing dementia – has, therefore, become increasingly important. This information sheetoutlines some of the issues concerning people with a learning disability who develop dementia.

The causes of learning disability are diverse. They include genetic disorders such as Down’s syndrome, pre- or post-natal infections, brain injury, and general individual differences.

What is dementia?

Dementia is a general term used to describe a group of diseases that affect the brain. Alzheimer’s disease is the most common form of dementia. The damage caused by all types of dementia leads to a progressive loss of brain tissue. As brain tissue cannot be replaced, symptoms become worse over time.

Symptoms may include:
Loss of memory
An inability to concentrate
Difficulty in finding the right words or understanding what other people are saying
A poor sense of time and place
Difficulty in completing self-care and domestic tasks and solving minor problems
Mood changes
Behavioural changes
There is no evidence that dementia has a different effect on people with learning disabilities than it does on other people. However, the early stages are more likely to be missed or misinterpreted, particularly if several professionals are involved in the person’s care. The person may find it hard to express how they feel that their abilities have deteriorated, and problems with communication may make it more difficult for others to assess change.

What are the risks?
Down’s syndrome and Alzheimer’s diseaseAbout 20 per cent of people with a learning disability have Down’s syndrome. People with Down’s syndrome are at particular risk of developing dementia.
Figures from one study (Prasher, 1995) suggest that the following percentages of people with Down’s syndrome have dementia:
30-39 years - 2 per cent40-49 years - 9.4 per cent50-59 years - 36.1 per cent60-69 years - 54.5 per cent
Studies have also shown that virtually all people with Down’s syndrome develop the plaques and tangles in the brain associated with Alzheimer’s disease, although not all will develop the symptoms of Alzheimer’s disease. The reason for this has not been fully explained. However, research has shown that amyloid protein found in these plaques and tangles is linked to a gene on chromosome 21. People with Down’s syndrome have an extra copy of chromosome 21, which may explain their increased risk of developing Alzheimer’s disease.
Other learning disabilities and dementiaThe prevalence of dementia in people with other forms of learning disability is also higher than in the general population. Some studies (Cooper, 1997; Lund, 1985; Moss and Patel, 1993) suggest that the following percentages of people with learning disabilities not due to Down’s syndrome have dementia:
50 years + - 13 per cent65 years + - 22 per cent
This is about four times higher than in the general population. At present, we do not know why this is the case. Further research is needed. People with learning disabilities are vulnerable to the same risk factors as anyone else. Genetic factors may be involved, or a particular type of brain damage associated with a learning disability may be implicated.
How can you tell if someone is developing dementia?Carers play an important part in helping to identify dementia by recognising changes in behaviour or personality. It is not possible to diagnose dementia definitely from a simple assessment. A diagnosis is made by excluding other possible causes and comparing a person’s performance over time. The process should include:
A detailed personal historyThis is vital to establish the nature of any changes that have taken place. It will almost certainly include a discussion with the main carer and any care service staff.
A full health assessmentIt is important to exclude any physical causes that could account for changes taking place. There are a number of other conditions that have similar symptoms to dementia but are treatable: for example, hypothyroidism and depression. It is important not to assume that a person has dementia simply because they fall into a high risk group. A review of medication, vision andhearing should also be included.
Psychological and mental state assessmentIt is equally important to exclude any other psychological or psychiatric causes of memory loss. Standard tests that measure cognitive ability are not generally applicable as people with learning disabilities already have cognitive impairment and the tests are not designed for people without verbal language skills. New tests are being developed for people with learning disabilities.
Special investigationsBrain scans are not essential in the diagnosis of dementia, although they can be useful in excluding other conditions or in aiding diagnosis when other ssessments have been inconclusive.
What can be done if it is dementia?Although dementia is a progressive condition, the person will be able to continue with many activities for some time. It is important that the person’s skills and abilities are maintained and supported for as long as possible, and that they are given the opportunity to fulfil their potential. However, the experience of failure can be frustrating and upsetting, so it is important to find a balance between encouraging independence and ensuring that the person’s self-esteem and dignity are not undermined.
At present there is no cure for dementia. People progress from mild to moderate to more severe dementia over a period of years. New drug treatments seek to slow down or delay the progression of the disease and it is hoped that treatments will become more effective in the future. See the Society’s information sheet Drug treatments for Alzheimer’s disease – Aricept, Exelon, Reminyl and Ebixa.
Strategies for supporting the person with dementia People who develop dementia are, first and foremost, human beings with individual personalities, life histories, likes and dislikes. Dementia affects a person’s ability to communicate, so they may develop alternative ways of expressing their feelings. By understanding something of a person’s past and personality we can begin to understand what they might be feeling and why they respond in the way they do.
Many practical strategies have been developed to support people with dementia and their carers. Here are some ideas:
Enable individuals to have as much control over their life as possible. Use prompts and reassurance during tasks they now find more difficult.
Help the person by using visual clues and planners to structure the day.
Use visual labels on doors to help people find their way around their home in the early stages.
Try to structure the day so that activities happen in the same order. Routines should be individual and allow for flexibility.
A ‘life story book’ comprising photos and mementos from the person’s past may be a useful way to help the person interact and reminisce.
If speech is a problem make use of body language. Simplify sentences and instructions, listen carefully and give plenty of time for the person to respond.
If someone is agitated, the environment might be too busy or noisy.
Relaxation techniques such as massage, aromatherapy and music can be effective and enjoyable.
If someone becomes aggressive, carers and professionals should work together to try to establish reasons for the person’s frustration and find ways of preventing the behaviour or coping with the situation should it arise.
Medication may be used if someone is experiencing high levels of agitation, psychotic symptoms or depression. It is important that any prescribed medicine is monitored closely and that other ways of dealing with the situation are thoroughly explored.

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