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Dr. Shashank Joshi

Neurologist, Mumbai

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Dr. Shashank Joshi Neurologist, Mumbai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Shashank Joshi
Dr. Shashank Joshi is a renowned Neurologist in Tardeo, Mumbai. He is currently associated with Bhatia Hospital in Tardeo, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Shashank Joshi on Lybrate.com.

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Hindi

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Bhatia Hospital

Grant Road West Station, Tardeo Road. Landmark: Near Union Bank & Near Swati Restaurant, MumbaiMumbai Get Directions
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I am suffering firm insomnia unable to sleep for last few days due to stress of aipmt exam so please do help me and do answer please.

COMT, MPTh/MPT
Physiotherapist, Surat
Yes the main cause of insomnia is just because of stress, distractions and anxiety. As you said you are tensed of your aipmt exams so the best way to get rid from insomnia is to reduce the stress level. A physiotherapist can help you to give you the ways to relax your mind and give you comfort and stress full sleep. Normal sleep should be 8 hours to keep you fit and healthy. Consult some neurologist/neuropyschiatric and start taking medicine if it is due to some neurological discorder. And consult nearby physio who can make a perfect routine and daily life styl chart to make you relax so that you get an appropriate sleep. Please follow some points that will help you in such condition along with medical treatment: 1) use of ice packs over your eyes or frontal area for some time to give relaxation. 2) massage your head especially forehead area using levander oil or clove oil as it removes toxins from body 3) regular intake of healthy dietry food rich in proteins and vitamins. 4) avoid fasting - eat breakfast, lunch and dinner at fixed timings 5) make yourself busy by fulfilling your hobby as it will give you freshness and your mind will be diverted from normal life which help in pain reduction. 6) before sleeping time do some relaxation exercises. - sit on chair with both the hands placed on the pillow placed over thighs. - deep inhale from your nose, mouth should be closed. - hold your breath for the count of 5. - exhale completely from mouth making a loud sound. Continue to do this exercise for 10 times. Before going to bed make a habit of doing this daily. Modified technique of same exercise is while inhaling extend your arms, hold for 5 count and then exhale making your arms back in the rest position. 7) room modification while sleep - make sure room should be dark with no noise. Avoid sleeping immediately after dinner or food. Take a walk for 15 min and then come back, bed should be not too soft not too hard. 8) it is recommended to drink at least 8 to 10 glasses of water per day. It is also a very good habit to start and finish your day by drinking a good glass of purifying water. 9) exerices like aerobics (running) can be done to make your muscles active. Many other ways are there in order to maintain your life stress free and active so that you can continue to sleep on time and it does affect your life. Good luck and get well soon.

I have migraine pain before 2 days and I take bymistake 2 pills naxodom. I hav no side effects bt I tense about it.

