Dr. K.E. Turel

The cause of shaking of hands are * muscular weakness in hands * Improper neurological functions of hand nerves * Restlessness of body * Deficiency of nutrition in body. To get relief from shaking of hands * Give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * Do BHRAMARI PRANAYAM twice a day. Practice SARWANGASAN and Sit with the GYAN MUDRA in Hands. These asans & mudra calm down your brain & relieve from nervousness & restlessness. * Take Rogan Badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * Take 2 teaspoon of ASHVAGANDHARISTHA added in a glass of water once a day You can consult me for your doubts and detailed treatment.

Take proper amount of sleep and rest. Take crocin pain relief tab sos. If not ok consult doctor neurologist.

Dear sir, probably the non enhancing lesions may be the cause Of seizures. Most likely those lesions may be tuberculoma or neurocysticercosis. And you would require treatment for that also. Please consult and be in contact with neurologist for the same. Low chances of metastases also may be there but most likely it would be infections and will require treatment for that.

Looks like you are developing diabetic peripheral neuropathy. You need to get nerve conduction study and visit a neurologist.

Contitinue antiepileptic medicines without any break for minimum 3 years or as advised by physician. Epilepsy never causes weakness or anorexia. He is suffering from clinical malnutrition as evidenced by just 22 kg (normal 26-27. Give him home made balanced diet at frequent intervals. Encourage daily excercise/sports activity.

Few things related to headache so that we can plan the treatment accordingly - if pain is associated with blurred or decreased vision than check your eye sight for refractive error - if the pain is associated with cold and fever than we have to rule out sinusitis as the cause and if the pain is pulsatile in nature and with a throbbing pain usually with an aura than we have to rule out migrane as the cause - if the pain is associated with neck problems than we have to rule out cervical spondylosis as the cause - if the pain is associated with either low or high bp or due to hyperacidity than we have to treat the cause after examination.

Neurocysticercosis is the result of accidental ingestion of eggs of Taenia solium (ie, pork tapeworm), usually due to contamination of food by people with taeniasis. In developing countries, neurocysticercosis is the most common parasitic disease of the nervous system and is the main cause of acquired epilepsy. Symptomatic therapy is the mainstay of treatment for neurocysticercosis, as follows: Anticonvulsants are prescribed to patients with seizures. Specific anthelminthic therapy with albendazole or praziquantel is prescribed, usually accompanied by corticosteroids. Corticosteroids are used in patients with cerebral edema or vasculitis. CSF diversion is instituted in patients with obstructive hydrocephalus.

) Symptoms of Malaria 1.Intermittent High Fever with Chills 2.Profuse sweating 3.Headache , Fatigue 4.Nausea, Vomiting 5.Diarrhea 6.Anemia 7.Enlarged Spleen Prevention 1.Take anti mosquito measures like use of mosquito net, mosquito repellent, 2. spraying of insecticides in surrounding and keep it free from vegetation, 3.wearing full sleeve shirts in the evening, 4.Discarding empty containers for collection of water and promoting mosquito breeding

Not at all. Epilepsy is a disease of brain because of abnormal neuronal electric function and could not be transmitted to others. Its like problem in one of the hardware of your phone or television which could not transfer to your phone or television.

Dbs may help in motor symptoms but it will not help in memory problems. If he has dementia, then he is not a fit candidate for dbs.

Causes of lack of sleep are: • stress • Anxiety • Depression • Pain • irregular schedule of sleep such as sleeping during day time & working during nights. • Caffeine, alcohol • Due to drugs • Due to high blood pressure. • Aging Due to lack of sleep there are many complications arise such as lack of concentration, irritability, fatigue & digestion problem. So these are some instructions & methods for good sleep: • Frequent oil massage of head with oil relax your mind and enhances sleep. You can also do foot massage daily it destress you. • Do not take stress. Do meditation and long breathing pranayams to relax the mind. • Do not take caffeine, tea & alcohol in excess and these are stimulant,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Avoid sleep during day time as it makes it harder to fall asleep at night. •Try to sleep early at night. Do not think during sleep and avoid use of laptop during night. Do exercise and long walk daily. • Avoid to take sleeping pills because these are habit forming drugs and these drugs disturb your normal sleep pattern. • Take a bowl of curd daily in afternoon and one glass of milk at night daily.

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 Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management

1.It could be due to a cerebellar disorder. 2.Do a CT scan of brain after consulting neurologist and follow hisadvice and treatment

Kindly do yoga and meditation regularly by early morning. Try to sleep by 10 pm and get up 5 or 6 am in morning and do meditation and yoga regularly. This will be help full

Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.

*Try to keep to a regular timing for going to bed*Avoid fried and heavy foods. Eat early and light food at night so that the food is almost digested by the time you go to bed. *Prefer fruits and green vegetables. *Fix daily work schedule and be busy with your work. Don’t keep pending problems in mind. Note down the points and leave them for next day’s action. *Don’t do stimulating mental work or keep watching TV which can keep your mind agitated or active. This will not allow you to sleep. LCD screen will also have adverse effect. *Day’s physical exercise makes you tired and induces sleep. *A warm bath in the evening will also be helpful. *Low volume music also induces sleep. *Keep your bed room neat, dark and cool. You may cover your eyes with bed sheet. *Drink plenty of water during the day rather than toward bedtime. *Don’t have stimulating drinks like tea or coffee Drinking a glass of milk before going to bed is fine. The problem can be treated by homeopathy and without adverse effects. Take homoeopathic medicine Nux vomica 200 twice daily in the morning and evening.

Hello, For bells palsy its very important to know the underlying cause and treat it first by taking medicines. If your faces is affected like drooping eyes or drooping saliva, assymetrical smile, unable to close the mouth etc, then best would be to facial stimulation for few weeks,(days depending on the extent )Facial exercises etc, under the trained physiotherapist.

Side effects of Levetiracetam : Dizziness, Vertigo, Headache, Drowsiness, Ataxia, Anorexia, Nervousness, Rashes, Depression, Tremor, Asthenia, Aggression. Weight gain can be related to overeating and lack of exercise

Discuss this side effect with your neurologist and ask him for alternative medication or change in dose. All the best.