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Dr. N.e. Bharucha

Neurologist, Mumbai

Dr. N.e. Bharucha Neurologist, Mumbai
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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. N.e. Bharucha
Dr. N.e. Bharucha is a popular Neurologist in Mumbai, Mumbai. You can meet Dr. N.e. Bharucha personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. N.e. Bharucha on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 25 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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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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My husband is 61 years, he is suffering right side neck nerve pain for two days, due to this he could not chew hard food items, and couldn't lift heavy vehicles like scooter, please advise him for his early recovery.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again.. Do not ignore .It could be beginning of a serious problem.
2 people found this helpful
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I have been having migraines once a week and my hands start shivering with it. Please suggest because it's creating a lot of problem in my daily routine.

Doctor of Medicine
General Physician, Surat
Migraine is more or less is functional condition means does not have any pathology, try to come out of the stress and anxiety these are the best option
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My left hand arm became numbness for two days because of rare disease called Migraine headache with aura. Result of MRI and EEG scan was exact normal. I'm seeking for a best treatment.

MD - General Medicine, MBBS
General Physician, Karimnagar
My left hand arm became numbness for two days because of rare disease called Migraine headache with aura. Result of M...
Hello, only numbness of left hand without any headache makes the diagnosis migraine bit difficult. Migraine is a disorder of blood vessels and nerves where mri and eeg are expected to be normal. We do those to rule out other possibilities. Kindly consult general physician or neurologist for detailed analysis of symptoms so that proper diagnosis is done. Migraine is a controllable disease all you need to do is to take a course of medications for 6 months.
2 people found this helpful
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Sir, my dad is facing high blood pressure, diabetes and paralysis (faced in 2014, about 70-75% recovered) For diabetes having around 200 after fasting, using Glyciphage G2 tablet twice daily before breakfast and dinner For paralysis, ceruvin af 75*150 after lunch For blood pressure having around 140-80, using Cinod T twice daily after breakfast and dinner (half tablet) Is this proper treatment? Age: 55 yrs Height: 5.5" Weight: 84 kgs 75*150 after lunch For blood pressure having around 140-80, using Cinod T twice daily after breakfast and dinner (half tablet) Is this proper treatment? Age: 55 yrs Height: 5.5" Weight: 84 kgs.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Sir, my dad is facing high blood pressure, diabetes and paralysis (faced in 2014, about 70-75% recovered)
For diabete...
Cognitive enhancers like nootroplil tablets can be taken thrice daily, it can increase and boost up the stages of recovery, these drugs increaes cognition his blood sugar is very high Gliptins like sitagliptins will be added ,fasting shou; ld not be more then 110 mg/dl Target blood pressure for him is 130/8-0 mm of hg doses will be increased or decreased to achievethat target blood [pressure.

My mother is suffering from insomniac. She can't sleep at night without taking high dose medicines. Please suggest me some treatment which do not effect my mother's health.

B.H.M.S,
Homeopath, Muzaffarpur
My mother is suffering from insomniac. She can't sleep at night without taking high dose medicines. Please suggest me...
Hello you are suggested give following homeopathic medicine to your mother as per direction and you are also suggested to consult any homeopathic physician or send with details of your mother problem. 1 nux vom 200 one drop 02 times in a day. 2. Kali phos 6x 4 tab. 03 times in a day with worm water. 3. Passiflora inc. Q 30 to 40 drops with worm water at night during bed time. Thanks.
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When to Seek Medical Help for Epilepsy

MD, MBBS
Neurologist, Gurgaon
When to Seek Medical Help for Epilepsy

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation. After first seizure MRI and EEG may help to know whether you have the risk of second seizure or not.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

  1. You must take medications exactly as your doctor has prescribed.
  2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
  3. You should never stop taking the medicines.
  4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
  5. In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.

Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping. If you wish to discuss about any specific problem, you can consult a Neurologist.

