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Dr. A.K. Meena

Neurologist, Hyderabad

50 at clinic
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Dr. A.K. Meena Neurologist, Hyderabad
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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.
More about Dr. A.K. Meena
Dr. A.K. Meena is an experienced Neurologist in Punjagutta, Hyderabad. You can meet Dr. A.K. Meena personally at Nizam's Institute Of Medical Sciences in Punjagutta, Hyderabad. You can book an instant appointment online with Dr. A.K. Meena on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 37 years of experience on Lybrate.com. Find the best Neurologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Nizam's Institute Of Medical Sciences

Panjagutta. Landmark: Near GVK Mall, HyderabadHyderabad Get Directions
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He is suffering from parkinson. How can we improve his voice because it's not clearly understood what he speaks.

MASLP
Speech Therapist, Mohali
Age of the patient and duration since parkinson has been diagnosed. There are specialised techniques in speech therapy that could help the patient. Send more details about patient.
3 people found this helpful
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What we have to do for migraine headache it is giving very big problem to me I can not handle it what is the solution for it.

BHMS
Homeopath, Faridabad
Hello, self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. 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. 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. Medication: take bakson's mig-aid tablet/ 1 tablet 3 times a day.
1 person found this helpful
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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I am a 26 year old male. Working as a software engineer. My day routine is sitting job. From past 3 weeks, while working, I feel some tingling in my right hand thumb and forefinger and it get stops, when my attention goes towards that. Also, from past 3 days, I feel little heavyness in my right hand thumb.

M.B.B.S., D.M.C.H.
General Physician, Alwar
Welcome to lybrate, you should perform neck and arm exercises daily under supervision of physiotherapist. Take tab. Neurobion forte thrice daily for 7 days.
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5-6 weeks ago. I was playing basketball when some body accidentally head butted me on the CHEEK from that day m feeling numbness and swelling in my upper left lip.

MBBS
General Physician, Mumbai
5-6 weeks ago. I was playing basketball when some body accidentally head butted me on the CHEEK from that day m feeli...
I will suggest you to apply ice fomentation over the lips for three days six hourly and revert with finding.
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Hi doc. Three years ago I got an accident and my right hand got paralyzed yet. That situation doctors named that breichal plexus and I done a nerve surgery under my shoulder. My question is there is any better treatment or hope in my present situation.

Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Chennai
Dear brachial plexus injury that happened three years ago is not easy to treat. After reading what information you have given the first thing that comes to my mind is to do active and passive physiotherapy. At this stage get a nerve conduction study done, that will give information about the viability of nerves. Once that is know a further treatment plan can be charted. Regards
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If all medical test is good what I need if I still have problems. I did crp test ckrm test CBC blood / kidney /liver / thyroid/sugar test / control test/ urine test. Chest xray/ ct scan on brain /sinus/ echo cardiogram. All my test came back normal. But I still get symptoms mostly in head. Do I need to worry. Or maybe Its anxiety.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
If all medical test is good what I need if I still have problems. I did crp test ckrm test CBC blood / kidney /liver ...
Treatment depends upon what kind of symptoms you have, their severity, duration and any impairment due to them, whether at work or home or personal relations. Yes, perceived somatic complaints like pain could be due to untreated anxiety. In such a case the physical evaluation even with lab investigations may turn out to be normal.
1 person found this helpful
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I am suffering with migraine for last 8 years. I am 20 years old. How can I permanently cure migraine?

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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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About migraine
Migraine is not just a headache it has other symptoms and has a major impact on life. A migraine headache is usually an intense throbbing pain on one or sometimes both sides of the head. Besides pain, migraine also can cause nausea and vomiting and sensitivity to light and sound. Some people may see spots or flashing lights or have a temporary loss of vision
Treatment ; by pain relief, preventive drugs, lifestyle changes, and alternative treatments.

I am 24 years old female, I ahve a migraine, I am suffering with this since 4 years, I have to use those types of medicines but no use, so can you please tel me the correct solution.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
1) massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) apply chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) take 8 hrs sleep in the night. 4) avoid oily & spicy food. 5) pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) do eye check up if headache persist
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I am having a problem in writing. Kind of a nerve problem. Can you please say some solution?

