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Dr. Lakshmi Naresh

Psychiatrist, Hyderabad

100 at clinic
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Dr. Lakshmi Naresh Psychiatrist, Hyderabad
100 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Lakshmi Naresh
Dr. Lakshmi Naresh is a trusted Psychiatrist in Gandhi Nagar, Hyderabad. She is currently practising at Sri Narmada Hospital in Gandhi Nagar, Hyderabad. Save your time and book an appointment online with Dr. Lakshmi Naresh on Lybrate.com.

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Sri Narmada Hospital

Door No. 1-1-770/A/1/1, New Bakaram, Gandhi Nagar, Landmark: Near Canara Bank, HyderabadHyderabad Get Directions
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Symptoms And Diagnosis Of Alcohol Withdrawal Syndrome!

DPM, Msc Psychiatry, MBBS, Mental health training DMHP Nimhans Echo
Psychiatrist, Muzaffarpur
Symptoms And Diagnosis Of Alcohol Withdrawal Syndrome!

Alcohol Withdrawal Syndrome is the name given to the symptoms seen in you if you consume heavy doses of alcohol frequently and then suddenly quit or reduce your alcohol intake considerably. These symptoms may surface anytime between six hours to a few days after you last drank.

Common symptoms of alcohol withdrawal syndrome:

All these symptoms may worsen over a few days and may even last till a few weeks.

What is the root cause?

Alcohol arouses your nervous system. In case you are a heavy drinker, your body gradually gets dependent on alcohol, and cannot adapt too easily to the lack of alcohol after you have abruptly quit. This is the root cause of Alcohol Withdrawal Syndrome (AWS).

Who is at risk?

You are at the maximum risk of AWS if you are an alcohol addict, or you cannot gradually cut down on its intake.

How do doctors diagnose AWS?

Usually, doctors will search for a few symptoms in you, like irregular heart rate, dehydration, fever, and tremors or minor fits. A toxicology screen also helps your doctor finding out the levels of alcohol in your body.

How is AWS treated?

Treatment depends on the severity of the symptoms. Usually are:

1. Home Care - Mild symptoms of AWS can be treated at your home. You need to go for your regular routine checkups and tests. You may also have to go to rehabilitation programs for recovering alcoholics.

2. Hospitalization - If your symptoms are more severe, you may have to be treated in a hospital, where you will be monitored and kept on a fluid diet to help prevent dehydration.

3. Medications - You can also be treated with sedatives.

Do you recover fully?

Usually, chances are that you will fully recover from AWS. If you quit drinking, take your medicines on time, and lead a healthy life thereafter. However, sleep disturbances and fatigue may persist. But, if you have severe symptoms of AWS, you should seek medical care as soon as possible to prevent any further fatal complications. Consult an Expert & get answers to your questions!

2825 people found this helpful

Namaskar sir mera bahut Kathin samasya hai. Mera bahut depression anxiety tention hoti hai. Meh bar bar man meh ek hi chis k liye bolta reheta hu. Mera jab depression anxiety hoti hai tab sar meh bahut dard hoti hai aur pura sar tightness lagta hai, bahut kuch chis vhul jata hu, Nind thik nahi hoti hai, mera ye sammasya 7 year se hai. Meh Himalaya ka Mentat ek dabai leta hu but ye dabai avi thik se kam nahi karta hai. Sir kuch medicine ap bol dene se meh apka avari rahunga.

