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Dr. Katrak S M

Neurologist, Mumbai

at clinic
Dr. Katrak S M Neurologist, Mumbai
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Katrak S M
Dr. Katrak S M is a popular Neurologist in Mumbai, Mumbai. He is currently practising at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Katrak S M on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 42 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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Hindi

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#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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I am facing insomnia problems at night which keeps me tired the whole day. How do bring back my normal sleep?

cc USG, MBBS
General Physician
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I am facing insomnia problems at night which keeps me tired the whole day. How do bring back my normal sleep?
I am giving you some tips for sound sleep and early awaking in morning follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga, i can give you address of rajyoga meditation center near your house (this is free of cost) One thing i want to tell you that if you can relax your mind by Rajyoga meditation than you can reduce your sleep upto 5-6 hour and you will feel fresh and active 4. Avoid tea coffee after 7 pm 5. You can wash your face and feet at bedtime 6. Avoid daytime sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes Consult me if symptom persist

I have swear pain in my head. I have migraine and cervical problem. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I have swear pain in my head. I have migraine and cervical problem. Please help me.
Take OTC MEDICINE TAB. Naprosyn 500 mg . Cap.pan – D 40mg once a day. Avoid stress,oily foods. give relax your neck.

A male child of 4 years age with autism. Are hyoscyamus & thuja help in treating him?

MD - Alternate Medicine, BHMS
Homeopath
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Homoeopathic medicines cannot be just prescribe unless and untill we have proper case details. So those medicines may or may not be helpful.

Dear Dr. I have continuous snoring and insomnia during my sleep and I feel more sedative when I wake up in the morning. Can you please guide me how to recover from this.

PDDM, MHA, MBBS
General Physician
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Clear nasal passages. If you have a stuffy nose, rinse sinuses with saline before bed. Using a Neti pot, nasal decongestant, or nasal strips can also help you breathe more easily while sleeping. If you have allergies, reduce dust mites and pet dander in your bedroom or use an allergy medication. Keep bedroom air moist. Dry air can irritate membranes in the nose and throat, so if swollen nasal tissues are the problem, a humidifier may help. Change your sleeping position. Elevating your head four inches may ease breathing and encourage your tongue and jaw to move forward. There are specially designed pillows available to help prevent snoring by making sure your neck muscles are not crimped. Sleep on your side instead of your back.

Hi I'm 21 yr boy My hands will be some time shake /vibrating And also some time my right side eye shaking What was it? please guid me.

MBBS
General Physician
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It could be due to anxiety, nervousness or thyroid problems.Get your thyroid function test done and consult doctor

Hello sir Suffering from back pain since last 5 years ,and I'm 25 year old ,and I and I suffer from night fall daily ,weakness numbness,noise,suggest me sir

MSPT (Master of Physical Therapy), BPTh/BPT
Physiotherapist
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Back pain with weakness, numbness signs of nerve compression/ TB/ IVDP/ . Get a consultation with CT scan. That would be necessary

Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician
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Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

I have severe headachne for last 5 days.MRI of Brain & Venogram is done.It says enlarged pituitary gland of 13mm is seen in cranio caudal

MBBS
General Physician
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Welcome Enlargement of the pituitary gland is a frequent cause of incidentaloma and of referrals to endocrinologists for hormonal evaluation and therapeutic advice. In neuroradiological series, 25-50% of healthy women who are 18-35 yr old have a convex superior pituitary contour, but pituitary height exceeds 9 mm in less than 0.5% of cases. This study was performed to provide thorough clinical and hormonal data and long-term endocrinological and imaging follow-up data on subjects with incidentally discovered pituitary hypertrophy (height > 9 mm). Seven eugonadal nulliparous women, 15-27 yr old, referred between 1989 and 1998 with incidentally diagnosed pituitary gland enlargement (height > 9 mm) and a suspected pituitary tumor, were studied. At presentation and at yearly intervals, PRL plasma levels and corticotropic, somatotropic, and thyrotropic pituitary function were measured; and pituitary dimensions and signal on magnetic resonance imaging (MRI), before and after iv gadolinium-diethylene-triamine-pentaacetic acid injection, were assessed. PRL plasma levels were normal; and corticotropic, somatotropic, and thyrotropic pituitary function was considered normal in all cases. In all the women, the upper boundary of the pituitary was convex, on MRI, and touched the optic chiasm in four cases. The width and anteroposterior diameter of the gland were normal. The pituitary itself seemed normal, with a homogeneous signal, on plain and dynamic studies with iv contrast injection. Despite normal initial hormone values, two women underwent surgery, by the transsphenoidal approach, in another center. During surgery, the pituitary seemed normal in both cases, with no evidence of tumoral or inflammatory processes. Biopsy specimens showed the morphologic characteristics of a normal, nonhyperplastic pituitary gland. All seven women were seen at yearly intervals for 2-8 yr (median, 4 yr). Clinical and hormonal status remained stable, as did the structure and size of pituitary, on serial MRI. No tumor formation occurred, supporting the diagnosis of physiologic hypertrophy of the pituitary gland. In conclusion, these observations suggest that careful examination of MRI results may help to distinguish physiologic pituitary hypertrophy from pituitary tumors and infiltrating lesions. The former diagnosis is confirmed by normal baseline pituitary function in extensive hormonal tests. Correct identification of such patients is important to avoid unnecessary pituitary surgery and costly MRI surveillance. If you find any problem ask again. Thanks.

