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Dr. Rejender Singh

Neurosurgeon, Delhi

900 at clinic
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Dr. Rejender Singh Neurosurgeon, Delhi
900 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Rejender Singh
Dr. Rejender Singh is a renowned Neurosurgeon in Ashram, Delhi. He is currently practising at Vimhans Hospital in Ashram, Delhi. Save your time and book an appointment online with Dr. Rejender Singh on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 31 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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Vimhans Hospital

#1, Institutional Area, Nehru Nagar. Landmark: Behind DAV College, DelhiDelhi Get Directions
900 at clinic
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Obstructive Sleep Apnea

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Delhi
Obstructive Sleep Apnea

Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.
 

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

Obstructive sleep apnea 

What is sleep apnea?
When you have this condition, your breath can become very shallow or you may even stop breathing -- briefly -- while you sleep. It can happen many times a night in some people.
Obstructive sleep apnea happens when something partly or completely blocks your upper airway during shut-eye. That makes your diaphragm and chest muscles work harder to open the obstructed airway and pull air into the lungs. Breathing usually resumes with a loud gasp, snort, or body jerk. You may not sleep well, but you probably won't be aware that this is happening.

The condition can also reduce the flow of oxygen to vital organs and cause irregular heart rhythms.

Symptoms
The most common obstructive sleep apnea warning signs include:
* daytime sleepiness or fatigue
* dry mouth or sore throat when you wake up
* headaches in the morning
* trouble concentrating, forgetfulness, depression, or irritability
* night sweats
* restlessness during sleep
* problems with sex
* snoring
* waking up suddenly and feeling like you're gasping or choking
* trouble getting up in the mornings
If you share a bed with someone, they'll probably notice it before you do.

Symptoms in children may not be as obvious. They may include:
* bedwetting
* choking or drooling
* sweating a lot at night
* ribcage moves inward when they exhale
* learning and behavior disorders
* problems at school
* sluggishness or sleepiness (often misinterpreted as laziness in the classroom)
* snoring
* teeth grinding
* restlessness in bed
* pauses or absence of breathing
* unusual sleeping positions, such as sleeping on the hands and knees, or with the neck hyperextended
Talk to your doctor if you notice any of these problems. There are a lot of other possible causes for these symptoms as well.

Who gets obstructive sleep apnea?
It's more likely if you're overweight or obese, have a thick or large neck, or have smaller airways in your nose, throat, or mouth. It can also happen if you have enlarged tonsils or too much tissue at the back of the throat -- the uvula and soft palate -- that hangs down and blocks the windpipe. A larger-than-average tongue can also block the airway in many people as well as a deviated septum in the nose.
The condition is more common among men than women, and it becomes more likely as you get older. But it's not a normal part of aging.
 

Other risk factors include:
* smoking
* diabetes
* high blood pressure
* being at risk for heart failure or stroke

Diagnosis
Your doctor will give you a checkup and ask about your sleep. He may also want to ask people who live with you about your shut-eye habits. You may need to spend a night in a sleep lab or have a sleep study done at your house. You'll wear monitors to measure things such as:
* air flow
* blood oxygen levels
* breathing patterns
* electrical activity of the brain
* eye movements
* heart rate
* muscle activity
The study will track how many times your breathing was impaired during sleep.
 

Treatment
1. Weight loss, if needed. Losing even 10% of your weight can make a difference. Avoid alcohol and sleeping pills, which make the airway more likely to collapse during sleep and lengthen the times when you're not breathing properly. Sleeping on your side, if you only get mild sleep apnea when you sleep on your back.

2. Nasal sprays, if sinus problems or nasal congestion make it harder to breathe while you sleep.
Cpap machine. This device includes a mask that you wear over your nose or mouth, or both. An air blower forces constant and continuous air through the nose or mouth. The air pressure is just enough to keep the upper airway tissues from collapsing during sleep. Other types of positive airway pressure devices are also available, including the bpap, which has two levels of air flow that vary with breathing in and out.
Oral devices. For some people with mild sleep apnea, dental appliances or oral" mandibular advancement" devices that prevent the tongue from blocking the throat or advance the lower jaw forward can be made. These devices may help keep the airway open during sleep. A dental expert who is trained in oral health, tmj, and dental occlusion can check on which type of device may be best for you.
Surgery is for people who have extra or misshapen tissue that blocks airflow through the nose or throat. For example, a person with a deviated nasal septum, enlarged tonsils and adenoids, or a small lower jaw that causes the throat to be too narrow might benefit from surgery. Doctors usually try other treatments first.

