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Dr. Nagpal R D

Neurosurgeon, Mumbai

Dr. Nagpal R D Neurosurgeon, 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. Nagpal R D
Dr. Nagpal R D is a popular Neurosurgeon in Mumbai, Mumbai. He is currently practising at Jaslok Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Nagpal R D on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 31 years of experience on Lybrate.com. You can find Neurosurgeons 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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Jaslok Hospital

15, Dr. Deshmukh Marg, Pedder Road, MumbaiMumbai Get Directions
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He is suffering from parkinson. How can we improve his voice because it's not clearly understood what he speaks.

MASLP
Speech Therapist, Mohali
Age of the patient and duration since parkinson has been diagnosed. There are specialised techniques in speech therapy that could help the patient. Send more details about patient.
3 people found this helpful
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Patient age is 76 male. Have a heart problem and blood clot in brain taking medicines .can you suggest what type of food and fruits can he eat please.

PDDM, MHA, MBBS
General Physician, Nashik
Eat a high-fiber diet. Get insoluble and soluble fiber. Limit foods that are high in fat. Choose lean meats. Incorporate probiotics into your diet. Eat on schedule. Stay hydrated.
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I am having headache when I am traveling in sunlight. What is the disease? Is it migraine?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, Migraine *A common neurological syndrome, Migraine is characterized by altered bodily perceptions, severe pounding headaches, nausea and irritability. This pounding or pain usually begins in the forehead, the side of the head or around the eyes and gradually gets worse. Bright lights or loud noises can worsen the condition. The headache can last for two hours or even up to two or three days. *Causes Change in weather conditions, missing a meal, stress, alcohol and certain types of food items are considered to be common causative factors of Migraine. About 50% of women claim that their menstrual periods happen to be a significant trigger. Additionally, allergic reactions, exposure to loud noises or certain odors, smoking, or long exposures to computer screens/televisions could lead to Migraine attacks. Symptoms *Nausea and vomiting *Headache *Irritability *Depression or euphoria *Fatigue *Excessive sleepiness *Craving for certain food items *Altered mood *Constipation or diarrhoea *Increased urination *Stiff muscles (especially in the neck)
1 person found this helpful
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Hello Doctor, I have a trigimal neuralgia in my right side of forehead near eye from last 3 years. Very sharp shooting electric pain to touch the eyes or effected area of face. Generally it started in between sept to March. On winter season. Please suggest any permanent solution for this. Thanks & Regards

MD - Psychiatry, MBBS
Psychiatrist, Patna
Trigeminal neuralgia is a very annoying recurrent illness. Fortunately treatment is available. The permanent solution is nerve block. You may consult your neurologist for the same.
1 person found this helpful
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Causes and Symptoms of Dementia

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Causes and Symptoms of Dementia

Dementia cannot be singularly regarded as a specific disease, but rather indicates a group of symptoms associated with your memory, cognitive thinking, and social abilities, up to the point where daily functioning gets affected. In most cases, dementia steadily worsens over time (progressive dementias). Dementia is not to be confused with memory loss alone; because it is natural with old people to experience memory loss, but that does not necessarily mean they have dementia. If the reason is dementia, then you may require medical treatment.

Causes:

Dementias are generally caused either by damage to or changes in the nerve cells operating in the brain. The causes can be grouped differently based on the type of dementia experienced and the part of the brain affected. While some causes can be reversed with effective treatment, others, unfortunately, cannot.

The most common causes of dementia which cannot be reversed include:

  1. Alzheimer's disease
  2. Vascular dementia
  3. Parkinson's disease
  4. Frontotemporal dementia
  5. Dementia with Lewy (dementia which is neurodegenerative and progressive in nature) bodies
  6. Severe head injuries

Other irreversible causes which are relatively rarer than usual include:

  1. Huntington's disease (breakage of the brain's nerve cells)
  2. Creutzfeldt-jakob disease (irreversible and fatal brain disease)
  3. Multiple sclerosis or amyotrophic lateral sclerosis
  4. Infections like syphilis
  5. Leukoencephalopathies (diseases affecting the brain's'white' areas)
  6. Brain injuries
  7. Multiple system atrophy

Causes of dementia which can be treated include:

  1. Hypothyroidism
  2. Heavy metal poisoning
  3. Certain brain tumors
  4. Chronic alcoholism
  5. Hiv/aids
  6. Vitamin b12 deficiency
  7. Medicinal side effects or abnormal drug reactions
  8. Normal pressure hydrocephalus
  9. Certain cases of encephalitis

Symptoms

Symptoms of dementia include:

  1. Memory loss
  2. Difficulty finding the right words
  3. Difficulty exercising judgments, especially during emergencies
  4. Inability to recall particular events or to recognize people and places
  5. Depression or other mood disorders, in addition to symptoms like uncontrolled aggression or constant agitation.
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I have migraine trouble since long time . Took so many pills and try other methods bud no relief what should I do.

