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Dr. B. Deb

Neurosurgeon, Kolkata

Dr. B. Deb Neurosurgeon, Kolkata
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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. B. Deb
Dr. B. Deb is an experienced Neurosurgeon in Camac Street, Kolkata. He is currently practising at Atdco Limited in Camac Street, Kolkata. Book an appointment online with Dr. B. Deb and consult privately on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 42 years of experience on Lybrate.com. You can find Neurosurgeons online in Kolkata and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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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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I used to study till late night so now I am suffering from the migraine so please help me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijnor
Take more liquid diet like juices. Yoga, meditation, bhramari pranayam 10 minute daily. And take some ayurvedic medicine without side effect please contact me.
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My mom suffered from bell's palsy but now she has almost recovered. Can she take Revital H or would it cause any adverse effects in bell's palsy?

MBBS
General Physician, Mumbai
Revital h contains vitamins. Minerals and ginseng. None of them will have any adverse effect on bell' s palsy. In my opinion ion it will be safe to have the medicine.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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My wife is 45 years old, she is suffering from dis cognitive seiziers and 4 episodes are seen from 22 octomber to till date. Ct scane, eeg are normal. Oxetol 300 mg is sugested. Please tell me the resion and remidy ?

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Noida
Discognitive seizure must have been diagnosed by a neurologist. Mri brain is the ideal investigation tool in case of seizures. If patient is having seizures despite being on one anti epilepsy treatment, the dose of medicaiton needs to be modified. You should consult a neurologist or the doctor who has already prescribed oxetol.
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Fits-When I am 7 standard, I got a fits. After that I went to many Hospitals for cure. At last I went to Global clinic. From 8 years I am ok, its Totally cure, but still I am using tablets, please suggest me.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
If you did not have fits at all for last 8 years while on medications there is a chance that you may attempt to leave medications. Consult your treating doctor for an appropriate and safe way of doing it.
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My son is 11 years old & i'm suffering from heavy mental retardation. He is also suffering from epilepsy problem for which he is taking 5 types of anti epilepsy tablets. Bu not fully controlled. Regularly when he started to sleep, he gets fits attack then another two the fits in an our then fits stops. Is there any drug or diet therapy for him?

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Your son is already taking medicines. Your doctor shall be doing all the best in his interest. Trust the doctor and follow his advice. There is not diet therapy for this ailment.
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My daughter age 13 years is suffering from epilepsy from last about one year but it is diagnosed 6 months back. Is epilepsy fully curable and what medicine should we give to her?

MD - Paediatrics, MBBS
Pediatrician, Tumkur
Unlike previously thought epilepsy is curable now with medications which have to be continued for a period of 3 to 5 years. Medications depend upon the type epilepsy. Consult a good pediatrician or a neurologist.
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When a hemorrhagic stroke occurs, why do patients wont get proceeded for a surgery? instead they observe him for a couple of days or a week. Though there is no recovery from dead neurons how do patients still recover from paralysis in such cases?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Hemorrhagic stroke needs careful evaluation why patients should go for surgery as you think once the bleeding is under control and stroke is under control there are chances of recovery. To understand this you need to know some anatomy,physiology and neurology of brain system

My age is 31 due to stress and work load I feel a lot of weakness inside and my hands shiver I feel sexually weakness also m not able to give my 100%.

MBBS
General Physician, Chennai
My age is 31 due to stress and work load I feel a lot of weakness inside and my hands shiver I feel sexually weakness...
You seem to be very upset you must learn to discard the thought of your office when you leave office and this should will apply when you leave home do compartmentalise your mind and brain this you must train your mind to do this and it is not easy but try to apply and train yourself and you will be at peace.
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My mother is been diognised with stroke. Physiotherapy is going on. Please tell me how much time will it take for her recovery.

