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Dr. Hegde Udwadia Anaita

Neurologist, Mumbai

Dr. Hegde Udwadia Anaita Neurologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Hegde Udwadia Anaita
Dr. Hegde Udwadia Anaita is a renowned Neurologist in Mumbai, Mumbai. You can meet Dr. Hegde Udwadia Anaita personally at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Hegde Udwadia Anaita on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 34 years of experience on Lybrate.com. You can find Neurologists online in Mumbai 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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I am 63 years old man. and suffering from parkinson I am very much disturb with cramping in the legs. Can it be cure?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Pain is the most common reason people in the United States visit their doctors each year. Although pain is highly subjective and difficult to describe, a working definition is ?an unpleasant sensory and emotional experience associated with actual or potential physical damage.? Its components are physical, cognitive, behavioral, emotional and perceptual. Among people who have Parkinson?s disease (PD), pain is a major complaint. In fact, up to 85 percent of people with Parkinson?s report pain as a troubling symptom. Some of these people experience pain as an early symptom of Parkinson?s, before their disease has even been diagnosed. Yet, pain in Parkinson?s disease often remains undiagnosed and untreated. Thus, it is important to understand that pain can be part of the Parkinson?s experience and to learn ways to manage it. Causes of Pain in Parkinson?s Pain researchers use a classification system that is based on the separation of tissue pain receptors from the nerves that transmit pain signals. Pain can be classified as nociceptive, which relates to tissue damage, implicating the pain receptors in the skin, bones or surrounding tissues; as neuropathic, indicating pain arising in nerves; or as a mixed pain syndrome involving both nociceptive and neuropathic pain. In Parkinson?s, most pain experiences seem to result from tissue that is injured or has the potential to be damaged: causes include persistent tremor, muscle rigidity, dystonia, musculoskeletal injury (i.e., sprains, bruises, bone fractures resulting from a fall etc.), burns and inflammation. The pain is typically well-localized to the affected body part; it may fluctuate with the medication dosing. Pain caused by dystonia can be diagnosed when there is visible twisting, cramping or posturing of the painful body part. The most common areas of the body where people with Parkinson?s experience pain are the neck, upper back and extremities. In Parkinson?s, neuropathic pain is less common than nociceptive pain, and includes a number of conditions not directly related to PD, such as shingles, cancer pain, carpal tunnel syndrome, diabetic neuropathy, and peripheral neuropathy. The pain may present as burning, numbness and tingling, sharp sensations, or electric shock qualities. Pain due to nerve or root disease is most commonly caused by akathisia, an extreme inner restlessness. Parkinson?s specialists gain insight from the perspective of the pain specialist, and often select treatments based on the nociceptive versus neuropathic classification. In practical terms, it often proves helpful to conceptualize the experience of pain in Parkinson?s as relating to one or more of the following five categories: pain from the muscles or skeleton, pain from nerves or spinal roots, pain related to sustained twisting or writhing, discomfort from akathisia and pain caused directly by changes in chemicals in the brain due to Parkinson?s. The Impact of Pain It is important to address pain because it may interfere with day-to-day activities, mood, sleep and overall enjoyment of life. Specific problems resulting from chronic pain may include sleep disturbance, malnutrition, social withdrawal, physical and functional decline, depression, anxiety and impaired cognition. Pain also accounts for increased overall health care costs. A person?s perception of pain can be affected by emotional factors. Scientists have shown that depression, which affects approximately 40 percent of individuals diagnosed with Parkinson?s, plays an important role in the way people perceive pain. Similarly, tension and muscle stress caused by anxiety can compound pain. Cognitive processes ? how a person views pain and how he or she pays attention to it ? also influence the level of pain a person feels. A person who pays more attention to his or her pain and reacts to pain with a high level of stress will likely experience more pain than someone who tries to ignore the pain and considers it irrelevant to his or her daily life. Feeling helpless to control pain ? that is, believing that pain is uncontrollable or that there are no treatment options or health professionals available to assist in managing pain ? can also make pain seem worse. Fortunately, many options exist for treating pain. How can you find which are right for you? The first step is to talk to your doctor who can assess your pain and then help to build a pain management plan. Assessing and Managing Pain Your doctor can assess pain through a clinical interview and neurological examination, sometimes performed in both the unmedicated state and when the Parkinson?s medications are working fully. Your doctor may also ask you to describe the characteristics of your pain. For example, when do you feel pain? Where in the body is your pain? Does the pain feel hot or cold, stabbing or burning? You also may be asked to report how pain impacts your daily activities ? for example, walking or sleeping. The more information you can provide about your pain, the better your doctor will be able to diagnose and treat it. Management options for pain in Parkinson?s include both the pharmacological (i.e., medications) and the non-pharmacological. A combination of both may offer the best pain control, and an interdisciplinary model of care can lead to optimal results for pain management. Some treatment options include: medications physical therapy massage botulin toxin injections nutrition management exercise acupuncture/acupressure psychotherapy (emphasis on pain management) stretching Because of the relationship between dopamine and pain, dopaminergic medications such as levodopa can affect a person?s perception of pain. People with Parkinson?s who are in the ?on? levodopa state, when the medication is at peak effectiveness, report less pain than those in the ?off? state. Pain due to rigidity or dystonia can be relieved by dopamine drugs, but on the other hand, may cause dyskinesias. Therefore, effective management of levodopa medication for people with Parkinson?s may help to reduce pain. Because certain thought processes and behaviors can alleviate or worsen pain, some people find psychotherapy helpful for managing their pain. Techniques such as cognitive-behavioral therapy (helping to control the psychological response to pain; teaching diaphragmatic breathing, visual imagery exercises, relaxation techniques, etc.), and biofeedback may help ease pain, but are unlikely to eliminate it completely. A physical therapist can help you select and modify appropriate exercise routines. Of course, you should avoid activities or exercises that make your pain worse.
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I am 65 yrs old.My both feet have numbness with burning sensation at their bottom. I am not diabatic but taking bp & cholostral tablets which are under control, as er doctor advice, I am taking duloxetine-20mg& oxcarbazepine-300mg daily but there is no improvement. Please suggest further treatment.