My niece is 9 years old and suffering from fits from last 8 years. I went to meet many Doctors but her problem is still same due to this problem her mentally growth has been also affected. What should I do? Kindly suggest.

MBBS
General Physician
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I think she is not taking proper medicine for control of fits. Consult child specialist and take medicine in proper doses regularly.

Sleep Apnea and Its Link to Heart Failure

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist
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We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High blood pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (cpap)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto cpap machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than cpap machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.
Sleep Apnea and Its Link to Heart Failure

I am suffering from epileptic problem. What can I do. I have taken patanjali medicine and English medicine also for 2 years.

MBBS
General Physician
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You have to continue anti epileptic drugs after consulting neurologist. If you remain asymptomatic for 3 years without recurrence of seizure after stopping medicines, then you are cured of epilepsy.

Treatment for autism.

M.D,Psychiatry
Psychiatrist
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Each child with autism is different. Needs different types of treatment. You can connect urself on facebook page autism speaks

Sir i have headache problem since 10 years.MRI of head is normal. Dr.says it is Migrane. I am using several pain killers.Please suggest what should i do?

Diploma in Diabetology, CCT (Rheumatology & Internal Medicine), MD - Internal Medicine
General Physician
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You have to tell in detail about headache. What is intensity on scale of 0-10, 0 being no pain and 10 being severe pain, you have to tell the frequency like its everyday or every other day and what is your age. Is it on one side of head? Is it throbbing? Do u have tears from eyes? Or do you have vertigo? Or vomiting? The suggestion would be based on that.

I am 40 years old and I am suffering from migraine problem for last 20 years. Is there an treatment of migraine available.

PDDM, MHA, MBBS
General Physician
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Migraine cannot be cured. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.

I am 35 years old female. I have migraine for last 22 years. It's affecting my day to day life. Earlier it used be only headache. Now I get headache, eye pain, numbness in arms n legs, also I see sm image in front of my eye like a thin horizontal line. Headache happens after every 5 or 6 days. Donot get relief with pain killers also. No vomiting but spinning of head is there. Can't bear loud music, sunlight and also travelling has become difficult. Its a throbbing pounding pain on one side n sometimes near the ear. Please suggest medicine.

MBBS
General Physician
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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.. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 4.. Go for regular exercise 5. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 6. If You have chronic migraine, you have to take migraine prophylaxis after consulting physician

What is the blood Cancer. What is the is the effect of blood cancer in human body. How to stop the blood cancer in human body. And how to treat brain tumor?

MBBS, MD - General Medicine, DM - Neurology
Neurologist
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Blood cancer is due to rapid multiplication of blood cells, most commonly white blood cells. It is called leukemia. It can be treated, however, we can not stop it. Brain tumor can be treated by surgery and radiation therapy.

I have really strong migraine, for the last two days. I also experience lack of balance and diarrhea.

BHMS
Homeopath
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hello Migraine is a form of headache in which the pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homoeopathic remedy differs from person to person. take kali phos 6x, 5 tabs thrice daily. Please revert with more symptoms.

Dear Dr. Knowingly & unknowingly I had destroyed my body with all the habits now I'm facing some issue like, 1. Shaking of hands. 2. No resistance power. 3. Depression 4. Weakness I wanna change my life and wanna fix it can you please suggest me on this. Thanks

MD - Psychiatry, MBBS
Psychiatrist
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Dear Dr. Knowingly & unknowingly I had destroyed my body with all the habits now I'm facing some issue like, 1. Shaki...
You must think, that your fine and concentrating on good ideas. Destroy anything is easy but not creating it. So you must wait for your recovery. Take healthy food and positive thoughts is a first tips to be followed. And we must do some new habits like spending time in gardening or reading books or jacking or exercise etc.
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