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Dr. Samir Kalra

Neurosurgeon, Delhi

Dr. Samir Kalra Neurosurgeon, Delhi
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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. Samir Kalra
Dr. Samir Kalra is a renowned Neurosurgeon in Budh Vihar, Delhi. He is currently practising at Dr. Samir Kalra@Brahm Shakti Hospital & Research Centre in Budh Vihar, Delhi. Book an appointment online with Dr. Samir Kalra and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 29 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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MBBS, MD - Consultant Physician
General Physician, Ghaziabad
Headache is a common reason for patients to seek medical attention. We see so many online queries on headache. If you are suffering from headaches, read this article because, understanding your problem can help you solving it.
There are many causes of headache, and if correctly diagnosed and treated , you may become ?Headache? free.

Common Causes Of Headaches:

Migraine
Tension Type Headache
Idiopathic Stabbing
Cluster Headache
Exertional Headache
Systemic infection
Sinusitis
Head Injury
Vascular Disorders
Subarachnoid Haemorrhage
Brain Tumour
The patient who presents with a new, severe headache have causes that may be different from patient with recurrent headaches over many years.

People frequently ask me to get imaging of brain done to rule out the cause of headache. They have special attraction for MRI and CT Scans. But not every headache requires investigations. But there are headaches which require investigations. Let us understand , when a headache requires immediate attention.

Headache Symptoms that Suggest a Serious Underlying Disorder :

Worst headache ever
First severe headache
Headache worsening over days or weeks
Associated with Neurological Deficit
Fever or unexplained systemic signs
Vomiting preceding headache
Pain induced by bending, lifting, cough
Pain that disturbs sleep or presents immediately upon awakening
Known systemic illness
Onset after age 55
Pain associated with local tenderness, e.G, region of temporal artery
If you have any of these symptoms, you need to have a doctor consultation as soon as possible.

Now, let us read about two most common types of headaches, i.E Migraine and Tension type headache that we see in clinical practice.

Migraine :

Migraine, a very common cause of headache, more commonly affects women than men. It is usually an episodic headache which is usually unilateral (on one side of head) and is associated with certain features like:

Nausea (Feeling of vomiting)
Photophobia (Sensitivity to light)
Phonophobia (Sensitivity to sound)
Light-headedness
Scalp tenderness
Vomiting, Nausea (Feeling of vomiting)
Visual disturbances
Paresthesias (tingling sensations)
Vertigo
Alteration of consciousness
Diarrhea
Seizure
Confusion
People having migraine, usually during acute attacks, prefer to be alone and don?t want any sound, light, want to sleep in dark room.

Acute attacks are usually triggered by some stimulants called as ?triggers? which are commonly following :

Bright lights
Sounds
Hunger
Stress
Exertion
Hormonal fluctuations during menses
Lack of or excess sleep
Alcohol, Wine, Cheese or other chemical stimulation
Patients should try to notice their triggers and should do life-style adjustments to avoid them.

How to Deal with Migraines?

Patients having migraine should seek a medical consultation. There are drugs which are given to terminate acute attacks of migraine, as well as to prevent them.
They should have a fix routine of sleeping like from 10 pm to 6 am. They should not sleep for more than 30 min during daytime, as excessive sleeping during day time would cause problem in falling asleep during nighttime, leading to disturbance of sleep cycle and precipitation of migraine.
They should avoid wine, cheese, lemon.
Tension - Type Headache :

It is a chronic head-pain syndrome characterized by tight, band like discomfort. It is bilateral (means on both sides of head). The pain typically builds slowly, fluctuates in severity and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per month). It may be associated with sleep disturbances.

How to Deal with Tension Type Headache?

