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Dr. Sushil Kumar

Neurosurgeon, Delhi

550 at clinic
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Dr. Sushil Kumar Neurosurgeon, Delhi
550 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
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Dr. Sushil Kumar is a popular Neurosurgeon in Tis hazari, Delhi. You can visit him at Dr. Sushil Kumar@St Stephens Hospital in Tis hazari, Delhi. Save your time and book an appointment online with Dr. Sushil Kumar on Lybrate.com.

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I am 18 years old and I have migraine problem for three years. After having this problem I got spices with progressive glasses but it was vain because I have still migraine problem. Please can you tell me the cure of it.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing type of headache disorder. Treatment for this includes medicines to relieve acute and severe attacks of headache. Also to prevent relapses you need to take a prophylactic treatment and avoid precipitating factors of migraine. Prophylactic treatment has to be decided individually according to the onset of headaches, severity, duration, associated symptoms of sleep, anxiety, stress etc spectacles and glasses have no role in treatment of migraine.
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I had some time headache I think it's migraine issue so what will be the best way to control it.

MBBS, Diploma In Dermatology And Venerology And Leprosy (DDVL)
Dermatologist, Raigarh
I will first guide you some basic, your headache symptoms can help your doctor determine its cause and the appropriate treatment. Most headaches aren't the result of a serious illness, but some may result from a life-threatening condition requiring emergency care.(1) headaches are generally classified by cause like - cluster headache (2) migraine (with and without aura) (3) tension headache (also known as tension-type headache), (4) trigeminal autonomic cephalalgia (tac), such as cluster headache and paroxysmal hemicranias,(5) chronic daily headaches (for example, chronic migraine, chronic tension-type headache, or hemicranias continua, cough headaches, exercise headaches, sex headaches, some primary headaches can be triggered by lifestyle factors, including: alcohol, particularly red wine, certain foods, such as processed meats that contain nitrates, changes in sleep or lack of sleep, many other cause may be, so first you can find him the cause or consult me for cause than initiate treatment, as of now for headache you can take tablet paracetamol. But we will have to make a diagnosis to get to the cause of it which can be either due to frontal sinusitis or due to migrane or due to refractive error of the eyes or due to other causes for which we have to investigate.
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I had affected by migraine headache for the past 20 years. Any permanent remedy for this?

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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Sometimes I feel blackout. When I suddenly wake or lift heavy weight. I consultant to some doctor but it can't help.

MBBS
General Physician, Cuttack
1. Check your hemoglobin, bp 2. Drink plenty of water 3. Avoid anxiety and stress 4. Have adequate sleep (7-8 hours) daily 5. Avoid alcohol/tobacco/smoking 6. Consult neurologist for advvice and treatment.
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My hands tend to shake sometimes when I do some delicate work or some work which requires concentration. What seems to be the problem?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
plz get ur thyroid profile test, vitamin b12 levels done ..u might be having hyperthyroidism or it just could be due to anxiety only but in any case thyroid test is required ..follow up with reports
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My right has become numb and if I operate a computer mouse or when I drive a two wheeler my right hand becomes numb and when Iam free it is normal. Iam also a diabetic with a daily dosage of insulin in the morning.

MD-Physician, PGDCC
Cardiologist, Jaipur
My right has become numb and if I operate a computer mouse or when I drive a two wheeler my right hand becomes numb a...
Hello. This could be due to diabetic vasculopathy. Blood supply to your arm could be affected by the blood vessel occlusion. You must diagnose it earlier to prevent further worsening. There are ways to open the blockage. Feel free to take my consultation uf you need.
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My 83 years old mother has been diagnosed of Alzheimer's disease and with the first dose of allopathic medicine - DONEP- she ended up being admitted in the hospital in emergency for extreme weakness and nausea. Now she refuses to take that medicine. About a month back I started giving her homeopathic - BARYTA CARB 200 thrice a day 5 balls but do not see any improvement in her. I have heard that Ayurveda has good treatment for alzheimer, request you to please advise. When the memory test was done by the psychiatrist, my mother scored 20/30. She has no other health problems.

