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Dr. Jaidev Arikotla

BHMS

Homeopath, Hyderabad

10 Years Experience
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Dr. Jaidev Arikotla BHMS Homeopath, Hyderabad
10 Years Experience
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Jaidev Arikotla
Dr. Jaidev Arikotla is a renowned Homeopath in Woodland Hospital, Hyderabad. He has been a successful Homeopath for the last 10 years. He has completed BHMS . He is currently associated with Arikotlas Homeo in Woodland Hospital, Hyderabad. Book an appointment online with Dr. Jaidev Arikotla and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Homeopaths in India. You will find Homeopaths with more than 31 years of experience on Lybrate.com. You can find Homeopaths online in Hyderabad 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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BHMS - RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES(BANGALORE) - 2007
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English

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3-4-878/2, MH Plaza, Barkatpura Landmark:Near Petrol BunkHyderabad Get Directions
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I am suffering from agoraphobia is there any cure. When I go outside alone my heart races this happen because of once panic attack in bus.

DHMS (Hons.)
Homeopath, Patna
I am suffering from agoraphobia is there any cure. When I go outside alone my heart races this happen because of once...
Hello, Lybrate user, Under agoraphobia one becomes panic to visit crowd, certain place, to use public transportation. Owing to fear and anxiety. This is a sort of social anxiety, can be taken care of by homoeopath, well with a little change in life style. Most of d. Cases r influenced with stress & anxiety. Please, carry on d under noted norms to check your problem - *.Tk, plenty of water ,free from contaminants to eliminate toxins, regulate metabolism to preventing constipation. - *Go for meditation to reduce stress, anxiety,to nourish cells, tissues & to calm your nerve to ease your problem. - * Tk, apples, carrots, cheese, papaya, grapes, ripened mangoes, milk, ginger, garlics,onion, almonds, walnuts, spinach, fish,nuts, regularly - *Take, homoeo medicines which acts gently & rapidly without any adverse effect, there of. @ Five phos 6x-4 tbs ,thrice. Avoid, caffeine, nicotine,alcohol, junk food, exposure to dust, scorching Sun. Report, fortnightly, Your feedback will highly b appreciated for further, follow up. Tk, care.
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I have done so many times masturbates from two years and nw my sexual organ does nt work And no any interest is occur in sex Then wat can I do now for a hapy life.

MBBS
General Physician, Chandigarh
I have done so many times masturbates from two years and nw my sexual organ does nt work And no any interest is occur...
Excessive indulgence in sex can lead to no interest in it at times don't worry get busy in other important duties of your yours and stop thinking about it it will improve on its own in sometime.
1 person found this helpful
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I'm 24 year male. In last year April I was suffered for eosinophilia. After recovering from that some of the time's I feel a little bit of headache. Some of time it becomes much painful.

MD-Hom., BHMS, Dip. in Cosmetology & Trichology
Cosmetic Physician, Mumbai
I'm 24 year male. In last year April I was suffered for eosinophilia. After recovering from that some of the time's I...
Dear lybrate-user! according to me headache is not related to recovery of eosinophilia. Please check other common causes of headache like lack of sound sleep, anxiety, eye problem, repeated cold n coughs, anemia etc.
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I have a daughter of only four months. She is infected with the virus hhv-5. She is normal. Doctor told us that for small baby they can not give any medicine to remove this virus. This human herpes virus have the effect on hearing and brain. How and from where we can provide the treatment for her so that virus effect can be minimized. Please suggest, I shall be grateful.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
I have a daughter of only four months. She is infected with the virus hhv-5. She is normal. Doctor told us that for s...
Hhv-5 usually do not produce any symptom to normal individual but in people with Immune compromised condition, it may cause fever, fatigue, muscle aches, rash, sore throat, enlarged lymph nodes, and malaise. I suppose, she has no such symptom as yet. Get in touch with virologist.
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I have delivered a child 5 month back through c section. Now i have gained a lot of weight .What can i do to reduce my weight?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Brisk walk or jogging for 4-5 km per day and increase ur fruit and protein diet. It will reduce ur tummy also. Most important is to keep feeding the baby, which helps most.
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I am 28 years old but my weight is not enough according to my height and age. Even though my all tests are normal and I have tried everything to gain weight from medicines to home remedies.

Vaidya Visharad
Sexologist, Narnaul
I am 28 years old but my weight is not enough according to my height and age. Even though my all tests are normal and...
If you are trying to gain some pounds, eat some lean red meat. Steak contains a lot of protein and iron. Foods like ground beef, pork chops can also be eaten.
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Hi I am male 24, I used masturbate twice or thrice everyday. My hair are getting thin and I am getting bald. What should I do to avoid hairfall due to over masturbation? thank you.

