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Dr. V S Manek

Neurosurgeon, Mumbai

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Dr. V S Manek Neurosurgeon, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
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Dr. V S Manek is a renowned Neurosurgeon in Mumbai, Mumbai. You can meet Dr. V S Manek personally at Dr. V S Manek@Apex Hospital in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. V S Manek on Lybrate.com.

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Vaishali Heights , Chandavarkar Road , Borivali ( West ). Landmark: Near Standard Chartered BankMumbai Get Directions
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8 Common Migraine Triggers You Must Stay Away From

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Faridabad
8 Common Migraine Triggers You Must Stay Away From
8 Common migraine triggers you need to know about

A neurological disease that occurs mostly on one side of the head, migraine is a severe headache that is characterised by a variety of symptoms, ranging from nausea and disturbed vision to sensitivity to light. Since the triggers of a migraine are many, it can be difficult to identify the exact cause of your pulsating headache.

Here are some of the common stimulants associated with migraine:

1. Fasting: Not taking proper meals, insufficient liquid intake and fasting can be a major trigger towards headaches and migraine. It could be associated to lowered blood glucose levels. Skipping meals or fasting must be completely avoided.

2. Sleep: Sleep can also be a trigger factor as well as a preventive factor for migraines. You can suffer from a migraine attack if you sleep too little or too much. Migraine caused by sleep problems usually arises when the brain’s serotonin (a compound that constricts blood vessels) production experiences a fluctuation, and there is a reduction of dopamine (a neurotransmitter that helps in the transmission of signals) levels. While the former neurotransmitter is necessary for regulating your sleep cycle, the latter is vital for helping you to focus. Several studies reveal that developing good sleep habits can bring about a reduction in the intensity as well as number of migraine attacks.

3. Stress: Another common migraine trigger is stress. Emotions like sadness, worry, shock and anxiety can cause migraine attacks as they bring about the release of migraine causing brain chemicals. At the same time, it is also commonly reported that a migraine may occur right after a stressful period, usually during the weekends, and is therefore called a weekend headache.

4. Food: Several studies show that migraines triggered by food occur in 10% of the world population. Many of the food items that cause a migraine attack contain a substance called tyramine or phenylethylamine. This substance can cause the nerve cells of your brain to release a chemical called norepinephrine. The increased quantity of the two (tyramine and norepinephrine) can lead to migraine attacks. These amino acids are present in aged cheese, chocolates, citrus fruits, nuts and soy foods.

5. Caffeine: Too much caffeine consumption can cause you to have a migraine attack. Ideally, you shouldn’t have more than 2 cups of caffeinated drinks (like coffee, tea and cola) a day to prevent yourself from experiencing migraine headaches.

6. Computer screens/ Sunlight: Sitting in front of your computer screen for a long time can trigger a migraine attack. It happens as muscle tension builds up around your head, neck and shoulder areas.To prevent the problem from occurring, you need to take regular breaks, use good lighting, and anti-glare screens.

7. Alcohol: Certain alcohols like red wine, beer, vermouth, and sherry contain substances such as tyramine, phenylethylamine, histamine, sulphites, and flavonoid phenols, all of which have been known to trigger migraine attacks. Red wine is considered to be the worst trigger, and you should avoid it if you suffer from migraine.

8. Exercise: Like sleep, even exercise has been reported to cause as well as prevent migraines. Exercising in a moderate and regular manner is known to prevent the onset of migraine.By doing so, you end up stimulating the release of the body’s natural painkillers, while improving your overall health. On the other hand, by exercising vigorously and without prior planning, your body’s demand for oxygen increases significantly, triggering an attack.

If you would like to consult with me privately, please click on 'Consult'.
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Brain Stroke

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Brain Stroke

Brain Stroke:

  1. Occurs suddenly
  2. There is neurological problem or paralysis (lakwa)
  3. It may be temporarily or permanent
  4. May lead to sudden dearth 

Symptoms:

1. Sudden trouble in walking, co-ordination, balance

2. Sudden dizziness

3. Sudden sever headache

4. Sudden numbness or weakness of face / arm/ leg- specially on one side

5. Sudden confusion/ problem in understanding

6. Sudden speech problem

7. Sudden problem in vision (seeing) in one or both eyes

Cause:

  1. Blockage of an blood vessel in the brain by a clot
  2. Rupture of blood vessel in the brain.

Treatment:

  1. Time is crucial- to reverse or reduce the damage to brain cells . brain cells die within minutes to few hours and do not regenerate - thus lead to permanent loss of function.
  2. A clot bursting drug is required to be given within 3-6 hrs.
  3. Blood thinning medicine are to be continued for a long time
  4. Progress in the disease is continuous process and continues for years

Prevention:

By controlling risk factors like

  1. High BP
  2. Diabetes
  3. Heart disease
  4. Obesity
  5. Smoking
  6. Alcohol consumption
  7. Diet regulation
  8. Regular exercise

Recognize the symptoms of stroke and  act immediately – to take the patent to hospital.

