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Dr. N.e. Bharucha

Neurologist, Mumbai

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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.

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#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I am suffering from migraine procedure for the last two years and I have headache. Can you suggest what should be done?

MBBS, MHS, MD - Neurology (USA), Fellowship in Epilepsy, Clinical Attachment in Movement disorders
Neurologist,
First the diagnosis of migraine needs to be confirmed, other serious causes for a headache need to be ruled out. If it is really migraine - Lifestyle changes can be very effective in migraine. Some people do need prophylactic medications to prevent migraine. Prevention e.g. 8 hrs of sleep, avoiding hunger, avoiding stress, keeping a diary and avoiding triggers is better than medications.
1 person found this helpful
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How to tackle Migraine

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
Migraine can be tackled by a combination of medical and lifestyle measures.
Medical measures: if you have frequent episodes, you will need 2 types of medicines- one to be taken daily for a period of at least 6 months as prophylaxis and 2nd to be taken during attacks of headache for quick relief of pain. These medication should be started only after consultation with a neurologist and ruling out other rare but serious causes of headache.

Lifestyle measures:
Lifestyle measures play an equal, if not greater role in management of migraine. They include:
1) regular intake of meals. Avoid fasting, eat breakfast, lumnch and dinner at fixed timings.
2) good 7 hours of uninterrupted sleep daily
3) avoiding foods that precipitate migraine like cheese, chocolate, excess coffee/tea and sour foods

In addition, you may have to temporarily avoid excessive travel and exposure to sunlight which can precipitate headache. Yoga/ meditation and relaxation techniques will help immensely.

From 7 days I am not feeling the taste of any food. And on 4th day when I try to talk then my lips get one side not moving properly and then I ask a doctor foe this then I was said by him that I have a face paralysis. Give me a solution. Coz it occurs sudden.

MBBS
General Physician, Mumbai
It is common for a youngster to have facial palsy and Apart from taking symptomatic treatment take physiotherapy treatment till recovery
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I have been suffering from a symptoms like brain fog .I once consulted a doctor and he told me I had sinusitis later I did xray and it was alright. Can this happen by staring too much at phone?

MBBS
General Physician, Jalgaon
Yes it is possible Please avoid it Wake up early go for morning walk in greenery daily Do meditation regularly to give rest to your brain Do pranayam and yoga regularly Take Cap stresscom by dabur 1 1 for 15 days Re Consult if needed.
1 person found this helpful
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I have migrane headache and it severely pains on the right eyebrow part. Can I get some suggestions what do I need to do about this?

MBBS
General Physician, Delhi
Take tablet beta cap plus once daily night time for 3 months. In case of acute pain take tablet brufen sos.
1 person found this helpful
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I am 40 year old man. I am suffering from insomnia and high blood pressure. I am taking following medicine: 1 For insomnia: Larzopoma 2 mg Clozepam 0.25 mg before going to bed 2. For high blood pressure: metropolis 50 mg after dinner nowadays I am feeling swollen in the following body parts eye face Please tell me can I sleep without this medicine as I am taking the above medicine from the last 4 years and I am habitual for the above medicine. Is other any option for sleeping without medicine.

BAMS
Ayurveda, Ambala
I am 40 year old man. I am suffering from insomnia and high blood pressure. I am taking following medicine:
1 For ins...
Causes of lack of sleep or insomnia : • stress • Anxiety • Depression • Pain • irregular schedule of sleep such as sleeping during day time & working during nights. • Excess intake of alcohol , caffeine (tea, coffee) • Due to drugs , Due to high blood pressure • Aging 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 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 . Do exercise and long walk daily . • Take a bowl of curd daily in afternoon and one glass of milk at night daily .
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When I eat food, I feel too drowsy and act like a zombie. This happens even with low glycemic food such as vegetable salad (no oil) or vegetable juices. It is not psychological and I do not have sleep apnea. I have this problem since childhood. What is my problem?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
When I eat food, I feel too drowsy and act like a zombie. This happens even with low glycemic food such as vegetable ...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes.
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Obstructive Sleep Apnea - Know Its Causes And Treatment!!