MBBS, cc USG
General Physician, Gurgaon
Follow advises given below Drink lot of water You can take Tablet Pantocid 40 mg (if no drug allergy) one tablet stat Consult me/ Physician if you have any problem like acidity/ stomach pain etc
1 person found this helpful
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I have a hypokalemia paralysis with normal level of thyroid I continue my medicine from one month but still my poytasium is low day by day and I take everyday potkular potassium syrup i want to cure permanently so give me best best option.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hypokalemic periodic paralysis is a disorder that causes occasional episodes of muscle weakness and sometimes a lower than normal level of potassium in the blood. It is one of a group of genetic disorders that includes hyperkalemic periodic paralysis and thyrotoxic periodic paralysis. Causes hypokalemic periodic paralysis is congenital. This means it is present at birth. In most cases, it is passed down through families (inherited) as an autosomal dominant disorder. In other words only one parent needs to pass the gene related to this condition on to you in order for you to be affected. Occasionally, the condition may be the result of a genetic problem that is not inherited. Unlike other forms of periodic paralysis, persons with congenital hypokalemic periodic paralysis have normal thyroid function. But they have a very low blood level of potassium during episodes of weakness. This results from potassium moving from the blood into muscle cells in an abnormal way. Risk factors include having other family members with periodic paralysis. The risk is slightly higher in asian men who also have thyroid disorders. The most important treatment in severe hypokalemia is addressing the cause, such as improving the diet, treating diarrhea, or stopping an offending medication. Patients without a significant source of potassium loss and who show no symptoms of hypokalemia may not require treatment. Mild hypokalemia (>3.0 meq/l) may be treated with oral potassium chloride supplements (klor-con, sando-k, slow-k). As this is often part of a poor nutritional intake, potassium-containing foods may be recommended, such as leafy green vegetables, tomatoes, coconut water, citrus fruits, oranges, or bananas.[14] both dietary and pharmaceutical supplements are used for people taking diuretic medications. Severe hypokalemia (<3.0 meq/l) may require intravenous supplementation. Typically, a saline solution is used, with 20? 40 meq/l kcl per liter over 3? 4 hours. Giving iv potassium at faster rates (20? 25 meq/hr) may predispose to ventricular tachycardias and requires intensive monitoring. A generally safe rate is 10 meq/hr. Even in severe hypokalemia, oral supplementation is preferred given its safety profile. Sustained-release formulations should be avoided in acute settings. Difficult or resistant cases of hypokalemia may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake. when replacing potassium intravenously, infusion by a central line is encouraged to avoid the frequent occurrence of a burning sensation at the site of a peripheral infusion, or the rare occurrence of damage to the vein. When peripheral infusions are necessary, the burning can be reduced by diluting the potassium in larger amounts of fluid, or mixing 3 ml of 1% lidocaine to each 10 meq of kcl per 50 ml of fluid. For more doubts you can ask me privately.
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Sir I am 36 years old. My wife who is detected now as an epilepsy patient. First incident of seizure took place on 10th march when she became unconscious for 5to 6 seconds. On 30th april again she became unconscious. At the very time she made a groaning sound, starred and urine came out. On 10th may she was first detected as epilepsy by a neurologist. The doctor prescribed valprolcr500 and folvite. After 5 month on 6th october again she became unconscious. I also visited a neuropsychriatist who prescribed nexito10 and lonazep0. 25 along with the above medicine. Now I am very tensed have a 14 months baby. I am very introvert and sometimes suffer from depression because of being unemployed in spite of being getting a job. Sir is there any restriction to eat chicken ,mutton or fast foods? My weight has decreased from 59 to 53. Is it a result of side effect of the medicine? Will my seizure be under control or not? I am very tensed. I have a baby of 14 months. After delivery still my period does not begin. Has it a connection with epilepsy? Does my epilepsy connect with any gyno problem? Please advice me sir.

MD - Psychiatry
Psychiatrist, Udaipur
Amenorrhoea after 14 month of delivery is a common phenomena. Its not related with your current epileptic episode or medicine related to it. Because of stress in your life related to your job and wife medical condition its might be possible you become depressed and it is only reason you lost your weight. I advise you to consult neuropsychiatriat who will guide you how you could balance between your personal and professional life.
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BHMS, MD - Homeopathy
Homeopath, Chennai
What is the ketogenic diet?

The ketogenic diet is a special high-fat, low-carbohydrate diet that helps to control seizures in some people with epilepsy. It is prescribed by a physician and carefully monitored by a dietitian. It is stricter than the modified Atkins diet, requiring careful measurements of calories, fluids, and proteins.
The name ketogenic means that it produces ketones in the body (keto = ketone, genic = producing). Ketones are formed when the body uses fat for its source of energy.
Usually the body uses carbohydrates (such as sugar, bread, pasta) for its fuel, but because the ketogenic diet is very low in carbohydrates, fats become the primary fuel instead.
Ketones are not dangerous. They can be detected in the urine, blood, and breath. Ketones are one of the more likely mechanisms of action of the diet; with higher ketone levels often leading to improved seizure control. However, there are many other theories for why the diet will work.
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Sir My fingers starting shaking when i write and the writing becomes scrambled and i fear while signing too and i feel lot of difficulty in writing and now i have do everything in my computer. kindly suggest the remedy ,this has been happenig for the last 10years

MPTh/MPT
Physiotherapist,
Kindly apply surgeon gloves while writing, signing. Its writer' s cramp. Its a neurological disorder. Do stretches for your hands before and after your job. This will be help full
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I have migraine. It occurs frequently since few months. Earlier it wasn't that frequent. What shall I do to avoid it or reduce it?

