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Dr. P Rangamani

General Physician, Hyderabad

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Dr. P Rangamani General Physician, Hyderabad
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. P Rangamani
Dr. P Rangamani is a renowned General Physician in Begumpet, Hyderabad. You can meet Dr. P Rangamani personally at Sai Rama Clinic in Begumpet, Hyderabad. Save your time and book an appointment online with Dr. P Rangamani on Lybrate.com.

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Sai Rama Clinic

Opposite To Reserve Bank Of, India, Begumpet, HyderabadHyderabad Get Directions
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I am having frequent cold, throat congestion and running nose so I feel sick. Please Help me out.

MD - Ayurveda
Ayurveda, Hyderabad
I am having frequent cold, throat congestion and running nose so I feel sick. Please Help me out.
Hello, Steam inhalation twice a day, gargals with warm water, salt and turmeric powder, drink decoction of tulasi leaves and ajwain twice a day.
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Epilepsy - Is Surgery An Option?

MS (Surgery), Mch (Neurosurgery)
Neurosurgeon, Guwahati
Epilepsy - Is Surgery An Option?

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the ‘seizure’ focus. This area should not be related critical functions of the brain like movement, sensation, and language involved – else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

  1. Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
  2. Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain – the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
  3. Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1923 people found this helpful

Dear Doctor, I have an doubt that I am taking Tablets for Diabatees since 2010, controlled my diabeties. Any side effect for taking medicines for long period ? .

MD - Consultant Physician
General Physician, Mumbai
If medicines are required, you should take them. Side effects are minimal. The benefit of keeping your diabetes under control far outweighs any side effects.
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Delayed Speech And Language

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Delayed Speech And Language

As with other skills and milestones, the age at which kids learn language and start talking can very. Many babies happily babble" mama" and" dada" well before their first birthday, and most toddlers can say about 20 words by the time they're 18 months old. But what if a 2-year-old isn't really talking yet or only puts two words together? 

Knowing what's" normal" and what's not in speech and language development can help parents figure out if there's cause for concern or if their child is right on schedule.

How are speech and language different?

Speech is the verbal expression of language and includes articulation (the way sounds and words are formed).

Language is the entire system of giving and getting information in a meaningful way. It's understanding and being understood through communication — verbal, nonverbal, and written.

What are speech or language delays?

Speech and language problems differ, but often overlap. For example:

A child with a language delay might pronounce words well but only be able to put two words together.

A child with a speech delay might use words and phrases to express ideas but be difficult to understand.

When do kids develop speech and language skills?

The stages of speech and language development are the same for all kids, but the age at which kids develop them can vary a lot.

During routine speech therapist/ doctors look to see if kids have reached developmental milestones at these ages:

Before 12 months

By the first birthday, babies should be using their voices to relate to their environment. Cooing and babbling are early stages of speech development. At around 9 months, babies begin to string sounds together, use different tones of speech, and say words like" mama" and" dada" (without really understanding what those words mean).

Before 12 months of age, babies also should be paying attention to sound and starting to recognize names of common objects (bottle, binky, etc.). Babies who watch intently but don't react to sound could be showing signs of hearing loss

By 12 to 15 months

Kids this age should have a wide range of speech sounds in their babbling (like p, b, m, d, or n), begin to imitate sounds and words they hear, and often say one or more words (not including" mama" and" dada"). Nouns usually come first, like" baby" and" ball" they also should be able to understand and follow simple one-step directions (" please give me the toy" etc.).

From 18 to 24 months

Most (but not all) toddlers can say about 20 words by 18 months and 50 or more words by the time they turn 2. By age 2, kids are starting to combine two words to make simple sentences, such as" baby crying" or" daddy big" a 2-year-old should be able to identify common objects (in person and in pictures); point to eyes, ears, or nose when asked; and follow two-step commands (" please pick up the toy and give it to me" for example).

From 2 to 3 years

Parents often see huge gains in their child's speech. A toddler's vocabulary should increase (to too many words to count) and he or she should routinely combine three or more words into sentences.

Comprehension also should increase — by age 3, a child should begin to understand what it means to" put it on the table" or" put it under the bed" kids also should begin to identify colors and understand descriptive concepts (big versus little, for example).

What are the signs of a speech or language delay?