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist, Udaipur
On an average 6-12 months depending on the severity and type of stroke but definitely she needs evaluation to prevent future episodes.
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I am 21. Since 10 years I feel something wrong with my head. I feel like I can not concentrate on anything. I frequently forget things to do and sometimes my memory becomes so sharp. I am a very bad multitasker. Also since childhood I get headaches and migraine. I never took any medicine. What should I do.

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
I am 21. Since 10 years I feel something wrong with my head. I feel like I can not concentrate on anything. I frequen...
Following concentration and relaxation techniques shall help. For concentration and memory try following things on a daily basis and you will see positive results. Concentration is a mental skill that you can develop. There are two ways to improve your concentration: first, raise your brain's natural ability to concentrate. In other words, increase your attention. Second, adjust the environment around you to make concentrating easier. To improve your concentration takes a little time and effort, but it can be worth it. In my personal experience with students. This can make noticeable improvement in a relatively short time. Ideas for daily concentration-boosting habits include: mindfulness meditation - many studies confirm that 20 minutes of meditation or more per day improves concentration and attention span. Focusing on your breathing, known as mindfulness meditation, is one of the simplest way of meditation. Start with ten minutes in the morning and ten minutes before bed. Proper sleep -i am sorry to say it. Pulling all nighter will not help with your grade. Unless you are getting sufficient restful sleep, you are not going to be as mentally focused as you could be. Brain game -. The more you use certain skills, the more they are reinforced in the brain. So it makes sense that playing concentration games and games that require you to focus will improve your concentration ability. You need to be consistent in this. Play for about 10 to 20 minutes each day. Have fun, and get the benefits but remember not to spend more than 20 minutes a day. Your goal is to improve your concentration and not the score in the game! eat healthier - your brain needs the proper nutrients to allow you to focus. Eat more vegetables and fruits and avoid consumption of junk food as much as possible. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white floor in your diet as much as you could. Exercise is helpful in both reducing stress and increasing focus. At-least 20 minutes a day would go a long way. Optimize your mental state & environment in addition to building the habits described above into your daily routine, also adjust your environment and your current mental state to improve your concentration when studying. Create a study spot. Your brain loves routine. Create a place where all you do is study. An obvious choice is a secluded desk of some kind, but the trick is to make sure you only study in that spot. Studying in bed is a bad habit, for example, because your body is trained to want to sleep once you get into bed. Remove distractions. Turn off the ringer on your phone and take other steps to prevent interruptions. Don't study with the television on or with talk radio playing. Some studies have shown that soft instrumental music (no vocals) can help improve your concentration. Block background noises. If you have to study or work in an environment where it is too loud (classroom or open space) or too quiet (such as at home or at a library) you can get easily distracted by outside influences. With the right amount of background noise you can actually block out distractions and enhance your creative thinking. Use time boxes. Set a time limit when you need to study new material. For example, let's say you want to read one chapter in a book (and remember it). Decide in advance that you can have 45 minutes to read the chapter, and 15 minutes to review it. Set a timer to keep yourself honest, then pace yourself to keep within the allotted time. Stay motivated with rewards. If you see studying as burden, it's hard to concentrate. One way to stay motivated is to set up a reward system. Tell yourself you have to earn that hour of watching your favorite show later in the evening by first completing one hour of intense studying. That way, even if the material is dry, you have the reward to look forward to. Take a break every two hours. You mental energy will begin to decline after a long period of study. So every two hours or so, take a ten minute break. Walk around, eat a light snack, or just stare at the wall to relax your mind. Concentrating is the first step to learning anything new. It only makes sense that if you improve your concentration, your memory will improve also. Try following things to learn relaxation response which leads to better coping mechanism on a daily basis. To begin with doing guided progressive muscular relaxation before sleeping will help you relax. You could google and download an audio file. I would also suggest you to take a multiple small break to take 3 nice and deep breath while keeping your eyes closed. You could do this while sitting or standing or while even walking or climbing stairs (keep your eyes open in that case). When you take a nice and deep break there is actual physiological change in your body. This will help you to activate parasympathetic nervous system which promotes relaxation and helps you calm down and think more clearly. This will also actually improve your performance in your work. Along with this exercise is one of the best way to relive stress and stay fit. Engage in any kind of physical activity at least 4 times a week. This also helps in stress reduction. Along with this some relaxation exercises as well as engaging in joyful activities such as music, singing, dancing, reading, being in nature, gardening, talking with friends or anything which you enjoy will help reducing stress and rejuvenation of your mind and body. Have good routine for sleep and eating. Lot of research has now proven that sugar is very harmful for our health. Reduce sugar and refined white floor in your diet as much as you could. Along with this also increase consumption of raw vegetables in the form of salad in both the meals of your day. As a positive psychologist and a certified life and wellness coach I would be able to help build resilience and confidence to take on life and learn how to excel in what you do. Hope this helps. Wishing you very best.
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I feel weakness in my half body (right side). Sometimes I feel numbness but there is no pain and not any problem in routine life. I am cervical patient and taking medicine since last 6-7 months.