392 people found this helpful

I am suffering from severe headache. Due to migraine. please do give me medicine?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am suffering from severe headache. Due to migraine. please do give me medicine?
Dear Lybrate User, *Spread your workload evenly during the day to avoid highs and lows of stress at work or at home. *Do not sleep excessively, especially during Sunday mornings and holidays. *Do not get too tired. *Eat at regular times, and do not skip meals. *Do not eat or drink anything, you think brings on a headache. *Limit the amount of tea, coffee and painkillers you use. *Watch your posture. Try to keep your neck straight. *Keep your muscles relaxed when you are not physically active. Try not to frown or tighten your jaw. *Restrict your physical activities in hot weather. *Avoid bright or flickering lights, loud noises or strong smells if they trigger headaches for you. *Remember the classic advice; “ati sarvatra varjayeth” or moderation in all things.
1 person found this helpful
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.

CAUSES:

ANTENATAL CAUSES:

  • Genetic causes: First or second degree consanguineous marriage.
  • Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
  • Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.

Trauma to the mother:

  • Infection to the mother can make the baby prone to develop it.
  • Malnourishment of the fetus especially in case of twins.
  • Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.

NEONATAL CAUSES:

  • Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
  • Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
  • Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
  • Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
  • Neonatal meningitis: Usually associated with severe residual brain damage.

POSTNATAL CAUSES:

  • Delayed cry: Causes asphyxia to the brain causing CP.
  • Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
  • Trauma: Fall of the body after birth.
  • Infection: Like meningitis, or encephalitis can cause brain damage.

TYPES OF CEREBRAL PALSY:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
  3. Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.

 

EXERCISES IN SUPINE POSITION

Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.

Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..

Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.

Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.

Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.

In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.

The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.

Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.

EXERCISES IN SITTING

The therapist should hold and support the child in sitting position. Time should be noted daily.

Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.

Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.

Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support

EXERCISES IN STANDING

STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.

SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.

WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.

Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.

Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.

Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.

Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.

Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.

2 people found this helpful

I am suffering from migraine since one year. Some times I feel vomiting also. Please suggest what should I do to.

MBBS
General Physician, Hyderabad
hi nargis, Lifestyle habits can go a long way to help reduce the number and severity of migraines. A consistent sleep pattern and regular exerciseand meals are important. Here are some lifestyle changes that may help: Sleep. Setting a consistent sleep schedule may help reduce migraines. Go to bed and get up about the same time every day, including weekends and holidays. Disruptions to your sleep schedule, getting too much or too little sleep, can trigger a headache. Exercise regularly. You may be tempted to avoid exercise, afraid it might trigger a migraine. And, although overexertion may trigger a headache in some people, research suggests regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger. Eat regular meals. Regular meals are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine. Also drink plenty of water to avoid dehydration, which can trigger migraine. Limit stress. For many migraine sufferers, stress is a common trigger. Take time each day for a relaxation break. Find something that you enjoy that helps you relax. For example: • Listen to calming music • Take a short walk • Meditate • Do yoga Try complementary therapies. Along with your prescribed treatment, consider using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through: • Acupuncture • Massage • Cognitive behavioral therapy tc.if problem still persists revert me back ill help you best.
2 people found this helpful
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Sleep Wake Disorder - Irregular Sleeping Patterns

Masters of Philosphy, Master of Science, Bachelor of Sciences
Psychologist, Kolkata
Sleep Wake Disorder - Irregular Sleeping Patterns

Sleep-Wake Disorder is a very uncommon syndrome which causes irregular sleeping patterns without any real schedule.

Causes
Persons with brain malfunctioning and those who do not have a regular routine during the day experience such disorders. People with changing work shifts often experience such disorder. Also, travellers who often move from one country to another with different time zones may also have these symptoms.
There's no cure for this disorder, but treatments, including hormones, medicine, and light therapy, can help get you closer to a normal sleeping pattern.