1 person found this helpful

I'm 20 year old guy suffering from migraine but nowadays I suffer even at night please help me out.

MBBS, cc USG
General Physician, Gurgaon
Hello, 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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How is migraine headache different from normal headaches. And how to identify migraine and also how can we cure this?

MBBS, cc USG
General Physician, Gurgaon
Symptoms of migraine headache are Headache eye pain. (most commonly one-sided pain; less frequently both sides of the head are affected) pain located near the eye on affected side. pain that worsens with exertion or physical activity. Nausea/ Vomiting sensitivity to light and/or sound 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
1 person found this helpful
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I am a 20 year old male and my hands shivers when they have no support like when iam given you any object by my hand moving forward it shivers. What should I do.

MBBS
General Physician, Cuttack
It could be due to nervousness. Avoid nervousness. Get your thyroid function test done. consult neurologist.
1 person found this helpful
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I have been receiving radiating pain starting from brain to my teeth and nasal passages, I am a teacher by profession and would like to receive a valid consultation.

Diploma in Psychological Medicine, MBBS
Psychiatrist, Mumbai
I have been receiving radiating pain starting from brain to my teeth and nasal passages, I am a teacher by profession...
it could a sortof migrane for which you need to consult a Neuro Psychiatrist but also consult ENT doctor to rule out any nasal issu. Take care.
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Is there any treatment for sleep apnea and snoring in any system of medicines which is effective with out much expense.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Is there any treatment for sleep apnea and snoring in any system of medicines which is effective with out much expense.
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 30 minutes regularly Best Wishes
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I am 50 years of age male. I feel sleepy always at any point of time. It is a problem with me since my child hood. While driving or travelling or talking or studying I feel sleepy and feel embarrassed among others. I am a normal human being, non-diabetic, no blood pressure, cholesterol level is almost normal excepting LDL i.e.129 (as per last report 15 days back ). I am very active, go for regular exercise, yoga to keep me fit. Pl. Suggest me to over come this problem. I also want to add that I never face sleeplessness during night even after drowzing hours of 3 to 4 every day. Is it a neurological disorder? Pl. Suggest.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 50 years of age male. I feel sleepy always at any point of time. It is a problem with me since my child hood. Wh...
Hi Take brahmi vati. Smriti sagar ras and praval panchamrit. Make its powder and mix it. Then take these medicines with honey twice a day. 1-1 drop of cow ghee in both nostrils at night time before sleep. Do pranayama early morning for freshness. Avoid oily food. Junk food. Avoid alcohol consumption. Eat green vegetables. Walk for at least 45 minutes a day.
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hello doctors! I'm 25 years old. Unmarried and working lady. I've been suffering from a number of problems, some from my adolescence which are still there and have become chronic and some have developed recently. I have many health issues at the same time, below is the list:- 1- i'm exhausted all the time, I feel lethargic and slouchy. 2- few years back I used to have extreme pelvic pain; I couldn't stand the pain and my Dr. Gave me injections of voveran. Now from the last year my periods are not regular, I just menstruate for one day. 3- i'm constantly putting on weight, especially around my belly. I exercise but it doesn't help. 4- when I was 13 years old my knees used to knuckle/crack a lot. This condition remained for 8-9 years. Now it doesn't happen but i've severe pain in my knees and ankles; i'm not able to climb stairs, I can't do cycling I can't walk fast, cannot jump/jog, in short I feel like a 60 years old lady. 5- also I pent when I climb stairs or walk fast. My folks say that i'm a lazy girl and not at all attentive. 6- i'm absent minded, so much forgetful. I misplace things most of the time. One doctor said i've dementia or alzheimer's. I'm shocked. 7- I look pale and have many skin problems, like breakouts, scars, black head white heads, patchy skin. Did consult doctors. But nothing did really help. Blood test already done, there's no blood infection. 8- i've consulted a gynaecologist too for my periods and skin issues, conducted some tests which were normal. I feared of pcos but luckily it was not that but there was some watery discharge from my left breast. 9- i'm short sighted too and my number is -8. Severe headache is common. 10 - in 2013 I was down with typhoid. My haemoglobin was 7.8 at that time and I took iron tabs (dexorange) for three months. 11- four five years back I had a bone marrow test which indicated my bones were weak. In later years I consulted an specialist he said I hv arthritis, I didn't continue the medicines. 12- my tongue has unusual black spots. My metabolism isn't good. Constipation is not a regular problem. 13- recently i'm realising that my body's tiny hair including my face is growing dark. I fear of hormonal problem. 14- from last one month i've chronic bony pain especially in my hands, feet and legs. My finger joints are paining like anything, I can't keep my feet on the floor, it hurts badly. I'm not able to sleep due to unbearable pain. In fact I can't explain my condition. Every part of my body pains, I feel sick, very very sick. Please help, what should I do, i'm stressed out, not even able to work properly in my office. Where to start? who's the right doctor? please help out.