DM - Neurology
Neurologist, Hyderabad
I feel weakness in my half body (right side). Sometimes I feel numbness but there is no pain and not any problem in r...
As you are feeling weakness on right half of body with numbness, it may be related to some problem in brain or cervical spinal cord. You have to give information weather similar numbness in right side of face, if it is there you may need a brain scanning (mri brain) to rule out any serious problem.
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My Father is 62 years old. He is having numbness in his feet from the past few days. Blood and other tests were normal though deficiency in Vitamin B12. The doctor has given Vitamin B12 injection on Thursday and today but the problem persists. Should we consult a neurologist?

M.S., D.N.B.
Neurosurgeon, Ajmer
My Father is 62 years old. He is having numbness in his feet from the past few days. Blood and other tests were norma...
Vit B12 deficiency can cause such type of symptoms. It may take time to replace the deficiency and then myelination of neurons. U can consult a neurologist.
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I have a migraine pain over 3 years. I m taking some medicine as prescribed by doctor, but it not much helpful. What should I do?

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, Since last one week frequently my right hand and small and ring fingers are also getting numbed slightly but not completely and I am feeling that for long time. One more thing is this happens to me after the very next day of night shift I usually attend at office (but I sleep at least 4 hrs though). And 'm really getting afraid so much. Is it any kind of serious? please help me out by suggesting something to cure it.

MBBS, Master In Health Science
Neurologist, Mumbai
Dear Doctor,
Since last one week frequently my right hand and small and ring fingers are also getting numbed slightly...
Probably is caused by compression of the c8 nerve in your neck. Usually this is caused by mild arthritis of the neck. Make sure you are not placing your body in a odd position in work e.g. Sleeping in a chair and make sure you are following proper ergonomic precautions. If your symptoms don't resolve then see a neurologist in person.
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I am a 21 years old female and my hands pain a lot & it get tight & feel numb, it happen frequently what should I do?

DM - Neurology
Neurologist,
I am a 21 years old female and my hands pain a lot & it get tight & feel numb, it happen frequently what shou...
The diagnosis of carpal tunnel syndrome should be seriously considered, among other things, and a nerve conduction study should be done for the same.
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I completed b.tech in 2016 I want improve my brain (iq), what should I will do. I think if you five a any medication I will follow.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. I can understand. Memory and mind power depends on three aspects. Understanding, retention and recollection. Recollection is easy if your retention is proper and flawless. Retention is possible when you are able understand what you read or learn. To understand you should have concentration. Concentration comes from effective learning techniques based on creative and active learning. Physical exercise, outdoor games, entertainment, socializing coupled with systematic learning improves your memory and mind power. Vegetables, fruits and nuts are perfect for memory. Brain games like sudoku and jigsaw puzzles helps too. Avocados, Beetroots, Blueberries, Broccoli. Celery, Coconut Oil, Dark Chocolate etc are good for improving concentration and memory. I suggest online education counseling. Take care.
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