Mch Orthopaedic, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Ghaziabad
Hi, I am Dr. Saurabh gupta from max hospital and I would like to answer your query. Numbness with burning sensation in feet suggests neuropathy. The reason may be due to defeciency od nutrients or due to vascular compromise or due to any pressure effect. 1. So you can take multi vitamin supplements consisting of pyridoxine, methyl cobalamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids 3. Daily out door exercises (150 min per week). Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I have a migraine problem. Could you please suggest any good medicine to reduce this problem?

PDDM, MHA, MBBS
General Physician, Nashik
Here are some tips to prevent a migraine attack: 1. Identify and avoid migraine triggers. You can keep track of your headache patterns and identify headache triggers by using a headache diary. 2. Recall what was eaten prior to an attack to help you identify chemical triggers. 3. Manage stress to prevent or reduce the severity of the migraine attacks. 4. Follow a regular daily routine and get adequate rest. 5. Exercise (in moderation) regularly.
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I am having pain in the thighs and in the calf muscles. Numbness in feet since 1 year. Doing exercises. Still the is not completely gone.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am having pain in the thighs and in the calf muscles. Numbness in feet since 1 year. Doing exercises. Still the is ...
Apply prasarini oil or pranacharya restopain oil on affected part then give hot fomentation. Take maha yograj guggul 1-1 twice a day after lunch and dinner. Take maharasnadi kwath 2-2 tsf twice a day. Avoid tea. Coffee. Junk food. Spicy food. Fermented food. Take green vegetables. Drink juice. Eat fruits. Drink 7-8 glass of water in a day. Take 7 hours sleep minimum. Do pranayama early morning. Walk for minimum 30 minutes in a day. For further detail contact me in private.
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My brother has a finger shivering while handling the objects from last two years Any medication or the exercise will help to over come this.Please tell.