MD - Orofacial Pain Headaches & Temporomandibular Disorders, BDS
Dentist, Mumbai
If your migraines are accompanied by pain in the back of the neck and top of the head, you should have your neck muscles and cervical spine evaluated. Normal pain killers will not work.
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MBBS, MD - Consultant Physician
General Physician, Ghaziabad
Headache is a common reason for patients to seek medical attention. We see so many online queries on headache. If you are suffering from headaches, read this article because, understanding your problem can help you solving it.
There are many causes of headache, and if correctly diagnosed and treated , you may become ?Headache? free.

Common Causes Of Headaches:

Migraine
Tension Type Headache
Idiopathic Stabbing
Cluster Headache
Exertional Headache
Systemic infection
Sinusitis
Head Injury
Vascular Disorders
Subarachnoid Haemorrhage
Brain Tumour
The patient who presents with a new, severe headache have causes that may be different from patient with recurrent headaches over many years.

People frequently ask me to get imaging of brain done to rule out the cause of headache. They have special attraction for MRI and CT Scans. But not every headache requires investigations. But there are headaches which require investigations. Let us understand , when a headache requires immediate attention.

Headache Symptoms that Suggest a Serious Underlying Disorder :

Worst headache ever
First severe headache
Headache worsening over days or weeks
Associated with Neurological Deficit
Fever or unexplained systemic signs
Vomiting preceding headache
Pain induced by bending, lifting, cough
Pain that disturbs sleep or presents immediately upon awakening
Known systemic illness
Onset after age 55
Pain associated with local tenderness, e.G, region of temporal artery
If you have any of these symptoms, you need to have a doctor consultation as soon as possible.

Now, let us read about two most common types of headaches, i.E Migraine and Tension type headache that we see in clinical practice.

Migraine :

Migraine, a very common cause of headache, more commonly affects women than men. It is usually an episodic headache which is usually unilateral (on one side of head) and is associated with certain features like:

Nausea (Feeling of vomiting)
Photophobia (Sensitivity to light)
Phonophobia (Sensitivity to sound)
Light-headedness
Scalp tenderness
Vomiting, Nausea (Feeling of vomiting)
Visual disturbances
Paresthesias (tingling sensations)
Vertigo
Alteration of consciousness
Diarrhea
Seizure
Confusion
People having migraine, usually during acute attacks, prefer to be alone and don?t want any sound, light, want to sleep in dark room.

Acute attacks are usually triggered by some stimulants called as ?triggers? which are commonly following :

Bright lights
Sounds
Hunger
Stress
Exertion
Hormonal fluctuations during menses
Lack of or excess sleep
Alcohol, Wine, Cheese or other chemical stimulation
Patients should try to notice their triggers and should do life-style adjustments to avoid them.

How to Deal with Migraines?

Patients having migraine should seek a medical consultation. There are drugs which are given to terminate acute attacks of migraine, as well as to prevent them.
They should have a fix routine of sleeping like from 10 pm to 6 am. They should not sleep for more than 30 min during daytime, as excessive sleeping during day time would cause problem in falling asleep during nighttime, leading to disturbance of sleep cycle and precipitation of migraine.
They should avoid wine, cheese, lemon.
Tension - Type Headache :

It is a chronic head-pain syndrome characterized by tight, band like discomfort. It is bilateral (means on both sides of head). The pain typically builds slowly, fluctuates in severity and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per month). It may be associated with sleep disturbances.

How to Deal with Tension Type Headache?

The pain can generally be managed with simple analgesics but should be taken under medical supervision as they have a long list of adverse effects. There are other drugs too, but can be given only under medical supervision.
Behavioral therapies including relaxation are also effective.
Patients with this type of headaches are advised to throw away their ?Headaches? to prevent the ?Headache? , means they should try to sort out the tension or problem that is causing the headache.
3 people found this helpful

I have continuous migraine for last 2 months, How can I reduce migraine, please help me.

MBBS
General Physician, Chandigarh
You must get yourself thoroughly investigated for headache there could be some other underlined cause please do consult a good physician and get clinically examined
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Hello, I want to know the signs and symptoms of migraine! And the medicines available for it! I have severe headache problem!

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Common symptoms of migraine include headache, nausea, vomiting, photophobia and phonophobia (increase of headache in sunlight or noise). Medicines such as propranolol and topiramate can reduce the frequency and severity of headaches.
1 person found this helpful
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Difficulty walking, blurred vision, slurred speech, slowed reaction times, impaired memory: Clearly, alcohol affects the brain. Some of these impairments are detectable after only one or two drinks and quickly resolve when drinking stops.

MPT
Physiotherapist, Cuttack
The toxic substances in alcohol affects a part of our brain called cerebellum. This area deals with balance, smoothness of movement. This area may be the main culprit of your friends condition.
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My age is 24. My hands are shivering while doing sensitive works. What should I do give some suggestions to improve my energy levels.