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
Take Conium 200. 1-2 drops in 1/4 cup lukewarm water every morning and report after a week. If you wish for further advice you may contact me on my personal messenger.
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I have migraine since 3weeks I had consultant a lot of doctors but they failed to cure that. Will you prescribe any medicine to me.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine R-16 drops (Dr Reckeweg)Drink 20 drops in 20 ml fresh water 3 times daily. MIG AID ( Bakson) Chew 1 tab twice daily Daily 30 min BRAMARI PRNAYAM Early morning
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I am suffering from migraine. Yesterday got a migraine attack and now I am having swollen eyes. please recommend me some medicine to get rid of swelling.

PDDM, MHA, MBBS
General Physician, Nashik
I have gone through your question and understand your concerns. Continous chronic migraine needs prophylaxis treatment for decreasing migraine attacks and remission. For management of migraine you need to follow following things. 1) avoid fasting, skipped or delayed meals, excessive chocolates or coffee. 2) Take proper sleep and timely diet Medication can be started Flunarizine Amitryptiline: sedation common side effects Topiramate: memory disturbances and risk of angle closure glaucoma and renal stone Divalproate: Weight gain You need to discuss with your treating neurologist about all these options and associated risk and side effects. The response to treatment comes in a month time with these medications. For instant pain control, pain killers may be taken. Hope you found the answer helpful. Do get back to me for further queries.
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I have headache every week I think it is a symptom. Of migraine what should I do doctor?

MBBS, cc USG
General Physician, Gurgaon
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache follow advises given below: You can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4.We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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I am 28 years old male and I have hand shivering problem. Sometimes my hands shivering too much. What can I do.

MBBS
General Physician, Cuttack
1. It could be due to anxiety, nervousness or thyroid problem 2. Avoid anxiety and nervousness 3..Do thyroid function test to exclude thyroid problem 4. consult physician
2 people found this helpful
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How to control migraine . Is there any tablet . Before it comes visual blur den slowly it come ls to left side headache (one side) once vomit ll be done den only it goes .and I appears twice in a year .pls suggest permanent solution.

MD - Homeopathy
Homeopath, Aurangabad
How to control migraine . Is there any tablet . Before it comes visual blur den slowly it come ls to left side headac...
Yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me back you may contact me on this site. And check my package and get customized medicines.
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I am suffering facial numbness since 2nd april' 2015, mri done by doctor's advice and prescribed medicine. Without medicine can get relief by facial yoga. What medicine given let you know after a while & also advice me what deficiency have or what types of illness, brain cancer, tumor, brain stroke and what medicine, yoga and messages require to get cure and relief such numbness waiting for your reply. Thanking you,

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It is advisable for a neurophysician to see your query and answer it appropriately. Do not hesitate to contact me if you need any further assistance.
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I an 38 years old. I am suffering with left side headache due to weak nerves. What should I do?

MBBS, cc USG
General Physician, Gurgaon
I an 38 years old. I am suffering with left side headache due to weak nerves. What should I do?
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be migraine headache kindly follow advises given below: you can take: 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management
2 people found this helpful
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Sir I just came close to an unknown girl and she was suffering from paralysis as well as was taking medicine for depression. I just kissed on her body. Am I at any risk.

MBBS, MD (Medicine), DM (Neurology)
Neurologist, Delhi
Sir I just came close to an unknown girl and she was suffering from paralysis as well as was taking medicine for depr...
You do not seem to be at any risk if only you had kissed her. If you are worried about sexually transmitted disease relax. No risks.
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I am 24 years old I have migraine from pat 10 to 12 years but now it's like when ever I eat any sweet or chocolate my migraine starts how to avoid such things.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with medication after clinical examination
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How can I control on my own mind and heart. ? How can I heart strong some times my full body shake due to heart.

MD - Psychiatry, BHMS
Homeopath, Dhule
How can I control on my own mind and heart. ? How can I heart strong some times my full body shake due to heart.
Get your blood pressure and ecg done. If everything is normal then you might need psychiatrist as symptoms seems to be of panic / anxiety.
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My Mother Is having migraine as well as improper digestion problem. What should I do so that she gets relief?

MBBS
General Physician, Mumbai
My Mother Is having migraine as well as improper digestion problem. What should I do so that she gets relief?
Avoid any triggering factor, take folic acid regularly, eat a healthy diet, always be stress free, exercise regularly.
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