DNB (Respiratory disease), Fellowship Bronchoscopy, MBBS
Pulmonologist, Ahmedabad
Obstructive Sleep Apnea - Know Its Causes And Treatment!!

What Is Obstructive Sleep Apnea?

Obstructive sleep apnea (OSA) is a medical condition in which the patient's breathing is obstructed for brief periods of time. Normally, air flows into the lungs at all times. But for a person suffering from OSA condition, the breathing pattern is hampered and the flow of the air is restricted. The flow of air stops because the airway space may be very narrow. Snoring is the biggest symptom of obstructive sleep apnea.

Symptoms-

All the symptoms that you might be experiencing due to lack of sleep will be experienced through OSA. They are periods where there is a decreased oxygen supply to the brain and as a result, you will be experiencing a disturbed sleep throughout the night. Some of the other symptoms can include headaches, forgetfulness, and drowsiness. Depression, hyperactivity and swelling in legs and daytime drowsiness are other common symptoms that can be associated with it.

Causes-

OSA is common in people who are overweight and people who suffer from obesity. There are 3 major types of sleep apnea.

  1. Obstructive sleep apnea: This is the most common type where the airway becomes narrowed or blocked.
  2. Central sleep apnea: There is no blockage involved, but the brain does not give out any signal to breath.
  3. Mixed sleep apnea: This is a combination of both - obstructive and central sleep apnea.

The other factors that can cause OSA can include children with large tonsils, large tongue, and certain heart diseases.

Diagnosis-

A diagnosis of sleep apnea begins with a complete history and physical examination. Your snoring patterns are analyzed and how rested your body is being taken into account. The doctor will also examine your head and neck to identify any physical factors that may be associated with sleep apnea. Mostly you might be asked to take a test at one of the sleep centers to identify your sleep patterns. The results would be analyzed for better identification of the treatment.

Treatment-

Positive Airways Pressure Therapy, or PAP therapy, can prevent or reduce the serious health consequences of OSA. PAP therapy helps people with all levels of OSA, from mild to severe. It is most common therapy for OSA.

There are different forms of PAP therapy. All forms of PAP help keeping the airway open during the night. These devices provide a stream of air through a mask you wear while you sleep. The airstream prevents your airway from closing, so you don't stop breathing and wake up during the night.

The mask must fit and make a seal in order to keep throat open. A good mask seal will prevent air leaks and maintain the right level of air pressure. The amount of air pressure needed is different for each person.

PAP is usually the first form of treatment for OSA. There are other treatments for OSA. You can talk to your health care provider about which treatment is right for you.  

If you are overweight, weight loss can help improve or eliminate your OSA. Oral appliances will use to treat mild to moderate OSA. They fit over the teeth and are worn during sleep. People with OSA may have surgery to reduce the tissue in their throats or to help them lose weight. Lifetyle of behavioral changes, such as quitting smoking or not drinking alcohol, can also help treat OSA. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

3112 people found this helpful

What are the symptoms of brain tumor? How can it be cured? Tell me something about brain tumor.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Head ache blurred vision Abdomen pain and it is basically abnormal accumulation of cells it can be benign or Malignant
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So the problem started in November last year, I had fever, viral infection but I was a smoker so even in viral infection, I didn't stop smoking but after that viral infection, whenever I smoke I felt something awkward like numbness. This awkwardness went down after some time but then again after smoking it start again. In last 6 days I only smoked 2 cigarettes but still it feels but compare to previous days when I smoked a lot (around 10 cigarettes) less numbness. I started smoking in April 2015. Kindly suggest me what it is, I want to get rid of this feeling.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
So the problem started in November last year, I had fever, viral infection but I was a smoker so even in viral infect...
First do completely avoid smoking as nicotine is very harmful for bones and nerve sensory system do regular physical activity and breathing exercises for about 30 minutes regularly have balanced diet avoid stress anxiety and anticipating the things best wishes.
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Brain Tumors - How Radiosurgery Can Help?

MD, MBBS
Oncologist, Ernakulam
Brain Tumors - How Radiosurgery Can Help?

