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Dr. Ramesh Sangle

Neurosurgeon, Mumbai

Dr. Ramesh Sangle Neurosurgeon, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ramesh Sangle
Dr. Ramesh Sangle is a popular Neurosurgeon in Kurla West, Mumbai. He is currently associated with Kohinoor Hospital in Kurla West, Mumbai. Save your time and book an appointment online with Dr. Ramesh Sangle on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 38 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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Kohinoor Hospital

Ali Yavar Jung, Kirol Road, Premier Colony, Kohinoor City, Kurla West. Landmark: Opp LBS Marg, MumbaiMumbai Get Directions
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Is there any treatment in home or Ayurveda for sleep apnea, if there is one kindly provide details.

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 focus on one object at a time and proceed the same Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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My daughter aged 34 yrs, mother of a son has been suffering from JO-1 syndrome ever since delivery of the child age 4.5 yrs. Your advice please. 2. My brother age 42 years suffering from EPILEPSY FOR LAST 20 YRS now on regular medicine yet not being controlled. Your advice please.

PDDM, MHA, MBBS
General Physician, Nashik
The antisynthetase syndrome associated with anti-jo-1-antibodies requires long-term immunosuppressive therapy in most patients. Whereas a complete clinical response of muscular symptoms is frequent, continued deterioration of the pulmonary system may occur despite immunosuppressive treatment, and may lead to fatal outcome. 2. Epilepsy cannot be cured completely, treatment helps to reduce symptoms.
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What is the effect to stop adwize tablet after taking this tablet for 3 and half years to cure my autistic child now aged 13 years, who is also is an epilectic patient.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Your child has to continue Antiepileptic medication. As regards Autism ia an associated disorder, hence advisable not to stop medication. You can see Autism is a condition that affects mental and physical well being. In fact autism is not a single disorder rather a group of ailments that is classified as autism spectrum disorders (ASD). Autistic children have problems with social interactions. They may also encounter problems with verbal and non-verbal communication, exhibit pattern of repetitive behavior with narrow, restricted interests, hyper sensitive to light, sound, touch etc (sensory overload). Otherwise majority of the cases are diagnosed anywhere between the age of 2-5 years. Interestingly, there are many individuals who may have ASD but never aware of it. Though the exact cause for autism is unknown, genetics plays an important part. Environmental, immunological and metabolic factors may have a contributory role. Since, it is a spectrum of disorders, there is no single reason attributed to this condition. Genetic, environmental, immunological and metabolic causes may be the contributing factor. Where genetic basis is identified as a cause, palliative measures are initiated immediately. When the reasons are not clear, diagnosis, classification and management invariably gets delayed. As stated earlier under watchful eyes of parents or family physicians, autistic symptoms could be recognized early. Severely autistic infants do not make normal babbling sound and have abnormal eye movements. Some of the symptoms include but restricted to limited vocabulary, unable to follow verbal or facial cues, abnormal eye movement or hand eye co-ordination etc. They also tend to make incoherent sounds. These children also do not follow simple commands. Many times these symptoms are glossed over delaying early diagnosis. Denial, my child is normal attitudes contribute to the delay in early diagnosis. In general ASD is loosely classified into five different types. However, this classification is hotly debated. 1. Pervasive developmental disorder(PDD) - Children suffering from PDD show delay in development of social and language skills 2. Kanner?s syndrome - This is most common type of autistic disorder. They live in their own world and have poor social interactions. They do not like any change in their routine. Individuals with this disorder get affected by loud sounds and cannot lead a normal life as they have low communication skills 3. Rett?s syndrome - Usually seen in females and is quite rare. They are mentally retarded and show muscle atrophy. The individuals show repetitive hand movements. 4. Childhood disintegrative disorder- The symptoms starts to appear in otherwise normal children between 2-4 years of age. They stop talking and interacting with people around them. Individuals start losing motor skills after the age of two 5. Asperger syndrome- Often misdiagnosed as obsessive ?Compulsive disorder or Attention ?Deficit disorder. They don?t show normal social interactions and have problems communicating. Children with Asperger syndrome show repetitive actions and exhibit poor motor skills. Some are thought have talent on which if they focus on could reach great height. Autism is known for decades, unfortunately, there are very few medications available to treat ASD. However, not all hopes are lost. In contemporary medical system (allopathic medicine) different symptom specific treatment options are offered for autistic patients. It is to be noted that these are mood altering medicines. Therefore, qualified physicians should be consulted and the medications administered under care. Ayruvedic approach: In ayurveda there are some herbal medications prescribed for autistic individuals. These are more of remedial measures than cure. Therefore, these medications are to be taken for life. As in many mood altering disorders, besides medications, management is suggested. Very interestingly, an Indian mother of an autistic son, Mrs. Soma Mukhopadhyay, developed Rapid Prompting Method (RPM) to train autistic children to lead near normal life. This has been demonstrated to be a boon for several severely autistic children. Her son Tito Mukhopadhyay is indisputably the most famous Indian with autism. With his mother?s guidance he had written many poems and authored a book titled ?Beyond the Silence: My Life, The World and Autism. Noting her revolutionary method she was brought to the United States by Cure Autism Now Foundation. Since then she had refined her techniques. Currently she is running ?Helping Autism through Learning and Outreach ? HALO? foundation (www.Halo-soma.Org). Recently, she had published a book ?Understanding autism Through Rapid Prompting Method? that details the technique developed by her.
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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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Hi sir I am very happy to see that you helps through online sir i am 29 I am suffering from migraine what is its treatment ?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
First let me know who told that you are having migrain Doctor / self & friends I need some more information to help you. 1.Since how long you are suffering? 2.Any tests done 3.What medicines you are using at present 4.What other medicines you are using 5.Is it running in your family 6.Your JOB nature and any stressful conditions

