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Dr. Biplab Das  - Neurologist, Gurgaon

Dr. Biplab Das

Neurologist, Gurgaon

1000 at clinic
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Dr. Biplab Das Neurologist, Gurgaon
1000 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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I have been observing high level of sugar in my blood levels around 180 fasting and 220 normally on some days, normally it remains within limits. I am not controlling my diet on days when sugar level is normal I am 37 with no family history of high sugar levels. Kindly suggest what tests could be done to identify the problem n what do you diagnose out of it. I have been on valprin chrono 500 due to epileptic seizures which occurred around 12 yrs back.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I have been observing high level of sugar in my blood levels around 180 fasting and 220 normally on some days, normal...
Hba1c is most reliable test and gives an approximate idea of past 3 months sugar level. At your age target should be near to 6.5 with diet exercise and medication. Along with hba1c, following tests needs to be done as you are on anti epileptics as well. Fbs ppbs urine routine serum creatinine lipid profile liver profile.
4 people found this helpful
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I am suffering for migraine . During the headache which medicine I take to stop headache? What are the causes of migraine?

MBBS
General Physician, Cuttack
I am suffering for migraine . During the headache which medicine I take to stop headache? What are the causes of migr...
1.Take one tablet of crocin pain relief as and when required after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take adequate rest Treatment 1.Take crocin Pain relief 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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My son about 22 years of age having slight vibration in hand when took glass in hand since last month. What may be the cause and what is the line of treatment.?

MBBS
General Physician, Cuttack
. 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, cerebellar dis order 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 in person for further advice.
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I feel like some thing running in my brain slowly and every 15 to 20 min I get my head sweaty.

MD - Homeopathy, BHMS
Homeopath, Vadodara
You may take Homoeopathic Medicine Acidum phosphoricum 30 TDs. Still you may consult for proper treatment.
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Hi, My wife is having migraine problem as discussed with her family doctor. Same happened based on level of tension, sleeping hours and Sun light exposure as per my observation. Want to know some information about this disease which is: 1. How to know level of migraine. Through any lab test or frequency of occurring. 2. What are the medicine / actions can be taken during the headache. 3. What are the precautionary steps to be taken to avoid the same. 4. Lastly, Whether same is curable. Pls let me know in case of any further information required.

DHMS (Hons.)
Homeopath, Patna
Hi, My wife is having migraine problem as discussed with her family doctor. Same happened based on level of tension, ...
Hello, * U are obeased by 25 kg. * U need to go through certain under noted tips: * Take,plenty of water to eliminate toxins* Go for meditation to reduce your stress.* take your meal in time,avoiding junk food,* Take, oats and green tea in breakfast.*Certain symptoms are needed to b clarified** # Is Headache ,temporal , occipetal or frontal ? # does she suffer from sinusitis? # Gastric disorder,acidity ? Take, Homoeo-medicines** @ Netrum mur @00-6 pills, thrice a day. @ Spigelia 200-,6 pills,thrice a day. Report your progress with all sorts of information.
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I am a 24 years old male and I have been feeling pain, burning sensations, pinching sensation all over my upper body since last six months. These sensations come and goes. I am worried about my health but I don't know which specialist I should consult with. Can you help me with that?

MBBS ,MD
Pain Management Specialist, Hyderabad
I am a 24 years old male and I have been feeling pain, burning sensations, pinching sensation all over my upper body ...
Looks like fibromyalgia. You need Iv infusion therapy Trigger point injections Massage therapy Yoga/gym/exercise Call for appointment at American spine and pain centers Hyderabad.
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seizure control - important do's and don't

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra

Any patient who is having seizures or epilepsy should take medicines regularly. A patient who has seizures and on medicine should be seizure-free for a minimum of two years before tapering of dosage. Most of the patients who become seizure free for few months or a year tries to decrease their dose on their own and sometimes stop it, that increases their chance of recurrence of seizures. It's very harmful because it affects their natural history of the disease and the seizures which could be controlled on single drug become drug resistant seizures. When a patient is considered for tapering of dosage. His drug is tapered slowly over few months.

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Sir, I am now 21 years old my 17th year attack fits I am completed course 3 years medicine. I am using medicine 2 years EPTION 100 MG. And 1 year LEVIPIL500 mg. Sir cure fits .so stop the medicine or continue?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
To stop the medicine your present EEG report is needed and a neurological consultation. The usual course is for 5 years or lifetime based on the type of fits.
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C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
TIA-TRANSIENT BRAIN ISCHEMIA
*********************************************
Do not ignore transient brain dysfunction

TIA or transient ischemic attack or mini paralysis is "a brief episode of neurologic dysfunction caused by lack of blood supply to a specific area of the brain or eye, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction or brain attack,

It is a neurological emergency and early recognition can identify patients who may benefit from preventive therapy or from surgery of large vessels such as the carotid artery.

The initial evaluation of suspected TIA and minor non disabling ischemic paralysis includes brain imaging, neurovascular imaging and a cardiac evaluation. Laboratory tests may help to rule out metabolic and hematologic causes of neurologic symptoms.

TIA or minor non disabling ischemic paralysis is associated with a high early risk of recurrent paralysis. The risk of paralysis in the first two days after TIA is approximately 4 to 10 percent. Immediate evaluation and intervention after a TIA or minor ischemic reduces the risk of recurrent stroke.

Risk factor management is appropriate for all patients. Currently viable strategies include blood pressure reduction, statins, antiplatelet therapy and lifestyle modification, including smoking cessation.

For patients with TIA or ischemic stroke of atherothrombotic, lacunar (small vessel occlusive), or cryptogenic type, antiplatelet agents should be given. For patients with atrial fibrillation and a recent ischemic stroke or TIA, the treatment is blood thinners. For patients with carotid blockages surgery is needed.

Sir, Mera beta 10 years ka Hai aur wo cerebral palsy se peedet Hai to Kya wo spider therapy s theek ho sakta hai. Sir please reply me must.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I'd like to tell u to go for homeopathic treatment. Homeopathy has proved really good in such complicated cases. It will take time in your son's case, but you will definitely have results within 6 to 8 months.
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