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Dr. Ramesh Patankar

Neurologist, Mumbai

1000 at clinic
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Dr. Ramesh Patankar Neurologist, Mumbai
1000 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Ramesh Patankar
Dr. Ramesh Patankar is one of the best Neurologists in Mumbai, Mumbai. You can meet Dr. Ramesh Patankar personally at Raheja Hospitals in Mumbai, Mumbai. Book an appointment online with Dr. Ramesh Patankar on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 44 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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Hindi

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Raheja Hospitals

Raheja Rugnalaya Marg,Mahim. Landmark: Near Police Quarters Colony, MumbaiMumbai Get Directions
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Dr. Patankar's Clinic

Plot No. 42, Near Golden Lawn Hotel, Road No 15, Chembur East, Chembur. Landmark: Beside Monorail Terminus & Adj Mumbai Bank, MumbaiMumbai Get Directions
1000 at clinic
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I got a seizure attack recently and it was the first time, want to know what causes it and how can it be prevented in future?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Getting a first seizure at your age can have multiple reasons forma mere hypoglycemia due to fasting, dehydration, use of alcohol to serious conditions like brain tumours or epilepsy. It is worthwhile to visit a physician and get investigations done before you make an opinion regarding its treatment or prevention strategies.
1 person found this helpful
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My wife is having dementia. Please let me know the homeopathic medicines for curing her. She is being administered cali. Phos 30 and acid phos 30. Please advise me if you some other medicine will be more helpful.

M. sc Psychology, BHMS
Homeopath, Hyderabad
Let me know few more details about her dementia problem. What is the origin? since how long she is having this? for what things in general she forgets r couldnot recollect? like is it for things where does she keep r for people r places etc? is there any h/o shock or disappointmnt or deep hurt in her life space? wgat kind of natured she is? very sensitive (/reserved/shy or rude n reactive? expressive or introvert? if you take appointmnt n explain, I could help u.
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I'm losing weight slowly as I'm suffering from Parkinson's disease. Should I take some medicine like nutrigain? Is alcohol, taken in small quantity, useful in this disease?

DNB Neurology JHRC, MD Med, MBBS
Neurologist, Mumbai
I'm losing weight slowly as I'm suffering from Parkinson's disease. Should I take some medicine like nutrigain? Is al...
You can take diet supplements. Alcohol doesn't help in PD. One disciplined peg a day is permitted medically.
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Sir meri age 18 years hai mere hanth aur pair kaanpte hain main bahut dukhi hoon main kya karu mujhe kya bimari ho sakti hai sir.

MBBS
General Physician, Cuttack
Sir meri age 18 years hai mere hanth aur pair kaanpte hain main bahut dukhi hoon main kya karu mujhe kya bimari ho sa...
.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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I an 23 year boy. My hand is vibrating I can't keep it stable when I am working. I can't understand what is the problem. Can you suggest me how to get out from this.

BAMS, YIC, DEC
Ayurveda,
Hi do you have history of parkinson in the family if yes then you should be visiting neurologist once, other ways due to improper intake of food over stress there will be vibration are due to inhalers are any other medication for athama.
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I am 32 years female with weight 55kgs I feel like something is structuring in my food pipe in cheat region I have migraine also.

MD - Internal Medicine
General Physician, Bangalore
Hi since how long you are having this feeling? it could be gastritis or some mass in food pipe or ulcer. You can get an upper gastrointestinal endoscopy scan done and revert back.
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Hi I am a 26 years old male, I have been suffering from shortness of breathe for few years and I have tried many medicines prescribed by different doctors, done many tests but none of them worked. I also have insomnia which is killing me every night and i'm afraid that it might stay with me forever. I'm sure that I have difficulty in sleeping is because of my insomnia. So any advice would be appreciated.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Hi I am a 26 years old male, I have been suffering from shortness of breathe for few years and I have tried many medi...
Xray chest, cbcesr and pft to r/o asthma. For insomnia, reduces stress, keep sleeping and awakning time fixed. Have light dinner. Do yoga and meditation. Can take warm milk while sleeping. Avoid tea/cofee in evening.
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I am 20 year old male and have been having kind of migraine since past 2 years. What should I do to completely terminate my migraine. I haven't taken any sort of tablets so faar but whenever I miss my meal and get in contact with Sun my migraine triggers. Please help.

