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Dr. Krishnakumar N Shah

Neurologist, Mumbai

Dr. Krishnakumar N Shah 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. Krishnakumar N Shah
Dr. Krishnakumar N Shah is a popular Neurologist in Bandra West, Mumbai. You can consult Dr. Krishnakumar N Shah at Dr. Krishnakumar N Shah@Lilavati Hospital and Research Centre in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Krishnakumar N Shah on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 31 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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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
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Dear sir what is the symptom of paralysis. Why this paralysis come anytime to anyone. What is the bad effect of paralysis.

MBBS
General Physician, Cuttack
1.In paralysis one side of body including face remains immobile due to muscle weakness. 2.The person may lose control over bowel and bladder. 3.There may be slurring of speech. 4.It happens due to lack of blood supply to brain as in cerebral thrombosis/embolism/hemorrhage due to atherosclerosis in old age and long standing hypertension
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I have numbness in left foot fingers for last two years. My diabetic is in control. Please Suggest me remedies. What should i do ? Please advice.

MD - Psychiatry, MBBS
Psychiatrist, Patna
I have numbness in left foot fingers for last two years. My diabetic is in control. Please Suggest me remedies. What ...
Take a multivitamin like neurokind plus daily. Take a combination of pregabalin 75 mg and nortriptyline 10 mg (pregabid nt) two tablets at night. You will feel improvement.
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Parkinson's Disease: Dos and Don'ts

MBBS, MD - Physical Medicine & Rehabilitation
PMR (Physical Medicine & Rehabilitation) Specialist, Indore
Parkinson's Disease: Dos and Don'ts

Parkinson’s disease affects the part of the brain that controls muscle movement. The exact cause of this disease is not known, but there is a decrease in a chemical called dopamine in the brains of people with parkinson’s. There is no cure for parkinson’s, but it often progresses slowly and the signs can be managed.

Signs

The 4 most common signs of parkinson’s are:

• tremors or shaking when at rest

• muscle stiffness

• slowed movement or problems starting movement

• problems with balance and movement

As these signs worsen, you may also have trouble walking, talking, swallowing or doing simple tasks such as bathing or dressing. As the disease progresses, other signs such as pain, bowel or bladder problems and sleep problems may occur.

Your care

When you start to show signs of this disease, your doctor may order anti parkinsonian medicines or may also suggest some physical therapy to help manage your signs. The physical therapist can help you learn exercises, prescribed by a physiatrist, that can help you with movements.

You may need to work with your doctor to make adjustments in your medicines to keep your signs controlled. Over time, many people have side effects from the medicines used to treat parkinson’s disease, but they can be managed well.

You may also need occupational therapy or speech therapy to deal with signs as the disease progresses. As your signs get worse, surgery may be an option to reduce tremors.

Things you can do to manage your signs

When walking

• walk slowly with a straight posture and with your legs further apart. Think about taking big steps to help keep your steps more normal.

• use a 4-prong cane or a walker if needed.

• if you become stuck or freeze in one place, rock gently from side to
Side or pretend to step over an object on the floor.

• place tape strips on the floor to guide you through your house.
Remove area rugs and furniture from your walking path.

• stand up from a chair or bed slowly to avoid feeling dizzy or
Lightheaded.

When using the bathroom

• install grab bars on the walls, beside toilets and inside showers and bathtubs to help you stand up.

• use a shower chair inside the shower.

• install an elevated toilet seat to make standing up easier after using the toilet.

• shave with an electric razor.

When dressing

• wear loafers or shoes with velcro.

• wear simple dresses or pants with elastic waistbands such as sweatpants.


When eating or drinking

• use a cup with a large handle to make it easier to hold.

• use a bowl instead of a plate to limit spills and make it easier to scoop up food.


Work closely with your health care team to manage your signs of parkinson’s disease.

Physiotherapy Treatment for Head Injury

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Physiotherapy Treatment for Head Injury

PHYSIOTHERAPY TREATMENT OF HEAD INJURY

The treatment may comprise of the following measures:

IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:

The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.

The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient. 

Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.

PREVENTION OF SPASTICITY:

As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.

MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:

The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.

The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.

NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.

The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.

PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.

USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.

Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.

REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.

FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.

REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.

2 people found this helpful

I am 18 years old. I am suffering from migraine, I used many medicines. But no cure. Help me out!

BAMS
Ayurveda, Bangalore
Hi, take tab. Migrakot 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I have a migraine pain over 3 years. I m taking some medicine as prescribed by doctor, but it not much helpful. What should I do?

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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My dad of age 56 years last 1 year back he met with brain stroke, last December one day he got fits and behaved very angrily we admitted him in hospital and again last month he had the same may I know the condition, does it leads to paralysis?

BPTh/BPT, BPT
Physiotherapist, Hyderabad
May be same, please check, his legs and hands are moving or not then unable to move its paralysis, if he can move and actively walk, then there is no problem.
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I am 23 year old boy. I went to neurologist for my migraine pain in 2013. But the doctor abused me addictive antidepressants without my knowing. I took those medicines from Jan 2013 to june 2013. The following medicines were taken÷ 1>Provanol SR 40 2>Newcita plus 3>Dicorate ER 250 4>Zanocin OD 400 5>Headset Now I feel weakness of my body. My weight fell down from 70 kg to 55 kg. Before the treatment of neurologist I did not used to have depression. After the treatment of neurologist in 2013 I became plaque by bad health and depression as well.

PDDM, MHA, MBBS
General Physician, Nashik
Gradually stop all medications.. 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.
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Autism: Treat It With Homeopathy

BHMS
Homeopath, Raebareli
Autism: Treat It With Homeopathy

Autism is defined as a neurobiological pervasive development disorder that includes lack of social skills and inability to reciprocate to social interactions. The patient may also have intellectual and cognitive deficits and problems in communication (verbal as well as non-verbal).

Conventional medicine is mostly used to treat some of the symptoms but is never used to cure or provide remedies for autism. A proper professional homeopath will be able to guide you to get the best results for your child and reduce all the problems of autism, if not outright cure it.

Some of the medications that could be used to treat autism are as follows:

  1. Cuprum Metallicum: This works wonders when the child is being very obsessive, angry and is inflexible, tense and is very aggressive towards their parents. Some of these children may even exhibit malicious behaviors and are usually averse to touch or being approached.
  2. Androctonus: A child or a patient who tends to swing wildly from a stable good mood to a destructive mode can be calmed down or evened out by Androctonus. These children also exhibit behaviors of suspiciousness and quickness to act on their compulsion.
  3. Carcinosin: This is very helpful in children affected by autism who are talented, but are obsessive, compulsive, stubborn and also have sleep related issues. These children may also have addictive disorders.
  4. Agaricus: This medication is very good for children who may be mentally and physically awkward and show symptoms like indifference, muttering, talking, shouting or singing but not answering to direct calls or questions. Agaricus is very effective for children who suffer from involuntary jerking when they are awake.
  5. Helleborus: This is a very effective medication when the child is slow and under active and seems to be depressed most of the time. Some of these children may also have muscular weakness and helleborus is very effective in treating them. These are only a few examples of how homeopathy can provide remedies for your autistic child and thus is an effective solution.
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Hi I am 32 yrs old. Male.I am suffering from migraine only one side of d head. With heavy neck pain. Please suggest me the best treatment.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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My issue is. From childhood I suffering from stammering problem. Now am 26 year old now also I can't speak properly. I just depressed from this from. Childhood. If I start to speech anything with others or any other places to talk in public automatically I getting fear of talk very badly. And start to get body full of shivering. Then that moment I can't speak a single word from my mouth. Can I get relief from stammering. Any hope I get please do inform. Any treatment centres in bangalore. India. Send me address. Where can solve my problem. and live my happy life.

MD - Psychiatry
Psychiatrist, Chennai
My issue is. From childhood I suffering from stammering problem. Now am 26 year old now also I can't speak properly. ...
Stammering is typically recognised by a tense struggle to get words out. This makes it different from the normal non-fluency we all experience which includes hesitations and repetitions. Commonly it involves repeating or prolonging sounds or words, or getting stuck without any sound (silent blocking). Sometimes people put in extra sounds or words. Often people lose eye contact. Some people who stammer talk their way round difficult words so that you may not realise they stammer at all. This avoidance of words, and avoidance of speaking in some or many situations, is an important aspect of stammering. Stammering varies tremendously from person to person and is highly variable for the person who stammers who may be fluent one minute and struggling to speak the next. Get an mri brain and eeg with a psychiatrist evaluation.
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I am 23 years old male I have migraine problem everyday I have taken so many medicine but nothing is happening.