Symptoms

Symptoms may include any of the following:

  1. Sleeping or napping more than usual during the day
  2. Trouble falling asleep and staying asleep at night
  3. Waking up often during the night

Exams and Tests
A person must have at least three abnormal sleep-wake episodes during a 24-hour period to be diagnosed with this problem. The time between each such episode varies from 1 to 4 hours. The doctor may advise you to go ahead with a device called actigraph in case the diagnosis is unclear. The device looks like a wristwatch, and it can tell when a person is sleeping or awake.

Treatment
Though there is no simple cure for irregular sleep-wake syndrome, however, several therapies and lifestyle changes may help a person return to a normal sleep-wake cycle. These include:

  1. A regular daytime schedule of activities and mealtimes need to be fixed.
  2. You should not stay in bed during the day for long.
  3. Use bright light therapy in the morning like those from computer screens and television. The period of exposure should also be increased. Exposure to blue light should be minimized at night.
  4. You should take melatonin at bedtime. This is a hormone that controls the sleep-wake cycle. By taking doses at the right times, you might be able to shift your body clock earlier or later.
  5. Make sure to make the room dark, quiet, and as comfortable as possible at night.
  6. Also one should try to minimize the amount of noise in the sleep environment.
  7. Add more structure to the patient’s day by scheduling social interaction, exercise, and other activities.
  8. Your doctor may prescribe drug to control the timing of the sleep-wake cycle.

Finally, you should take proper care of yourself. Make positive changes in your lifestyle. You can even ask your boss to make your work schedule a bit flexible.

The ultimate goal of these lifestyle changes is to help the person sleep longer at night and make him feel active and awake during the day. Most people have sleep disturbances on occasion. But you need to consult a doctor if such sleep disorders occur regularly.

2574 people found this helpful

Thanks for all helpful advice but m still confuse that which medicine I have to take exactly. Im 24 year old male I have shivering problem when I get nervous from childhood, doctors advice me to take folvite tablet once a day for six months. But I want to know that why it's happen to me, is m week or is this medicine help me to Increase my blood cells. I badly need a help please advice me what should I do? I you tell me to take medicine then give me the proper name that I can buy it.

MBBS
General Physician, Mumbai
First thing for you is to increase your self confidence and take tablet Tablet folvite 5mg once a day for six months which will help in the production of healthy RBC and also in aiding rapid cell division growth which is necessary for our neurons to be healthy and which inturn will decrease your shivering problem when you are nervous
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My 5 year old daughter diagnosed with dyskinetic cerebral palsy she can not walk and talk she start neck holding from 9 month age. And sitting 4 year age she problem in learning tasks please tell me about her best treatment option.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Don't worry, nothing to worry as you encourage your daughter with good neuro physician & and do have neuro developmental therapeutic exercises with qualified neuro or ndt specialist physiotherapist and good speech pathologist and qualified special educator or all this in one good quality special school near to your home and correct follow up with them and neuro physician may help her to do her functional activities to maximum extent.
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I am 25 years old. I often suffer of migrane, specially when I am hungry. And I take some pain killer medicine every time. I get relief for the moment but after some days the headache starts again. After all this I am also suffering from hair fall. Does the reason of my hair fall belong to my migrane. And what medication should take for both my problems?