The pain can generally be managed with simple analgesics but should be taken under medical supervision as they have a long list of adverse effects. There are other drugs too, but can be given only under medical supervision.
Behavioral therapies including relaxation are also effective.
Patients with this type of headaches are advised to throw away their ?Headaches? to prevent the ?Headache? , means they should try to sort out the tension or problem that is causing the headache.
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I am from Mumbai .I'm suffering from migraine since last 2 or 3 months .Dr. Please Can you make me sure that what is the treatment for this?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for a composite and complete treatment. You may contact me online for further queries and assistance in treatment in this regard.
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I have some kind of swelling at mine nerves some says it is called nerves ending and it is at hand ie on arms some in at back side of the body can you help me out for better cure.

MBBS
General Physician,
You may be having herpes zoster along the nerve paths pperpheral. With pain and swelling horzantally along the pathway of peripheral nerve line. It is a vira pl b infection you should consult a dermatologist. Do not self medicate.
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I have a problem of nerve, my hands vibrate all the time. What is the solution?

MBBS
General Physician,
Hello, this problem may be due to 1. Anxiety 2. Hyperthyroidism 3. Vitamin b deficiency 4 any nerve problem kindly consult neurologist for further management.
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I am 38 year old male and I am having problem with migraine and sinus. I also have problem with Acidity and most of the time I am having problem with upset stomach and tiredness. My fasting Blood sugar was 105 one month back and also having problem with high uric acid level in blood. Please suggest me a good diet.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 38 year old male and I am having problem with migraine and sinus. I also have problem with Acidity and most of t...
U have to improve your food habits do 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation 8. Use nibu pani (lemon water) 2/ 3 times a day get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep . Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music . Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular 1. Take more fruits and vegetables. No baked items, no alcohol . U need some medicines also contacy on private chat for mrdicine good luck.
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I suffer from severe head ache when I think lot or depressed due to some reasons that time I feel very much heaviness in mind. That time my nerves are shaking/blinking. I want to come out of that pl suggest me something.

MBBS
General Physician, Chandigarh
I suffer from severe head ache when I think lot or depressed due to some reasons that time I feel very much heaviness...
These emotional conditions like stress strain anxiety tension depression etc can give you heaviness in mind try to control these emotions on your own and if you can't do it then take the help of a psychotherapist to take you out of this.
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My mother is 78 years old, she is having arthritis, BP and her back is bent. She is having numbness in her hand.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My mother is 78 years old, she is having arthritis, BP and her back is bent. She is having numbness in her hand.
Change her diet to avoid all foods that cause acidity and which are difficult to digest. Give her 25 ml of edible coconut oil like a medicine daily and increase Cows ghee in diet. These will help in a great way. Encourage her to do simple stretching exercises while lying down on bed to release the strain of bent back.
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I have problem of migraine. From last 7 years. I don't know what to do. Please suggest some medicines.

BHMS
Homeopath, Delhi
Migraine is due to deficient routine stress, sleep disturbances, high altitudes, glaring or fluorescent lights, certain foods, changes in weather conditions, and hormonal fluctuations. Avoid regular coffee, regular tea, regular cola beverages. Other carbonated beverages containing caffeine. Breads, buttermilk, yogurt, and sour cream. Chocolate milk, chocolate ice cream, chocolate. For medicine share your complete history.
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My son is heaving seizures but has normal eeg and MRI. His age is 1 year and was born in eighth month. Will these end with time.

Master In Occupational Therapy
Occupational Therapist,
It will depend on the frequency of seizure attacks. You have to carefully notice tht how many times in a day or week or month the episodes are recurring? meanwhile you can check with seizure medicines n consider revising dosage with your family doctor.
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I am suffering from migraine from last 1 year and now from last 3 days m not able to sleep because of the pain I have tried medicine suggested by doctors but this time there is no effect. Because of lack of sleep m not able to study and m having exams from next week.

