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Dr. Ritwiz Bihari

MBBS and MD, DM - Neurology

Neurologist, Lucknow

9 Years Experience  ·  400 at clinic
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Dr. Ritwiz Bihari MBBS and MD, DM - Neurology Neurologist, Lucknow
9 Years Experience  ·  400 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ritwiz Bihari
Dr. Ritwiz Bihari is a renowned Neurologist in Saheed Path, Lucknow. Doctor has been a successful Neurologist for the last 9 years. Doctor is a MBBS and MD, DM - Neurology . Doctor is currently associated with Om Neuro Clinic in Saheed Path, Lucknow. Don’t wait in a queue, book an instant appointment online with Dr. Ritwiz Bihari on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 28 years of experience on Lybrate.com. Find the best Neurologists online in Lucknow. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS and MD - IMS, BHU - 2008
DM - Neurology - PGI, Kolkata - 2012
Professional Memberships
Neurological Society of India
Indian Academy of Neurology

Location

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Om Neuro Clinic

3/202, Vikas Khand-3, Landmark : Near State Bank Of India, Patrakarpuram Branch, LucknowLucknow Get Directions
400 at clinic
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I am suffering from migraine for the last 3-4 years. I have been using Zerograin plus. But of late it has stopped being of much help.

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 after personal examination
1 person found this helpful
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Obstructive Sleep Apnea - Know Its Causes And Treatment!!

DNB (Respiratory disease), Fellowship Bronchoscopy, MBBS
Pulmonologist, Ahmedabad
Obstructive Sleep Apnea - Know Its Causes And Treatment!!

What Is Obstructive Sleep Apnea?

Obstructive sleep apnea (OSA) is a medical condition in which the patient's breathing is obstructed for brief periods of time. Normally, air flows into the lungs at all times. But for a person suffering from OSA condition, the breathing pattern is hampered and the flow of the air is restricted. The flow of air stops because the airway space may be very narrow. Snoring is the biggest symptom of obstructive sleep apnea.

Symptoms-

All the symptoms that you might be experiencing due to lack of sleep will be experienced through OSA. They are periods where there is a decreased oxygen supply to the brain and as a result, you will be experiencing a disturbed sleep throughout the night. Some of the other symptoms can include headaches, forgetfulness, and drowsiness. Depression, hyperactivity and swelling in legs and daytime drowsiness are other common symptoms that can be associated with it.

Causes-

OSA is common in people who are overweight and people who suffer from obesity. There are 3 major types of sleep apnea.

  1. Obstructive sleep apnea: This is the most common type where the airway becomes narrowed or blocked.
  2. Central sleep apnea: There is no blockage involved, but the brain does not give out any signal to breath.
  3. Mixed sleep apnea: This is a combination of both - obstructive and central sleep apnea.

The other factors that can cause OSA can include children with large tonsils, large tongue, and certain heart diseases.

Diagnosis-

A diagnosis of sleep apnea begins with a complete history and physical examination. Your snoring patterns are analyzed and how rested your body is being taken into account. The doctor will also examine your head and neck to identify any physical factors that may be associated with sleep apnea. Mostly you might be asked to take a test at one of the sleep centers to identify your sleep patterns. The results would be analyzed for better identification of the treatment.

Treatment-

Positive Airways Pressure Therapy, or PAP therapy, can prevent or reduce the serious health consequences of OSA. PAP therapy helps people with all levels of OSA, from mild to severe. It is most common therapy for OSA.

There are different forms of PAP therapy. All forms of PAP help keeping the airway open during the night. These devices provide a stream of air through a mask you wear while you sleep. The airstream prevents your airway from closing, so you don't stop breathing and wake up during the night.

The mask must fit and make a seal in order to keep throat open. A good mask seal will prevent air leaks and maintain the right level of air pressure. The amount of air pressure needed is different for each person.

PAP is usually the first form of treatment for OSA. There are other treatments for OSA. You can talk to your health care provider about which treatment is right for you.  

If you are overweight, weight loss can help improve or eliminate your OSA. Oral appliances will use to treat mild to moderate OSA. They fit over the teeth and are worn during sleep. People with OSA may have surgery to reduce the tissue in their throats or to help them lose weight. Lifetyle of behavioral changes, such as quitting smoking or not drinking alcohol, can also help treat OSA. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3112 people found this helpful

Having migraine problem from few months every time I go outside in Sunlight I get paining in my lower brain and sometime even worse and I can't concentrate on anything studies and cannot able to remember things properly.

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
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.
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I am having migraine. And I am facing this problem fron last two to three years. What should I do to avoid this problem.

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 medication after clinical examination
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Hi sir, I have small problem like migraine and health problem headache and fever how to get rid out off this please help me.