Types of surgery
Upper airway stimulator. This device, called inspire, has a small pulse generator that the surgeon places under the skin in your upper chest. A wire leading to the lung detects your natural breathing pattern. Another wire, leading up to the neck, delivers mild stimulation to nerves that control airway muscles, keeping them open.
A doctor can program the device from an external remote. Also, people who have inspire use a remote to turn it on before bed and turn it off when they wake up in the morning.
Somnoplasty. Doctors use radiofrequency energy to tighten the soft palate at the back of the throat.
Uppp, or up3, is a procedure that removes soft tissue in the back of the throat and palate, increasing the width of the airway at the throat opening. (uppp stands for uvulopalatopharyngoplasty, if you were wondering.)
Mandibular/maxillary advancement surgery. The surgeon moves the jaw bone and face bones forward to make more room in the back of the throat. It's an intricate procedure that doctors only do for people who have severe sleep apnea and problems with their head or face.
Nasal surgery. These operations correct obstructions in the nose, such as a deviated septum.

1 person found this helpful

I am suffering from migraine problem. I am having headache. Can you help with that?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am suffering from migraine problem. I am having headache. Can you help with that?
Dear Lybrate User, *Avoid hot, spicy foods, fermented foods, white sugar, white flour products, and sour or citrus fruits, because they aggravate the Pitta in your body. *Drink more water and eat more fiber, fruits and vegetables, and whole grains. *Avoid excessive sugar or salt, refined foods, animal products (meats and dairy), caffeine, tea, and alcohol, as these items will further lead to aggravation of Pitta. *Avoid direct exposure to the sun, as migraine headaches are predominantly a Pitta disorder and can be triggered by the hot sun. *Head massage with Bhringraj Oil is also beneficial. This massage gives a calming effect to your nervous system. *Headaches caused due to tension and worry can be alleviated through deep breathing and relaxation, especially in a lying down position in a quiet place. Inverted postures, or those where the head is lowered briefly, increase oxygen to the brain and can reduce headache-causing strain.
1 person found this helpful
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Hi Doctor, I am 30 years old. During my age of 8 I got high brain fever and fits. After that fever I had symptoms like eye rotation. Then I had consult with neuro specialist and had medicine for 5 yrs. But now before 5 years I had the same issue and I have consult with neuro specialist. Now I like to change to homeopathy treatment to get permanent relieve.

MBBS, MD - Community Medicine
General Physician, Jaipur
Hi Doctor,
  I am 30 years old.
During my age of 8 I got high brain fever and fits.
After that fever I had symptoms l...
This is due to parmanent injury in brain that time, now can not be recovered. Try to find out some way out in consultation with Ophthalmologist and Neurologist.
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I am 27 years oldhand shivering issue, I don't have smoking or drinking habits, how can I cure it & what types of medicine can I take.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy, 6-month Internship
Psychologist, Madurai
Shivering of hands may have a root cause in neurological problems or psychological problems like anxiety disorder, chronic stress etc. And most of the cases are psychogenic. The first thing you have to do is to stop observing or testing your hands for any shivering now and then. In fact, everybody's hands are subject to shiver while stretched and held for a few minutes. If you keep observing or testing with your hands, certainly the problem will increase. Once you stop testing it the problem will disappear on its own accord. You can contact me through Lybrate if you want further help.
1 person found this helpful
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In the last 1 year or so, my thighs, buttocks and penis also, got shrunk drastically. What would be the reason and what is the remedy to regain the shape?

BHMS, MD - Homeopathy
Homeopath, Lucknow
Start homoeopathy medication for best results Damiana Q 30 drops in half cup of water 2 times a day.
1 person found this helpful
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Sir I have problem of Fistula, I got surgery but it again formed, puss will discharge and it will be painful please suggest me the medicine to get it heeled and cured.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Fistula me ayurved procedure se kshar sutra se operate karaye recurrence nahi hoga patanajali chikitsalay haridwar jaye best for you.
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How to get rid of migraine through Ayurveda as I am taking medicine through last six months now I have to leave these medicines ?

Vaidya Visharad
Sexologist, Narnaul
A migraine is a terrible headache that tends to recur and is often accompanied by a feeling of nausea. The pain is usually felt on one side of the head. Migraine is a vascular disorder caused by a tightening (constriction) and sudden opening (dilation) of the blood vessels in the head, neck, or scalp.In Ayurveda, two conditions, known as Ardhaavabheda (meaning literally the unilateral pain) and Anantavaata resemble the classical migraine.

I have migraine problem last 6 month and no doctor give me proper solution please help me regarding this problem and my age is 30 years and I am from chennai.

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, apply ice pack, massage scalp/temple 2.Drink plenty of water and take rest. 3.. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light,strong smell inadequate sleep, since it precipitates migraine attack 4.Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho(red wine)/caffeinated beveragesl.Don’t skip/postpone your meal,avoid hunger since it triggers the attack 5. Go for regular exercise,reduce weight if over weight 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 like propranolol after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain
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