BHMS
Homeopath, Faridabad
My brother has a finger shivering while handling the objects from last two years Any medication or the exercise will ...
Hello, please explain if there is any injury or any associated symptoms with it. Daily exercise will help him to get strength in the hand. Take gelsemium 200 ch, 3 drop once daily. Revert after 7 days with more symptoms.
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I am a 67 Years old male suffering from Migraines for the last 42 Years. 3 months back, my doctor has prescribed HEADSET for the same. It is working alright, but I feel lot of weakness after taking this. What are the long term effects of this tablet, and how safe it is?

Fellowship in Endoscopic Neurosurgery , M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Lucknow
I am a 67 Years old male suffering from Migraines for the last 42 Years. 3 months back, my doctor has prescribed HEAD...
Not very safe for long term use. It is a medicine supposed to be taken in emergency otherwise you need to take regular medicines to prevent headaches from happening.
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Can't Sleep? Here are natural home remedies for Insomnia

M.Sc - Dietitics / Nutrition, DNHE, P.G. Diploma in Panchkarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Hapur
Can't Sleep? Here are natural home remedies for Insomnia
Can't Sleep??? Here are natural home remedies for Insomnia


Insomnia can become a real nightmare as the clock ticks on into the night and you ’re awake to notice. Try these natural approaches to help you get some rest

Before- bed bites

• Have a slice of turkey or chicken , or a banana before heading to bed . These foods contain tryptophan , an amino acid that ’s used to make serotonin . And serotonin is a brain chemical that helps you sleep .
• Carbohydrates help trytophan enter the brain. Try a glass of warm milk (milk contains tryptophan ) and a cookie , or warm milk with a spoonful of honey .
• Avoid big meals late in the evening. You need three to four hours to digest a big meal.
• Spicy or sugary food, even at suppertime , is usually a bad idea. Spices can irritate your stomach , and when it tosses and turns, so will you . Having a lot of sugary food—especially chocolate, which contains caffeine— can make you feel jumpy .

Call on herbs for help

• Valerian helps people fall asleep faster without the “ hangover ” affect of some sleeping pills. It binds to the same receptors in the brain that tranquilizers such as diazepam bind to . Take two capsules of valerian root an hour before bed .
• Take 4 , 000 to 8, 000 milligrams of dried passionflower capsules . Passionflower is widely used as a mild herbal sedative .

Smell your way to sleep

• Lavender has a reputation as a mild tranquilizer . Simply dab a bit of the oil onto your temples and forehead before you hit the pillow . The aroma should help send you off to sleep .
• Put a drop of jasmine essential oil on each wrist just before you go to bed . In studies conducted at Wheeling Jesuit University in West Virginia, researchers discovered that
people who spent the night in jasmine -scented rooms slept more peacefully than people who stayed in unscented—or even lavender-scented— rooms .
• Try a soothing aromatic bath before bedtime. Add 5 drops lavender oil and 3 drops ylang- ylang oil to warm bathwater and enjoy a nice soak .

Be a slave to schedule

• Wake up at the same time each day, no matter how little sleep you got the night before. On weekends, follow the same schedule, so your body adheres to the same pattern all week long . You ’ll fall asleep faster.
• Every morning , go for a walk . It doesn ’t have to be a long walk, but it should definitely be outdoors. The presence of natural light (even if the day is overcast ) tells your groggy body it’ s time to wake up for the day. With your body clock set by the great outdoors, you ’ll sleep better at night .
• Try not to nap during the day, no matter how tired you feel. People who don’ t have insomnia often benefit from a short afternoon nap. However , if you ’ re napping in daytime only to turn into a wide -eyed zombie at night , there’ s a good chance that that afternoon snooze is disrupting your body clock.

Pillow tricks

• Once you get into bed , imagine your feet becoming heavy and numb . Feel them sinking into the mattress . Then do the same with your calves, and slowly work your way up your body, letting it all grow heavy and relaxed . The idea is to let yourself go, in gradual phases .
• If you’ re still awake after this progressive relaxation exercise, count sheep . The point is to occupy your mind with boring repetition , and , not to cast aspersions on sheep , there’ s nothing more boring or repetitive than counting a herd of them . Any repetitive counting activity will lull you .
• If you just can’t sleep , don’ t lie in bed worrying about it. That will only make sleep harder to attain. Get up, leave the bedroom , and grab a book or watch TV .