MBBS
General Physician, Cuttack
Hi sir, I have small problem like migraine and health problem headache and fever how to get rid out off this please h...
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
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I am a 15 year old diabetic; from the past two/three months, I have a lot of burning sensation on the bottom side of my feet; sometimes I also feel numb; I am afraid that is it due to improper blood circulation? Please suggest me suitable remedies.

MD - Alternate Medicine, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
I am a 15 year old diabetic; from the past two/three months, I have a lot of burning sensation on the bottom side of ...
There are two reasons for burning sensation in feet. One is zinc defeciency and the other reason is diabetic neuropathy. Please go fbs, ppbs and hba1c and then get back to me. It is treatable don't worry. Take care.
1 person found this helpful
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I have been working in night shift since last seven year where I teach to American students through online. But now I am feeling problem of insomnia.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have been working in night shift since last seven year where I teach to American students through online. But now I...
Do take balanced diet and hyderated avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 15 minutes duration each time regularly best wishes.
1 person found this helpful
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My child fall down often. Her head getting hid. Due to this in future will he face any problem ?

MD - Pathology
General Physician, Amritsar
Was she unconscious after fall, for any time, it may few minutes or hours did she have any vomiting after the fall any headache after fall. If your answer is no to above questions, then it is unlikely that she has had a head injury to be very sure, see a neurologist and get an mri scan done if advised.
2 people found this helpful
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Treatment of Migraines Using Homeopathy

BHMS
Homeopath, Delhi
Play video

Dr. Shrey Bharal talks about managing migraine


Hello everyone my name is Dr. Shrey Bharal. I am a homeopathic physician. Today I am going to talk about migraine. Migraine is actually a headache disorder characterized by recurrent episodes of headache which can be from moderate to severe. Typically, it occurs in one part of your head either on left side or right side. Symptoms are nausea, vomiting, sensitive to light, smell or even sound. Any kind of or any type of physical or a mental activity aggravates it. It has been seen in most of the cases that it is once in families.

If your mother or grandmother is suffering from migraine then you are likely to have it. Migraine mostly affects women more than men. It is three times more common in women. Migraine can be well managed with the help of diet, exercise, as well as medication. Person who is having migraine should avoid junk food and oily food, avoid their sedentary habits and also take proper medication and rest. Migraine can be very well managed with the help of diet, exercise, as well as medication.

Homeopathy has been proved beneficial for migraine. Homeopathy reduces the frequency of attacks and hence giving relief to the patients. I would advise you to take homeopathic medications as well as treatment for migraine.

For more information about migraine and its management you can contact me through Lybrate through audio and video chats as well as you can directly come to my clinic.
Thank you.


 

3147 people found this helpful

what medicine should I remove that problem. How much amount to remove this disease sleep paralysis. Give me the better detail sir its request in future is it problem problem or not it may cause death. Or not.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
what medicine should I remove that problem. How much amount to remove this disease sleep paralysis. Give me the bette...
Do take balanced diet and hyderated avoid stress anxiety and anticipating the things do regular physical activity strengthening and stretching and breathing exercises for about 15 minutes duration each time regularly best wishes.
1 person found this helpful
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Dementia - 5 Ways Physiotherapy Helps Manage It!

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)
Physiotherapist, Bangalore
Dementia - 5 Ways Physiotherapy Helps Manage It!

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

  1. Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
  2. Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
  3. The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
  4. Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    
  5. Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition. If you wish to discuss about any specific problem, you can consult a physiotherapist.

4641 people found this helpful

My father is diagnosed with brain stroke admitted in Wockhardt Nagpur and his MRI report says - ACUTE INFARCT IN PONS & LEFT CEREBELLAR HEMISPHERE. CHRONIC LACUNAR INFARCTS IN BILATERAL CORONA RADIATA & centre SEMIOVALE. MICROVASCULAR ischemic CHANGES IN VENTRICULAR WHITE MATTER. DIFFUSE CEREBRAL ATROPHY. Please suggest the next course of action for his faster recovery. Thanks.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is diagnosed with brain stroke admitted in Wockhardt Nagpur and his MRI report says - ACUTE INFARCT IN PONS...
Obey your doctor & do not get confused. Infarct is damage to tissue for lack of blood supply & rest of the symptoms are related to pressure on other areas, the signals being sent to rest of body due to infarcts. Your doctor knows best.
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Sir I am 20 years old female and I have a migraine. can you tell me any solution for this problem.

MBBS, cc USG
General Physician, Gurgaon
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. • •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines kindly consult Physician for further management
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I am 25 years old male. I am having pain in my left part of the head. And this pain is at a specific position. Kindly suggest the possible problem.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
pain is complex phenomenon, so there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am 50 years old. I have numbness in my fingers now the it is transferred to hand also. I want to consult the doctor. Which Department doctor should I go? Should I go to Rheumatologist or neurologist.