BHMS
Homeopath,
I am 25 years old. I often suffer of migrane, specially when I am hungry. And I take some pain killer medicine every ...
Dear lybrate user, hair growth occurs in cycles. Each cycle consists of a long growing phase (anagen), a short transitional phase (catagen) and a short resting phase (telogen). At the end of the resting phase, the hair falls out (exogen) and a new hair starts growing in the follicle beginning the cycle again. Normally, about 40 hairs reach the end of their resting phase each day and fall out. When more than 100 hairs fall out per day, clinical hair loss may occur. Hair loss have many causes such as:- 1) shrinkage of the hair follicles due to the influence of androgenic hormones. 2) under-nutrition of the hair due to fungal infection on the scalp. 3) effects of radio therapy or chemotherapy. 4) nutritional deficiencies. 5) autoimmune diseases. Modes of treatment for hairfall/alopecia includes surgical modes, oral medicine & local external application. The minimum duration of the course of oral medicines & external application is 6 months. You can start the following medications:- 1) take 5 drops of homeopathic sulphur 200, once in a week. 2) take 5 drops of homoeopathic selenium 200 every morning before brushing your teeth. 3) take 4 tablets from biochemic natrum mur 6x tablets, thrice daily. Just chew the tablets as those tablets are sweet in taste. 4) take homoeopathic mother tincture acid phos q, 30 drops, twice daily, after meals, in a cup of water. Kindly note that this medication may not be sufficient enough to take care of your problem. These medicines are based on the symptoms of your diseased condition & these medicines need to be complemented by further deep-acting remedies in order to permanently eliminate the underlying cause of the disease. So I would suggest you to consult me privately via lybrate as it is very necessary to diagnose the proper underlying cause of your problem if you are wishing for a permanent relief from your problems. A permanent annihilation of the underlying cause of the disease will not only provide you relief from your troubles but it will also cease any chance of further relapse of that particular disease condition.
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I am suffering from parkinson's disease and taking allopathic medicines syndopa others. Is there any cure of this disease in any allopathy. Ayurveda. Homeopathy. My age is 64 and since 4 years cam to know about it.

B.H.M.S
Homeopath, Patna
1. EXPLAIN IN DETAILES ABOUT YOUR SELF . ABOUT YOUR PROBLEM YOU FEEL . STOP ALL ALLOPATHIC MEDECINE CUPRUM MET 1M ONE DRAM TWICE DAILY FOR ONE MONTH
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How can you describe a scar epilepsy? Very confused with this variant! Please can anyone help!

MBBS
General Physician, Faridabad
Sometimes, epilepsy can be caused by scar tissue or a brain infection that can interfere with the brain's electrical signaling. Scar tissue in the brain can be caused by head injury, tumor, stroke or surgery.
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Sir, I am a ret med. Spe. My wife is suffering from parkinsonism since last 6-7 yrs but since last one yrs her condition is deteriorating pertaing to muscle loss. Loss of memory, unable to talk & respond properly. Shedevloped hypoprotenaemia due to bedsore etc & I gave her uman albumin 20%. Kindly advice any thing to be done at this stage to boost up her muscle power. Thanks.