MBBS
General Physician, Mumbai
For your writing problem apart from symptomatic treatment I will suggest you to take tablet folvite once a day for a year.
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I feel shivering in hands while lifting any weight some times even shivers when o lift a tumbler.

MBBS
General Physician, Cuttack
You may be having essential tremor. 1.The cause of the tremor is unknown. in some cases it is hereditary and runs in families.some 2.it is exaggerated due to stress/anxiety/panic/nervousness/Physical exhaustion/low blood sugar/ smoking,alcohol abuse,excess tea, coffee/ inadequate sleep 3. There is no definite treatment, unless it is very severe 4.Avoid stress/anxiety/nervousness/ panic etc 5. avoid excess tea/Coffee/ smoking/alcohol 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 am 19 years old. My blood pressure is also normal but my fingers are vibrating. Normally they don't vibrate but when I open my palm they start vibrating. please give me suggestion about this.

BPTh/BPT
Physiotherapist, Bangalore
I am 19 years old. My blood pressure is also normal but my fingers are vibrating. Normally they don't vibrate but whe...
Following could be the causes: * tingling (vibration) can be caused by a disorder of the neck spine, disorders of the elbow, wrist, hand or the fingers itself. The other causes may include: *overuse of the wrist * constant or repeating leaning on the wrist: (cyclists, crutches users, weight lifters.) * hypoglycemia can cause shaking/shivering hands - check on your sugar levels * hypothyroidism could cause vibration in hands/fingers * too much caffeine can make your hands shake - caffeine is present in coffee, tea and soft drinks. * do not skip meals - not having your meal on time or starving, fasting leads to shivering. Note: do not delay and consult your doctor to diagnose the problem. Your doctor will discuss your medical history and general health. He may also ask about your work, your activities, and what medications you are taking. Regards!
2 people found this helpful
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I want an advise for my hand when I drive a cycle or scooty my hand fingers become numb after 5 to 10 minutes drive. Why it happens what is a remedy for getting out of it.

BHMS
Homeopath, Delhi
I want an advise for my hand when I drive a cycle or scooty my hand fingers become numb after 5 to 10 minutes drive. ...
This may be happening due to some nerve compression. Pls visit a neurologist to identify which nerve is getting compressed and the cause. In the mean time you can do some wrist exercises like clockwise and anticlockwise rotation.
1 person found this helpful
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I am diabetic since 1999. Fast blood sugar. 136 & Post fasting 180. I am suffering from numbness in both legs. Please advise.

MPTh/MPT
Physiotherapist,
Kindly do bird dog exercises(2 sets-5 counts) regularly for a week. If you find any discomfort due to this exercises, do left me know. I will give you alternative exercises.
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I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I am a diabetic. Is it due to spine problem or diabetes. I had taken treatment from neurologist also for a month. No response. Kindly advise medication.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I a...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually your issues can be either due to diabetes or spine, it is difficult to actually say without examining you in detail. But if there is no back pain issues, then it may be unlikely due to a spinal pathology. Anyway a proper examination and investigations can actually tell us whether the issues are due to spine or due to diabetes. We can initiate with medications for neuropathic symptoms like pregabalin or gabapentin in small doses with or without vitamin b12 supplementation for 2-3 weeks and see from there how it goes. 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.
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Hello sir! She is 21 years old. She is reeling under left back side headache. She worried about that she have a migraine. It may be possible? And what should she do?

MBBS, cc USG
General Physician, Gurgaon
Hello sir! She is 21 years old. She is reeling under left back side headache. She worried about that she have a migra...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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I have migraine problem from last 6 years and i'm taking Tab rizact 5 and Tab Nexdom 250 when ever I feel migraine pain.

BPTh/BPT, BPT
Physiotherapist, Hyderabad
Due lack of sleep Lack of exercise Less intake of vitamio related Not exposure to sunlight Above my be cause Prevent the above then the problem will solve
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