BAMS
Ayurveda, Bangalore
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I am unable to flex my hand fingers since 3 days it's in extended position. Can I know what's the cause for it?

PDDM, MHA, MBBS
General Physician, Nashik
1. Usually no identifiable cause is present in case of locked fingers. 2. Possibly cause identified, is shortening of tendons/ muscles due to reduced activity. 3. Stretching of involved muscle group, daily twice and especially before going to sleep will be helpful. 4. Also to improve muscle activity calcium and potassium supplements, with good hydration (at least 6-8 liters of water per day) will be helpful. Food rich in potassium like banana, avocada, nuts, etc. Will be helpful. If finger locking, becomes painful and frequent, release surgery might be necessary. It appears to be possible early stages and stretching will be helpful.
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Don't Understand Why Baby Is Crying?

M.Ch - Paediatric Surgery, MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
Pediatrician, Pune
Don't Understand Why Baby Is Crying?

All babies cry sometimes. It's perfectly normal. Most small babies cry for between one hour and three hours each day.

Your baby can't do anything for herself and relies on you to provide her with the food, warmth and comfort that she needs. Crying is your baby's way of communicating any or all of those needs and ensuring a response from you.

It's sometimes hard to work out what your baby is telling you. But in time you will learn to recognize what your baby needs. And as your baby grows she'll learn other ways of communicating with you. She'll get better at eye contact, making noises and smiling, all of which reduce her need to cry for attention.


In the meantime, if your baby is difficult to soothe, she may be trying to say:

I'm hungry

Hunger is one of the most common reasons that your newborn baby will cry. The younger your baby is, the more likely it is that she's hungry.

Your baby's small stomach can't hold very much, so if she cries, try offering her some milk. She may be hungry, even if her last feed doesn't seem very long ago. It's likely that you will be feeding often and regularly in the first day or so to help your breastmilk to come in anyway. If you are formula feeding your baby she may not be hungry if she has been fed within the last two hours.

I need my nappy changed

Your baby may protest if her clothes are too tight or if a wet or soiled nappy is bothering her. Or she may not mind if her nappy is full and may actually enjoy the warm and comfortable feeling. But if your baby's tender skin is being irritated, she will most likely cry.

I'm too cold or too hot

Your baby may hate having her nappy changed or being bathed. She may not be used to the feeling of cold air on her skin and would rather be bundled up and warm. But you will soon learn how to perform a quick nappy change if this is the case.

Take care not to overdress your baby, or she may become too hot. She will generally need to wear one more layer of clothing than you to be comfortable.

Use sheets and cellular blankets as beddings in your baby's cot or moses basket. You can check whether your baby is too hot or too cold by feeling her tummy. If her tummy feels too hot, remove a blanket, and if it feels cold, add one.

Don't be guided by your baby's hands or feet, as they usually feel cool. Keep your baby's room at a temperature of between 22 and 25 degrees c depending on the weather.

If your baby is co-sleeping with you, contact with your body will elevate her skin temperature so she's likely to be warm. Is she is using a cot, place her down to sleep on her back with her feet at the end of the cot. That way she can't wriggle too far down under the blankets and become too hot.

I need to be held

Your baby will need lots of cuddling, physical contact and reassurance to comfort her. So it may be that she just wants to be held. Try a baby sling to keep her close to you, perhaps swaying and singing to her while you hold her.

You may be worried about spoiling your baby if you hold her too much. But during the first few months of her life that's not possible. Small babies need lots of physical comfort. If you hold your baby close she may be soothed by hearing your heartbeat.

I'm tired and need a rest

Often, babies find it hard to get to sleep, particularly if they are over-tired. You will soon become aware of your baby's sleep cues. Whining and crying at the slightest thing, staring blankly into space, and going quiet and still are just three examples.

