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Dr. T. V. R. K. Murthy

Neurosurgeon, Hyderabad

250 at clinic
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Dr. T. V. R. K. Murthy Neurosurgeon, Hyderabad
250 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. T. V. R. K. Murthy
Dr. T. V. R. K. Murthy is a popular Neurosurgeon in Attapur, Hyderabad. You can consult Dr. T. V. R. K. Murthy at Sree Vasuki Poly Clinic in Attapur, Hyderabad. Save your time and book an appointment online with Dr. T. V. R. K. Murthy on Lybrate.com.

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House No 4-6-68/1, Near Pillar No 139, HyderabadHyderabad Get Directions
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

I am a 57 yrs old male & diabetic. Feeling acute numbness at the side of both the thighs. What do I do? please help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am a 57 yrs old male & diabetic. Feeling acute numbness at the side
of both the thighs. What do I do? please help.
Do consult neuro physio and learn mobilisation and strenghening exercise do continue diabetic medications as advised by your physician.
2 people found this helpful
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How to know that the the headache which I have almost every week is a migraine attack or not.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura
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I have continuous migraine for last 2 months, How can I reduce migraine, please help me.

MBBS
General Physician, Chandigarh
You must get yourself thoroughly investigated for headache there could be some other underlined cause please do consult a good physician and get clinically examined
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My daughter 5 years old fell from bed while sleeping. Having injury bump on the head. It is past 3 days. Looks like blood clot in the black color. Still not recovered to normal skin. What to do?

Diploma in Child Health (DCH)
Pediatrician, Mumbai
You can apply ice pack on her head. If still worried, can do usg skull to see if internal bleeding present.
2 people found this helpful
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Dear sir, From one month I had head tingling and numbness in hand and legs, I contact doctor he told me it was anxiety and given some tablets, but it won't help me. May I know how long it will take to cure, it was big problem, please suggest me.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear sir,
From one month I had head tingling and numbness in hand and legs, I contact doctor he told me it was anxiet...
Try the following remedy it will surely help you Natural home remedy using cardamom seeds: 1. Crush 3-4 cardamom seeds to powder 2. Take ½ tsp of this cardamom powder 3. Add to 1 glass of water 4. Mix well 5. Sieve the mixture 6. Drink 1 glass every day This remindy will be helpful.
1 person found this helpful
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Homeopathic Treatment For Epilepsy!

BHMS
Homeopath, Kolkata
Homeopathic Treatment For Epilepsy!

Epilepsy is a disease that affects the brain's nerve cells and triggers the release of abnormal electrical signals. This can cause temporary malfunctioning of the other brain cells and result in sudden loss of consciousness. Epilepsy can affect both children and adults.

Epilepsy can be treated in a number of ways. One of the most preferred forms of treatment is homeopathy. Homeopathy addresses both the physical symptoms of the disease and the underlying factors triggering it. Another big advantage of homeopathic treatment is that it has negligible side effects.

A few homeopathic remedies that can be used to treat epilepsy are:

  • Cicuta: Cicuta is very effective when used to treat cases of epilepsy where convulsions are marked by violent, body distortions. This can include the horrific backward bending of the spine (learn about the exercises for spine). These convulsions also make the person's face turn blue and trigger a locked jaw. This can also be used to effectively treat epilepsy cases triggered by head injuries and worms.
  • Artemisia Vulgaris: This is used to often treat cases of Petit Mal Epilepsy which are characterized by staring into space, leaning forwards or backwards and stopping a sentence abruptly. It also addresses fear that triggers epileptic attacks.
  • Stramonium: Convulsions triggered by exposure to bright lights or shiny objects can be treated with this homeopathic remedy. In such cases, the patient may not lose consciousness but experiences jerks in the muscles of the upper body.
  • Cuprum Met: This homeopathic remedy is used to treat seizures that are preceded by experiencing an aura in the knees (know more about the Causes and Symptoms of Knee Pain). Other symptoms that characterize this sort of an epileptic attack are spasms that begin in the fingers and toes and gradually spread to the rest of the body and jerking of muscles. This can also be used to treat convulsions that accompany menstruation and follow the delivery of a baby.
  • Bufo Rana: Not all epileptic attacks occur you are awake. Attacks that occur in your sleep can be treated with bufo rana. Such epileptic attacks are accompanied by experiencing an aura in the genital regions. This is especially helpful for women who experience seizures during menstruation.
  • Hyoscyamus: Some epileptic fits are followed by a deep sleep. This type of epileptic attacks can be treated with Hyoscyamus. Other symptoms addresses by this homeopathic medicine are fidgeting with bed clothes, fidgeting with fingers and muscular twitching.

These homeopathic remedies can be taken on their own or in combination with other medicines.

4 people found this helpful

I am 56 yrs old retired govt servant. I am suffering from diabetes since last 4 yrs. At present my fasting blood sugar level is 125. And pp 265. And a1c is 6.7%. From the last 4 months i feel very tired , pain under the deltoid region while sleeping . Legs feels numb. My TFT results are normal. Pls give me an advice.

MBBS
General Physician, Guwahati
As your PP is high. If you are not taking any medications then its the time to start medications. Better to start with oral hypoglycemic agents. (OHA). These body pain and tiredness may be due to diabetes. Can start with METFORMIN 500mg once a day in between breakfast and see the result after 2 weeks. If it is improved then continue. There are side effects also. If you feel gastric trouble then consult again.
2 people found this helpful
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I am a migraine patient. What are its actual causes? Is it fully curable? What are its remedies?