MBBS, DPM
Psychiatrist, Bangalore
My 83 years old mother has been diagnosed of Alzheimer's disease and with the first dose of allopathic medicine - DON...
Your mother was diagnosed as Alzheimer's. Since her score is 20/30 (probably on MMSE), it must be mild dementia. It is unfortunate that she is unable to tolerate Donep (Donepezil). i hope it is a 5 mg tablet to start with. Since she does not have any other health problem, her life expectancy must be - many more years. Alzheimer's is a progressive disorder. Slowly she will become more and more forgetful and may have behavioural problems too. Donepezil will arrest the disorder from progressing further, though it may not improve her memory which she already lost. It will help if your mother has any behavioural problems also. If you think of all these benefits, you may try Donep with an anti vomiting drug. However please keep your mother's preserved memory active and encourage her in few memory games.
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I have a hypokalemia paralysis with normal level of thyroid I continue my medicine from one month but still my poytasium is low day by day and I take everyday potkular potassium syrup i want to cure permanently so give me best best option.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hypokalemic periodic paralysis is a disorder that causes occasional episodes of muscle weakness and sometimes a lower than normal level of potassium in the blood. It is one of a group of genetic disorders that includes hyperkalemic periodic paralysis and thyrotoxic periodic paralysis. Causes hypokalemic periodic paralysis is congenital. This means it is present at birth. In most cases, it is passed down through families (inherited) as an autosomal dominant disorder. In other words only one parent needs to pass the gene related to this condition on to you in order for you to be affected. Occasionally, the condition may be the result of a genetic problem that is not inherited. Unlike other forms of periodic paralysis, persons with congenital hypokalemic periodic paralysis have normal thyroid function. But they have a very low blood level of potassium during episodes of weakness. This results from potassium moving from the blood into muscle cells in an abnormal way. Risk factors include having other family members with periodic paralysis. The risk is slightly higher in asian men who also have thyroid disorders. The most important treatment in severe hypokalemia is addressing the cause, such as improving the diet, treating diarrhea, or stopping an offending medication. Patients without a significant source of potassium loss and who show no symptoms of hypokalemia may not require treatment. Mild hypokalemia (>3.0 meq/l) may be treated with oral potassium chloride supplements (klor-con, sando-k, slow-k). As this is often part of a poor nutritional intake, potassium-containing foods may be recommended, such as leafy green vegetables, tomatoes, coconut water, citrus fruits, oranges, or bananas.[14] both dietary and pharmaceutical supplements are used for people taking diuretic medications. Severe hypokalemia (<3.0 meq/l) may require intravenous supplementation. Typically, a saline solution is used, with 20? 40 meq/l kcl per liter over 3? 4 hours. Giving iv potassium at faster rates (20? 25 meq/hr) may predispose to ventricular tachycardias and requires intensive monitoring. A generally safe rate is 10 meq/hr. Even in severe hypokalemia, oral supplementation is preferred given its safety profile. Sustained-release formulations should be avoided in acute settings. Difficult or resistant cases of hypokalemia may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake. when replacing potassium intravenously, infusion by a central line is encouraged to avoid the frequent occurrence of a burning sensation at the site of a peripheral infusion, or the rare occurrence of damage to the vein. When peripheral infusions are necessary, the burning can be reduced by diluting the potassium in larger amounts of fluid, or mixing 3 ml of 1% lidocaine to each 10 meq of kcl per 50 ml of fluid. For more doubts you can ask me privately.
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Sir/madam, I am 35 years old and suffering from acidity (GERD) since 6 to 7 years and also suffer from migraine. Doctors told that migraine is due to acidity. I have consulted ayurvedic, homeopathic, allopathy doctors but not cured. Now I have been prescribed Pantocid DSR, Naxdom 250mg & betacap plus 10. I feel ok. How long can I continue the prescription? please suggest safe remedy.

MBBS
General Physician, Mumbai
Sir/madam, 
        I am 35 years old and suffering from acidity (GERD) since 6 to 7 years and also suffer from migra...
I will suggest you to take tablet folvite 5mg once a day for six months and vitamin d3 60000iu once a week for six months and decrease naxdom and betaplus medication gradually in consultation with your treating dr.
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How can i will treat my mother. She is right handed paralysised. Still we are treating by phisyiotherapy but not recovery.

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
What is the status of tone is it flaccid or spastic. Is there any deformity present or not. Then only i can help u.
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Is there any medicine for migraine then please suggest. She has a problem through out thr year specially in while her periods.

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 we can start with tablet propranolol after personal examination
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I have an migraine problem from at lest 5 years what should I do to solve this problem.