MPTh/MPT
Physiotherapist,
Dear friend. Kindly find out brain auditary evoked potentials. This will help to report the performance of memory power, muscles power, speech etc. Consult neuro physiotherapist nearest your location also. This will be helpful
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I have spinal cord problem since 2 years and present time numbness in my left & right both the legs and sometime when I walking then I have pain in my right ankle.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have spinal cord problem since 2 years 
and present time numbness in my left & right both the legs and sometime whe...
Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It may have to be further investigated. It could be beginning of a serious problem. If no relief in 4_5 days, then inform again.
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I am suffering from migraine from last few years. I could not find any solutions to that. I haven't got any treatment but it comes and goes suddenly. Won't let me eat frozen food. please help.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
You seem to have migraine triggered by frozen foods. You should definitely avoid them. Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. 7. Acupuncture treatment has shown some benefits in migraine. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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Hello doctor I have been suffering from stomach nerve weakness. And insomnia from this. I have consulted many doctors they given tablets but no use for me till now. I can not lift weight it causing me breathless problem. The problem is from 4 years. Still I can not find any solution for it. I have been suffering from serious insomnia waking up morning at 3 then by no sleep. Now I am a light sleeper. One doctor said me you have nervous problem in stomach its caused me from running while playing sports please help me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hello doctor  I have been suffering from stomach nerve weakness. And insomnia from this. I have consulted many doctor...
Insomnia is mainly due to anxiety or mental disturbances and you need to practise good sleep hygiene. 1.It is important to maintain the same sleep schedule every single day. This helps to naturalize your body clock and get the best quality sleep. 2.Switch off all mobile phones, laptops and other electronic devices. Their artificial glow not only hampers your eyesight, but also prolongs the amount of time your body takes to relax and fall off to sleep. 3.If your back pain causes you to continually wake up in the middle of the night in discomfort, then sleep with a pillow or cushion between your legs so as to straighten out your back and relieve pent up stress. 4.The importance of your pillow can never be stressed upon enough. Your pillow should be not too fat, hard or soft. It should just about support the natural curve of your neck, so that it is perfectly aligned with the centre of your body. Correct sleeping postures are extremely important. 5.Make sure your room is nice and dark so as to stimulate the secretion of a hormone called melatonin that is regulated by light exposure. Darker the room, greater melatonin, making you more sleepy. 6.Those who exercise regularly and well are known to be fitful sleepers. Exercise well before bedtime. If required, do some light yoga or stretching exercises that promote sleep. 7.What you eat throughout the day makes a difference to the quality of your sleep. Stay away from too much caffeine, alcohol, or a heavy meal just before sleeping. They only make you stay awake for longer and may cause heartburn or stomach trouble. Don't drink too much water, or else you will be making more midnight trips to the bathroom than clocking those sleep hours. 8.Try to keep your head clear of all worries and stress when in bed. Regular meditation and deep breathing can help. There is no end to all the things you can do to sleep well and comfortably. It is important to be self-disciplined to sleep well and hence be a healthy individual. Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are many lifestyle habits that can help you to get sound sleep. Excess sleep can be due to anaemia, Hypothyroidism or general weakness and a blood test is needed and you may contact me personally by Lybrate site for further advice 1.Make regular and a fixed sleep pattern: Going to sleep and waking up the same time every day helps to maintain an equilibrium in the sleep-wake cycle called diurnal rhythm. If this balance is maintained, then your body will be accustomed to this pattern and as a result, you will feel less tired and fresh throughout the day 2. Maintain a definite dietary regulation: You should also maintain a proper diet plan and observe the consequences/effects of the foods that you are eating and the fluids that you are drinking on your sleep pattern. Taking a good and properly nutritious diet on a daily basis will help you to stay healthy and help your natural sleep-wake cycle. 3. Ensure that your room has mild or dim lighting or darkness if you prefer: The level of light also matters at the time of your sleep. You should definitely make sure that there is a very minimal level of light or darkness around you when you try to sleep. This should be done because the lesser is the light, the more comfortable you are while sleeping. Additionally, the sleep that you will get in a dark room will also be sound and undistorted as it helps keep all the sensory organs calm. 4). Do some relaxing activities before bedtime: Depending on your choice, you should follow simple techniques of relaxation in order to calm down the brain before sleep. Like mediation, Yoga or- deep breathing exercise, muscle relaxing activity, visualizing a peaceful setting/ scenario like a calm garden or beach or mountain area. These activities are just guidelines and you can do anything that helps you to get a relaxing mood and sleep. 5). Avoid daytime naps if you can, But Having short naps of less than one hour is absolutely okay if you are excessively tired during the day or you did not have a sound sleep the previous night. But, if you are consistently having long naps during the day then you are bound to have sleep issues during the night. So it is advisable to sleep early and wake up early for a healthy schedule. 6) Regular exercise: Exercising regularly helps to improve the overall quality of sleep by making you tired at night and sending you to bed more efficiently. Light to mild exercises also helps cure sleep disorders like insomnia. Resting at night plays an important role in regulating your daily health and your level of energy throughout a day. Also, not only the quantity but the quality of sleep is also important for a healthy lifestyle. Bedtime habits do play a vital role in shaping up your lifestyle and personality as a whole. Here are 6 lifestyle habits that can help you to get sound sleep on a daily basis.
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