Advanced Aesthetics
Ayurveda, Gulbarga
Hi I am male 24, I used masturbate twice or thrice everyday. My hair are getting thin and I am getting bald. What sho...
Excessive masturbation is the main reason for pre-ejaculation/ erection problem. Swpandosh or nightfall problem also occurs due to excessive masturbation (daily masturbation comes in the category of excessive masturbation). Excessive masturbation can cause weak body, cheeky face, weak eye sight, graying of hair, less weight, fatigue, general weakness, constipation, less appetite, non-erection, low libido, nightfall and many more during teenage, masturbation can be done once a week after that it should not be done more than 2-3 times a week till marriage. The vitality and vigour lost due to excessive masturbation cannot be regained back by medicines or food for treatment medicines are ashwagandha cap 2 times a day and tab-chitrrakadivati 2 times a day.
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All About Parkison's Disease

MBBS, MHS, MD - Neurology (USA), Fellowship in Epilepsy, Clinical Attachment in Movement disorders
Neurologist,
All About Parkison's Disease

* Should I be afraid of talking to the doctor?
No. Every doctor wants his/her patient to recover as soon as possible. If patients have the right knowledge, they are able to interpret and report their symptoms better. Having this knowledge prevents unnecessary anxiety and greatly facilitates diagnosis and treatment.

It is the duty of every doctor to provide the right information to the patient, and every doctor tries to do this to the best of his/ her ability. Sometimes it is not possible to provide thorough information and answer all questions of a particular patient, because then the doctor will not be able to give adequate time to the next patient. Th is is the main reason behind writing this book. In many cases, patients do not want to talk to their doctor because they are afraid of knowing more about their illness. This is the wrong approach. Knowledge is power. I assure you that having the right knowledge will decrease your anxiety and help you get better.

I do have one suggestion: before going to the doctor, write down all your questions on a piece of paper. Almost all doctors will be very happy to answer your questions if you ask them efficiently.

* Why should I pay attention to my symptoms? just run some tests and you will know what disease I have...
Tests can be helpful, but they cannot diagnose all diseases. Often, no test can detect the small short-circuits in the brain that are responsible for causing seizures. Until very recently, there was absolutely no test that could diagnose parkinson's disease. Tests cannot tell the doctor how you are responding to the medication. For example, in parkinson's the doctor may ask you how you feel in the morning, how long the eff ect of medication lasts, do your arms or shoulders jerk after you take medication, and so on. Each symptom is important for the correct diagnosis and treatment of your condition. You and your immediate family members can provide the doctor with this essential information. If you have difficulty remembering your symptoms, you should note them in a notebook. If you have difficulty describing some of your symptoms, you should make a video recording for 3-5 minutes using a smartphone or digital camera (android, Iphone etc). Such recordings are tremendously helpful for diagnosis and treatment.


* What are the common tests used to diagnose brain diseases?
The three tests most commonly used are:
Mri, ct scan and eeg. Other specific tests have been described in the relevant chapters.
(i) Mri (magnetic resonance imaging) scan:
An mri scan is probably the most important test for diagnosis. It can diagnose many diseases such as a stroke, tumor and inflammation. Mri scanning is done in a big tube shaped machine which is attached to a bed. Th e patient sleeps on the bed for 30-45 minutes. Th e bed slowly moves back and forth through the machine. During this time the machine clicks very detailed pictures of the patient's brain.

Please note that during the scan you may hear some loud whooshing and clicking sounds. Th ese are just the sounds of

Magnets and motors inside the machine, and there is no need to be concerned by these noises. Some people may feel anxious because of the small space within the scanner, and a few people may need medications to decrease this anxiety. Mri scanning is extremely safe; there is usually no health risk. Before the scan, please inform the doctor about any metal inserts or implants (e. G. Heart defi brillator) In your body.

Mri test machines are of various strengths such as 1.5 tesla, 3 tesla and so on. Mri machines with a higher number (for example 3 tesla) take better pictures. This book was written in 2015, at this time the highest resolution mri available in india was 3 tesla.

(ii) Ct (computerized tomography) scan:
The CT Scan machine looks just like the mri machine. It has a bed that moves back and forth slowly while the machine takes a picture of your brain.

CT scan has a few advantages over mri:
(i) It is less expensive. An mri may cost around 5000-7000 rupees, while a ct scan usually costs around 1000 inr (indian rupees).
(ii) It can be done very quickly. An mri may take 1 hour or more, but a ct scan can be completed in 10-15 minutes.

Unfortunately, CT scanning has some significant disadvantages:
- The picture obtained by a ct scan is not as clear as that obtained by an mri. The difference in quality is striking: it is like the diff erence between a black-and-white tv from the 70s and the new lcd televisions available today.

- CT-Scan exposes your body to radiation.
Radiation is bad for your body, and especially a baby's body. Therefore, pregnant women should never have a ct scan. Ct scan is commonly used during emergencies. When a patient comes to the emergency room, a rapid ct scan may be done to look for emergencies which may need immediate surgery such as bleeding inside the brain. An mri is usually done the next day, when the patient is more stable.

If you have already had an mri, then usually you do not need a ct scan. Th ere are a few rare conditions (e. G. Calcification in brain) which are seen better on a ct, but these are very uncommon.