MBBS
General Physician, Cuttack
Causes of migraine is unknown. some believe it to be due to imbalance in a brain hormone called, serotonin. Treatment of migraine 1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily 2.Drink plenty of water and take rest. 3.Check your BP 4. avoid stress, anxiety, depression, agitation,exposure to noise, bright light since it precipitates migraine attack 5. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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What are the symptoms of hysteria and migraine? What is treatment of both? How I can prevent myself from attacks of migraine?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hysteria is layman term. Its difficult to explain hysteria but in simple words it would be a state of extreme anxiety which causes various unrelated symptoms like tremors, altered consciousness, possession spells, body pains etc. These complaints may or may not occur in combination. Migraine is a type of relapsing headache. Predominantly common in females, onesided, accompanied usually with nausea or vomiting or both, pulsatile, relieved by rest and medications and aggravated by stressors, overexposure to sun, decreased sleep and increased noise. Treatment of hysteria is medicines and counseling migraine needs treatment of acute attacks and treatment to prevent future attacks, this decided upon a detailed history of migraine and associated symptoms in the patient.
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Hi iam suffering from migraine since last 10days please give me some suggestion to my problem.

BHMS
Homeopath,
Dear lybrate user. Take homoeopathic natrum mur 200, 5 drops in a cup of water, thrice daily in empty stomach for 15 days. Report after 15 days.
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What are The symptoms of migraine? I get severe headache usually. I guess its migraine, so tell me the symptoms please.

MBBS
General Physician, Cuttack
Unilateral Headache, eye pain Throbbing and pulsating pain Nausea and Vomiting Increased sensitivity to light and sound Feeling of Dizzy or Faint
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I have 2 problems. 1) I am suffering from migraine for about 2 years, daily morning head pains very badly sometime it remains for 7 days. 2) I have dhaat problem, this problem is from 18 years, I have tried many medicine but none has worked, even I am from Ayurveda field, daily night some white substance flows from my penis, please advice some really good medicine. Thank you.

PDDM, MHA, MBBS
General Physician, Nashik
1. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight. 2. This fluid coming out is semen .Semen, also known as seminal fluid, is an organic fluid that contains sperms. It is secreted by the sexual glands. Semen coming out at night is also called Night fall or Nocturnal emission or Wet dreams. Do not be tensed about this issue. It is normal at your age. It is not an illness but a natural phenomenon by which old sperms come out and make space for new sperms. New sperms are produced continuously in our body by pushing away the older ones. It does not cause any physical harm or weakness.
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Sir how to concentrate on study. I am preparing for exam can't concentrate too much. I am not addictive to any kind of addiction like smoking drinking etc. I am losing interest in study I don't know why this is happening. I was an average student but now I am getting worser. My question is 1.What should I do to overcome this problem. 2.Is there medicine required for concentration?

PhD - Health Psychology
Psychologist, Delhi
There is no medication for increasing concentration. So don't enter into any medication or pill. Yes, you can increase concentration by meditation, OM chanting, yoga; and also any physical activity, like sports, or even walking. Also, please love whatever you are doing. You are losing interest because you are studying forcefully without loving your study. Try and love your work. Don't treat it as a burden, start enjoying it. Concentration will improve drastically.
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What are the symptoms of brain tumour and how can it cured as early as possible, kindly give me a brief details.

MCh Neurosuregry
Neurosurgeon, Sirsa
Hi lybrate-user symptoms- headache / vomiting, vision/hearing loss, weakness facial or in limbs, seizures. Cure- surgery, radiotherapy, chemotherapy etc.
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Hi, I am asking this question for my mother she have a regular migraine problem. Does it have a complete solution? What is the main causes of it?

BHMS
Homeopath, Faridabad
Hello, the common causes of migraine are: hormonal changes in women. Fluctuations in estrogen seem to trigger headaches in many women with known migraines. Foods. Aged cheeses, salty foods and processed foods may trigger migraines. Food additives. Drinks. Stress. Sensory stimuli. Changes in wake-sleep pattern physical factors. Changes in the environment. A change of weather or barometric pressure can prompt a migraine. Medications. Oral contraceptives and vasodilators, such as nitroglycerin, can aggravate migraines. 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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I am 23 years old male I'm having a severe constipation problem a doctor prescribed me cremaffin for one day it cleared my stomach but after that its not working and my entire body is shivering when I get excited or nervous what to do? both side of my head also swelled up.

BHMS
Homeopath, Sindhudurg
I am 23 years old male
I'm having a severe constipation problem
a doctor prescribed me cremaffin for one day it clear...
Hello, take lexaton 1 tab daily at bed time, and for permanent cure message me. For further assistance and treatment for complete cure you can concern me privately.
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Left side of my father does not working properly due to got a paralysis attack 4 year ago. Will my father came out from this illness ?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
No. Paralysis is permanent damage. Whatever recovery he could have made, he would have already made it within the first few months itself. Take precautions so that it does not recur again.
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Hi, I am 27 years old. I have been facing a migraine problem for last few years or so. I have been taking some herbal medicine but not working. Do I need any treatment or surgery? I'm.

MBBS
General Physician, Mumbai
Migrane- it is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol only after clinical examination.
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