Dr. Asis Kumar Bhattacharyya

MRI reports are normal that seems nothing serious. Headaches due to migraine is very common these days especially in young adults because of there lifestyle and working environment. Sometimes pain is very severe on one side of the head.  So I would recommend you to avoid stress and anxiety, quiet the mind from distractions. Stay calm positive and do deep breathing exercises, listen some music that would give you some relaxation. If pain is severe then place ice pack over forehead and lie down for some time to relax your mind and give you comfort and stress full life. Massage your head using levander oil or clove oil as it removes toxins from body. You can use mint or clove spray for inhaling in case of headache. If pain is severe you can also apply ginger paste over the painful area. Avoid taking caffeine, alcohol, phenylethylamine (found in chocolate and cheese), tyramine (found in nuts and fermented meats, cheeses, and soy), and aspartame (in many artificially sweetened foods) as sometimes these all exaggerate pain instead use basil leaves tea or ginger tea boiled nicely in water without milk. Regular intake of healthy dietry food rich in proteins and vitamins. Avoid fasting - Eat breakfast, lunch and dinner at fixed timings. Make yourself busy by fulfilling your hobby as it will give you freshness and your mind will be diverted from normal life which help in pain reduction. Take min 7 hours of sleep. Make a habit of 20-25 min walking daily along with some meditations. If required then only take pain relieving tablets. For more help or instructions please consult. Good Luck and Get Well Soon.

your blood picture is not related with the symptoms provided. is there stress/ anxiety etc., try to reduce it if any. consult your doctor for detail clinical examination otherwise you can consult privately.

Hi. This may be tremor. Avoid stress, checkup few tests i. E. Eeg, lipid profile, blood sugar, mri brain and reply with reports. Avoid any kind of alcohol/ smoking. Avoid spicy and oily meal.

For right hand do take tens therapy for 12 days followed by strengthening exercise from physiotherapist for knee do take ift for pain relief for 10 days followed by strengthening exercise from physiotherapist best wishes.

I do understand your problem, being at the stage of achieving in your studies or career goals, really it is a difficult situation. But, you are not alone. Everybody has this problem in varying degrees. Only the intensity is more in your case. We call this performance anxiety. Fear of failure increases the anxiety furthermore that acts as a barrier to good performance. Nothing to worry. You can easily overcome this problem if you have a strong will to change and practice a few suggestions mentioned below. 1. Learn and practice the techniques kapalabhati and naadisuddhi from a good yoga teacher, which can reduce your physiological arousal such as heart palpitation, rapid breathing, uneasiness in the stomach, sweating, shivering etc. Whenever you face such fearful situations. 2. Also do santhiasana/savaasana 10 minutes everyday using an recorded voice instruction of your yoga teacher (i can upload mine if you contact through private question). This regular practice will soothen your nervous system and calms your mind down. 3. You can also practice mental rehearsal, sit with closed eyes and imagine that you are performing in a stage without fear, repeatedly. 4. One more techinique is graded exposure in which you can approach the feared situations in divided targets. For example, you can present your speach in front of a friend till you feel good, then present in front of a few people like your parents or other relatives till you feel easy. Then to a group of 10 people and so on. 5. Aqequate preparation is also an important component. Efforts never fail.

Migraine can be aggravated by sunlight, dark chocolates, coffee, or tea, even noise too. First start avoid the aggravating factors, & also migraine need to get treated by medical course for few period of time & gradually we can decrease the dose after migraine frequency.

In case of ocular migraine, follow few precautions. - ensure protection from bright sunlight. Always wear glasses with uv protection. - have a complete and relaxing sleep at night. - avoid watching tv continuously for more than 15-20 minutes, do not watch tv in dark. - avoid exposure to blinking lights or bright lights directly take your medications regularly.

You require intense physiotherapy treatment for three months with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your symptoms of numbness could be due to long standing diabetes in your case although other causes cannot be ruled out especially issues in lower back region. I would advise you for a very strict sugar control, you can take medications like pregabalin or gabapentin in low doses initially, take vitamin b12 and adequate calcium and vitamin d supplementation. Also heel pain could be due to inflammation in your heel fascia. Treatment modalities are aimed at relieving inflammation of the fascia, like ice packs, physical therapy, footwear modification and anti-inflammatory therapy. I will observe you with this management for around 2 weeks and then we will see if we require any investigations in your case. Do not hesitate to contact me if you need any further assistance.

