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Dr. Ramapat Pratap Mathur

Neurologist, Hyderabad

Dr. Ramapat Pratap Mathur Neurologist, Hyderabad
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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. Ramapat Pratap Mathur
Dr. Ramapat Pratap Mathur is a popular Neurologist in Abids, Hyderabad. You can meet Dr. Ramapat Pratap Mathur personally at Raj Diagnostics in Abids, Hyderabad. Book an appointment online with Dr. Ramapat Pratap Mathur on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 42 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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#4-1-997,Road No. 3,Basheer Bagh, Abids, Landmark: Beside Taj Mahal Hotel, HyderabadHyderabad Get Directions
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I had perineurioma and had the tumour in my feet removed 2 years back: but the pain still prevails - so does the fibroid growth: what should I do now?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consular neuro physio and have ift and laser therapy for 12 days and follow physician medications as such as.
2 people found this helpful
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I have migraine, what prescription should I follow. I have been facing this from last 7 years and getting worst some times.

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.
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Dear Doctor. I have burning sensation in my Both thighs and very recently I have diagnosed with meralgia paraesthetica, which causes the burning sensation. I have done my nerve conduction study. Currently having gabapentin and not felling fully recovered. Is a surgery a good option? Will doing a surgery gives me 100% recovery from meralgia paraesthetica? Please advice me.

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
For meralgia paraesthetica, only conservative rx & physiotherapy is needed. No surgery is helpful, still need to see patient clincially. Gabapentin is good medicine & some supportive medicine can go longer but it may helpful.
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I am 31 years old male. I had a paralytic attack four days ago. My MRI report says that: Cerebral parenchymal: subtle T2& FLAIR hyperintensities are seen in the right frontal, occipital and parietal regions. These show diffusion restrictions with low ADC values. Multiple areas of SWI blooming are seen within it. S/O acute infarct with hemorrhagic transformation.

BHMS, MD - Homeopathy
Homeopath, Delhi
I am 31 years old male.
I had a paralytic attack four days ago. My MRI report says that:
Cerebral parenchymal: subtle...
Dear Mr. Lybrate-user. This may have happened because of high blood pressure. A brain haemorrhage must have occurred. The blood inside the brain has created a clot (infarct). Which may have caused this paralysis attack. Take homeopathic medicine lachesis 1m and arnica 1m (along with the allopathic medicine advised in the hospital. Two times daily for a week as a emergency medicine and then consult further for complete recovery.
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Aged 47 years male ,am suffering from insomnia & body clock disorder, cannot sleep without 40 mg of Zolfrsh, and anxiety remains through out the day . Please treat me.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Aged 47 years male ,am suffering from insomnia & body clock disorder, cannot sleep without 40 mg of Zolfrsh, and anxi...
Dear lybrate user...Anxiety with a feeling of being on the edge almost throughout the day causing significant functional impairment is suggestive of you having Anxiety Disorder. In your case not taking medications for anxiety disorder and just treating your insomnia will be a wrong management plan, as with anxiety a person will have difficulty falling asleep. Thus I would suggest to target and treat your anxiety and sleep problems simultaneously for a much better result. In case of your anxiety regarding sleep, I would suggest not to sleep during day at all, not to go to bed and force yourself to sleep during night time. Just wait and do some un-interesting work say reading some serious novel in a dim light away from your bed. Once you start feeling sleepy, get back to bed and sleep. Its a vicious cycle of not having sleep a night and you trying hard to sleep the next night thinking that sleep may not come. This forcing yourself to sleep is itself anxiety provoking and thus try not to go to bed until you feel sleepy. And yes if this is not sufficient than you may need the help of medications. Take care
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I am 50 years aged woman. Recently I am getting tingling feeling in my right palm. Please advise

MPTh/MPT
Physiotherapist,
Kindly dip your hands in full mug of lukeworm water for 15 min regularly for a week. It will come down to normal
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My wife frequently suffering with migraine headache before marriage she using specticules now not using because that reason or else any problem kindly suggest me how can she overcome the problem ?