Prep your bedroom

• Turn your alarm clock so that you can’t see it from bed . If you ’ re glancing at the clock when you wake up— and it’s almost impossible not to —you ’ ll soon start wondering how you can function tomorrow on so little sleep tonight .
• Turn your thermostat down a few degrees before heading to bed . Most people sleep better when their surroundings are cool.
• If you share your bed , consider buying a queen - or king- size mattress so you don ’t keep one another up. Or consider sleeping in separate beds . ( Be sure to emphasize that your wish for separate beds is based on pragmatism rather than preference . )

Check the label

• Be cautious about taking an over - the -counter painkiller before bed . Some of them, like Excedrin , contain caffeine . Read the label first.
• Check labels of decongestants and cold remedies too. In addition to caffeine, they may contain ingredients , such as pseudoephedrine, that rev up your nervous system and leave you unable to fall asleep.

More " don ’ ts" for better dozing

• Avoid exercising within four hours of bedtime— it’s too stimulating. Instead , exercise in the morning or after work . An exception is yoga . A number of yoga postures are designed to calm your body and prepare you for sleep.
• Avoid caffeinated beverages, particularly within four hours of bedtime. Though people have varying ranges of sensitivity to caffeine, the stimulating effects can be long - lasting .
• Also avoid alcohol in the evenings. While a glass of sherry might help you fall asleep a bit faster than usual, the effects soon wear off , and you’ re more likely to wake up during the night.
• If you smoke within four hours of your bedtime, look no further for the cause of your insomnia . Nicotine stimulates the central nervous system, interfering with your body fall asleep and stay that way .
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My father aged 67 years have dementia since last 1 year. What is the possible treatment for him.

MD - Psychiatry
Psychiatrist, Chennai
My father aged 67 years have dementia since last 1 year. What is the possible treatment for him.
Dementia is the name for a group of symptoms caused by disorders that affect the brain. It is not a specific disease. People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there. Memory loss is a common symptom of dementia. However, memory loss by itself does not mean you have dementia. People with dementia have serious problems with two or more brain functions, such as memory and language. Although dementia is common in very elderly people, it is not part of normal aging. Many different diseases can cause dementia, including Alzheimers and stroke. Drugs are available to treat some of these diseases. While these drugs cannot cure dementia or repair brain damage, they may improve symptoms or slow down the disease. Consult a psychiatrist or neurologist.
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I feel my head ache since more than 5 days, so can I consider it as a symptoms of migraine or it is just normal ache. Sometime I am unable to take my full sleep night.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I feel my head ache since more than 5 days, so can I consider it as a symptoms of migraine or it is just normal ache....
Migraine is usually an episodic headache lasting from 30-45 minutes to all day long, pulsatile in nature, severe, one sided usually, common in females, associated with nausea and vomiting and resolved at times with rest and medications. It can start due to decreased or inadequate sleep, overexposure to sun etc. Since you have headaches since 5 days and if it has started due to decreased sleep, it could be due to migraine.
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I can't able to sleep for past few days. Especially at nights. Its make to feel alone. I fear that my condition was kind of insomnia. Can you suggest any way to prevent from this? Thanks in advance.

Post Graduate Diploma in Echocardiography, Mbbs
General Physician, Ernakulam
I can't able to sleep for past few days. Especially at nights. Its make to feel alone. I fear that my condition was k...
Stop smoking and. Tea coffee after 3pm. Take some 30 min walk at about 9 pm. Take a glass of milk with extra sugar added. Please get back more details like worry. Tension. Etc. Do not try alcohol.
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I am 51 year old and suffering lot of problems i. E. Hypertension, Sinus, Headache, Cervical, numbness on some body parts.