B.H.M.S,
Homeopath, Muzaffarpur
I am suffering from migraine from last 1 year and now from last 3 days m not able to sleep because of the pain I have...
Hello, you are requested to take homoeopathic medicine as per direction------------ 1. Nux vom 1m one drop once at night. 2. Kali phos 6x 4 tablet 03 times in a day with worm water. Both medicine continue for one week.
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I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I have also numbness in feet. I have problem in dorsiflexion and aversion of feet due to nerve weakness. So I can not up my feet like foot drop. I am taking medicine regularly but no relief. Dr. told for surgery. Please tell me risk of surgery.

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I ha...
Dear condition you mentioned must be specify. Grades mild a moderate severe. Up to certain extent Pt usually tolerant. Unless motor power-bowl-bladder dysfunction ensue. In your Case motor as well as sensory affected. Now other two I had mentioned are likely to be see in onwards progression. You're going to get Best results with minimal invasive surgery hopefully.
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When I am doing work with my hand my hand to much to shake I consume alcohol 3 times in week.

MBBS
General Physician, Cuttack
Tremor of hands. 1. It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 other causes of tremor could be stress, anxiety, panic, nervousness, inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, mercury poisoning, liver failure etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4. Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/coffee/ smoking/alcohol if you have 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9. Consult neurologist for further advice.
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I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my right leg. What should I do?

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my...
Hello lybrate user, sciatica is a radiating pain along the course of the nerve. Usually for the lower back to the back of thigh and then further down to the foot. This happens because of a compression on the nerve roots which leads to symptoms of tingling and numbness in your feet, and other functional deficits the nerves like sensory loss and weakness in the limbs. When this pressure of the nerves is accompanied by inflammation of nerve itself, it gives rise to the radiating pain or sciatica. This inflammation comes down with anti inflammatory drugs and rest, so the sciatica is no longer present but compression on the nerves remains so you might still be having sensory loss. But still your nerve might be recovering from the compression and you regain sensation with neurotonic drugs and time if the compression has also been resolved. But this decision making is complex and can be done by a spine surgeon and only after a thorough clinical assessment. I would suggest you get an mri done and consult a spine surgeon as soon as possible. Hope this helps.
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I need to know that what is the action of levodopa how it acts for Parkinson's disease.

FECSM ( spain), Fellow of European Society of Sexual Medicine., School of Sexual Medicine, DPM, MBBS
Sexologist, Pune
Basically parkinson's disease is due deficiency of neurotransmitter dopamine. Levodopa gets converter to dopamine in brain and helps parkinson's patients.
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Migraine - Causes, Symptoms And its Ayurvedic Treatments

MD
Ayurveda, Pune
Migraine - Causes, Symptoms And its Ayurvedic Treatments

In modern days, migraine has become a common disease that affects the young and the old equally. Migraine as such cannot be cured, but improving lifestyle and Ayurvedic medication can help you keep this disease under control and improve your quality of life.

What is Migraine?
Migraine, commonly known as Sooryavarta in Ayurveda, is a medical condition in which the excessive stimulation of the blood vessels in the brain causes a throbbing pain on one side of the head and is associated with nausea, sensitivity and vomiting. This happens because the vomiting centre of the brain gets activated during an episode. These symptoms are the most common signs; however, it varies from person to person. 

What Causes Migraines?
These headaches worsen upon sunrise and it is at its peak at noon, when the sun is at its highest intensity and slowly subsides on sunset. This is one of the major factors in setting in an episode; it is not true in every case. 

The other triggers that cause migraine attacks according to Ayurveda are:

  1. Spicy and oily food
  2. Stress, anger, grief, jealousy
  3. Suppressed emotions or natural urges
  4. Indigestion
  5. Consumption of too much of dry, salty and pungent food
  6. Consuming polluted food

General triggers may include:

  1. Smoking and drinking
  2. Stress
  3. Fasting
  4. Physical stress and exercise
  5. Fluctuation in hormone levels during the menstrual cycle or the use of birth control pills
  6. Stopping intake of tea or coffee suddenly
  7. Stress to sensory organs in the form of bright noises, bright lights, strong perfumes or odours etc.