BHMS
Homeopath, Secunderabad
Hi , moderate to severe pain on one side of head is migraine. Number of symptoms associated with headache in migraine; like vomiting, heaviness of head, restlessness, blurred vision etc. May I know is she having any of these symptoms? homoeopathy is the permanent solution for migraine.
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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.
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Brain Stroke - Things You Must Know!

MBBS, MD - Internal Medicine, Fellow in Pain Management, DM - Neurology
Neurologist, Delhi
Brain Stroke - Things You Must Know!

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supplyof of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burstor or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke:

  • Treatment depends on the type of stroke.
  • Ischemic strokes can be treated with 'clot-busting' drugs.
  • Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  • The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 45.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.

Rush to the nearest Stroke Centre whenever you experience such symptoms.

You can save the brain cells dying if you reach within 45.5 hrs by the CLOT BUSTER. 

Endovascular procedures:
Another treatment option is an endovascular procedure called mechanical thrombectomy, strongly recommended, in whichtrained  trained doctors try  removing a large blood clot bysending sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention:
The good news is that 80 percent of all strokes are preventable. It startswith with managing keyrisk risk factors, including 

  • High blood pressure,
  • Cigarette smoking,
  • Diabetes Atrial fibrillation and
  • Physical inactivity.

More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation:
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke. If you wish to discuss about any specific problem, you can consult a neurologist.

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I miss suffering from insomnia for many months Also me and my wife suffering from acidity while we very less time eat food of outside. Please suggest some remedy. Thanks.

MBBS, cc USG
General Physician, Gurgaon
I miss suffering from insomnia for many months
Also me and my wife suffering from acidity while we very less time eat...
I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee, Avoid food from outside, junk, fried, spicy fatty food 6. Do Not postpone Breakfast 7. Avoid excess citrus fruit 8. Avoid smoking and Alcohol 9. Meditation Some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity, you can go for daily morning walk 3. Regular meditation/ yoga 4. Avoid tea coffee after 7 pm 5. You can take bath at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes 8. Avoid watching TV and reading news paper at bedtime, you can listen some soft music Consult for further Management
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I have pain running from my back to the the left leg, sometimes have numbness in the feet also, please suggest.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have to elaborate your symptoms as to whats been the duration of back pain, leg pain and numbness in legs. Since you have neuropathic symptoms as well, I will like you to: 1) get a detailed neurological ( motor and sensory examination) done by a physical therapist and send it to me 2) mri ls spine 3) x ray ls spine ap & lateral - flexion and extension views we will have to see the compression because we cannot allow this numbness to remain there for a long time, as it indicates that there is compression and inflammation in nerve at spine region. Do not hesitate to contact me if you need any further assistance.
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What is the meaning of sclerosis along the anterior aspect of si joints? Is it hardening of the bones or tissues surrounding si joints? Please help me. I am worried a lot.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is the meaning of sclerosis along the anterior aspect of si joints?
Is it hardening of the bones or tissues surr...
Any condition that alters the normal walking pattern places increased stress on the si joints. This could include a leg length discrepancy (one leg longer than the other), or pain in the hip, knee, ankle, or foot. Patients with severe pain in the lower extremity often develop problems with either the lower back (lumbar spine) or si joints. Usually, if the underlying problem is treated, the associated lumbar spine or si joint dysfunction will also improve. There are many disorders that affect the joints of the body that can also cause inflammation in the si joints. These include gout, rheumatoid arthritis, psoriatic arthritis, reactive arthritis, and ankylosing spondylitis. These are all various forms of arthritis that can affect all joints. Ankylosing spondylitis is an inflammatory arthritis that always affects the si joints. It can lead to stiffness and severe pain in the si joints, due to inflammation in the sacroiliac joints (sacroiliitis). As the disease process continues, the si joints can fuse together and have no range of motion. Once this occurs, there is no further pain associated with the si joints. Rarely, bacterial infection can involve the sacroiliac joints you need a check up.
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Sir, I am 40 years old I have some numb feel in my left leg in lower. Please suggest what to do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir, I am 40 years old I have some numb feel in my left leg in lower. Please suggest what to do?
Do take tens therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist best wishes.
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I am 48 yrs male have peripheral nuretis taking gabentin and ayurvedeic medicne 93 kgs severe burning sensation starts in the evening difficulty in car driving due to numbness.