My father has been suffering from Parkinson's disease since 2007. Now it has reached a maximum severe condition. He has been taking levodopa supplement (Syndopa (levodopa carbidopa: 250 25) which has been wearing off and causing side effects like Involuntary movement, occasional dementia and he is becoming weaker day by day. We have consulted numbers of doctor including Neurologist, Medicine specialist and we could not find a better alternative of the drugs. We used Tridopa 100 (another levodopa supplement) but the dosage is not working for my father. What I an interested to know if there is any better treatment of this disease? His health is deteriorating day by day. Please let me know.

MBBS, MD - NEUROPSYCHIATRY
Psychiatrist, Bangalore
There are various kinds of drugs for Parkinsonism. Basically if one group of medicine don't work we try different. I am sure your doctor must have tried all options. Your father also needs anti dementia medicine. It should be started at the earliest as it can only prevent deterioration and cannot reverse the dementia. Keep your father in a room where he gets multiple stimulations from environment like light, air, sound and keeps in constant touch with what is happening around . This will reduce confusion of dementia
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Due to sleep apnea problem I am using cpap machine for sleep but after 4 hrs of sleep I wake up daily and I take Zolfresh_5 but it's not effective now. Can I take tab tryptomer or suggest according.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Dear lybrate-user, Both these. Cpap and zolfrsh are habit forming and their effect reduces over time. Tryptomer is not entirely used for lack of sleep so, it is not an exact substitute. Better for you if you inculcate the habit of natural sleep. The side effects of these medications are not kind and you must fine alternative methods. Regards.
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I am a 27 years old male, I have migraine for the past 7 years. What should I do?

MBBS, MD - Consultant Physician
General Physician, Ghaziabad
Welcome to lybrate. We are here to help you. Such pattern of headache is seen in migraine. Migraine headaches are usually unilateral, associated with throbbing, vomiting sensations, photophobia and phonophobia. They aggravate on stress. They also aggravate on watching tv, loud noises, sleep deprivation. A clinical examination specially neurological examination, fundus examination are must to rule out any other neurological problem which might also require neuroimaging. I would also advise you to get your eyes tested. You should see your doctor. He will classify the headache and if it is migranous, treatment would be with the drugs like flunarizine, propanolol, amitryptilline. The drugs are decided on the basis of severity, frequency and duration of headache. I hope it helps. Stay healthy.
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Dear sir, my brother suffering from parkinson's decease from past 7 years, we tried hard for treatment but no treatment in english medicine. His hand is continuously shaking. Is there any treatment. Please provide details. How and where it can be treated.

DNB in Psychiatry, completed course from Asha Hospital, Hyderbad
Psychiatrist, Salem
I feel the dosage has to be adjusted. If you mention the medicines he is taking, one can suggest the remedy..
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Sir, I am a 20 yr old female and have a problem in hands not moving for Iast last 10 days, so please what should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult neuro physio to rule out any nerve deficit or cervical spine lesion or of brain lesions best widhes.
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65 year old male diabetic since 38 yeras take insulin 2 dose daily 22 morn and same eve. Have concern my underfeet specially toes feel numb daily. Long time problem. Presently heavy phlegm and cough upon sleeping or when exposed to fan or aircon only while lying. Please advise. Sugar levels are 160 fasting. Am weighing 100kg and height 6 feet.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Along with insulin take metformin1000 twice a day. For cough take antibitic for 5 days along with good expectorant.
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I'm 29 Yrs Male. Last 2 years I Have a big pain start in right side of Neck over the Head to the Right Eyebrow. Without any Pain Killer (Zandubam, Iodex etc) I can't get Relief from pain. Do something for this I didn't sleep well at night. The Pain is not of migraine as the Doctor told me because the pain starts when I'm in working or not eaten the food properly. Yesterday I was in a hard pain of it after 4-5 hours I get relief from it. I don't take pain killer tablets only taking rest of an hour it may helpful of it. Some says that I might have cervical.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
according to ayurveda this may due to 1) hyperacidity 2) low haemoglobin 3) stress induced SOME TIPS FOR HEADACHE do head massage (abhyang) with warm cocconut oil daily at bed time . eat 20 gm black dry grapes at bed time. for exact treatment need your history & other details . SO consult me with details
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I'm 21 years old female. Im an epilepsy patient. I got 3-4seizures per month this was repeated for 2months. After consulting Dr, I started taking (diproex er 500) tablet. After that I didn't any seizures. I started taking drugs from the age of 9-21. Can I recover from this seizures without taking drugs? Can I get married with this problem? How can I prevent shivering in my hands, legs? My hands and legs always seem to be watery. What kind of food can I take?