You must have a balanced high protein diet. Increase fresh fruits and vegetables in your diet. Protein sources like egg whites and soya. However if weakness persists get your thytoid, blood sugar & vitamin d levels tested and review.

It take time to come to normal. Because brain got affected. Continue the same and physiotherapy daily. It will be help full

Do consult neuro physiotherapist to do strengthening exercises and scalp exercises for head part with spinal strengthening too and do rifle out any possible anamolities thru mri brain and spine too of call me for private consultation for further info thru lybrate

Some cognitive problems remain for a couple of months for a few pts. It may go on for years rarely. Continuous monitoring is necessary.

Cause of migraine is exactlly not known. It could be due to imbalance of a brain chemical serotonin which regulates pain in nervous system. Factors responsible for migraine attack 1. Genetic factor/hereditary 2. In women it is due to hormonal changes during period/pregnancy/menopause 3. Certain food items like salted/processed food, chocolate, aged cheese 4 hunger. Fasting/skipping meals 5. Alcohol/ red wine, caffeinated beverages, continuous use of cell phone 6. Anxiety/stress/depression/agitation/fatigue 7. Bright light/sun glare/loud noise 8. Unusual smell like strong perfumes, passive smoking etc 9. Inadequate sleep 10. Change of weather, humidity symptoms of migraine 1. Unilateral headache, eye pain 2. Throbbing and pulsating pain 3. Nausea and vomiting 4. Increased sensitivity to light and sound 5. Feeling of dizzy or faint.

Parkinson's disease-KAMPAVATA
(A Neurological Disorder)
Parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have Parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia.
When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of Parkinson's disease eventually develop.
Parkinson?s Disease Prevalence:-
Parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of Parkinson's disease patients are diagnosed before they are 50 years old.
The prevalence of Parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of Parkinson's may have a higher risk of developing the disease, but Parkinson's disease is rarely attributed to genetics alone.
Parkinson's Disease Symptoms
Symptoms of Parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The Main symptoms of Parkinson's disease include:
? Tremors(Kampam)- Tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of Parkinson's disease.
? Rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of Parkinson's.
? Bradykinesia:- describes the unnaturally slow movements that are characteristic of people with Parkinson's disease.
? Poor balance- Parkinson's disease affects balance, leading to difficulty walking and impaired coordination.
The symptoms of Parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended.
The Outlook for People with Parkinson's disease
Parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly.
Each individual's situation is different, but in general, the first symptoms of Parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body.
Movement of symptoms to the other side of the body
? Tremors that become more pronounced and interfere with activities
? Bradykinesia, or slow movement, that becomes disabling
? Difficulty with hand writing
? Impaired swallowing and chewing
? Speech that becomes monotone
? Poor balance and repeated falls
? Slow, shuffling gait (manner of walking)
? Stooped posture
? Facial expressions that become stiff and blank
? Chronic constipation
? Poor bladder control
? Sleep disturbances
This progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression.

Ayurveda Treatment:

There is cure for Parkinson's disease with Ayurveda treatment, With Ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with Parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible.
As far as Parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.

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Hello,you can take homoeopathic medicine Belladonna 30 ( 4 drops in little water) and take it three times in a day for 2 days and revert. Gargling with lukewarm water twice a day will also give you relief.

Dear lybrate-user, Your father needs revision of all medications. He might be getting inadequate medicine for his parkinson disease. There are also other medication for parkinson disease apart from Syndopa. After adding those medicine your father will get improvement. Right now your father is also suffering from depression which is very common in parkinson disease and old age people. I want to add other medicine also for depression. With proper revision, he will get further improvement. All d best!

Because of side effect of Zenoxa u are feeling more sedative. You tell me about ur seizure pattern. I think u should readjust dose and medicine both.

X-ray and mri must and physiotherapy treatment must its spinal problem and compression of sciatica nerve. After that avoid long sitting toward bending lifting heavyweight. Equal balance on both legs. Do strength exercise of spine and legs after relief.