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Dr. Sushil Tandel

Neurologist, Mumbai

Dr. Sushil Tandel Neurologist, Mumbai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Sushil Tandel is one of the best Neurologists in Mumbai, Mumbai. You can visit him at Raheja Hospitals in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Sushil Tandel on Lybrate.com.

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Raheja Rugnalaya Marg,Mahim. Landmark: Near Police Quarters Colony, MumbaiMumbai Get Directions
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Prevention of Seizure

BHMS, MD - Homeopathy
Homeopath, Chennai
Since the cause of epilepsy is often unknown, it can't be prevented, but the seizures associated with epilepsy can be.

Seizures can occur for a number of reasons and often they can be prevented. One common cause of seizures is epilepsy, and in most cases, seizures associated with the condition can be prevented if you know what's triggering them and take steps to modify or avoid those triggers.

Epilepsy Causes, Treatment, and Prevention

Epilepsy — a disorder in which a person has recurring, unprompted seizures due to abnormal electrical activity in the brain — affects an estimated 50 million people worldwide. In about half of those people, the cause of the epilepsy is unknown. Among the other 25 million individuals, the cause may be a defect in the structure of the brain, a tumor or stroke, or a severe head injury — the most common known cause in young adults, according to the Epilepsy Therapy Project. Therefore, it's important to protect your head with a helmet any time you're engaged in an activity in which your head could be damaged, such as playing a contact sport like football or riding a bicycle, all-terrain vehicle, or motorcycle.

There are several medications that can successfully treat and manage epilepsy and help keep seizures to a minimum. Anticonvulsant drugs can work if taken correctly. In some cases, a low carbohydrate, high-fat diet known as the ketogenic diet may be prescribed to help treat children with epilepsy and prevent seizures.

Know Your Triggers, Prevent Seizures

Epileptic seizures are often associated with particular triggers or changes in your daily habits or routine. Here are some common behaviors and factors that may trigger an epileptic seizure:

.Stress, anxiety, or other emotional issues
.Alcohol or drug abuse or the process of quitting alcohol or drugs
.Change in sleep schedules, feeling very tired, or significant sleep deprivation
.A change in medications, or skipping or missing a dose of .anti-seizure medication
.Something that overstimulates the senses, like lights that flash brightly, watching television, playing video or computer games, or working on a computer
.Hormonal changes in women, often from pregnancy or menstruation
.Mental strain, such as from solving complex problems

You can't always predict what will trigger an epileptic seizure; sometimes they'll occur for no apparent reason. But many people are able to see a correlation between certain behaviors and their seizures. By taking steps to minimize these factors, you may be able to prevent seizures.

Seizure Prevention Tips

Here are some tips that may help reduce your risk of having an epilepsy seizure:

Get plenty of sleep each night — set a regular sleep schedule, and stick to it.
Learn stress management and relaxation techniques.
Avoid drugs and alcohol.
Take all of your medications as prescribed by your doctor.
Avoid bright, flashing lights and other visual stimuli.
Skip TV and computer time whenever possible.
Avoid playing video games.
Eat a healthy diet.
Until more is known about the causes of epilepsy and how it can be prevented, your best bet to prevent seizures associated with epilepsy is to avoid the things that can trigger your seizures. This can make a measurable difference in the number of seizures you have.
21 people found this helpful

What is the difference between headache and migraine? What is the main reason for it and how can we get well from it?

