Book Clinic Appointment with Dr. Amit Shankar Singh
Treatment of Headaches
Treatment of Forgetfulness
Treatment of Epilepsy
Treatment of Nerve Pain
Treatment of Tremors
Treatment of Brain Hemorrhage
Treatment of Neurological Problems
Treatment of Schizophrenia
Treatment of Brain Injury
Treatment of Spasmodic Torticollis
Treatment of Nerve And Muscle Disorders
Treatment of Charcot-Marie-Tooth Disease
Treatment of Hyperactivity Disorder
Treatment of Paralysis
Treatment of Hyperactivity
Treatment of Multiple Sclerosis
Treatment of Meningitis
Treatment of Stroke
Treatment of Seizures
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If you are being treated for Parkinson's disease. How can you maximize the effect of Levodopa? The effect of levodopa can be maximized by increasing its absorption from the digestive system. In particular, taking levodopa on an empty stomach is very important.
- Take on an empty stomach: Do not eat anything 1 hour before taking levodopa. Do not eat anything for at least 30 minutes and if possible 1 hour after taking it. Take the pill with 2 glasses of water so that it can dissolve. If taking the levodopa on an empty stomach makes you nauseous, confirm that your medication has the right amount of carbidopa in relation to the levodopa (25%). If you continue to feel nauseous, you can eat a piece of white bread around the time that you take levodopa. Do not apply any butter, yogurt, cheese or similar high protein spreads. Protein can drastically decrease the absorption of levodopa.
- Get your constipation treated: This is critically important too. Being constipated can slow down the passage of levodopa through the digestive system. In most patients, drinking adequate water and taking stool softeners is helpful.
- Get your ulcer treated: It can be difficult to recognize that you have a gastric ulcer. However, if you have a burning sensation in your stomach at any time, or belch frequently, you may have a gastric ulcer. If you think you have an ulcer you should get tested (there is a simple breath test now) and treated with antibiotics (not antacids!)
- Do not take levodopa with iron tablets: The iron binds to levodopa and prevents its absorption. Keep a gap of at least two hours between these two medications.
- Try taking levodopa with orange juice and carbonated water (soda): Mix equal quantities of orange juice and carbonated water (soda). Take your regular levodopa with a glass of this preparation instead of water. The carbonated water hastens disintegration of the tablet, and the acidity of both things helps in levodopa absorption. There are special tablets of levodopa (dispersible levodopa, Madopar) which can be dissolved in this preparation. Talk to your doctor about it.
Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them.
The two types of migraine are-
- Migraine without aura: The majority of migraine sufferers have Migraine without Aura.
- Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.
Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are
- Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
- Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
- Motor: Usually related with the movement problems like the limb weakness
- Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:
- Pain on both sides or one side of the head
- Pain is throbbing in nature
- Vomiting and nausea
- Sensitivity to smells, sound and light
- Vision is blurred
- Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.
Red flags that the patient may be having underlying serious disorder not migraine
- Onset of headaches >50 years
- Thunderclap headache - subarachnoid haemorrhage
- Neurological symptoms or signs
- Immunosuppression or malignancy
- Red eye and haloes around lights - acute angle closure glaucoma
- Worsening symptoms
- Symptoms of temporal arteritis
Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.
- Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
- CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
- MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
- Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Migraine treatments can help stop symptoms and prevent future attacks.
Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:
- Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
- Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.
Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.
The brain is like the central processing unit of a computer that controls the entire body’s function. Both structurally and functionally, it is an extremely complex and vital organ and disorders occur due to a variety of reasons – old age, internal injury, accidents/trauma, infections, and malignancy being the most common. The brain has a highly sophisticated network of nerves which arise out of it and the spinal cord and ensures the body works in complete synchrony and coordination. The neurological disorder is a generic term that is used to denote problems in all these – brain, spinal cord, and associated nerves.
The different categories of neurologic disorders include are listed below along with some details on how they affect the individual as a whole.
- Developmental defects like spina bifida and hydrocephalus
- Genetic disorders like Huntington’s disorder and muscular dystrophy
- Infections (bacterial, viral, parasitic) are another major category of neurological disorders, causing symptoms both from the infection per se and aftereffects.