PDDM, MHA, MBBS
General Physician, Nashik
Migraine cannot be cured completely. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
201 people found this helpful

Can the Immune System Trigger Alzheimer's Disease

DM - Neurology
Neurologist, Rajkot
Can the Immune System Trigger Alzheimer's Disease

Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.

Let us find out what medical science has found so far:

  1. Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
  2. Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
  3. Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
  4. Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.

It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control.

3818 people found this helpful

What is upper and lower motor nureon and what is it's importance in body and disease related to it.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is upper and lower motor nureon and what is it's importance in body and disease related to it.
Upper Motor Neurons (UMN) motoneurons that originate in the cerebral cortex (motor strip), terminating in the brainstem or spinal cord UMNs in the pyramidal tract directly synapse with LMNs UMNs in the extrapyramidal tract synapse with neurons in the red nucleus or the reticular formation UMNs that provide contralateral innervation to LMNs are on the opposite side of the brain as the muscle, UMNs that provide bilateral innervation to LMNs "talk" to muscles on both sides of the body UMNs course through the corona radiata, internal capsule, cerebral peduncle, and finally synapse in the midbrain/pons/medulla/spinal cord Lower Motor Neurons (LMN) motoneurons that originate in the brainstem (cranial nerves) or spinal cord (spinal nerves), terminating at the neuromuscular junction (muscles) all LMNs innervate ipsilateral muscles (the muscle and the LMN that innervates it are always on the same side) LMNs receive input from upper motor neurons from the opposite side of the brain (contralateral UMN innervation) or from both sides of the brain (bilateral UMN innervation) Cranial Nerves with bilateral UMN innervation: V, VII (upper face), IX, X, XI Cranial Nerves with primarily contralateral UMN innervation: VII (lower face), XII LMN Symptoms include pharyngeal muscle weakness (involved with swallowing), weak jaw and facial muscles, progressive loss of speech, and tongue muscle atrophy. Limb weakness with both lower and upper motor neuron signs is almost always evident but less prominent. UMN- Primary lateral sclerosis is a disease of the upper motor neurons, while progressive muscular atrophy affects only lower motor neurons in the spinal cord. In progressive bulbar palsy, the lowest motor neurons of the brain stem are most affected, causing slurred speech and difficulty chewing and swallowing.
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Hi I'm alekya 24y old female I'm suffering from hands shivering one week back pls suggest me.

BAMS, MD - Medicine
Ayurveda, Bareilly
Hi I'm alekya 24y old female I'm suffering from hands shivering one week back pls suggest me.
take powd. zandopa of zandu pharma, cap. neurokind LC, Nashua karma with bala oil.also take maharasnadi kwath .
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I am a 21 years old girl. I am suffering from migraine. When I take some stress a strong pain starts. It makes me irritating. From a month I am not getting proper sleep also. Is there is any connection between this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Migrane is one of the common cause for head ache. The exact cause of migraine is not known. Meaning that, it is not known why some people are prone to migraine-related headaches and some others are not. In people with migraine complaints, it is observed that there are usually some triggering factors that bring on the migraine headache. It is advisable to avoid known trigger factors, irregularity in meals, and physical and emotional stress. Diet management is one of the key factor in migraine treatment. Regulate the diet in such a way that food is easily digestible, does not cause any burning sensation. Medication: regulate the digestive level by syp himcocid 2tsf-0-2tsf before food once digestive level is fine treatment can be planned accordingly.
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My mother is having bp 145/90, Dr. gave her Betaloc 75, In the morning and evening she feels some kind of shivering in her legs. Can you pls suggest on the same.

MBBS, cc USG
General Physician, Gurgaon
My mother is having bp 145/90, Dr. gave her Betaloc 75, In the morning and evening she feels some kind of shivering i...
BP is border line raised Leg shivering mya be due to several causes like severe anxiety, Vitamin D defeciency etc follow advises given below salt restriction (no added salt) get following tests done and review with reports Complete blood count S. B12 Thyroid stimulating hormone Fasting blood sugar Seum D3.
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I am 39 years old, I have two problem since childhood one is migraine and second is pain in right leg.