MBBS
General Physician, Cuttack
) Symptoms of Migraine 1. Unilateral Headache, eye pain 2. Throbbing and pulsating pain 3. Nausea and Vomiting 4. Increased sensitivity to light and sound 5. Feeling of Dizzy or Faint Cause Unknown. May be due to decrease in brain chemical-serotonin which regulates pain in the nervous system, genetic, environmental factor Triggering factors for migraine A) Hunger (missed meal, drinking alcohol (redwine),/coffee, tea) B) Inadequate sleep, stress, anxiety, depression, agitation, bright light/sun glare C) environmental factors like glaring light, Loud noise, strong smell/perfume/passive smoking D) weather changes, high altitude, e) use of oral contraceptive, hormonal changes like oestrogen fluctuation during pregnancy, menopause, hormonal replacement therapy F) continuous use of cell phone G) salted food, aged cheese, processed food Treatment of migraine 1. Take crocin Advance one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple 2. Drink plenty of water and take rest. 3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack 4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack 5. Go for regular exercise, reduce weight if over weight 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 like propranolol/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
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I always shake my legs when I am thinking, now even when I am typing this question I am losing my concentration and my shaking legs indicates me about that. Please help me to overcome this habit. I am tired of lack of concentration and restless legs, whenever I think or I am in stress I daydream or my mind wanders and my leg starts shaking, I even can't sleep due to my mind or restless legs. I am most of time in dreams or in other world.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
I always shake my legs when I am thinking, now even when I am typing this question I am losing my concentration and m...
Your symptoms show anxiety. Please talk to a counsellor. You need to identify what all is going on in your mind and is hampering your routine life. The counsellor will help you in identifying your issues and also will help you to cope with it. Shaking legs is a reflexive action for anxiety. Whenever you notice, that you are shaking your legs, make a conscious effort to stop it. Keep a book or something on you lap, so the moment you start shaking your legs it will fall, and you will be aware of it and then make conscious effort to stop it. About the habit of" day dreaming" and sleeslessness, behaviour therapy will help you. Kindly talk to a counsellor.
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I cannot get sleep now a days. Since last two three days I am awake. Not even a single hour I have slept. I do not know what is happening. Is this insomnia? Sometimes I think that it happens because I do not get tired. But then I realised that even after I do hell lot of work the whole day, I do not get sleep. Please suggest some remedy for this.

MBBS
General Physician, Cuttack
I cannot get sleep now a days. Since last two three days I am awake. Not even a single hour I have slept. I do not kn...
1. You may be having anxiety or stress. Avoid stress. 2. You need 7-8 hours of sound sleep to remain healthy. 3. Go for regular exercise, Take part in games and sports, 4. Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5. Adhere to a specific sleep time and regular schedule 6. Take light dinner. 7. Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time. 8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill
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Is Sleep Paralysis a Symptom of a Serious Problem? Yesterday left side full not sense (top to bottom like head, hand and leg) this is 1st time happening to me.

MBBS, Master In Health Science
Neurologist, Mumbai
Usually sleep paralysis affects the entire body and is part of narcolepsy which includes cataplexy (neck quickly losing power e.f. While Laughing) and excessive daytime sleepiness. Since your episode was so asymmetric you should be very intensively evaluated to rule out a transient loss of blood supply to one part of your brain (a transient ischaemic attack or TIA)
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I am a 50 year old male. Diagnosed with type 2 diabetes for the last three years. Recently the toes and fingers of my left foot have become numb. Doctors have prescribed vitamin injections. However I am not feeling improvement. Will this be a permanent disability or be cured. My sugar levels are in the range of 170 after food and 150 fasting.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Hello, get done ncv to confirm neuropathy. And check serum creatinine, urine albumin, ecg, fundus examination by ophthalmologist, lipid profile - to rule out effect of diabetes on other vital organs and body functions. Tell me your last 2 fbs, pp2bs values and hba1c values and medicines you r taking. I will be glad to help you to improve quality. Of life and control diabetes.
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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 was suffering from viral, doctor advised me paracetamol, on third day the temperature goes up to 103 , doctor advised on phone to take Meftal 250 mg, in the next early morning I was having stomach pain, extreme gas ,and I fainted for few seconds and my son told me I have seizure for few seconds, 5-6 seconds, I never have seizure anytime before, doctor said it might be due to dehydration as I was not eating and drinking fluids much or due to reaction of Meftal medicine. I am better don't have any fever, does that seizure require serious attention? Do I need to worry?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I was suffering from viral, doctor advised me paracetamol, on third day the temperature goes up to 103 , doctor advis...
Though the seizure in your case has a fair explanation on the basis if your medical condition (notably hypoglycemia due to loss of appetite and electrolyte imbalance due to dehydration), still it is advisable to completely investigate any" first episode of seizure" consult a physician, get a baseline eeg done and other investigations if necessary to rule out all possible causes of such episode, apart from your medical condition. Take care.
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I am suffering from facial paralysis from yesterday. I am taking medicines. What I should avoid thing to recover from this problem quickly?