- Degenerative disorders like Alzheimer’s, different types of dementias, multiple sclerosis, Parkinson's disease, etc.
- Traumatic injuries as a result of sports, accidents, etc.
- Functional issues like epilepsy, migraine and other headaches
- Vascular issues like stroke and haemorrhages.
- Malignancy including benign and malignant brain tumours
- Malnutrition related disorders.
- Epilepsy: This happens due to inappropriate firing in the brain, resulting in convulsions. While it is hereditary in some people, the exact cause is not identified in most people. Effective medications are available which can completely cure the condition.
- Stroke: When a blood vessel is blocked due to plaque formation, blood supply is cut off to that part of the brain, leading to paralysis and sometimes even death. Timely intervention can, however, lead to the arrest and even reversal of symptoms.
- Parkinson’s disease: This is gradual degeneration causing reduced pace of movements (bradykinesia), tremors of the hands and feet, rigidity of movements, and loss of balance. The disease progression happens over a number of years, and it is usually genetic. Medications are available to manage the condition, but a complete cure is still under evaluation.
- Headaches: While headache can be a disorder in itself, it is also often the symptom of another neurological disorder. Migraines are very common, especially in women, and are characterised by throbbing, pounding headaches associated with sensitivity to light and noise and vomiting. There are usually triggers like menstruation, chocolates, alcohol, etc., which can be managed. Medications are useful in controlling the pain symptoms.
If detected in the early stages, the progression of most neurological disorders can be arrested and in some cases, symptoms even reversed.
Epilepsy is a neurological disease which is characterised by recurring epileptic seizures. These seizures can be brief or can persist for prolonged periods. Vigorous episodes which last long can result in physical injuries such as broken bones. Mention that 6th February is International epilepsy day.
Causes of Epilepsy
The cause of this condition isn’t very evident; however, most medical practitioners attribute epileptic seizures to brain injury, tumours, infections in the brain or birth defects. Some doctors believe that epilepsy is caused due to genetic mutations and is an outcome of abnormal activity of cells in the brain. Other causes for this condition can be alcohol or narcotics withdrawal and electrolyte problems.
- Repeated seizures
- Impaired memory
- Bouts of fainting
- Short spans of blackout
- Sudden bouts of blinking and chewing
- Inappropriate repetitive movements
Types of Seizures
A seizure, also known as fit, is usually a brief episode characterised by uncontrollable jerking movement and loss of awareness due to abnormal neuronal activity in your brain. A collective occurrence of these seizures causes epilepsy.
There are three types of seizures an epileptic person usually encounters.
- Idiopathic: This kind of seizure has no apparent cause
- Cryptogenic: The doctors believe that there is a cause for the seizure but cannot detect it
- Symptomatic: These seizures occur due to a reason.
- Medication: Medication is the most common treatment in case of epilepsy. Drugs taken on a regular basis can stop the seizure partially. But in very severe cases, they seem to have no effect at all.
- Surgery: For symptomatic seizures which are caused due to abnormal brain function, surgery can be a way to get rid of seizures. In some minor cases, nerve stimulation in the brain and special diets can be prescribed to control the epileptic seizures.
Five facts about epilepsy you need to know:
- Epilepsy is not psychosis or madness and can be treated easily
- Popular celebraties with epilepsy include Aristotle, Alfred Nobel, Alexander the great, Sir Isaacs Newton, Martin Luther and Julius Caesar etc.
- Woman with epilepsy can have a normal pregnancy
- Newer medicines for epilepsy are effective and very safe
- Surgery can cure epilepsy in some patients.
Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.
Dyslexia is a strictly neurological condition that has little to do with a person’s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.
The most common symptoms of dyslexia include:
- Trouble reading
- Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
- Slow development of speech
- Trouble with hand-eye coordination
- A slow rate of learning when it comes to data
- Problem with speech
- Very poor concentration span
- Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.
There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.
- Praise your child from time to time
- Remind your child that being dyslexic has nothing to do with intelligence levels
- Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child’s confidence level.
- Deal with your child patiently.