BHMS
Homeopath, Delhi
I am 51 year old and suffering lot of problems i. E. Hypertension, Sinus, Headache, Cervical, numbness on some body p...
Hello,you can take homoeopathic medicines 1. Calc Fluor 30 ( 4 drops in little water) every morning empty stomach only one dose in a day for a week. 2.Rhus Tox 30 ( 4 drops in little water) thrice a day for a week and revert.
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I get Migraine attack, like when I think over and over ill suffer like anything it will continues 3 to 4 days.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear When you know you are in a negative mind set, drink 2 glasses of hot water, walk for 30 mins at fast pace. The proper blood circulation will help you overcome the pain and discomfort. Make it a habit to exercise, eat the right foods for your body constitution and begin to do mindful meditation. Regards.
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Hi Doctor, My mom age is of 44, she have a nervous pain of past 15 years from backbone to left leg , what is the remedy and what kind of food she had to take ? Why it comes ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
Hi Doctor, My mom age is of 44, she have a nervous pain of past 15 years from backbone to left leg , what is the reme...
She might be suffering from sciatica. She has to avoid chilled and sour food. Let her start. Trayodashang guggul 2-2-2 mahayograaj guggul 2-2-2 mahavaatvidhvansa 2-2-2.
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My mother is a CVA patient since 2013 June & since then she can't perform day to day activities on her own. She has got paralysis on her left side. Since then physiotherapy was regularly done with her but with no result. So I am asking if there is any medicine to treat her at this stage?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult expert in neuro physiotherapist and continue good rehabilitation to her functional abilities
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Last couple of weeks I am suffering from insomnia ,Can you suggest what should I do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Last couple of weeks I am suffering from insomnia ,Can you suggest what should I do?
Insomnia for 2 weeks needs treatment with medications. Also follow general suggestions of sleep hygiene. Have a light dinner well before you go to sleep. Keep your bedtimes fixed. Do not have naps during daytime. Avoid alcohol, smoking or other intoxicating substances. For more queries and help in treatmnet you may consult me online.
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I am 27 facing problem bell palsy from last 45 days still I did not get complete relief, could you please help me out, after this disease I am feeling weakness in my body.

MBBS
General Physician, Cuttack
. Bell’s Palsy 1. Caus is Unknown, some times it could be due to Herpes Virus infection, 2. There is Paralysis of one side of face due to damage of facial nerve, 3. It may affect sense of taste, saliva, tear. 4. It Comes suddenly and gets better on ts own in 4-8 week. 5. Symptoms A) sudden paralysis/weakness on one side of face, B) face drop, numbness in affected side of face, difficulty in closing eye, c) Drooling, excessive tearing, dry eye D) loss of ability to taste, E) pain in or behind ear, increased sensitivity to sound. 6. Treatment- A) prednisolone with or without anti viral drug (acyclovir) B) Patient mostly recover within 1-2 month.
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Hi I am 22 years old and I have the following symptoms since 2 months: 1. Difficulty falling asleep despite being tired 2. Waking up frequently during night 3. Trouble getting back to sleep when awakened 4. Feeling exhausted when I woke up 5. Waking up too early in the morning. 6. Difficulty concentrating during the day and feeling fatigue, drowsiness and irritated. And I have generalised anxiety disorder since a long time. Can it be it insomnia? please help me out.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Hello, My Wife have Migraine problem and she is suffering too badly from this pain. Please suggest me possible treatments for the same. Thank You.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) take proper sleep and timely diet medication can be started flunarizine amitryptiline: sedation common side effects topiramate: memory disturbances and risk of angle closure glaucoma and renal stone divalproate: weight gain you need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.
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I am a college student. For a quite sometime say for the last two month or so, he feels that the veins of his brain be blast and he will die. This feeling disturb him mostly at night. He goes to college regularly, do all the works normally, but this feeling disturb him badly. Please help.

MBBS
General Physician, Jalgaon
Please be relaxed Do meditation regularly Do pranayam and yoga daily Take Tab prothiaden 15 1 at nt Tab naxdom 10 1 sos for headache.
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Dear sir / madam some times I feel numbness in my hand and leg during my sleep and my head feel ache besides tiredness in my whole body. Two months before I had tested my sugar level it was normal. Please suggest

MPTh/MPT
Physiotherapist,
Kindly do meditation and yoga. In early morning regularly. Due to lack of oxygen supply you feel headache and tiredness frequently. Dip your hands and legs inside lukeworm water for 15 min regularly for a week and do some free exercises inside lukeworm water. This will be helpful.
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