MBBS
General Physician, Cuttack
For your age tremor could be because of essential tremor 1.The cause of essential tremor is unknown. in some cases it is hereditary and runs in families.some 2.it is exaggerated due to stress/anxiety/panic/nervousness/Physical exhaustion/low blood sugar/ smoking,alcohol abuse,excess tea, coffee/ inadequate sleep 3. There is no definite treatment, unless it is very severe 4.Avoid stress/anxiety/nervousness/ panic etc 5. avoid excess tea/Coffee/ smoking/alcohol 6.take good nourishing diet 7.Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9.Consult neurologist for further advice
1 person found this helpful
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Tips For After Injury

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore

Tips for after injury

If you have sustained a soft tissue injury, we recommend you use the rice method – rest, ice, compression and elevation to aid your recovery:

  • Rest is a key component to the body’s healing process, without it the injured area could become inflamed, more painful, or you could risk further injury
  • Ice reduces inflammation and pain. To protect your skin we recommend that the ice be placed within a towel before wrapping around the injured area 
  • Compression helps reduce swelling and pain
  • Elevation also helps reduce swelling by reducing blood flow to the affected area.

My hands are shakes sometime when I took something like pen or glass etc in a straight manner why is it happens sir?

MBBS
General Physician, Cuttack
. 1. It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 other causes of tremor could be stress, anxiety, panic, nervousness, inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4. Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/coffee/ smoking/alcohol if you have 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9. Consult neurologist for further advice.
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My friend x ray shows his growth plate is closed (epylipsyl plate) has closed but he is only 21 years male. Can he grow upto 25 with any homeopathic medicine. Please explain.

MBBS
General Physician, Jalgaon
Normaly he will grow Go for jogging daily early in the morning Have home made fresh food rich in proteins Take milk with cow ghee Re Consult me on lybrate after 1mth
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My father has tremors in hands since last three months. Consulted general physician he told it may be early stage of parkinson. Also suggested to take mri scan. But I have few doubts over these that all tremors r linked to parkinson else what r the other causes for tremors thank you.

MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
There can be many other causes of tremors also. Get his thyroid function tests, sugar test and also it can be a possibility he is having anxiety issues. Parkinsonism also has various other symptoms such as stooped posture, short steps, rigidity and stiffness.
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I have nervous problem like my hands are shivering. Please suggest any remedy to cope with. I am 34 years of age n single. Before marriage I want to be rectified n be normal. Can you tell me what is the issue. This is for more than 10 years. I went to neuro doctor n he prescribed 2 medicine. I don't remember. My date of birth is 7 March 1982. Not able to fill in.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do take balanced diet and hyderated avoid stress anxiety and anticipating the things do regular physical activity with strengthening and stretching exercises and breathing exercises for about 30 minutes regularly do revert for further assistance best wishes.
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Hi, my wife is 47 years. She is having history of migraine for the last 20 years. It turned into depression. She took medicine duzela-40 for 8-9 months in 2011. After she recovered and stopped taking this medicine. Subsequently she was dignosed thiroyd. She is prescribed thyrox-25 and is taking this medicine since last 2012. Now in the month of feb 2015 she got stroke i. E. Vometing & giddiness and became semicountious. We called the doctor found that she was having high blood pressure at 154/100 at that moment. Doctor gave medicine and bp came down to normal within 4 hours. After that she started feeling problem in hearing from left ear and subsequently started problem in speaking. We consulted neurologyst who suggested mri of brain. The report says" grossly normal examination with incidental finding of small arachnoid cyst in the left sylvian region. The neurologyst started stalopapam-5, rejunex cd3 & ecosprin. She took the medicine since last 20 days her other problems subsided, however, the problem of speaking aggravated. We consulted neurosurgen also who said that the mri is normal and no need of surgery. The neurologyst again examined and immediately stopped stalopam-5, instead, suggested benadryl syrup and continued the other medicines. My wife is not able to speak properly. please suggest whether we are on right way .Thanks and regards.

MBBS, MD - General Medicine
General Physician, Delhi
Sad to hear about all the above history first of all get a ana report get back to me on private chat.
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Is ther any treatment for migraine headache. I want to go for treatment. So please suggest me briefly.

DHMS (Hons.)
Homeopath, Patna
Hello, headache, is caused due to stress, anxiety, chronic diseases, medicinal aggravation, sinusitis, inedequate sleep, acidity, indigestion. Liver sluggishness. Excessive consumption of caffiene, nicotine, alcohol, junk food. * please, assess the prevailing condition to b taken care of, first. Go for meditation to reduce, stress, anxiety and to nourish your brain to calm down nerve to ease your headache, problem. * tk, plenty of water to eliminate toxins and to regulate metabolism to complete your digestion. * tk, easily digestible, simple, non- irritant diet on time. Ensure sound sleep in d night for 7 hrs, at least. * tk, homoeo medicines: @ spigelia 200-6 pills, thrice. @ china 200-6 pills thrice a day. * avoid, caffiene, nicotine, alcohol, junkfood, cold intake, polluted atmosphere, contaminated water, watching tv, sitting late in d night. Stay stress- free.
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I am 26 year old. I am suffering from migraine. Every night. It's very painful. Please any solution for this diggis.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
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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