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Lokmanya Tilak Municipal General Hospital

Neurosurgeon Clinic

Dr Ambedkar Rd, Sion West, Jain Society, Sion Mumbai
1 Doctor
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Lokmanya Tilak Municipal General Hospital Neurosurgeon Clinic Dr Ambedkar Rd, Sion West, Jain Society, Sion Mumbai
1 Doctor
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We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply....more
We will always attempt to answer your questions thoroughly, so that you never have to worry needlessly, and we will explain complicated things clearly and simply.
More about Lokmanya Tilak Municipal General Hospital
Lokmanya Tilak Municipal General Hospital is known for housing experienced Neurosurgeons. Dr. Prasanna Patankar, a well-reputed Neurosurgeon, practices in Mumbai. Visit this medical health centre for Neurosurgeons recommended by 42 patients.

Timings

TUE
10:00 AM - 12:00 PM

Location

Dr Ambedkar Rd, Sion West, Jain Society, Sion
Sion West Mumbai, Maharashtra - 400022
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Doctor in Lokmanya Tilak Municipal General Hospital

Dr. Prasanna Patankar

MS - General Surgery
Neurosurgeon
15 Years experience
Unavailable today
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How Homeopathy Helps Manage Autism?

BHMS
Homeopath, Lucknow
How Homeopathy Helps Manage Autism?

Autism is a condition that afflicts many children around the globe and continues well into adulthood, with far-ranging and lifelong repercussions. While there is no permanent cure for this debilitating condition, one can turn to a number of treatments and management methods in order to take care of the symptoms and suppress the onset of the same. Let us find out more about the causes of the condition as well as the diagnosis, diet and homeopathic treatment for the same.

Causes

This is a neurological disease that children are usually born with. It may arise due to genetic or environmental factors. This is a complex ailment that has a bearing on the social and communication skills of the child and it affects his/her development as the child grows into an adult. Intake of drugs and other kinds of harmful medications during pregnancy are the most notable causes of this disease, while a faulty carrier gene could also bring on this condition in many cases. Exposure to many kinds of chemicals may also lead to the onset of this condition.

Diagnosis

While there are no lab tests that can determine the presence of this condition, doctors usually conduct the diagnosis on the basis of the symptoms, including constant tantrums, repetition of words as well as slurring, and over sensitivity towards pain. Further, a clinical evaluation based on the milestones touched by the child in the development process will also be studied carefully in order to make the right diagnosis. Screening tests can help determine the presence of this condition.

Diet

There is a large body of medical practitioners who hold the belief that the diet of a patient can have a large bearing on how he or she reacts to autism and its symptoms. As per many medical studies, it is known that these patients are not able to digest gluten and casein very well, which is why they should eliminate the same from their diet. Therefore, the patients must stick to gluten-free food like rice, vegetables, corn, soy and even fruits. Further, they should even try to avoid casein-rich food like dairy.

Homeopathic Treatment

These medicines should always be prescribed by a doctor. There are about 20 different types of medicines available to treat and manage the symptoms, especially if they arise due to genetic reasons. These may be prescribed for a period of six months to one year at a time, depending on the severity of the symptoms. The Houston Homeopathy Method has been known to give relief to over hundreds of children suffering from this ailment. Constitutional homeopathy can also be used in such cases so as to bring some respite from the symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!

Types And Diagnosis Of Migraine!

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Thane
Types And Diagnosis Of Migraine!

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- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. 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

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

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.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. 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.

Treatments

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.

Migraines - Complications It Can Cause!

MBBS, DNB (General Medicine)
General Physician, Delhi
Migraines - Complications It Can Cause!

Migraines are a severe form of headache wherein the excruciating pain is accompanied by an extreme sensitivity to sound and light; you also experience nausea. The headaches usually affect either side of the head and are throbbing in nature. Hot flashes, numbness of limbs and blind spots in the eye; these are often considered as warnings. In certain cases, migraines can cause blackouts that can range from a few seconds to a few minutes.

Migraines Occur in Four Stages:

  1. Pro-drome (symptom indicative of an onset of an illness).
  2. Aura (visual auras including blurred vision).
  3. Headache.
  4. Post-drome (the residual effects of migraine characterized by fatigue and lethargy).

But the occurrence of these stages varies across individuals. The causes of migraines aren’t specifically understood. It may be due to the interaction of the brain stem with the trigeminal nerve which is an important pain pathway of the brain. Imbalances in hormonal levels or in the levels of neurotransmitters such as serotonin may also prove to be a causal factor.