MBBS, cc USG
General Physician, Gurgaon
Hello, CT scan/ EEG was done? can cause of seizure was detected ? I want to tell you that medicine as advised by your Doctor need to be taken regularly and must not missed dose even for single day for controlling fits patient need to take long term (3-5 years) treatment Yes Seizure can be cured if treated properly you can take normal diet You can Consult Good Neurologist for second opinion, i can guide you further
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MD, MBBS
Neurologist, Gurgaon
Regular medications are important in patients with epilepsy.
2 people found this helpful

I have a migraine problem. Please suggest home remedy to cure and what are the preventive measures for that?

MBBS, cc USG
General Physician, Gurgaon
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
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I have more than one type of headache – are they all migraines? What about sinus headache? Are there any vitamins or supplements that help with headache?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
No supliment will help. sinus headche will have nasal symtoms also. Migrain headach usualy half of head, preceeded by nausea and aggrevated by sun exposure, stress and irritation.
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Nowadays I can't able to inserting thread into needles or pulling elastic rubber so hard as my hand and fingers trembling shaking whenever I try to focus on it. Please help me.

MBBS
General Physician, Cuttack
Tremor of hands. 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, 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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Hi I 'm 33 years old male from last 3-4 months initial had been facing issue related to muscular pain in legs + upper/middle back pain (spine)- also experienced pain when trying to move/raise leg specifically in morning, slowly and slowly with time, medicines (pain-killers for muscular pain etc.) and few back exercises, it went away- however few issues still remain and have increased as such over time :- 1.Whenever I go to washroom and sit down (without any support as such) continuously for 1-2 mins or more. , I start feeling pressure on the toes and extreme numbness/tingling sort of appears which lasts for 3-4 mins. After I get up from that position -as soon as I get up, I feel pain on little bit below the left side of the knee (of the right leg) and pressure on the middle chest-position (food pipe) - earlier ,when I used to get up from the position , the pain occurred on the middle back side but after few back exercises+ medicines ,it switched to almost the knee portion and it occurs on a daily basis. I had gone for all types of tests blood sugar, TSH,TLC, DLC,SGOT, SGPT,AEC, CBC,cholesterol etc. All fine but seems RBC count is increasing over the last 2 tests I had undergone in the last 8 weeks or so 1st test count was 5.7 million/cumm 2nd test it showing 6.0 million/cumm haemoglobin increased from 14.3 gm% to 15.1% (though within normal limits as per report) MCH and MCV slightly lower values than normal 2.I feel a lot of wrinkles appearing along with numbness on both my hands - 2-3 months before, when I used to keep the legs straight onto table or bed while sitting in the chair (table/bed at slightly higher position than the chair) and watching something/working with laptop etc. , numbness on legs and hands used to appear and last till I get up and walk around for 4-5 mins. Now for last 10-15 days, I used to suddenly have a lot of wrinkles/some type of numbness along with dryness on fingers of both the hands , palms become reddish at that moment with a large no of wrinkles appearing though I can work but still uncomfortable until they are gone after 10-15 mins or so . 3.Still pain appears on extreme lower back position specifically when I sit for 30-1 hr. In car/office etc. So is it all related to spine or is something related to blood cells which is causing all this trouble for last 3-4 months ? Could you please guide me on these issues and let me know the resolution for the same - any tests, specific type of exercises etc.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Apply hot fomentation twice daily. Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang asana -- lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
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Doc I am suffering from migraine wat are the appropriate short term and long term medications that you would suggest me.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Change your routine- Do following- 1.Sleep . Go to bed and get up about the same times every day, 2. Exercise regularly. 30 mts daily morning walk 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music . Walk for 5 mts 6. Do meditation for at least 10 mts daily. 7. Do deep breathing ex for 10 mts daily.
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Sir, my father (about 88 yrs old) suffered a paralytic stroke 25-26 days back. After that he has lost his confidence and partial memory loss is also there. Please suggest some ayurvedic medicines to increase his confidence and to regain memory that can be given along with high BP and post paralytic medicines. Thanks.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Treatment can only be discussed in private section. Here I can only advise you to start meditation and relaxation exercises. Take proper sleep at night. Avoid spicy oily n junk food. Avoid aerated drinks and curd.
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