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
U need to consult a neurologist tfor clinical examination. As facial nerve involvement can cause it which is known as Bell's palsy. And problem. In brain can also cause it. But both can b differentiated by involvement of part of face. If eye And forehead is not involved then it's due to problem in brain. If whole face on one side is affected then its Bell's palsy For Bell's palsy Physiotherapy is required. Other one needs investigations like MRI.
1 person found this helpful
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Migraine - Identifying the Early Signs!

MBBS, MD - Internal Medicine, Fellow in Pain Management, DM - Neurology
Neurologist, Delhi
Migraine - Identifying the Early Signs!

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.

Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

  • Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
  • Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
  • Motor: Usually related with the movement problems like the limb weakness
  • Verbal: It is related with the speech problems

Headache: In case of a migraine attack one might experience:

  • Pain on both sides or one side of the head
  • Pain is throbbing in nature
  • Vomiting and nausea
  • Sensitivity to smells, sound and light
  • Vision is blurred
  • Fainting and lightheadedness

Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.

Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

  • Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
  • Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Consult a doctor find the right medication for you.

1948 people found this helpful

Sir I am having migraine problem. It pains alot. I tried so many medicines but nothing working out please help me sir.

BAMS, MD Ayurveda
Sexologist, Lonavala
The following thing if you adapt it will be helpful Natural home remedy using cinnamon powder: 1. Take 2 tbsp of cinnamon powder 2. Add water to make paste 3. Mix well 4. Apply on the temple and forehead for relief This remedy will be helpful, if it dosent work then you must consult ayurvedic doctor.
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My headache start from any side and covers complete head. I don't have any spectacles I have checked for glass but they said my eye sight are perfect no need of glasses, even I don't have any migraine problem.

MBBS
General Physician, Cuttack
My headache start from any side and covers complete head. I don't have any spectacles I have checked for glass but th...
Check your Bp.Avoid stress and anxiety.You should have adequate sleep for 7-8 hours daily,avoid physical and mental exertion,drink plenty of water.If you have recurrent headache you may have to take CT scan of brain after consulting neurologist to find out the cause of headache
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43 yrs old female.155 cm.63 kg.Been having acid reflux since 8 years causing.Insomnia.Pl help

DNB Gastroenterology, DNB (General Medicine), Doctor of Medicine, Fellow Advance Endoscopy & EUS
Gastroenterologist, Ahmedabad
Elevate head end of bed by 25 degree sleep two to three ours later after dinner go for walk after meal eat more in breakfast less in dinners take medicine regularly
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My wife recently got facial paralysis where her lips and eyes had a swelling and ear and neck burning like anything. This 2nd time after 4 months she got this. Now she is ok however Need your advice if its become critical in future or why this happening again and again and also what's cost for one MRI.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Hi Amit, Recurring facial palsy may be due to nerve irritation from environmental conditions, do not exposure to cold drafts for longer periods. You can consult for Homeopathic treatment which aims to cure that sensitivity. Cost of MRI brain will be around Rs. 5000/-
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Hi my bro is 36 years old and he has fits, he is taking treatment. is it a curable disease? He first had when he was 15 years old, he took treatment at Sapdana Hospital, B'lore for 5 year (i. E one tab every day in the night for 5 yrs. After that he stopped.

MBBS, cc USG
General Physician, Gurgaon
Hello, Is CT scan/ EEG was done? can cause of seizure was detected ? As you are saying that he has already taken medicine for 5 years so chances of cure this problem is high Cure will also depend upon cause of Seizure/fits 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 You can Consult Good Neurologist for second opinion, i can guide you further
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Hey I don't drink smoke or anything but in recent months once I started going to gym my hands have started shivering what shall I do?

BSAM, Basic Life Support (B.L.S), DM - Clinical Pharmacology, B.Sc Bio, M.Sc.
Alternative Medicine Specialist, Dhubri
By doing gym energy are lost. So due to lack of energy you are sheveriing. For this solution you can take cap. Rx plus 1 cap daily for 1 months.
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I am 57 years woman recently having signs of parkinson disease, how to tackle the same?

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Get checked fully blood tests, mri, Meanwhile rule out bp and diabetes and cholesterol you take citicolin, contact with results.
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