Symptoms-

Migraines may be triggered due to stress, physical exertion, and excess intake of alcohol or food additives such as MSG (Monosodium Glutamate). Changes in the environment and sleeping patterns may also be probable culprits.

Migraines can be easily distinguished from regular headaches, given the fact that migraines last longer and are rather severe in nature with pain felt in one part of the head. Most people experience the ‘Aura’stage where they have visual flashes right before headache. Nausea, eye pain or sensitivity to light and sound are other factors helpful in distinguishing migraine from other headaches.

Symptoms can occur a while before headache, immediately before headache, during headache and after headache. Although not all migraines are the same.

Typical symptoms include:

  • Moderate to severe pain, usually confined to one side of the head during an attack, but can occur on either side of the head
  • The pain is usually a severe, throbbing, pulsing pain
  • Increasing pain during physical activity
  • Inability to perform regular activities due to pain
  • Feeling sick and physically being sick
  • Increased sensitivity to light and sound, relieved by lying quietly in a darkened room
  • Some people experience other symptoms such as sweating, temperature changes, tummy ache and diarrhea.

Complications in migraine may include:

  1. Chronic migraine which last up to 15 days or more
  2. Status Migrainosus where the attacks last for over 3 days
  3. Migrainous infarction where the aura lasts longer than it should, cutting blood supply to the brain.

Hello. I am a 19 year old male from India. I have hand tremors cl 5 and my doctor suggested me to take Ciplar LA 40. Should I take it?

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Indore
Ciplar LA has the drug propranolol, which is the best drug for essential tremor. Please take as prescribed, but make sure that your blood test for thyroid profile is done. As thyroid disorders can also cause/ aggravate tremors.
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I was operated on hip with dhs 3 months back and everything is normal till now but from 2 days I have tingling feeling and restless legs which is making me worried and my other parts of the body started paining because of my walking posture change. What should be done next?

Bachelor in Physiotherapy
Physiotherapist, Ghaziabad
Hi there As Dhs is done in case of femur fractures most of the time. There is a possibility that something is pressing your sciatic nerve which turns along the head of the femur from the inferior to the anterior side of femur. This compression of sciatic nerve can be because of implant or muscle tightness. It's hard to reach any conclusion in this case. I would like to suggest you to get back to your doctor and tell him about it.
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Treatment Of Sleep Apnea

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Treatment Of Sleep Apnea

Numerous treatment options are used in obstructive sleep apnea. Avoiding alcohol and smoking is recommended, as is avoiding medications that relax the central nervous system. Weight loss is recommended in those who are overweight. Continuous positive airway pressure (CPAP) and mandibular advancement devices are often used and found to be equally effective. Physical training, even without weight loss, improves sleep apnea. There is insufficient evidence to support widespread use of medications or surgery.

2 people found this helpful

Obstructive Sleep Apnea

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Obstructive Sleep Apnea

Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. You may have sleep apnea if you snore loudly, and you feel tired even after a full night's sleep. The symptoms of obstructive sleep apnea are cardiac problems, stroke high blood pressure, Increased insulin resistance, memory problems etc. If you think you are suffering from any of the above symptom, then see your doctor.

6 people found this helpful

Doctor mein jab bed pe let ta hu to subah jab uthta hu tab aise lgta hai jaise mein uth nhi paunga. Left side back ki nerves dab jati hai shayad. Kya kru iska? Mujhe nervous system ki bhi problem hai. Doc kehte hai anxiety hai. Aap btaye kya karu? Masturbation over many years. But not now.Please advise.

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma in Psychological Medicine, Diplomate in professional psychotherapy
Psychiatrist, Nadiad
Doctor mein jab bed pe let ta hu to subah jab uthta hu tab aise lgta hai jaise mein uth nhi paunga. Left side back ki...
Dear lybrate-user Hello Yes it can be back problem also n problem of anxiety also /. Consult both orthopaedician n psychiatrist. Then gradually reduce all medicine n stop. If any problem feel free to contact us.
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I have problem in my neck hand arm and leg all get numb and feel pain from around 6 to 7 days and now headache is also happening .please provide some positive details my neck does not move properly.

MPT, BPT
Physiotherapist, Noida
I have problem in my neck hand arm and leg all get numb and feel pain from around 6 to 7 days and now headache is als...
Take frequent Breaks at work. Core Strengthening Exercises. Use cervical pillow. Use Back Support. Self Massage the back of neck
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