MBBS, cc USG
General Physician, Gurgaon
I am 39 years old, I have two problem since childhood one is migraine and second is pain in right leg.
I am giving some health tips for Migraine headache ?1.You can turn off light for some time ?2.Apply hot or cold compresses to your head or neck. ?Ice packs have a numbing effect, which may dull the sensation of pain. ?Hot packs and heating pads can relax tense muscles. ? ?3.Warm showers or baths may have a similar effect. ?4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. ?Minimize distractions. ?Your eating habits can influence your migraines. ?Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines kindly consult Physician for further management LEG PAIN: 1.You can take Tablet Paracetamol 500 mg one tablet stat after food 2.You Can do Hot fomentation twice a day for 3 days I am giving to some common reasons for LEG PAIN 1. generalized weakness 2. Anaemia 3. physical exertion and any Trauma 4. lack of protein in Diet 5. any infection present on leg or foot 6. muscle weakness 7 abrupt start/ stop of physical exercise 8. Vit D and Calcium Deficiency
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I have a friend who is 22 yrs age but has brain developed of 10 years age. He is physically sound but has no social understanding and doesn't have quest for study. The patient has been taken to AIIMS and other special hospital as well but with no good. Please suggest where the should the patient be taken considering age. Thanks for the help.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physician and neuro psychiatrist and do give him vocational counselling classes if deemed to be best wishes.
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I am 51 years old from Hyderabad. My daughter is having Brain Tumor. She is having Ecto Dermal Glioma with hydro supholos. My wife does not agree for operation. What I have to do?

M.Ch - Neuro Surgery
Neurosurgeon, Pune
Go ahead with surgery after discussing the risks and prognosis with your doc. Surgery is essentially the first step in treatment, needed to releive brain pressure as well as to diagnose the type of tumor for further treatment. Leaving it as such may be life threatening.
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Hi Sir, My brother had cough & fever from Sept-Nov 2015 he was on Antibiotics, Paracetamol and cough syrup for same time but didn't got any relief finally done Chest CT scan in Nov and found Pleural Effusion, pleural fluid aspirate done on 24th Nov but whole fluid didn't not aspirated because patient get vertigo problem during aspiration so doctor stop aspiration, from 24th Nov TB treatment started. He got mild relief from cough and fever But after 15-20 days he again faced severe cough and mild fever, again CT scan and Chest sonography done and found some pleural fluid. Again, pleural fluid aspiration done and TB treatment continue, from that day he started getting relief day by day. Now is feeling absolutely fine. TB treatment is continue from Nov till today. From April he started feeling Hip shoulder back knee and Feet pain, some blood test done and found Vitamin B12 & Vitamin D is very much deficient. Both vitamin B12 and D injections and capsules Tablets supplement started and got felling better but didn't get any relief in Feet pain. Since last 40 days he having pain, pin needles and burning sensation in both feet.As per doctor prescription all types pain killer reliever like Dynapar SR, Zobid Zerodol SP etc taken but till today didn't got any relief in feet pain, even pain killer didn't work for 1 hour. We took opinion from Orthopedic and Neuro Surgeon and done MRI of Spine and Feet, MRI is normal as per MRI report but Feet pain and burning is still persist Now we consult with Neurologist, he said it look that it's Neuropathy due to TB medicine Isonizad. He said to consult TB physician and stop taking Isonizad and he prescribed Tab Pregabalin, Zen 100, Ultracet and Deep Senz ointment. We again consult with our TB physician, he said TB drug Isonizad can't be withdrawal because if we stop it TB May relapse later. As per doctor TB treatment will continue for more 3 months i. E. Till the end August Feet pain burning pin needles sensation is still persist. So now we are very confused and can't understand what to do. We have following questions 1 Please advise us what to do 2 Is Neuropathy is permanent? 3 Can neuropathy can be cured? 4 Can we stop Isonizad? Thanks & regards.

DNB(Respiratory Diseases), MBBS
Pulmonologist, Jabalpur
Hi Sir,
My brother had cough & fever from Sept-Nov 2015 he was on Antibiotics, Paracetamol and cough syrup for same t...
Neuropathy is usually irreversible, but can be benefited after some time and taking few drugs with tb drugs to prevent further neuropathy. Isoniazid can be stopped but it may weaken the course of treatment and the chances of getting tb again may increase with a weak course.
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Please suggest the Cure for parkinson s disease in early stage.I am 48years old male from mumbai.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Please have homoeopathic treatment. It will help you a lot instead of starting dopamine. Have homoeopathic medicines.
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