(iii) Eeg (electro-encephalo-graphy):
Our brain functions because of electric currents traveling from one place in the brain to another. An eeg measures this electric current.

To do this test, small pieces of wire are stuck to the head using glue. These wires are then connected to an amplifi er and the electrical activity in the brain is recorded. The machine itself does not send any current to the brain. It only records current. Therefore, there is no pain or discomfort, and this is an extremely safe test. Anyone can have this test, including pregnant women, babies and very sick patients. Th is test is most often used for evaluating seizures. An eeg is also used in cases where the patient is unconscious for a long time, without a clear reason.


1. Doctor, my hand keeps shaking. It stops shaking only at night. Why is this happening?
The shaking of your hands is called a tremor. There are many causes of hand tremor. Th e most common causes are essential tremor and parkinson's disease. If you have essential tremor, your hands will shake more when you try to do something. For example, writing may become very diffi cult or water may fall down when you try to drink form a glass.

If you have parkinson's disease, the tremor is maximum when your hands are resting and doing nothing. For example, when you are sitting on a chair and watching tv comfortably, the hand starts shaking. Besides these common causes, there are other causes. For example, shaking of the hand (s) can begin after a small stroke near an important part of the brain called the red nucleus or in a condition called dystonia which causes contraction of the hand muscles without any clear reason some medications (see list), severe anxiety and very excessive tea/coff ee can cause hand shaking. Finally, there are diseases that have symptoms exactly like parkinson's disease.

Therefore, I need to examine you carefully. Based on observing you so far, I think there is a possibility that you may have parkinson's disease.


2. Parkinson's! I have heard this is an extremely serious illness! is this disease fatal?
No. Parkinson's disease is not fatal. Yes, but it is important to treat parkinson's disease promptly. Th e diagnosis of parkinson's disease is often missed. If not treated on time, patients with parkinson's disease are significantly restricted in their day-to-day activities, practically becoming disabled if treatment is delayed for a long time.

Secondly, if left untreated, patients with parkinson's disease can have frequent falls causing serious injuries including fractures and head injuries. Hence the diagnosis and treatment of parkinson's disease should be done as soon as possible.


3. What causes parkinson's disease?
Our brain runs on electricity and chemicals. If there is too much or too little of a particular chemical in your brain, it causes a disease. Parkinson's disease is caused by the reduction of a chemical called dopamine in our brain.

Dopamine is produced in the back of our brain, in a part called the mid-brain. It is then transported forwards and is widely distributed throughout the entire brain. It fi res up the movement centers of our brain, and helps them communicate better with one another. In parkinson's disease the cells in the midbrain producing dopamine gradually

Die. No one quite understands why this happens. Then effect is that the movement centers of the brain don't Communicate well with one another, and this produces the various symptoms of parkinson's disease.


4. Ok so what are other symptoms of parkinson's?
You already know one symptom shaking of the hands while resting. There are many other symptoms in patients with parkinson's disease and recognizing them is often very easy:
- Their muscles are often stiff and become inflexible, but they often do not complain about it. Th ey may complain that they are not able to do some things such as comb their hair.
- They are very slow in doing everything. They walk very slowly. They often bend forward while walking.
- They have difficulty turning around when they are walking.
- Sometimes they can get stuck in one position. Often this happens while walking, but may happen while doing something else.
- In later stages, they can fall frequently.
- Their friends may notice that their face has become expressionless and they just appear to stare off without blinking into distant space.

All patients do not have all of these symptoms. Some patients experience just the shaking of hands; other people experience just the muscle stiffness and so on. Often as people get older, more and more of the dopamine producing cells are destroyed and patients start developing more symptoms. But it takes years for this to happen and it may not happen in all people. In some patients, parkinson's disease remains restricted to just a few symptoms.


5. Ok doctor, thankfully I seem to be having just the hand shaking at this time. But other than the symptoms you just described, I am having other symptoms. I am always constipated, I cannot sleep well, and my saliva keeps dribbling from my mouth. Is it possible that these symptoms are also related to parkinson's disease?
Yes. It is not just possible but very likely that all these symptoms are due to parkinson's disease. Parkinson's disease is recognized by all doctors as a disease affecting movement. But in addition to movement problems, patients can have many other problems.

These are frequently not recognized, even by physicians, and therefore left untreated. If recognized and treated (and simple treatments are available for many of these symptoms), their resolution can significantly improve the patient's quality of life. It is important that your doctor should think about other diseases too. For example

If you have back pain, it is important that the doctor should think about arthritis of the back, if you have impotence your doctor should think about diabetes etc. But in many cases, no other cause can be found - these problems are due to parkinson's disease. About 10-20 years ago, even doctors did not know about these complications of parkinson's disease. It is a matter of great pride for me that I had the opportunity to receive training from the world-famous indian professor who is at the forefront of research regarding these symptoms: Dr. Kallol ray chaudhuri at king's college hospital in london.


6. How can you be sure that I have parkinson's disease?
A better patient history and examination will help me to confirm my diagnosis. We need to rule out other problems which look like parkinson's disease. Certain drugs may produce symptoms that are very similar to parkinson's disease (see list). Make sure you are not taking these medications, and avoid these medications in the future.