C.S.C, D.C.H, M.B.B.S
General Physician,
Namaskar sir mera bahut Kathin samasya hai. Mera bahut depression anxiety tention hoti hai. Meh bar bar man meh ek hi...
If you feel depressed, it's best to do something about it — depression doesn't just go away on its own. In addition to getting help from a doctor or therapist, here are 5 things you can do to feel better. 1.Exercise. Take a 15- to 30-minute brisk walk every day — or dance, jog, or bike if you prefer. People who are depressed may not feel much like being active. In addition to getting aerobic exercise, some yoga poses can help relieve feelings of depression. Two other aspects of yoga — breathing exercises and meditation — can also help people with depression feel better. 2.Nurture yourself with good nutrition. Depression can affect appetite. One person may not feel like eating at all, but another might overeat. Proper nutrition can influence a person's mood and energy. So eat plenty of fruits and vegetables and get regular meals (even if you don't feel hungry, try to eat something light, like a piece of fruit, to keep you going). 3.Identify troubles, but don't dwell on them. Try to identify any situations that have contributed to your depression. When you know what's got you feeling blue and why, talk about it with a caring friend. Talking is a way to release the feelings and to receive some understanding. 4. Express yourself. With depression, a person's creativity and sense of fun may seem blocked. Exercise your imagination (painting, drawing, doodling, sewing, writing, dancing, composing music, etc.) and you not only get those creative juices flowing, you also loosen up some positive emotions. Take time to play with a friend or a pet, or do something fun for yourself. Find something to laugh about — a funny movie, perhaps. Laughter helps lighten your mood. 5. Try to notice good things. Depression affects a person's thoughts, making everything seem dismal, negative, and hopeless. If depression has you noticing only the negative, make an effort to notice the good things in life. Try to notice one thing, then try to think of one more. Consider your strengths, gifts, or blessings. Most of all, don't forget to be patient with yourself. Depression takes time to heal. If you are happy with these answers please click on "useful” link so that I can know my efforts are not wasted. If you want more clarifications or prescription for medicines consult me on this site to ask me directly and not in open questions session It's not easy to say exactly what causes depression and anxiety – it's different for everyone. Sometimes a difficult time in you or your mates' life can set off depression or anxiety, sometimes it's caused by a combination of things that has built up over time and sometimes, there's just no obvious cause at all.
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This is regarding my younger sister who has developed an abnormal insane behavior and becomes violent at times. She has developed an habit of picking up all old thoughts and creates her own story and picks up the quarrel with insider and outsiders and then goes on to racism, communial, differences and many acts. She also starts to talk to herself inside a room. She ends up with sleepless nights and again comes up with the same story. Basically her activities are like rewind and forward. This is been going on for 8 years. But on the other side she is very sensible and talks very reasonable and remembers everything from childhood. We r confused and worried about her activities which needs to be stopped once for all. Will really appreciate your help to help us.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
This is regarding my younger sister who has developed an abnormal insane behavior and becomes violent at times. She h...
I think that you have neglected the problem for eight years. It is time you took her to a counsellor and if that person recommends (Which I guess s/he will do), you must take her to the doctor too. This is certainly not normal behaviour and needs intervention. It is difficult to give you a definite diagnosis but in meeting with a counselor it is possible that they could give you one soon. Do not neglect this any further. In the meantime she could be put on a tight time-schedule and made to become functional with a few light responsibilities. she must go for regular exercise, even by force. Her behaviour indicates a lot of anger and fear. So she needs emotional training to handle her feelings normally. Please take her to a counselor immediately.
4 people found this helpful
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Anything I do I get nervous. My heart beat gets faster and I become more worried. Can't concentrate on my studies.

MB, BS. M.D
General Physician, Hyderabad
Anything I do I get nervous. My heart beat gets faster and I become more worried. Can't concentrate on my studies.
It is common to be nervous try to face it too often so that you can get used to it don" nt go to doctor ommediately try to practice patience keep yourself calm if it really taking yourhealth consult any clinical psycologist for help before you see any doctor practice some yoga.
217 people found this helpful
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diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
30 people found this helpful

I am sreenu, actually I have addicted to smoking... Previous if smoke I'll relief... Bt nw I can't quit smoking and I cannot relief by doing the smoking. From last 2 months my chest is paining, I want to quit it. Please give me any suggestions.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
I am sreenu, actually I have addicted to smoking...
Previous if smoke I'll relief...
Bt nw I can't quit smoking and I...
srinu initially you are enjoyed very much. but now you are in problem. better to quit smoking. otherwise you will take severe dose of medicine or you need to consume for long time. it is better to stop. when you have feeling of smoke. it is better to chicklets or chocolates or chewing gum. or take any tiffins or small amount sweets or hot. if you have that thought better to move from that place. better to make friendly relations with who are not smoke. dont sit alone and dont think too much about this problem. better to spend most of the time with good friends. better to share your internal feelings and problems with close friends and family members. better to develop busy schedule of work. if you busy in work there is no chance of smoking. dont make friendly relation with pan shops. better to keep away from them. dont think too much. take right time good food. relax most of the time. be comfortable all the time. be sociable and be happy. ok all the best.
1 person found this helpful
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How do I tackle depressive thoughts, or depression? I maybe harmful for myself. Pls help.

