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Dr. S Ram

Neurosurgeon, Delhi

900 at clinic
Dr. S Ram Neurosurgeon, Delhi
900 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. S Ram
Dr. S Ram is an experienced Neurosurgeon in Ashram, Delhi. You can meet Dr. S Ram personally at Vimhans Hospital in Ashram, Delhi. Save your time and book an appointment online with Dr. S Ram on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 37 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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#1, Institutional Area, Nehru Nagar. Landmark: Behind DAV College, DelhiDelhi Get Directions
900 at clinic
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What is the difference between headache and migraine? What is the main reason for it and how can we get well from it?

MBBS
General Physician, Cuttack
) Symptoms of Migraine 1. Unilateral Headache, eye pain 2. Throbbing and pulsating pain 3. Nausea and Vomiting 4. Increased sensitivity to light and sound 5. Feeling of Dizzy or Faint Cause Unknown. May be due to decrease in brain chemical-serotonin which regulates pain in the nervous system, genetic, environmental factor Triggering factors for migraine A) Hunger (missed meal, drinking alcohol (redwine),/coffee, tea) B) Inadequate sleep, stress, anxiety, depression, agitation, bright light/sun glare C) environmental factors like glaring light, Loud noise, strong smell/perfume/passive smoking D) weather changes, high altitude, e) use of oral contraceptive, hormonal changes like oestrogen fluctuation during pregnancy, menopause, hormonal replacement therapy F) continuous use of cell phone G) salted food, aged cheese, processed food Treatment of migraine 1. Take crocin Advance 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, continuous use of cell phone 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/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
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Health tips for migraine patient.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am suffering from shaking of hands since six months what is the problem behind this.

BAMS
Ayurveda, Ambala
I am suffering from shaking of hands since six months what is the problem behind this.
The cause of shaking of hands are * muscular weakness in hands * Improper neurological functions of hand nerves * Restlessness of body * Deficiency of nutrition in body. To get relief from shaking of hands * Give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * Do BHRAMARI PRANAYAM twice a day. Practice SARWANGASAN and Sit with the GYAN MUDRA in Hands. These asans & mudra calm down your brain & relieve from nervousness & restlessness. * Take Rogan Badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * Take 2 teaspoon of ASHVAGANDHARISTHA added in a glass of water once a day You can consult me for your doubts and detailed treatment.
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How to Deal With Insect Inside Ear

Fellowship of the Royal College of Surgeons (FRCS), Diploma in Otorhinolaryngology (DLO), DNB (Otorhinolaryngology) , MS - ENT , MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
How to Deal With Insect Inside Ear

It is that time of the year when insects are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect is in your ear, which can be extremely annoying and is like a nightmare. Insects often get stuck when they enter our ears as they cannot fly or crawl out. They try to find their way out and their movements inside our ears can be very uncomfortable, painful and can be itchy as well. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swab, tweezers or hair clip as it will make the situation worse and can lodge the insect deeper into the ear canal, which can possibly damag the eardrum, leading to permanent hearing loss. If an individual is not certain about the potential harm taht can be caused by the insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion.

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I have less sensation on the left side of my lap when I touch, unless I press that area hard? What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have less sensation on the left side of my lap when I touch, unless I press that area hard? What should I do?
Since when are you experiencing such problem.It can be a nerve compression and you must seriously about reducing your weight as it seems like nerve compression is due to weight problem.
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I safring from migraine problem since from 4 month and thyroid problem also what should I do.

BAMS
Ayurveda, Bangalore
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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Hi sir God morning I am sick I am suffering from migration headeac I can't control that pls solve my problem%

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine R-16 drops (Dr Reckeweg)Drink 20 drops in 20 ml fresh water 3 times daily. MIG AID ( Bakson) Chew 1 tab twice daily Daily 30 min BRAMARI PRNAYAM Early morning
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I am suffering from epilepsy and get attacks minimum twice a month. I am not getting a good result from the medicine prescribed to me currently. What can I do to get cured?

DM - Neurology
Neurologist, Hyderabad
Most probably you are suffering from a refractory type of epilepsy or your compliance to medicine is not good (i mean missing the doses of epilepsy medicine in between) or the medicine you are taking is not appropriate for your epilepsy type or not in proper doses, consult a epileptologist or atleast a neurologist in person.
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Sir I am having migraine problem. It pains alot. I tried so many medicines but nothing working out please help me sir.