A baby who doesn't respond to sound or who isn't vocalizing should be seen by a doctor right away. But often, it's hard for parents to know if their child is just taking a little longer to reach a speech or language milestone, or if there's a problem that needs medical attention.

Here are some things to watch for. Call your doctor if your child:

By 12 months: isn't using gestures, such as pointing or waving bye-bye

By 18 months: prefers gestures over vocalizations to communicate

By 18 months: has trouble imitating sounds

Has trouble understanding simple verbal requests

By 2 years: can only imitate speech or actions and doesn't produce words or phrases spontaneously

By 2 years: says only certain sounds or words repeatedly and can't use oral language to communicate more than his or her immediate needs

By 2 years: can't follow simple directions

By 2 years: has an unusual tone of voice (such as raspy or nasal sounding)

Is more difficult to understand than expected for his or her age:

Parents and regular caregivers should understand about half of a child's speech at 2 years and about three quarters at 3 years.

By 4 years old, a child should be mostly understood, even by people who don't know the child.

What causes speech or language delays?

A speech delay in an otherwise normally developing child might be due to an oral impairment, like problems with the tongue or palate (the roof of the mouth). And a short frenulum (the fold beneath the tongue) can limit tongue movement for speech production.

Many kids with speech delays have oral-motor problems. These happen when there's a problem in the areas of the brain responsible for speech, making it hard to coordinate the lips, tongue, and jaw to produce speech sounds. These kids also might have other oral-motor problems, such as feeding difficulties.

Hearing problems are also commonly related to delayed speech. That's why an audiologistshould test a child's hearing whenever there's a speech concern. Kids who have trouble hearing may have trouble articulating as well as understanding, imitating, and using language.
Ear infection especially, chronic infection, can affect hearing. Simple ear infections that have been treated, though, should not affect speech. And, as long as there is normal hearing in at least one ear, speech and language will develop normally.

How are speech or language delays diagnosed?

If you or your doctor think that your child might have a problem, it's important to get an early evaluation by a speech_ language therapistyou can find a speech-language pathologist on your own, or ask your health care provider to refer you to one.

The speech-language pathologist will evaluate your child's speech and language skills within the context of total development. The pathologist will do standardized tests and look for milestones in speech and language development.

The speech-language pathologist will also assess:

What your child understands (called receptive language)

What your child can say (called expressive language)

If your child is attempting to communicate in other ways, such as pointing, head shaking, gesturing, etc.

Sound development and clarity of speech

Your child's oral-motor status (how the mouth, tongue, palate, etc, work together for speech as well as eating and swallowing)

Based on the test results, the speech-language pathologist might recommend speech therapy for your child.

How does speech therapy help?

The speech therapist will work with your child to improve speech and language skills, and show you what to do at home to help your child.

What can parents do?

Parental involvement is an important part of helping kids who have a speech or language problem.

Here are a few ways to encourage speech development at home:

Spend a lot of time communicating with your child. Even during infancy — talk, sing, and encourage imitation of sounds and gestures.

Read to your child. Start reading when your child is a baby. Look for age-appropriate soft or board books or picture books that encourage kids to look while you name the pictures. Try starting with a classic book (such as pat the bunny, in which your child imitates the patting motion) or books with textures that kids can touch. Later, let your child point to recognizable pictures and try to name them. Then move on to nursery rhymes, which have rhythmic appeal. Progress to predictable books (such as brown bear, brown bear, what do you see?) that let kids anticipate what happens. Your little one may even start to memorize favorite stories.

Use everyday situations. To reinforce your child's speech and language, talk your way through the day. For example, name foods at the grocery store, explain what you're doing as you cook a meal or clean a room, point out objects around the house, and as you drive, point out sounds you hear. Ask questions and acknowledge your child's responses (even when they're hard to understand). Keep things simple, but avoid" baby talk"

Recognizing and treating speech and language delays early on is the best approach. With proper therapy and time, your child will be better able to communicate with you and the rest of the world.

