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Dr. Pali Pochha

Neurologist, Mumbai

1500 at clinic
Dr. Pali Pochha Neurologist, Mumbai
1500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Pali Pochha
Dr. Pali Pochha is a popular Neurologist in Mumbai, Mumbai. She is currently associated with D T Medical Center in Mumbai, Mumbai. Book an appointment online with Dr. Pali Pochha and consult privately on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 30 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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English
Hindi

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Room No 95, 9th Floor, Lady Ratan Tata Medical Research Centre,Churchgate,Landmark:Next To Cooperage Telephone Exchange, MumbaiMumbai Get Directions
1500 at clinic
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I have epilepsy. I need to know which sport I can go? My doctor said me thot I can't go only for swimming.

MBBS
General Physician, Cuttack
You can go for playing foot ball/cricket/badminton etc where you will find people to help you out in case of epileptic attack. Don't go for sports where no body is around.
1 person found this helpful
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Autism in Children

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

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

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

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

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

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

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

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

What role does inheritance play?

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

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

How is autism managed?

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

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

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

1 person found this helpful

I am 23 years old, suffering with migraine from past few year. Is there any permanent solution for migraine? Ear pain also coming at same time, is there any relation between migraine and ear pain. Please suggest me a permanent solution for this problem.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily at the time of attack 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to noise, bright light since it precipitates migraine attack 5. Go for regular exercise 6. practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
1 person found this helpful
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Hypopituitarism: Causes, Symptoms and Treatment

DM - Endocrinology, MD Medicine
Endocrinologist, Faridabad
Hypopituitarism: Causes, Symptoms and Treatment

Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.

The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.

In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.

Few Causes:

  1. Head injury

  2. Tuberculosis

  3. Radiation treatment

  4. Stroke

  5. Brain tumors

  6. Brain surgery

  7. Meningitis (brain infection)

  8. Hypophysitis (autoimmune inflammatory disorder)

  9. Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.

  10. Impaired hormone secretion by the pituitary gland is caused by genetic mutations.

  11. Sheehan’s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.

  12. Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.

Symptoms:

  1. Fatigue

  2. Reduced sex drive

  3. Decreased appetite

  4. Anemia

  5. Irregular menstruation, pubic hair loss, hot flashes (feverish heat), and inability to breast-feed properly because of low breast milk production).

  6. Dwarfism in children

  7. Weight loss

  8. Increased sensitivity to cold temperature

  9. Infertility

  10. Facial puffiness

  11. Reduction in body hair or facial hair

Treatment Options:

  1. Hormone replacement drugs include:

    • Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.

    • Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.

  2. Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.

  3. Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2750 people found this helpful

Sir I feel headache most of the time from morning till evening. Is this the symptom of brain tumour.

MCh - Neurosurgery , MS - Orthopaedics
Neurosurgeon, Bangalore
Sir I feel headache most of the time from morning till evening. Is this the symptom of brain tumour.
Could be. Most headaches are not due to brain tumors. But a brain scan can be done to detect it early.
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Hello doctor. Mere dadaji ke hath sunn rahte hain. Unhe kisi sparsh ya touch kam feel hota hai. What is the reason? And iska ilaaj kaise sambhav hai?

DPT
Physiotherapist, Gurgaon
Hello doctor. Mere dadaji ke hath sunn rahte hain. Unhe kisi sparsh ya touch kam feel hota hai. What is the reason? A...
He can have some physiotherapy TNS or IFT which will help him in getting back the sensation and to get the strength in the muscles.
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Recently I am on steroid medicines, for illness BELL'S PALSY. Its been 13 days from the treatment started. TODAY I HAD BLOOD drops coming out along with urine pass out, please indicate what does this mean?

BHMS
Homeopath, Raebareli
Recently I am on steroid medicines, for illness BELL'S PALSY. Its been 13 days from the treatment started. TODAY I HA...
It could be a side effect of the medicines you are taking. Secondly it could also come up as a urine infection/stone in urinary passage.
2 people found this helpful
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Had seizures 4-5 times 10 years back. Was on medicine (encorate chrono and gardenal) for next 6 years and then got normal. From. Last four years not taking any medicine and is perfectly alright and normal. Is it ok. To take CAVERTA 50 MG once in a week and if not what medicine you suggest for ED? Regards.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Had seizures 4-5 times 10 years back. Was on medicine (encorate chrono and gardenal) for next 6 years and then got no...
Homoeopathic medicine DAMIAPLANT ( SCHWABE) Drink 20 drops in 20 ml fresh water 3 times daily for 2 months and report thereafter,
1 person found this helpful
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My mom is 47 year old. She is suffering neck and arm pain for 2 years. We go neurology and orthopedic doctors and take their medicine but his pain is not complete fine than I go a neuro ortho physiotherapist and the neck paim is solve but the shoulder pain is same. Please give me a medicine name for shoulder pain.