There are a few other diseases which have almost the same symptoms at parkinson's disease. Their names are complicated! these include diseases such as progressive supranuclear palsy (psp), multiple systems atrophy (msa) and cortico- basal degeneration (cbd)! th names are not very important the important thing is that there are other diseases that look just like parkinson's disease. Some of these diseases are identified by your doctor by looking for small clues on your exam: such as your blood pressure and the way your eyes move. Now let me tell you something very frankly even after a very detailed history and meticulous examination, the diagnosis may not be clear in some patients, even to the best of doctors in the best of institutions.


7. So isn't there a test for parkinson's disease?
Unfortunately, there is no test for parkinson's disease which can prove it with 100% accuracy. An mri (see information for everyone section) can be helpful to rule out some other diseases e. G. Multiple strokes, and 
Therefore many doctors get an mri in patients with parkinson's disease. There is one test that can be helpful. It

Is called the dat scan. The dat scan is abnormal in parkinson's disease, but it is also abnormal in some other diseases that look like parkinson's disease! therefore it is helpful only in certain cases. There are a few other tests like a cardiac scan (mibg scan), but these are only available at a few research centers, and again, do not help to completely rule out other diseases.


8. But. That is very concerning. What you are saying is that in some patients the diagnosis remains unclear?
You are correct. In most cases, the diagnosis of parkinson's disease can be made with certainty. But about 10% of patients have an uncommon mixture of symptoms so that no doctor, no blood test, no investigation can confidently determine if the patient has parkinson's disease or if he/she has another, similar disease. In such cases, most doctors explain the situation to the patients, and give them anti- parkinson's medications such as levodopa. Usually, a dramatic improvement is seen if the patient has parkinson's disease. If a patient takes an adequate quantity of Levodopa for 4-6 weeks and there is no clinical improvement, it is very unlikely that he has parkinson's disease.

These medications cause clinical improvement in about 1/3rd of all patients with the other diseases such as msa, psp etc. However, this improvement is not as dramatic as the improvement seen in parkinson's disease and frequently does not last as long. As the years go by, other symptoms develop (such as urinary problems, eye movement problems and falling) and a more definite diagnosis can be made on the basis of repeat examination.

9. Hmm. Doctor, there must be several medicines for parkinson's. If the parkinson's is caused by a lack of dopamine, shouldn't consuming dopamine help to reduce the symptoms of the parkinson's?
Yes, there are many medications and yes you are correct providing extra dopamine to the brain is one of the best ways to make the symptoms better. I have provided a list of these medications, but it is worth highlighting two of them: levodopa is the oral form of dopamine. It is converted into dopamine when it goes inside the brain. Th is is usually the fi rst medication that is started. It is available in standard, dispersible and extended-release

Preparations. Young patients with very mild symptoms of parkinson's disease are given a diff erent kind of medication initially. These medications are called dopamine agonists. Th ere are 3 dopamine agonist medications: pramipexole, ropirinole, and rotigotine. Th ey are available in standard and extended release preparations.


10. So, what you are saying is that the dose of parkinson's medications does not stay constant throughout life?
You are correct. Parkinson's disease often progresses as patients grow older. Some symptoms change and become less prominent but on the whole the symptoms become more severe. Th is progression is probably caused by gradual death of more and more cells producing dopamine. Very few people have side eff ects due to these based on the symptoms that develop, the medications. Often, parkinson's disease dose of parkinson's medication may need progresses as patients grow older and new to be changed, or new medications may be given. For example, if you have trouble sleeping at night, then the doctor can ask you to take an extra levodopa pill at night or an extended release ropnirole pill. If the benefi cial effect of levodopa is not lasting for as long as it used to, the doctor may ask you to take entacapone with the levodopa. If you have constipation the doctor will prescribe a laxative and so on. Sometimes it may take a few trials of different medications over 1-2 weeks to find the right combination that works for you. Parkinson's is not a deadly disease. Th ere are many medications for parkinson's. Th e doctor needs to have precise information about the patient's symptoms in order to prescribe the right medications. In parkinson's disease, the doctor needs help from his/her patient. It is essential to record your symptoms accurately and visit your doctor regularly, every 3 to 6 months.


11. Doctor, you are saying that frequently the dose of levodopa needs to be increased. But what happens if too much levodopa gets into the person's brain?
Yes, this can happen but it is not life-threatening. When there is excessive dopamine in the brain, the body starts moving too much. Often there are small jerks in the neck, shoulders and sometimes in the leg. If you are a fan of michael jackson, you have seen break-dancing. Th ese excessive movements look like break-dancing. Th e medical term

For these excessive movements is dys-kinesias. It is very important for you to be aware of them and remember the word: dys-kinesias. Often, dys-kinesias are at their maximum 1-2 hours after you take levodopa. If you have trouble recognizing these movements, you should take a video of any suspicious movements on your smartphone and show it to your doctor. In the early stages of parkinson's disease, dys-kinesias are only seen when the

Levodopa dose is very high. But in more advanced stages, they may be seen at lower doses and giving the patient an adequate dose of levodopa without producing dyskinesias may become diffi cult. At this stage, some dyskinesias may need to be tolerated. If you are suff ering from dyskinesias, you can reduce the dose of levodopa that you are

Taking. But this may result in some of the symptoms of parkinson's disease (slowness, rigidity, freezing etc) to reappear. Another way in which dyskinesias may be reduced is by giving you amantadine.