I am having cold from several months but its not curing so please prescribe some medicine.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am having cold from several months but its not curing so please prescribe some medicine.
you have fever from several months..go for tests mountex tests,cbc,mp,typhi-dot, because there are many reasons . from these tests it confirm causes of fever from several months. till then you can take combiflaim thrice a day after meal. cap. pan-40 mg once a day before meal . go for tests thyroid profile,cbc,mp,widal,urine r/m. to confirm why body temperature rise of your body. drink warm water, juice,green veg. Soups,lquid diets, dalia, take protein diets, tulsi leaf in tea or warm water, geloy juice, avoid cold area,cold things .i.e. ice creams, fast/junk foods, chinese foods,spicy foods, fat meal, take bed rest , feel cold then cover body with warm cloths, avoid dust area, clean body, change cloths daily, change bed sheet daily, avoid stress.avoid non-veg.,avoid alcohol intake if smokes avoid also that. Cold sponging if get high fever.
2 people found this helpful
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I have penis 1.5 inches when flaccid 4 inches when fully erect can I have a sex with my partner and she get pregnant or not plzz say the answer.

MBBS
General Physician, Mumbai
I have penis 1.5 inches when flaccid 4 inches when fully erect can I have a sex with my partner and she get pregnant ...
get a semen analysis done. if your semen has adequate sperm count motility and viability you are capable of making a female pregnant.
1 person found this helpful
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I have a pain in my stomach sometimes It may be orbitary but very fast which is out of control give me the right solution please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have a pain in my stomach sometimes It may be orbitary but very fast which is out of control give me the right solu...
hi for abdomen pain, first of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late nght sleep take fomllowing medication 1.shankha vati 1 tab before lunchand dinner 2.triphala kadha 4 tsp before lunch and dinner
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My brain got full of negative think. Whenever I see women I start thinking about sex and at last I have to masturbate. When I want to do study or other work I start thinking about sex. When I go on bed for sleep and close my eyes I thinks about sex. I think its destroying my life. I have not control over it. Please help me. Thanks in advance.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
My brain got full of negative think. Whenever I see women I start thinking about sex and at last I have to masturbate...
Hello- These are the symptoms of psychological involvement in sexual weakness. when sexual weakness persist for a longer period of time it interferes with the brain function. It decreases will power and pushes a person more towards masturbation. You need to start medication to get rid of your problem effectively.
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Hello I am jyothi sudheer. I am 22. My weight is 79 and height is 5.5. And I am suffering from thyroid and pcod. For thyroid I am taking 75 mcg and for pcod I am using metformin. I want to loose weight. Within 3 months I have to reduce 15 kgs pls suggest me the high protein diet and low carbohydrates diet. Pls. I want high protein diet chart.

MD, MBBS
General Physician, Noida
Hello I am jyothi sudheer. I am 22. My weight is 79 and height is 5.5. And I am suffering from thyroid and pcod. For ...
Firstly your hormonal treatment should be perfect and for that you keep on doing regular consultations and check-ups with your doctor, better, an endocrinologist or a physician with good knowledge of endocrinology. Secondly, you have to perform exercises regularly and may join a gym or better you start playing badminton or table tennis or lawn tennis, which involves exercise, recreation and sport’s talent and creates interest in you while pure exercises are boring. You may also do dancing and swimming. These are also good exercises as well as recreation. Thirdly, diet control or taking balanced diet. Reduce carbohydrates. So, avoid rice, potato and ghuiyan (colocasia). Also reduce wheat. In place take besan’s (gram flour) chapaati. Increase pulses containing proteins. Soyabeen has good amount of proteins. Use soya badi or soya paneer. Use skimmed milk or skimmed milk products. Also avoid meat or fish containing fat and high calories. Prawn are low fat high protein diet. Also decrease overall intake of food. Take lot of salad like cucumber, tomato etc to quench your hunger. Take plenty of low fat green vegetable dishes like loki, tori, shaljam, paalak, mooli, shimla mirch. Also use green tea. Take plenty of water frequently. Avoid sugar or sugared tea or coffee, chocolates, sweets and very sweet fruits like grapes. You may take seasonal fruits like amrood, ev (apple), banana in limited quantities.
1 person found this helpful
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Hi, m 23 years old unmarried. I have a cyst in left ovary. And m taking contraceptive pill crisanta. But I did the sex yesterday and discharged inside. Is it possible to get pregnant while on pills. Last periods are on 24 may.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hi, m 23 years old unmarried. I have a cyst in left ovary. And m taking contraceptive pill crisanta. But I did the se...
Since you are already on oral contraceptive pills so the chances of getting pregnant is very unlikely or almost nil, if pill taken correctly.
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