Ph.D - Ph.D in Psychology, Ph. D - Education
Psychologist, Kakinada
How do I tackle depressive thoughts, or depression?
I maybe harmful for myself. Pls help.
First write down all thoughts in your head as they come. Categorise then as useful useless and productive Review thoughts after a week You will understand your problem.
4 people found this helpful
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How to relax our mind. Tension free stress free, I am a student .but I can't control my anger please help.

M.Sc - Applied Psychology, MS - Counselling and Psychotherapy, PG diploma in child guidance and family therapy
Psychologist, Delhi
How to relax our mind. Tension free stress free, I am a student .but I can't control my anger please help.
Hi Lybrate user, For stress relief you can try all these steps. When it comes to short-term methods, I think the best ones are: Sports - physical exercise raises endorphin levels, which makes us happier. Eating something tasty - raises dopamine levels, which makes us happier. Doing things you love - such as going to the movies or spending time with friends, relaxing. Talking to people - share your concerns and stress with you dearest friends, but make sure they are willing to listen to it. Because we are social animals, communicating to others in difficult times really helps. When it comes to long-term, I would say: Meditation - it has been the biggest game changer for me. Its effects don’t come within a day, but when they do, you will notice how dealing with stress has just become so much easier. You will also have your own quiet place to go to. Understanding and awareness - one of the most effective weapons against stress is awareness. You have to understand that life should not be stressful. Don’t take studies, work or other as the most important things in life. See them for what they are. Don’t forget to stop, analyse your thoughts and understand why you are feeling the way you are. You should do this daily or whenever you feel overwhelmed. When you do come to the conclusion that it is all just a game, stress will lose its grip on you. FOR ANGER YOU CAN TRY ALL THESE STEPS. In the short run, Take a break as soon as you recognize that you're angry. Stop what you're doing, get away from whatever is irritating you, and just take a breather. Breathe deeply, from your diaphragm; breathing from your chest won't relax you. Picture your breath coming up from your "gut. Slowly repeat a calm word or phrase such as "relax, "take it easy. Repeat it to yourself while breathing deeply. Use imagery; visualize a relaxing experience, from either your memory or your imagination. Ask for the support of someone you trust. If you're still upset, sharing your concerns with a close friend or confidant might help. Try to see some humor in what angered you. After you've calmed down and established that you're ready to get over the incident, try to see the lighter side. In the long run, Do some physical exercises. The endorphins from exercise can help you calm down, and moving your body provides a physical outlet for your rage. Cognitive restructuring - Ask yourself honestly if you see everyone and everything as an adversary or an obstacle. Odds are, the world isn't exactly that way - but you think it is. Change the way you think about life. Keep a journal of what upsets you and how you plan to fix it. Lastly, if all else fails, visit a mental health professional. THANK YOU ALL THE BEST.
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Diagnosed with ocd .on daxid 250 mg, sizodon 0.5 mg once in the night and twice in the morning and ativan 1.25 mg in bits and pieces depending on when I feel agitated and feel a searing pain in my legs and an intense feeling of helplessness.in the morning I feel very down and have to have a bit of ativan to feel normal and the searing pain dies down .I have the two sizodon 0.5 mg and one David 100 before I go to office. Towards the end of office I feel uneasy and before sleep I have 100 mg daxid and one sizodon 0.5 mg. I am forced to take half a daxid I.e 50 mg early in the morning at about 4 to feel normal. I do not think the combination is working effectively .can you suggest a better combination which removes this low feeling and this feeling of agitatedmess and my down cast hopelessness mood. And this searing pain in my legs.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, You are under a psychiatrist who has been treating you with Daxid, Ativan and Sizodon combination. Please consult her/him again with your concern. She/he may increase your Daxid dose or add another tablet for your OCD or add therapy (ERP) Since you have to attend to your work at office, powerful tranquilizers can not be given in the mornings. Most of OCD and Depression symptoms worsen in the mornings. All these tablets take some weeks to show improvement. Please consult a physician for your searing pain in your legs. It is not due to OCD.
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