Short course radiation therapy is the one of the most talked about subject in recent years and also a fascinating research zone. Hypofractionated radiation therapy is an old concept, but only in recent years with tremendous improvement in radiation therapy delivery technologies there is a significant visible surge in it’s applicability in clinical practice. Modern radiation therapy technology is capable of delivering high dose to the target while sparing majority of the adjacent critical structures. Hence, it is possible to deliver short course of treatment regimen with higher dose per fraction without increasing in toxicity. In brain tumours, radiosurgery with gamma-knife is considered standard of care in many of the clinical indications such as small meningiomas, acaustic schwannomas, residual low grade gliomas, AVMs and solitary/ oligo brain metastasis. Gamma-knife radiosurgery is in clinical practice for more than five decades.

There are several prospective and randomized studies (level I evidence) with long-term follow up data supporting the use of radiosurgery in these clinical indications. Other indications of radiosurgery are pituitary tumour, craniopharyngiomas, glomus tumours, chordomas and others. Robotic radiosurgery (CyberKnife®) is precision radiosurgery delivery system and an extension of gamma-knife system. CyberKnife uses the principle of gamma-knife, but with linear accelerator source instead of multiple cobalt sources. CyberKnife is capable to treating all tumours indicated for gamma-knife with similar accuracy.

This modern tool has some additional advantages from gamma-knife, such as

1) CyberKnife can use fractionated treatment, hence relatively larger tumours can be treated.

2) Require only thermoplastic mask, no need for invasive frame.

3) Has inverse planning system, can spare critical structure.

4) There is a ‘intra-fraction’ correction technology with imaging.

5) There is no need to change the source, hence may be more cost effective.

6) Can be used to treat extra-cranial tumours also. CyberKnife has a linear accelerator attached with a robot and is capable of treatment from various coplanar and non-coplanar field arrangements. CyberKnife has sub-millimeter accuracy and unmatched dose distribution.

The advanced technology behind CyberKnife uses image guidance technology and computer-controlled robotics to deliver and extremely precise dose of radiation to targets, avoiding the surrounding healthy tissue, and adjusting for patient and tumor movement during treatment. In conclusion, CyberKnife is an extension of gammaknife radiosurgery delivery system. This machine has immense promise to treat with short course regimens with high dose and improve local control without increasing toxicities. If you wish to discuss about any specific problem, you can consult an Oncologist.

2943 people found this helpful

How to diagnosed brain tumour? What are all test will do? How to its formed? What are all foods to eat brain tumour? What are all things for home remedies for brain tumour?

BHMS
Homeopath, Kolkata
How to diagnosed brain tumour? What are all test will do?
How to its formed?
What are all foods to eat brain tumour?
...
Dear User, you should do CT scan nog your brain, the third and fourth answer is that there is no specific food for brain tumour and no home remedy for it.
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Do You Think You are Suffering from Brain Tumor? 10 Signs You Must Take Seriously

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
Do You Think You are Suffering from Brain Tumor? 10 Signs You Must Take Seriously

A Brain Tumour can be defined as an abnormal growth of the tissues in the brain, which can disrupt the proper brain functions. Generally, the cells in the human body die and are replaced by new cells, while in the case of a tumour, the old cells do not die and form an accumulation and continues to grow to form a mass as more and more cells are added to it.

Symptoms of Brain Tumour:

