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Dr. Ramesh Sangle

Neurosurgeon, Mumbai

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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.

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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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Migraine - Treatment Options Available!

MBBS, MD - Medicine, DM - Neurology
Neurologist, Ahmedabad
Migraine - Treatment Options Available!

A migraine often causes throbbing pain at one side of the head accompanied by sensitivity to sound and light, nausea and vomiting. The pain can last from a few hours to few days. Some warning signs of the pain take over include tingling of the leg or face, flashes of light and blind spots. Medication can help in avoiding the pain or manage it considerably.

Diagnosis:
Detection of a migraine is fairly easy for a medical professional. If a patient has a family history of a migraine, a doctor can prescribe the following to lock in on the diagnosis:

  • Blood tests: Through blood tests, a doctor tries to understand any possible problems in the blood vessels, spinal cord or presence of other toxins in the system
  • Magnetic Resonance Imaging: Better known as MRI, this is a process of capturing the detailed image of the blood vessels and the brain. It readily detects any possible problems related to a migraine.
  • Computerized tomography: More commonly known as CT scan, this is a process of capturing an image through a line of x-rays to detect any possible problems related to a migraine.
  • Lumbar puncture: This test is prescribed in extreme cases when a doctor suspects that there is a possible chance of bleeding in the brain.

What are the treatment options available?
There are two kinds of medications available- preventive medication and pain relieving medication. The treatment strategy is decided based on the frequency of the headaches and other health factors.
Some pain reliever medication includes triptan, ergots, opioid, glucocorticoids, anti-nausea medications etc. These medicines constrict the blood vessels and block the pathways of the pain in the brain cells. While some medicines are required to be consumed immediately after the symptoms starts, some should be taken regularly to avoid the pain in the first place. These pain relievers have side effects and should be consumed after prior discussion with a doctor.

Preventive medication, on the other hand, is only suggested by a doctor when a patient suffers from a migraine twice or more in a month, the pain lasts for more than 12 hours and the pain relievers do not work. Some of the common group of medicines that are suggested for these set of patients include cardiovascular drugs, anti-seizure drugs, anti-depressants, botox etc.

Alternative medicine approach:
Alternative medicines are often witnessed to fetch positive results for migraine patients:

  • Acupuncture: this form of treatment involves inserting thin needles into the skin at various points to give relief from pain
  • Cognitive behavioral therapy: This is a form of treatment which focuses on perceiving pain with behavioral changes.
  • Biofeedback: This is a relaxation technique that teaches to control physical responses such as pain, stress, muscle contraction etc.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2125 people found this helpful

Suffering from left side paralysis since 1/08/2011 movement of fingers are coming, done lots of treatment in all field.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Suffering from left side paralysis since 1/08/2011 movement of fingers are coming, done lots of treatment in all field.
Good. but do continue Active assisted exercises and gait training from Neuro Physiotherapist Best Wishes
1 person found this helpful
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I Am 27 years old female, I have migraine from my childhood, now it increased, it is like all the time being with headache, I ve tried all the medicines, nothing worked. What should I do now.

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 Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
2 people found this helpful
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Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?

DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Does Daxid 50 mg (two tablets daily) have a role to play in curing sleep apnea? Or is it only to treat depression?
Daxid is sertraline which is an antidepressant which increases the serotonin uptake in neurons of brain. It is usually prescribed for depression or anxiety symptoms primarily. Now in sleep apnea it can be prescribed for the secondary mood symptoms of the disorder but if it is prescribed only for sleep apnea symptoms then it's not a rational prescription.
1 person found this helpful
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How to Deal with Severe Epilepsy

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Ahmedabad
How to Deal with Severe Epilepsy

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication: Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

SurgeryDepending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

  1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
  2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
  3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
  4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
  5. Surgery to remove half the brain's cortex or outer layer

Dietary changes: A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

epilepsy Surgery
4492 people found this helpful

I have migraine. How can I get rid of this? What medicine do you prefer for this? It's being so long I'm suffering from migraine.

MD Hom., Certificate in Food and Nutrition, BHMS, Diploma In Yoga
Homeopath, Indore
Empty stomach cause gases and bloating which is causing migraine headache. Do eat something in every 2 to 3 hours, avoid oily and spicey food so that there will be less chance of gastric problem, and less will be headache. Also be hydrated. Till then take BELLADONNA 200, 4 pills twice a day for 4 days, and then report thereafter for further homeopathic treatment.
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Hi sir for my mum severe head ache on one side n shown to doctor thy told n gave tablet migraine any problem if migraine.

BHMS
Homeopath, Ahmednagar
Migraine is a very painful condition indeed Just need to know a few more details abt the complaint Homoeopathy has many good medicines which help in tackling migraine So if u can let me know a bit more like the duration, frequency , the type of pain etc. a bit more then it will be easy to prescribe upon
1 person found this helpful
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My hands are shaking from my childhood and my grandfather and mama too shakes there's hands. When I sleep also that also my hands will shivers every time please me sir what I have to do ?

MPTh/MPT
Physiotherapist,
Kindly wear surgeon gloves alan. This will be help full. As it is neurological disorder called as chorea.
3 people found this helpful
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I have persistent numbness in both hand and feet since 5 days. I have done my full body checkup. All report is normal. Bp is 140/90. Dr. prescribe me trineurosol hp inj. Afer taking 3 inh no improvement is seen. What should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have persistent numbness in both hand and feet since 5 days. I have done my full body checkup. All report is normal...
You have borderline high bp, reduce salt but I am not suggesting a salt free food. Avoid tinned foods as salt is a preservative. Avoid other packed foods also like chips, namkeem, street foods. Use minimum oils for cooking. Eat lots of seasonal vegetables and fruits. Reduce stress by exercise and yoga and meditation. Take a tablet of safe betablocker like metoprolol 25 mg twice daily. Get back here with progress reports only after observations, after 2 weeks. Get back here with reports. You will get more guidance from any of us here on the forum.
1 person found this helpful
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There is an unnecessary shaking in my hands. What should I do to reduce unnecessary shaking? it generally happens when I perform any task in front of some people.

MBBS
General Physician, Mumbai
Unnecessary shaking of hands is usually due to anxiety and I will suggest you to take tablet folvite once a day for six months.
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