If your baby has received a lot of attention and cuddles from doting visitors, she may become over-stimulated. Then, when it comes to sleeping, she'll find it hard to switch off and settle. Take your baby somewhere calm and quiet to help her to settle down. Read more on establishing good sleeping habits.

I need something to make me feel better

Be aware of changes in your baby. If she's unwell, she'll probably cry in a different tone to her usual cry. It may be weaker, more urgent, continuous, or high-pitched. And if your baby usually cries a lot but has become unusually quiet, it may be a sign that she's not well.

Nobody knows your baby as well as you do. If you feel that there may be something wrong with her, speak to your doctor and discuss your concerns. Call the doctor if your baby has difficulty breathing through the crying, or if the crying is accompanied by a fever, diarrohea, or constipation.

I need something. But I don't know what

Sometimes you might not be able to figure out what's wrong when your baby cries. Many newborns go through patches of fretfulness and are not easily comforted. The unhappiness can range from a few minutes of hard-to-console crying to several hours at a stretch, an almost constant state of crying that is sometimes called colic. Colic is defined as inconsolable crying for at least three hours a day, for at least three days a week.

Many parents find it very difficult to cope with a baby who has colic, and it can put a strain on the whole family. There is no magic cure for colic, but it rarely lasts for more than three months.

19 people found this helpful

Dear Doctor, I am a 40 years old male. Suffers from frequent one sided headaches (predominantly left side of the head) combined with nausea and vomiting. Every morning I do neck exercise twice to ease the pain around the neck area or spasm. Could you please recommend me whether to check the blood pressure also during the migraine attacks?

MBBS
General Physician, Cuttack
Check your Bp.It could be due to inadequate sleep or some kind of stress.If it is a chronic problem You may have to take CT scan of brain after consulting neurologist
1 person found this helpful
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I have back pain and also left leg weak ness. Numbness is there. Can you please tell me the solution for that.

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR)
Physiotherapist, Delhi
I have back pain and also left leg weak ness. Numbness is there. Can you please tell me the solution for that.
It seems to be sciatica so have a good assessment of low back with a physio. In the mean time take rest and do hot fomentation.
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I am 41 years old man I have suffered to migraine problem since 2 years. What can I do.?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Take sootshekhar. Kaparda and godanti bhasm with honey two times a day. Eat green vegetables. Healthy food. Fruits. Drink plenty of water. Do pranayama early in the morning. Walk minimum for 30 minutes per day.
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My Mother feels difficulty in sleeping. Even she can't do it for an hour. The problem persists from 10 years. She had regular checkups from Surgeons and many other doctor too but still the problem continues. Tell me whether its a case of Insomnia or other thing?

DHMS (Hons.)
Homeopath, Patna
My Mother feels difficulty in sleeping. Even she can't do it for an hour. The problem persists from 10 years. She had...
Hi, dear lybrate user, she should follow the under noted tips: * go for meditation to reduce stress, anxiety and depression, if any. * take, plenty of water, to eliminate toxins. * she should meet her friends in d society to share her problem with them. * homoeo-medicine** @ coffea cruda 30-6 pills, thrice a day. @ ignatia 30-6 pills, thrice a day. Is there any shocking event she has sustained. In d past take, care,
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I got 3 children. The eldest daughter is suffered with fits during her childhood and become 50% mentally retarded. Other two are above normal in intelligence. Doctors says that she is behind 10 years of actual age. My question is how her condition will be cured?

MBBS, MD - Psychiatry
Psychiatrist, Chennai
Well sir usually mental retardation (intellectual disability) is an arrested development of human brain which is more of a permanent condition. Any child with early neonatal seizures with early childhood problem has more risk. But on the positive side usually children in the borderline or mild category can have good improvement with occupational therapy and domain specific training. My advice to you is kindly try to train her as any other kid daily and she should do well. Kindly consult an occupational therapist with expertise in this field for good results. Also be in touch with your psychiatrist for follow up. All the best.
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I have severe migraine almost everyday. What is its remedy. Hw cn I get rid of it?

MBBS, cc USG
General Physician, Gurgaon
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 kindly consult Physician for further management
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