12. I am getting it now, doctor. This is like a weighing scale isn't it? too little levodopa causes the parkinson's disease symptoms to come back, and too much levodopa action causes dyskinesias.
Yes! th at is absolutely right. In the initial stages, balancing this weighing scale is very easy. But after 10, 15 or in some cases 20 years, balancing this scale becomes diffi cult. After taking levodopa, many patients improve but also get dyskinesias. It becomes impossible to fi nd a levodopa dose that causes improvement without producing dyskinesias. Th erefore, at this stage, some dyskinesias may need to be tolerated as long as you are able to function satisfactorily.


13. So doctor, you told me what happens when there is too much dopamine action in the brain. What if the there is too little dopamine action in the brain? What if levodopa just stops working?
Levodopa never stops working. But it may become less effective, and its effect may become short-lived. Th ere could be many reasons for levodopa to become less eff ective. These are listed separately the most important reason is that the patient may not be taking the levodopa on an empty stomach. As parkinson's disease advances, the eff ect of levodopa lasts for a shorter duration of time. Here is a somewhat typical story from such a patient. Remember, this happens only in few cases:
Taking the tablet helps me only for a short time. When I wake up in the morning, my feet contract, twist and become painful.


14. I understand. It must be difficult at that stage to find the right combination of medications. What if the situation worsens further?
Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to find the right combination; sometimes even 3-4 trials of diff erent combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health.

Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's

Patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. Th en I take my morning dose of levodopa

And feel good. Sometimes I get some dyskinesias, but I don't complain about them because I am feeling good. But only an hour or 1.5 hours later, the symptoms of parkinson's disease start coming back. I become slower and slower, and then freeze. I get better again when I take levodopa, but I can't keep taking levodopa every hour!

I understand. It must be difficult at that stage to fi nd the right combination of medications. What if the situation worsens further?

Yes. And I think it is vital for patients to understand this. Frequently, with the right combination of medications the patient can get better. But it can take some time to fi nd the right combination; sometimes

Even 3-4 trials of different combinations may be required. If a patient gives up hope and gives up in the middle of these trials, the only possible outcome is progressive deterioration of the patient's health. Sometimes, inspite of repeated adjustments, a good combination of medications cannot be found. But remember this situation arises 10-20 years after the parkinson's symptoms have been detected. Many parkinson's patients do not have to face this situation. If the right combination of medicines could not be found even after many trials, then still there is one solution. Brain surgery. A proper mixture of medications may help this situation as well. I had given you an
Example of this earlier: entacapone can prolong the eff ect of levodopa.


15. Doctor. Brain surgery? are you kidding me? this is a big deal. By the way, what is this surgery called?
I know brain surgery is a big deal. This surgery is called deep brain stimulation, or this is a brain surgery, but a relatively dbs

If your symptoms are well controlled with medications, no doctor in their right mind would recommend you to have surgery. But in a few patients, medications no longer produce adequate improvement. Either the improvement lasts for a very short time, or the medication produces such dramatic dyskinesias that giving an adequate dose is impossible.

Approximately, 70% of such patients benefit from this surgery. The improvement is very significant, but dbs does not make all symptoms of parkinson's disease magically disappear. It is very important to have realistic expectations from the surgery. The improvement seen after surgery is batteries last for about 5 years, and can be Replaced when required.


16. Well. How is this surgery done?
This is a brain surgery, but a relatively minor one. A metal frame is usually attached to the patient's head. A very small hole (approximately 1 cm in diameter) is made in the head, and a thin (1 to 1.5 mm thick) wire is inserted through it. The wire is pushed into a very particular part of the brain called the sub-thalamic nucleus. Th e same process is repeated on the other side and another small wire is inserted. These wires are then connected to a small battery (a square of approx. 3 inch) that is kept in the skin below the chest. No part of this device can be seen from the outside, and any scars on the head are usually covered by hair in a few weeks. Th e device is usually turned on 4 weeks after the surgery. On an average, most.


17. I see. Doctor, does DBS cure all symptoms of parkinson's disease?
No. DBS surgery improves only those symptoms which improve after levodopa.

- Dbs surgery prolongs the eff ect of levodopa, decreases dyskinesias, improves slowness of movement, hand shaking, muscle stiff ness and in general makes the patient much more functional. However, symptoms that do not get better after levodopa such as freezing and falling usually do not get better after dbs.

- Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body. Other symptoms that we talked about e. G. Sleep problems may get better after dbs. I conducted an audit of sleep symptoms after dbs during my time in london at king's college hospital, and found that there is

Significant, but non-dramatic, improvement in many patients.