  1. Headache: Having headache on regular basis, without any history of having such frequent headaches in past, which becomes worse because of other pressure related activities, such as sneezing, coughing, exercising might be a possible symptom of brain tumour and issues related to such sudden and frequent headaches should be taken up with the doctor without any further delay.
  2. Seizures: Seizures (fits) are amongst the most common symptoms of brain tumour, which might be limited to a particular body part or the whole body. Seizures might even continue after the treatment of brain tumour because of the left scar tissues in the brain.
  3. Numbness in arms/legs: Numbness in any body part, especially arms and legs should also be get evaluated timely, so that, if the possible reason behind them is a brain tumour, then the same could be treated well on time.
  4. Balancing problems: Poor coordination and balancing problems also arise as the most prominent symptom for the brain tumour and hence such small changes must be evaluated and the person suffering should be taken to a doctor immediately to get treated without any delay.
  5. Memory problems: Lack of concentration, poor memory and short term memory loss are few of the possible symptoms that indicate the presence of tumour.
  6. Nausea or vomiting: Nausea or vomiting might be the symptoms of many other possible health issues, but a headache supported by nausea and/or vomiting is one of the many symptoms of a brain tumour and hence should not be ignored.
  7. Facial paralysis: The inability to keep the facial activities under control also indicates the presence of a possible brain tumour and the same should also be diagnosed as soon as one experiences it.
  8. Change in vision: A person suffering from brain tumour might also experience changes in the vision, dizziness, blurry vision, among other sight related issues.
  9. Change in speech: The inability to speak properly and changes in the speech of a person may also indicate a possible presence of a tumour.
  10. Hearing problems: Sudden occurrence of hearing problems and other hearing related disorders might have the brain tumour as a possible reason.

Diagnosing a brain tumour may include one or more of many tests, including CT scan, Magnetic Resonance Imaging (MRI), Angiogram and biopsy. One should never ignore the symptoms of the brain tumour and should get himself/herself checked since the brain tumours might result into permanent damages to the brain; hence such issues should never be ignored. If you wish to discuss about any specific problem, you can consult a neurologist.

4329 people found this helpful

I am 35 years old suffering from paralyze in left hand side what should I do also I change my vall in my heart from medanta medicity gurgoan.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Do passive exercise of your left hand with the help of right hand. Take all the medicines prescribed by cardiologist in time to keep your heart functional.
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I am suffering from headache and migraine, kindly advise me remedies for the same, and what kind of treatment wants to take.

BAMS, MD Ayurveda
Sexologist, Lonavala
I am suffering from headache and migraine, kindly advise me remedies for the same, and what kind of treatment wants t...
As per your concern i would suggest you an remedy 1. Take ½ glass of carrot juice 2. Add ½ glass of spinach juice 3. Mix well 4. Drink this juice to cure migraine and for headache you can go for the following 1. Add chamomile powder to 1 cup of boiling water 2. Transfer the liquid to a cup 3. Drink when hot 4. It gives fast relief from migraine
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We have a kid of 2 years old and she is in the early stage of Autism and she is undergoing Autism therapy after the consultation with Dr. Now her sleep is very much erratic and she does not sleep in night, is there any medication?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
We have a kid of 2 years old and she is in the early stage of Autism and she is undergoing Autism therapy after the c...
Autism is a neurodevelopment disorder in which the children have decreased social interaction, stereotyped behaviour, language problem along with co-morbid medical disorders. There are some medications which can help to control her behavioral issues but the main onus lies on occupational/speech therapy and regular counseling for the parents and child.
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Every night when I am about to fall sleep, I feel strong electric type of jerking movement in my brain as if I am getting a brain stroke. It happens every night. Currently I am taking tropan xl 5 for frequency of urine.

Homeopath, Hyderabad
Hello Electric Types of jerks or pains are usually neurological based. Consulting a Dr. and investigate will reveal the exact cause Do Confirm whether these started especially after some medication or any injury.
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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

Stroke - Brain Attack

MBBS, DMCH, DEM
General Physician, Jaipur
Stroke - Brain Attack

STROKE- Popularly known as "Brain Attack". It occurs due to sudden  impairment of blood supply to a part of brain leading to acute neurological insult. 

Stroke is an emergency. Know the signs of a stroke and  Remember  FAST.

F- Face Drooping - Ask the person to smile. See for any deviation/asymmetry of mouth. If YES..

AArm Weakness  Ask the person to raise both arms. Does one arm drift downward? If   YES..

SSpeech Difficulty  Ask the person to speak, look for any slurring of speech. If YES..

T- Time is money , Call Ambulance/Rush to the hospital. 

Other signs/ symptoms - 

  • Sudden onset of  numbness or weakness of the leg / arm. 

  • Sudden confusion/ trouble seeing in one or both eyes, trouble walking, Chakker, loss of balance, severe headache / Loss of speech.

Be Aware, This can be STROKE.

Act FAST, Save LIFE and disability. Up to 80% of strokes are preventable

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