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 appears that you have multiple problems, from an orthopaedic point of view I will require certain tests to be done empty stomach, once we have the results I can let you know certain things: cbc, esr, crp, serum electrolytes, kft, lft, thyroid profile, serum vitamin d levels, ra factor, anti ccp antibodies, ana, hla b 27 these tests should guide us to why you have bone pains, maybe fatigue and tiredness. Also you should consult a general physician and a gynaecologist as well and if required get your hormonal workup done as well. Do not hesitate to contact me if you need any further assistance.
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I'm 19 year old fit athlete. Whenever I am close to my loved one, or I hug her, my hands start shaking and shivering. Please help.

M.D. (Ayurveda )
Ayurveda, Patiala
I'm 19 year old fit athlete. Whenever I am close to my loved one, or I hug her, my hands start shaking and shivering....
Kindly take, ashwagandha powder, 1 tsf in a glass of warm milk, twice a day, 1 hr after meals. Apply mahamasha thailam, over whole body and do gentle massage on alternate days, before bath. Avoid cold eatables in your routine like cold water etc. Continue the regime for 2 months. Good luck
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My sister 38 years old Cerebral aneurysm (avm) artery ruptured in back side brain 4 days passed in ITU Brain dead Help She has a abnormal smaller brother. Her mother is paralyzed Father is too old to perform. And utterly selfish big brother. Plz.

MBBS
General Physician, Mumbai
Treatment depends on the glasgow coma scale and if the value is very less than there are very less chance of survival and so I will suggest you to discuss the value with the neurologist.
1 person found this helpful
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I am 47 years old. I'm a BP patient and I do consume alcohol. I'm observing that my hands tend to shake. For instance, when I'm having my food with right hand they shake and even my head shakes a little when I'm in anger or during adrenaline. First I thought of not asking this question because I found it a little embarrassing but I'm posting this question because my kids and my wife observed it. Please help.

BHMS
Homeopath,
Dear Mr. Lybrate-user, your problem is quite common in cases of long standing addiction of alcohol. You need to stop taking alcohol immediately. However I can understand that is not so easy to quit such an addiction. It will need a lot of will power to abstain yourself from alcohol. Here I am stating few rules which will effectively help you. Firstly:- reduce the amount of alcohol you consume daily. Secondly:- do not drink alcohol too quickly. A 30 ml peg of alcohol needs upto 30 minutes to get absorbed in our body. Third:- mix 60 drops of homoeopathic mother tincture acid sulph q in the water with which you will prepare your peg. Follow the aforesaid rules daily. Within 15 days your craving for alcohol will be reduced.
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Hello sir, My father is 80 year old. 4 months ago he gets stroke. Any treatment is there for this? It ll definitely cure? Tablets response in this age?

MBBS, MD - Internal Medicine, Fellow in Pain Management, DM - Neurology
Neurologist, Delhi
Hello..There is improvement in Stroke weakness with medications and physiotherapy. The level of improvement depends on the size of the infarct or bleed how big it was and the area of the brain affected whether critical area is affected or not. Also within these 4 months has the patient received good physiotherapy and also if stiffness or spasticity has developed
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I am suffering from cerebellar ataxia caused by genetic disorder now I cannot walk please help me.