Two problems can become worse after DBS:
(i) Severe psychiatric problems such as severe depression and hallucinations and
(ii) Severe diffi culties of thinking and memory. If any of these problems are severe, dbs is usually not off ered to the patient. If a patient has severe psychiatric problems and is under treatment, dbs may be considered in the future if they completely resolve.


18. Okay doctor, what are the risks of this surgery?
Th ere is a small amount of risk involved in any surgery. Since dbs surgery is relatively minor, the risk is low but is not non- existent.
- The risk of death is less than 1%
- Approximately 5% of patients can have serious complications such as stroke, seizure and infection. But most of these problems are cured with medications. Only 1% of these patients have permanent problems from these complications, such as permanent weakness of one side of the body.
- A few patients have minor problems such as problems in wire connections or a non-functioning battery. Th ese are easily corrected. In short, about almost 90-95% of patient do not have any complications during or after the surgery, and the risk of death or permanent problems is very small (lts 2%).


19. Can the doctor guarantee a significant benefi t after DBS surgery?
No. No doctor in the world can guarantee Improvement after dbs. Th at being said, improvement happens in most patients as long as they are carefully selected. Before off ering you option of surgery, the doctor will give you a large dose of levodopa and make sure that your symptoms improve significantly. He/she will tell you that this is the maximum benefit that you may get after dbs, and try to set realistic expectations so that you are not disappointed after the surgery. Often the surgery is followed by a period of temporary improvement, even before the battery is switched on. This improvement Goes away in a few weeks. Th is is expected and you should not be disappointed - this is a good sign. After the battery is switched on, it may take between 3-6 months to achieve the optimal balance between your dbs and medications. During this time, your symptoms will improve gradually. But you should be patient if your symptoms

Have not improved within 1-2 months there is a good chance they will improve with further dbs adjustments. Most patients improve after dbs surgery, but a few people do not improve. Th e reason why these people do not benefit from dbs surgery is unknown, and this is being vigorously researched in the us, uk and other countries. Read more here

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What is the symptoms of dengue and I have fiver for over last 4 Days what should and I do.

MBBS
General Physician, Cuttack
What is the symptoms of dengue and I have fiver for over last 4 Days what should and I do.
Symptom 1. Sudden high fever, severe headache 2. Severe bone and joint pain, pain behind eyes 3. Fatigue, nausea and vomiting, pain abdomen, loss of appetite 4. Skin rash may appear 2-5 days after fever 5. Blood platelet count is low and dengue antigen test (ns1) is positive if you have fever 1. Take one tablet of crocin advance (500 mg) as and when required upto a maximum of three tablets daily after food 2. Cold sponging sos 3. Drink plenty of water 4. Take rest 5. If no relief do blood examination like esr, cbc, widal/ typhidot test, blood for mp/malaria antigen, dengue antigen (ns1) test, urine re/me, x ray chest after consulting physician and follow the advice and treatment.
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I am suffering from cough and cold three months per day sneezing problem and always running my nose.

MBBS
General Physician, Mumbai
Dear Lybrateuser, - Your problem could be due to allergy, chronic rhinitis, sinusitis, nasal problem like a polyp or low immunity - avoid exposure to cold weather, dust, smoke or sprays - have more of warm fluids, water, tea, coffee, milk, soup, avoid cold fluids including aerated drinks - do steam inhalation twice a day - take tablet levocetrizine, 10 mg, 1 tablet daily in the evening - take syrup Chericof, 2 teaspoonful three times a day - have 7-8 glasses of water for proper hydration - avoid spicy, sour & junk food - do warm salt water gargles three times a day if there is pain or irritation in the throat - have a well balanced diet with more of fruits & vegetables including green leafy & seasonal ones to boost your immunity - do regular exercise like walking, jogging, also do yoga & deep breathing for 5-10 min to keep your body fit - do x- ray chest & Paranasal sinuses to rule out any other problem & consult a doctor.
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My teeth showing yellowish color and while speaking bad odour is coming I am using Colgate paste please suggest what can I do.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
My teeth showing yellowish color and while speaking bad odour is coming I am using Colgate paste please suggest what ...
Go for proper consultation and accordingly go for treatment. You may required deep scaling and polishing.
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Piles and Homoeopathy