MBBS
General Physician, Mumbai
My mom is 47 year old. She is suffering neck and arm pain for 2 years. We go neurology and orthopedic doctors and tak...
please continue with physiotherapy and heat therapy and exercises.it will get better. eating too many painkillers affect your kidney.
1 person found this helpful
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Peripheral neuro pathy. Numbness in hands and legs for a long time now.. I am vegetarian. Nerve conductivity test done. A few places results are different from standards. What is a Solution?

MD - Psychiatry, MBBS
Psychiatrist, Patna
Peripheral neuro pathy. Numbness in hands and legs for a long time now.. I am vegetarian. Nerve conductivity test don...
Get your blood sugar done. Consult a dermatologist to rule out leprosy of neuritic type. Take a multivitamin like neurokind plus. Continue gabapentin. It may take many months to cure.
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I am facing a lot of mental stress now a days, since January 2016 I am thinking about kill myself so many time in a day. I feel that negativity is fully occupied my mind and soul. Due to this I am suffering from insomnia and other mental ailments. My professional and familiar life is totally smashed. Please advice me as soon as possible. Also my weight is reduced to 43 Kg from 52 Kg.

Masters in Clinical Psychology
Psychologist, Lucknow
I am facing a lot of mental stress now a days, since January 2016 I am thinking about kill myself so many time in a d...
Hi lybrate-user, you must be going through a lot, thanks for recognizing the severity and seeking help. It seems you are undergoing depression for which you will have to start medication as soon as possible. Apart from that please consult a psychologist to help you manage your problem- family and career life. You may need cognitive behavioral therapy for negative thoughts. I would like you to practice deep breathing exercise daily. Consult for same.
114 people found this helpful
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I have both depression and insomnia. This makes sleeping at least 200% harder. What is some advice I can use while I wait for some medicine that doesn't affect my mental health? The fear of being alone comes from my depression and the insomnia forces me to be alone with my dangerous thoughts. Please help.

MBBS
General Physician, Mumbai
I have both depression and insomnia. This makes sleeping at least 200% harder. What is some advice I can use while I ...
Tips - Take a shower at bedtime for a peaceful sleep and Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
7 people found this helpful
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I have migraine and no medicine helps me in getting relief. please suggest the best one.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep . Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music . Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular for medicine prescription contact on private chat.
3 people found this helpful
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Hello, My friend is suffering from migraine. She is suffering alot. Can any doctor suggest curing medicine for it. Because she is very much disturbed by this and by this even she cannot study also. And also if she didn't got a cup of tea in evening she gets pained. Can any doctor suggest how to overcome migraine. It's very much disturbing her wealth also. Respectfully.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a type of relapsing headache. The acute attacks have to fursttreated and then treatments for preventing future relapses and precipitating factors has to be also started. Problems like allergies, sinusitis, sleep irregularities, anxiety, stress, depression etc have to be dealt with as this helps to prevent frequent relapses. Consult a headache specialist and psychiatrist accordingly for treatment. For any assistance thereof you may contact me online.
1 person found this helpful
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What are the reasons for migraine? How can it be cured? How can the migraine attack be predicted?

MD - Medicine, MBBS
Cardiologist, Panchkula
There is clear known reason for migraine. Certain factors can aggravate it. Some of these are. 1. Bright and flickering light. 2. Noise. 3. Lack of sleep. 4. Journey. 5fatigue. And many other factors. There is no specific cure for this disease. Although frequency and severity of attacks can be reduced to a large extent by long term use of medicines.
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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.
2 people found this helpful
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I am 19 years old I have a migrane headache suddenly full headache will come. Monthly once or twice. What I want to do.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg one Tablet sos after food up to a maximum of three tablets daily 2.Drink plenty of water and take rest. 3.Check your BP 4. avoid stress and anxiety since it precipitates migraine attack 5. If You have chronic migraine, you have to take migraine prophylaxis after consulting neurologist
1 person found this helpful
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My Father has, Brain Tumor of grade 3 malignant - anaplastic astrocytoma in left side of brain. And due to that right part of body (hand, leg, speech) is not working. And also risk of limited life span. Do your ayurveda have any treatment.

Fellowship in Endoscopic Neurosurgery , M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Lucknow
My Father has, Brain Tumor of grade 3 malignant - anaplastic astrocytoma
in left side of brain. And due to that right...
Some conditions don't have any ayurveda treatments. Go for surgery followed by radiattion. If you waste time on traditional therapies tumor will keep on increasing. Kindly come on private chat with reports for detailed discussion.
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