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Physiotherapy with electrotherapy suggested. May evaluate with a brain scan if rapidly progressing symptoms esp new.
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I am a 22 year old female. I stay up late night to study. Because I feel it is the time I can concentrate. But sometimes when I get emotional or angry or nervous I get seizures like fits. Is it because of my sleeping schedule?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I am a 22 year old female. I stay up late night to study. Because I feel it is the time I can concentrate. But someti...
Dear lybrate-user, try this method many people are success first and most sleep early wake up early at 4.0 am and study with fresh mind, of course subjects which you are not interested you must spend more time and repeat it many times" practice makes perfect" not only human including pets.. Switch off mobile phone when you go to bed and switch it on at 6 am. Example some people they don't like mathematics but it is essential for life everyday and every time we are depended on mathematics, right from doctor to business man, including vegetable seller, we can understand many other distraction disturbed minds it is like love issues. Still not able to concentrate go for counselling help
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My husband earns lesser than me and is even lesser educated than me. He is a genuine nice guy, caring and my best friend. Seeing my peers ,my cousin's husband earning more makes me feel insecure and bothers me a lot. How can I stop comparing my would be husband's success with my peers .How do I stop my brain from thinking that I might be compromising as I deserve a more successful man. My heart knows that this man is very good one too. But I am. Scared what if I am married to him and then I regret seeing all my peers rise high in lifestyle and in their career. This comparison is really bothering me. Please suggest.

MD-Ayurveda,Kayachikitsa(Ayurvedic physician), BAMS, MD
Ayurveda, Jammu
Dear user life is not always bed of roses. As you knw life does not give us any thing for free, we Hv to do so many sacrifices n inreturm we get something. In this fast moving era you can always mint money but you will not find a genuine guy. In my opinion character of a person is more important rest once you married you both hv to struggle for your life style atleast you would b contented that your husband is loyal to u. Rest you must ask your heart what it wants. Coz for someone money is priority n for some person his nature. Thnx.
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How to tackle Migraine

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
Migraine can be tackled by a combination of medical and lifestyle measures.
Medical measures: if you have frequent episodes, you will need 2 types of medicines- one to be taken daily for a period of at least 6 months as prophylaxis and 2nd to be taken during attacks of headache for quick relief of pain. These medication should be started only after consultation with a neurologist and ruling out other rare but serious causes of headache.

Lifestyle measures:
Lifestyle measures play an equal, if not greater role in management of migraine. They include:
1) regular intake of meals. Avoid fasting, eat breakfast, lumnch and dinner at fixed timings.
2) good 7 hours of uninterrupted sleep daily
3) avoiding foods that precipitate migraine like cheese, chocolate, excess coffee/tea and sour foods

In addition, you may have to temporarily avoid excessive travel and exposure to sunlight which can precipitate headache. Yoga/ meditation and relaxation techniques will help immensely.

I am 20 year old mere aadhe head mai kl subha se pain hota hai aur head ke piche bhj aur aisa lagta hai. Jaise head bhaari bhaari lag rha hai aur chakkar bhi aate hai mujhe kya krna chahayiye.

MBBS, DLO
ENT Specialist, Faridabad
This could be migraine or cervical problem. Use proper pillow .Drink lots of water .avoid stress. Take proper sleep. And consult doctor.
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Migraine- How to Diagnose

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra

A migraine is basically a primary headache disorder. It is very common. The most unfortunate part is, it is undertreated and mistreated. How to know whether it is a migraine or some other headache disorder. Migraine patient usually has a headache which is mostly on one side sometimes bilateral in front of the head. It is throbbing headache i. E-patient feels his head will burst if not treated. Patients usually have a feeling of vomitings during the episode. The episode may last from 4hrs to 72 hrs. A migraine headache mainly gets increased on exposure to sunlight and noise. Patients usually get a headache when they are fasting or travelling or any other stress. A migraine usually affects the young people. It runs in families. Migraine headaches initially are very infrequent i. E patients have symptoms once or twice a year. Slowly the frequency increases. And in the end, the patient starts having a daily headache which is very annoying and difficult to treat.

More than one year back my left hand began to shake, Dr. Said you are having pekinson disease, without any test can a Dr. Diogonise perkin's?

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist, Udaipur
Yes parkinson's is more of a clinical than radiological diagnosis but still you need a mri to look for secondary causes of parkinsonism.
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