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear I think you have burning feet syndrome and peripheral neuritis and there is apparently no medicine which works.
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Hello doctor My hand always shaking. Doctor suggested to visit neurologist for root cause. What is root cause?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Hands shaking is just an external manifestation of some problem in your brain that problem which causes the hands to shake is called as the" root cause"
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C.S.C, D.C.H, M.B.B.S
General Physician,
Managing wounds at home

A wound is a disruption of the normal structure and function of the skin.
Antibiotic therapy is not indicated in all wounds and is reserved only for infected wounds.
It is important to keep blood sugar under control while managing a wound.
All wounds, which are contaminated or have foreign bodies, need debridement.
Irrigation of the wound reduces bacterial load and also removes loose material.
Wound irrigation can be done with warm saline.
Principles of wound management are: scrub, clean and dress.
Scrubbing means that dressing should be done with clean hands, which requires proper scrubbing of the hands.
Would cleaning means that the wound should first be cleaned.
After cleaning, the wound requires a proper dressing.
Some wounds may require suturing, especially if the wound is of less than six hours duration.
In an accident if a finger is cut or a tooth is removed, one should preserve the finger or the tooth and take it to the nearest hospital along with the patient for reimplantation.
The best way to carry the amputated finger or uprooted tooth is to put them in a plastic bag and put that bag in a box containing ice.
Skin burns should be treated firstly by putting the area under the running water till the burning disappears.
In a patient with burns, the blister that forms should not be punctured.
Presence of pain is also a good sign and indicates that the burns are superficial.
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When I am walking I can't be in balance due to injury on my nervous system (head). Please help me.

MBBS
General Physician, Mumbai
As of now take tablet vertin 8 mg 1-1 for five days and also consult a neurologist for further guidance
1 person found this helpful
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Menstrual Migraines Treatment

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
Menstrual Migraines   Treatment

Menstrual Migraine can be termed as an extremely persistent headache that can happen just before, during or right after menstruation. Often, the feeling of nausea also keeps on lingering. The cause which triggers this type of migraine can be the fluctuating levels of oestrogen that a woman’s body experiences when she is on her periods.

What can be the possible treatment?

  1. Application of ice pack or simply rubbing ice on your forehead can help lessen the pain a bit.

  2. Relaxation exercises can be practiced to reduce the tension of the muscles.

  3. Acupuncture therapy can also be done to improve the headache and it can further aid in relaxation of the muscles.

  4. Over the counter painkillers such as ibuprofen or paracetamol can be taken for immediate relief.

  5. Your doctor can also administer TRIPTAN (specific drugs used to treat the symptoms of migraine which work on the chemical receptors within the brain) if the pain is unbearable.

  6. Do not experiment much with hormonal contraception methods after unsafe sexual intercourse. It just might worsen the pain.

  7. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can also be administered, only if they have been prescribed by the doctor, as the harmful effects of those drugs are aplenty.

  8. Magnesium deficiency in the body is one of the most important causes for menstrual migraines. Thus, eating foods rich in magnesium such as dark leafy greens, nuts, whole grains, avocados, bananas, etc. and taking magnesium supplements or vitamins are advisable.

  9. There are certain foods which can even trigger such attacks. They include foods packed with monosodium glutamate (MSG), aged cheese and caffeine. Such foods should be strictly avoided.
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