BHMS, MD HOM.
Homeopath, Mumbai
I am 50 years old. I have numbness in my fingers now the it is transferred to hand also. I want to consult the doctor...
Start taking Homeopathic medicines:-- 1. Actea Racemosa 30 2. Calc. Phos. 30 4 pills each medicine x 4 times daily x 30 days. Take pills regularly as advised.
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I am migraine patient. what treatment is good for the same, also when I put head on pillow after ten minutes left side of my nose gets blocked what may be the reasons.

MBBS
General Physician, Delhi
Take tablet brufen sos in acute pain. Kindly tell me the duration and frequency of your migraine attack. Any photophobia and vomiting associated during the attack.
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Hi, doctor, I am 34yr old male person. I have a Tremor problem for last 4 months. What should I do.

BHMS
Homeopath, Sindhudurg
Homeopathy is probably the mildest and safest form of treatment available. There are many remedies for this conditions- merc, digit, arg, mag, etc
1 person found this helpful
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Hello sir, My body is vibrate when noise or when i attend any event. Please advice why this happening?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hello sir, My body is vibrate when noise or when i attend any event. Please advice why this happening?
It is happening because of neurological imbalance and nutritional deficiency... You should consult for detailed case study and then treatment..before it becomes anything serious...
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My son is suffering from severe headache for the last six months and about three years back also while he was a student of architecture he had similar type of headache.Ct scan,mri-brain scan,mri-spinalscan, and color doppler test all shows no abnormality. A good neurologist of chennai who consulted him for a few weeks declared him normal. But he still complaints that he has headache however it is subsided by 50% now. We tried accupunture and yoga theraphy also(by qualified persons ).He is unable to concentrate and hence not going for work . He does'nt havr thr problem of vision also . He is 23 yrars old. Also while he was a kid he attended a boarding school. He is not sure whether he had any injury to his head at that time. Also the mri brain scan taken 3 yrs back also had no abnormal reports . Pls advice.

MBBS, DGO (cal)
General Physician,
Can you please elaborate his features of head ache. At least all investigations has assured me that he does not have any organic problem responsible for his headache. Following information is required to arrive at a diagnosis. 1) How Frequently he is having the attack? 2) How long it persist when comes? 3) Does he have any aura about the headache i.E he understand before the headache starts? 4) Does he feel Nauseated (feels like to puke) during head ache? 5) Does he can sleep during headache and / or he does see that headache still the same after the period of sleep? If you are interested to deal with his problem, please come with all these answers in my private question area.
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Sleepwalking - 11 Things You Must Know!

MD - Psychiatry
Psychiatrist, Ahmedabad
Sleepwalking - 11 Things You Must Know!

Sleep is one such time when people usually are expected to lie down still and get rest. However, we have all heard of sleepwalking, a condition where a person walks during the sleep. Though it may sound strange, there is a deeper explanation for it both from a causative point of view and from managing it.

Things you should know?

  1. Sleepwalking happens when a person moves back from a deep sleep to a light sleep or awakening state.
  2. The person who is sleepwalking is usually not aware of it.
  3. Activities may range from simply getting up and sitting up in bed to walking around the room. They could also open the door and walk out to the neighbourhood. Moving furniture, changing dresses or driving a car, may also be some of the actions Most of these activities happens completely without their knowledge.
  4. Mostly happens in children up to the age of 12, but can be seen in adults also, where it assumes a more severe form.
  5. The person who is sleepwalking has a fixed stare with glassy eyes. They may appear dazed and lost when they are awakened.
  6. They may not respond when they are actually sleepwalking, or respond very slowly
  7. They can be brought back to bed and put back to sleep without being disturbed. Most children would go back to sleeping when this is done
  8. Though the parents can be very worried when they see children sleepwalking, reassurance is required, as it usually disappears as they cross teenage.
  9. There could be chances of small injury like tripping or fall during the sleepwalking episode
  10. Sleepwalkers may be more restless compared to other children during their waking hours
  11. Bedwetting is also quite common in children who sleepwalk

Causes

  1. Inappropriate sleep pattern with lack of sleep for prolonged periods is one of the main reasons for sleepwalking
  2. Stress
  3. Excessive drinking
  4. Medical conditions like heart rhythm problems, acidity, gastric reflux, and seizures
  5. Psychiatric conditions like panic attacks and post-traumatic stress disorder can also lead to sleepwalking

Management

  1. For a parent to see their child walking around in their sleep can be quite disturbing.
  2. Reassurance is required stating that it is just a temporary phase and will not stay beyond the teenage years
  3. Most people do not require any intervention unless accompanied by severe symptoms like going out of the house or driving
  4. Once established, it is advisable to avoid by not drinking too much alcohol, avoiding stress and anxiety and taking precautions like extra-secure locks to prevent sleepwalking and/or other side effects. If you wish to discuss about any specific problem, you can consult a psychiatrist.
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