BHMS
Homeopath, Chennai
Piles and Homoeopathy

Piles are painful, swollen veins in the lower portion of the rectum or anus. This condition is very common, especially during pregnancy and after childbirth. Piles result from increased pressure in the veins of the anus. The pressure causes the veins to bulge and expand, making them painful, especially while sitting. The most common cause is straining during bowel movements. Hemorrhoids may results from constipation, sitting for long periods of time, and anal infections. In some cases, they may be caused by another disease such as liver cirrhosis. Classification Piles are classified mainly in to Internal piles - occur just inside the anus, at the beginning of the rectum. External piles - occur at the anal opening and may hang outside the anus. Causes of piles Repeated pressure on the anal or rectal veins, which causes them to stretch. Risk factors involved A diet lacks fiber Prolonged sitting or standing Overweight people Pregnancy Chronic constipation Chronic diarrhea Loss of muscle tone in older adults Rectal surgery or episiotomy Liver disease Anal intercourse Colon cancer Sign and symptoms Although piles may be asymptomatic, they characteristically cause painless, intermittent bleeding, which occurs on defecation. Bright red blood appears on the stool. These first degree piles may itch because of poor anal hygiene. When second degree piles prolapse, they are usually painless and spontaneously return to the anal canal following defecation. Third-degree piles cause constant discomfort and propalse in response to any increase in intra-abdominal pressure. They must be manually reduced. Thrombosis of external piles produces sudden rectal pain and a subcutaneous, large, firm lump that the patient can feel. If piles cause severe or recurrent bleeding, they may lead to secondary anemia with significant pallor, fatigue, and weakness; however, such systemic complications are rare. Diagnosis of piles Diagnosis mainly includes physical examination which confirms external piles. Proctoscopy is mainly done in the case of suspected internal piles and rectal polyps. Homeopathic treatment of piles Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using a holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat piles but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to treat piles that can be selected on the basis of cause, sensations and modalities of the complaints. For individualized remedy selection and treatment, the patient should consult a qualified homeopathic doctor in person. There are following remedies which are helpful in the treatment of piles: Aesculus Hip. - abdominal plethora; throbbing deep in abdomen, particularly in hypogastric region; piles, bleeding or not, with feeling of dryness in rectum; as though little sticks or splinters were pricking the folds of the mucus membrane; weak feeling at sacro-iliac symphysis; though the legs were about to give out, worse by stooping forward and when walking; aching between shoulders; desire to strain at stool for a long time, pain shoot up the rectum; from the tumors, with lameness and aching in back, purple piles; depressed and irritable. Dark red congestion of fauces, with dryness and soreness, from abdominal plethora. Collinsonia - excellent remedy for piles; obstinate cases of piles; especially used in females with the inertia of the rectum and a congestive tendency to the pelvic organs; it suits pregnant women who suffer from piles, and pruritus may be a marked symptom. The indicating symptoms are chiefly a sensation of sticks in the rectum, with constipation from the inertia of the lower bowel. It is specially applicable to heart pains resulting from a suppression of a habitual haemorrhoidal flow. Hamamelis - one of the best remedies for piles; bleeding piles; the flow of blood is quite copious, and the greatly characterized indication is excessive soreness. Aloes - one of the most useful remedies for piles; indicated where the piles protrude like a bunch of grapes, bleeding often and profusely, and are greatly relieved by the application of cold water. There is a very marked burning in the anus, the bowels feel as if scraped. There is a tendency to diarrhea, with the well known uncertain feeling in the lower bowel. Nux Vomica - if the piles are large and blind, with a burning, stinging and constricted feeling in the rectum and a bruised pain in the small of back, and especially if excited by sedentary habits or abuse of stimulants, than Nux Vomica may be prescribed. Itching piles keeping the sufferer awake at night, relieved by cold water, or bleeding piles with constant urging to stool. And a feeling as if the bowel would not empty itself are further indications. Capsicum - bleeding or blind piles, protruding swollen, itching, throbbing and burning as if pepper were sprinkled on them. Sore feeling in the anus. Piles with mucus discharge, bloody mucus stool. Great thirst followed by shuddering after stool. Associated symptoms are persistent thoughts of suicide, lack of vital heat, craving for warm things, stimulants and pungent things. Muriatic acid - piles large, swollen, dark purple or blue haemorrhoides which are extremely sensitive and pains to touch. Inflamed piles, hot and pulsating, must lie with limbs wide apart, too sore, to bear the least touch even the bed sheet is uncomfortable. Piles while urinating or with stool, bleeding piles with burning and cutting during and after stool. Ameliorated by the warm application; aggravation by cold application. Sulphur - sulphur is a very good remedy for piles when the constitutional symptoms are there. External and internal piles, great bunches that are sore and raw, burning and tender, and bleed and smart with loose stool, complaints aggravate when standing when washing and from the warmth of bed. Ammonium carb - piles protrude, independent of stool; protrusion of piles after stool with long lasting pains; cannot walk, or the piles protrude during a stool and recede when lying down; they are usually moist and pain as if excoriated; bloody discharge during and after stool.

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I am suffering from severe hair fall and have tried allopathic treatment but nothing happened. Currently there is serious dandruff on my hair currently using ketoconazole 1percent shampoo to wash hair daily. So please suggest me some homeopathy treatment for the same and since I am living in gurgaon so please help me in decide to chose best homeopathy or allopathic doctor for the treatment so I can get a proper treatment for this disease. Also I feel itching on scalp. Any help would be greatly appreciated. Please please help me in deciding doctor.