Certain foods or beverages may also trigger an episode of migraine. These include baked foods, chocolates, processed foods, spicy foods, onions, dairy products and peanuts. These kinds of foods are known to suddenly increase Kapha dosha or Pitta Dosha and as a result, trigger an attack.

Symptoms of Migraine-
It is usually characterised by a stinging, throbbing pain on one side of the head and is followed by nausea and vomiting. Some people may get visual aberrations called an aura- such as blind spots, blurred visions, distorted lines etc.

Ayurvedic medications that can help migraine are:

  1. Indian licorice – Glycyrrhiza glabra
  2. Sariva – Hemidesmus indicus
  3. Hareetaki – Chebulic myrobalan-Terminalia chebula
  4. Amalaki – amala – Emblica officinalis
  5. Mallika – Jasminum officinale
  6. Hareetaki – Chebulic myrobalan-Terminalia chebula
  7. Bala – Sida cordifolia
  8. Kumari – Aloe vera
  9. Sariva – Hemidesmus indicus

Simple home remedies useful in migraine:

  1. Tender leaves of jasmine or tender leaves of pomegranate are taken along with a pinch of salt and crushed well to obtain fresh juice. Early in the morning, preferably in empty stomach, 2-3 drops of this fresh juice is instilled to both the nostrils. Procedure is repeated once again evening hours (6-7 pm). This reduces the severity of headache in migraine.
  2. One fist full of Doorva grass (cynodan dactylon) is taken and its fresh juice is obtained. To this, 2 pinch of licorice powder is added and mixed well. This is consumed during the noon hours. Procedure is repeated for 20-30 days. This helps to reduce the severity of illness significantly.
  3. Take coriander seed powder – 1 teaspoon. add it to one cup of water, leave it as it is at night, next day morning, drink it on empty stomach.
  4. Soak 5 raisins and 5 almonds in water at night, next day morning, eat them. If you wish to discuss about any specific problem, you can consult an ayurveda and ask a free question.
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My legs are numb for the past 5 months. I cant walk for long. What is the problem.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
My legs are numb for the past 5 months. I cant walk for long. What is the problem.
Hi Thanks for your query and Welcome to Lybrate. I am Dr Akshay from Fortis Hospital, New Delhi. If your legs are actually numb since last 5 months, then it is a serious issue and needs urgent medical attention because it means that there is compression of nerves somewhere. I would actually like you to get a thorough physical examination done by an Orthopaedic surgeon and get relevant investigations done so that proper treatment can be initiated. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Dr Akshay Kumar Saxena Consultant Orthopaedics Fortis Hospital, New Delhi
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What is parkinson's disease?

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine,
hello Parkinson's disease�affects the way you move. It happens when there is a problem with certain nerve cells in the�brain.Normally, these nerve cells make an important chemical called dopamine. Dopamine sends signals to the part of your�brain�that controls movement. It lets your muscles move smoothly and do what you want them to do. When you have Parkinson's, these nerve cells break down. Then you no longer have enough dopamine, and you have trouble moving the way you want to.
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My father is diagnosed with brain stroke admitted in Wockhardt Nagpur and his MRI report says - ACUTE INFARCT IN PONS & LEFT CEREBELLAR HEMISPHERE. CHRONIC LACUNAR INFARCTS IN BILATERAL CORONA RADIATA & centre SEMIOVALE. MICROVASCULAR ischemic CHANGES IN VENTRICULAR WHITE MATTER. DIFFUSE CEREBRAL ATROPHY. Please suggest the next course of action for his faster recovery. Thanks.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is diagnosed with brain stroke admitted in Wockhardt Nagpur and his MRI report says - ACUTE INFARCT IN PONS...
Obey your doctor & do not get confused. Infarct is damage to tissue for lack of blood supply & rest of the symptoms are related to pressure on other areas, the signals being sent to rest of body due to infarcts. Your doctor knows best.
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