BAMS, MD Ayurveda
Sexologist, Lonavala
The following thing if you adapt it will be helpful Natural home remedy using cinnamon powder: 1. Take 2 tbsp of cinnamon powder 2. Add water to make paste 3. Mix well 4. Apply on the temple and forehead for relief This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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Hello I was diagnosed for epilepsy for 2 years and last year my course get completed but from then my hairs are falling out.

MBBS,J.R. Neurology
General Physician,
If you have been using sodium valproate then hairfall is probably due to the drug. Consult a dermatologist for other causes of alopecia. Take care.
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What should we do in migraine. I mean how to improve health so the migraine dont come back. Or to reduce the ache in migrain. Which life style should be adapted. Please tell me.

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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I get headaches on one side of the forehead at a time, I don't understand whether this is sinusitis or migraine?

D.H.M.S
Homeopath, Muzaffarnagar
I get headaches on one side of the forehead at a time, I don't understand whether this is sinusitis or migraine?
May be sinusitis, so you can take a homoeo medicine Kali bich 30,5 drops in little water thrice daily for one months.
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My father is suffering from paralysis since 10 months. He is unable to speak. He suffered from paralysis attack twice in last 10 months. We consulted many doctors but all in vain. Please help me.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Treat the cause of stroke, which may be high blood pressure, diabetes, dyslipidemia, clotting disorders or cardiac arrythmias. Get him evaqluated thoroughly and with medicines and physiotherapy ,he will recover surely.
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Sir I feel numbness and shocking like electric shock in my right hand. What symptoms of this decease and how to cure. Plzzz suggest me sir plzzz plzzz.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir I feel numbness and shocking like electric shock in my right hand. What symptoms of this decease and how to cure....
It might be of muscle strain or of nerve deficit Do Take an Nerve conduction study and do consult Neuro physician and take appropriate Therapy best wishes.
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I am having headache all the time, almost 3-5 days in a week, some doctors said it is migraine but some said it is genitical, now my headache becomes a very big headache in my life, let me know a solution, what should I do?

MBBS
General Physician, Mumbai
I am having headache all the time, almost 3-5 days in a week, some doctors said it is migraine but some said it is ge...
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 medication after clinical examination
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When lie down on bed, a couple of fingers in my leg get numb. If get up and keep my legs down then it will slowly become normal. Some times my left leg heel will give me pain while walking. How to get rid of it ?

BPT, BPTh/BPT
Physiotherapist, Lucknow
First you should reduce your weight if obase and use soft footwear for heel pain. Then start lumbar spine extensor stretching exercise or goto physioclinic for ultrasound and swd
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Difficulty walking, blurred vision, slurred speech, slowed reaction times, impaired memory: Clearly, alcohol affects the brain. Some of these impairments are detectable after only one or two drinks and quickly resolve when drinking stops.

MPT
Physiotherapist, Cuttack
The toxic substances in alcohol affects a part of our brain called cerebellum. This area deals with balance, smoothness of movement. This area may be the main culprit of your friends condition.
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My nephew aged 11 years, has seizure since last month. Doctors diagnosed it epilepsy. We started medicines but seizures occurs on every 2 & 3 days. Mostly during seizure his eyes goes upward and his body has vibrates as electric shocks. Once after seizure his body shocked many times. We asked him what is this. He said my nerves are jaults from inside. We want to know is it epilepsy or not. What should we do at the time of seizures. Eagerly waiting for your reply. At this time he is taking 2 medicines named valparin 200 & levecitram. Thanks.

DM - Neurology
Neurologist,
The description provided by suggests that your nephew has epileptic seizures; however, one point - when he says my nerves are jaults from inside' make this sound false. Please find out this: is he aware of his surroundings even when he has whole body jerking, or jerking on both sides of the body? if his body is jerking on both sides but he maintains awareness or is able to interact, then it is highly likely that it is a pseudo-seizure. Since he is only 11 years old, this may be due to situational anxiety. If he loses awareness during the fit, or if they involve only one half of his body, then it may be a true epileptic seizure. And the final answer can only come from an eeg which is done at the time when the episode is going on - which is not always possible! hence, we must always keep our minds open, make multiple observations, perform several eegs, treat with the presumption of epilepsy (giving benefit of doubt), and so on.For further assistance you can concern me privately.
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Treating Spinal Stenosis the Right Way

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Treating Spinal Stenosis the Right Way

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:

  1. A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.
  2. Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.
  3. Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.
  4. Medications such as the anti inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case antidepressants might also be given to provide relief from pain. 

Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

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