DM - Neurology
Neurologist, Hyderabad
Migraine attacks usually occurs of not taking food or fasting for long time, lack of sleep, working on sun light, dust pollution, during travel, like so many other precipitating factors. Avoid all these precipitating factors as much as possible. Take anti migraine prophylaxis medicines at least for 4 months to bring down the frequency of the migraine attacks and its severity.
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How to get rid of frequent cold headache and migraine headache. Please give detailed natural treatment and life style changes.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Homeopath,
How to get rid of frequent cold headache and migraine headache. Please give detailed natural treatment and life style...
Avoid food which causes allergy, like cold food, from freez, flavoured and packed products, stand in sunlight for 10 mnts, do yoga exercise after warm up daily, use turmeric powder in milk. Avoid direct pollution when you travel.
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I am 53 years old male affected by a stroke (left hemiplegia) five months before and now under rehabilitation. Whether this stroke is curable and shall I become 100% normal like before stroke? I am doing physical exercises, walking and oil massage. Is any other therapy recommended, like VARMAM?

MBBS
General Physician, Chandigarh
Physiotherapy is the best answer for your problem please continue with that and let us hope for the best remember your will power can do any thing under the sun best of luck.
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I shiver a lot during night time when there is cold atmosphere outside. Sometimes I shiver till morning it affects my sleep. Please help me to solve this problem.

MD - Alternate Medicine, BHMS
Homeopath, Surat
You need to drink warm water a lot for that. And if it is increasing more and more, then please consult a physician there at your place. Because this is the season of diseases. So any viral disease can be the reason for that. Hope you got it.
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Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am in a like state, light headed, foggy vision, stiff head, head feeling numb, depersonalization, tough to carry on life since 1 and half year. One of psychiatrist tell me that I had taken lots of medicine as I was hospitalized 3 times in a year and therefore depersonalised has taken place and feeling numbness in head due to heavy medicine. Eat healthy sleep healthy will create stamina and slowly your anxiety will be improved. Please suggest.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Respected doctors, I am a male of 29 years of age, I am suffering from generalized anxiety disorder feeling like I am...
Your doctor is right about many things but I recommend that you meet with a counselor too. That person will teach you a lot of skills and techniques to deal with yoru problem along with the help of the medication. Anxiety has all to do with fear and your inability (or so you would tend to think) to handle the same. Fear is based on looking too much into the future and imagining things that usually do not tend to happen (usually 90% of your fears will not happen). You need to change your perception of the fearful stimulus then you can change your response to the fear. The first one is the best and will preempt the need for the second. If you are already far gone into the reaction mode, then you need both responses to counter the attack. The way we see things in life (like half empty or half full glass) is very dependent on our attitude. Attitude may have developed over many years but fortunately can change in a matter of sustained choices made and acted up on now. Accordingly you choose to see things as either threatening or as an opportunity. The opportunist will be positive and work with the situation to make good out of it. The individual who sees it as threatening, will, out of fear, try to avoid/run away from the situation or react with anxiety. Yes, self-belief does impact it too, but you can see that prior to that, perception will tarnish the belief system too. Here, you can see that all the resolution lies in just changing your perception/attitude, even if it is against odds. Changing your response, despite the perception, is building up of your reserves and resources to handle any contingency that life throws up at you. And life throws up situations quite regularly and heavily. For this you need to develop a fit mind and body: The former, by meditation and mind exercises; and the later, by exercises and proper diet. You need good sleep too. Included in the development of the mind is the handling of emotions, in your case, fear. These changes will give you a handle on life and your perceptions and responses. Prayer is really powerful, if you are a spiritual person. Repeat some personally framed affirmations that are geared to calming you down and building confidence. Do a personality course too. Anything that develops you personally will be of great assistance in building resilience.
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I have a essential tremor. My hand is shaking when I perform any task. My age is just 23. So prefers me something. So I can control it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I have a essential tremor.
My hand is shaking when I perform any task.
My age is just 23.
So prefers me something. So...
Dear lybrate user acc to ayurveda its increased vata symptom, ie nervous system weakness. Inorder to control this massage your wholebody with maha masha oil followed by hot bath daily morning. Nourish your body with healthy diet regularly. Adequate sleep & light exercises necessary.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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My palm and finger shrinks quickly after a few second when come to contact with water. What cold be the reason. Please reply.

MBBS
General Physician,
The skin might get contracted suddenly not the finger or palm that means you may be allergic to the particular ingredient of the source of water otherwise there is no other cause forbtgisvtype of reaction. It i'd cold water only or any water if you keep the hand in cold water for longer duration then the skin gets shrinkage temporarily. Nothing to worry about it.
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