BHMS
Homeopath,
I am suffering from severe hair fall and have tried allopathic treatment but nothing happened. Currently there is ser...
Dear Lybrate User, Hair growth occurs in cycles. Each cycle consists of a long growing phase (anagen), a short transitional phase (catagen) and a short resting phase (telogen). At the end of the resting phase, the hair falls out (exogen) and a new hair starts growing in the follicle beginning the cycle again. Normally, about 40 hairs reach the end of their resting phase each day and fall out. When more than 100 hairs fall out per day, clinical hair loss may occur. Hair loss have many causes such as:- 1) Shrinkage of the hair follicles due to the influence of androgenic hormones. 2) Under-nutrition of the hair due to fungal infection on the scalp. 3) Effects of Radio therapy or Chemotherapy. 4) Nutritional deficiencies. 5) Autoimmune diseases. Modes of treatment for hairfall/alopecia includes surgical modes, oral medicine & local external application. The minimum duration of the course of oral medicines & external application is 6 months. You can start the following medications:- 1) Take 5 drops of Homeopathic SULPHUR 200, once in a week. 2) Take 5 drops of Homoeopathic SELENIUM 200 every morning before brushing your teeth. 3) Take 4 tablets from Biochemic NATRUM MUR 6X TABLETS, thrice daily. Just chew the tablets as those tablets are sweet in taste. 4) Take Homoeopathic Mother Tincture ACID PHOS Q, 30 drops, twice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via Lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition.
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Sir I am 18 years old and I have to much hair on my chest and also as well as public hair and it is keep growing fastly day by day. So sir I can slow or reduce the hair growth of chest and genital. I have also lots of legs hair. Please give some tips.

MD - Dermatology
Dermatologist, Pathanamthitta
Sir I am 18 years old and I have to much hair on my chest and also as well as public hair and it is keep growing fast...
Facial and body hair is due to hirsutism.This doesnt improve with home remedies,medicines or creams,but definitely improves with laser treatment.This is the only permanent solution for it.It's very effective,safe and economical.It gives u your money's worth.
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Is there any natural ways to increase the size of male testicles, which results more sperm production?

MBBS
General Physician, Jalgaon
Is there any natural ways to increase the size of male testicles, which results more sperm production?
Daily perineal exercises Daily yoga and pranayam Daily jogging Take Onion juice with honey twice a day for 3 months Cap gokhshur by Himalaya 2 2 for 3 mths.
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I have a desk job in the last two year my weight has gone up75 to 85 kgs. I want to lose weight please help?

BHMS
Homeopath, Delhi
I have a desk job in the last two year my weight has gone up75 to 85 kgs. I want to lose weight please help?
Pls get up from your seat every 1-2 hrs. Do not skip any meals take frequent and small meals take your dinner by 7: 30 avoid fried and sweets take only 1 tsp sugar in a day.
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I always suffering from night fall how I can control it. I try to control but I don't know how automatically happened.

BHMS
Homeopath, Sindhudurg
I always suffering from night fall how I can control it. I try to control but I don't know how automatically happened.
Night fall is a term applied to the involuntary discharge of semen during sleep. In the beginning such discharges take place by an amorous and sexual dream and consequently erection is attained fully and semen is discharged. Once this disease is not cured, such discharges take place quite frequently even without dreams and erection. Nocturnal Emission is a one kind of problematic condition, which harasses the males at some point in their life. With frequent nocturnal emission males experience fatigue, low desire for lovemaking, problems related to erections and also premature ejaculation. Along with these problems others like back pain, testicular pain, burning during urination, irritated behavior and anxiety can also creep up. Homoepathic treatment for night emission in men not only stop nocturnal emissions but also alleviate side effects of the problem. Adult males generally develop this problem due to weak nerves, lesser muscular strength, fatigue, lethargic lifestyle, diseases and due to side effects of medicines. Also too much alcohol, smoking, drugs or too much coition, hand practice or erotic fantasies and thoughts can cause frequent nocturnal emissions.
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I'm 26 age. Body weight is 45 kg. How to get body weight. please give me some tips.

B.Sc.(Hons), P.G.Dietetics
Dietitian/Nutritionist, Gurgaon
I'm 26 age. Body weight is  45 kg.
How to get body weight. please give me some tips.
You need to increase your food intake. Eat every 2 -3 hours. Include milkshakes, sweets, custards, chocolates, dry fruits like kaju, kismis, badaam, etc. Have aloo / paneer Parathas in breakfats, 2-3 chapatis with a bowl of rice and dal, vegetables, salad and curd. If non-vegetarian, eat chicken, eggs, fish, meat (ocassionally).
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Sir some of my nerves of brains are found weak in my MRI report. These nerves continuously creates a disturbance and feels like beating like heart beats. It make me uncomfortable while making concentration in studies and some time I feel everything blank. I want to know the reason behind this problem. Is it stress or depression that I had for a long time or anything else.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Sir some of my nerves of brains are found weak in my MRI report. These nerves continuously creates a disturbance and ...
Dear lybrate user. Don't worry about the reasons. Think about what is to be done. Be happy, engage in sports, games and entertainment, include nuts in your food. You will be alright. Take care.
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