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Dr. Virani Manoj

Neurosurgeon, Mumbai

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Dr. Virani Manoj Neurosurgeon, Mumbai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Virani Manoj
Dr. Virani Manoj is an experienced Neurosurgeon in Mumbai, Mumbai. She is currently practising at Jaslok Hospital in Mumbai, Mumbai. Book an appointment online with Dr. Virani Manoj and consult privately on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 42 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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Jaslok Hospital

15, Dr. Deshmukh Marg, Pedder Road, MumbaiMumbai Get Directions
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I sleep late in night around 2 am and wake at 9 am due to which I am having migraine and feel depressed. What to do now?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
I sleep late in night around 2 am and wake at 9 am due to which I am having migraine and feel depressed. What to do now?
Hi, most causes of sleeplessness are due to wrong habits and the good news is that it is very very easy to cure them 1. You have to first have a natural circadian rhythm a. Try to go to sleep and get up at the same time every day. B. And wake at the same time 2. Food a. Do not take coffee or tea after 6 pm b. Milk can be taken 3. Light a. Cover the windows and doors with curtains and avoid light b. Avoid watching tv lying in bed c. Avoid mobile phones / tablets 4. Exercise a. Walk for 45 minutes after dinner b. Take a bath after that hope you found the answer helpful. Try the above simple techniques for two weeks and let me know how much you have improved
8 people found this helpful
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My mom is suffering from migraine give me some valuable information about migraine.

BAMS, MD, Panchakrma
Ayurveda, Nashik
1) Massage with stress relief oil or warm coconut oil to head, neck, and ears. 2) Apply Chandan powder +2-4 saffron threads+ pinch of cinnamon (dalchini) lep with rose water to forehead. 3) Take 8 hrs sleep in the night. 4) Avoid oily & spicy food. 5) Pour 3-4 drops of warm pure cow ghee in both nostrils in head low position 6) Do eye check up if headache persist You can consult privately with me.
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I am 24 years old male. I am suffering from tremor from last 2 years.(hands shakes while writing) could you please help me. Even my dad also has some problem. Is there any cure for it. Tell me if there is any medical precaution.

MD - Psychiatry, MBBS
Psychiatrist, Patna
This is called writer's cramp. But also tell me about you drinking habits/ anxiety problem if any. If not then you should consult a neurologist.
1 person found this helpful
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I m 30 years old and my wife has migraine problem. Do we have any permanent solution to remove it from root or any cure in winters to avoid it because it mostly bother in winters. Thanks.

MBBS, cc USG
General Physician, Gurgaon
This problem of migraine headache can be solved by meditation i can give you address of Rajyoga meditation center near your house (this is free of cost)
1 person found this helpful
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She has being having migraine attack from age of 30 which comes thrice a month. What is d best medicine?

B.H.M.S
Homeopath, Patna
If pain is in right side than sangunaria c cm one dro only if in left side it is spigelia cm one drop only.
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Learning Disabilities and Dementia

MBBS, DPM (Psychiatry)
Psychiatrist, Thrissur
Learning Disabilities and Dementia

Learning disabilities and dementia


Advances in medical and social care have led to a significant increase in the life expectancy of peoplewith learning disabilities. The effect of ageing on people with learning disabilities – including therisk of developing dementia – has, therefore, become increasingly important. This information sheetoutlines some of the issues concerning people with a learning disability who develop dementia.

The causes of learning disability are diverse. They include genetic disorders such as Down’s syndrome, pre- or post-natal infections, brain injury, and general individual differences.

What is dementia?

Dementia is a general term used to describe a group of diseases that affect the brain. Alzheimer’s disease is the most common form of dementia. The damage caused by all types of dementia leads to a progressive loss of brain tissue. As brain tissue cannot be replaced, symptoms become worse over time.

Symptoms may include:
Loss of memory
An inability to concentrate
Difficulty in finding the right words or understanding what other people are saying
A poor sense of time and place
Difficulty in completing self-care and domestic tasks and solving minor problems
Mood changes
Behavioural changes
There is no evidence that dementia has a different effect on people with learning disabilities than it does on other people. However, the early stages are more likely to be missed or misinterpreted, particularly if several professionals are involved in the person’s care. The person may find it hard to express how they feel that their abilities have deteriorated, and problems with communication may make it more difficult for others to assess change.

What are the risks?
Down’s syndrome and Alzheimer’s diseaseAbout 20 per cent of people with a learning disability have Down’s syndrome. People with Down’s syndrome are at particular risk of developing dementia.
Figures from one study (Prasher, 1995) suggest that the following percentages of people with Down’s syndrome have dementia:
30-39 years - 2 per cent40-49 years - 9.4 per cent50-59 years - 36.1 per cent60-69 years - 54.5 per cent
Studies have also shown that virtually all people with Down’s syndrome develop the plaques and tangles in the brain associated with Alzheimer’s disease, although not all will develop the symptoms of Alzheimer’s disease. The reason for this has not been fully explained. However, research has shown that amyloid protein found in these plaques and tangles is linked to a gene on chromosome 21. People with Down’s syndrome have an extra copy of chromosome 21, which may explain their increased risk of developing Alzheimer’s disease.
Other learning disabilities and dementiaThe prevalence of dementia in people with other forms of learning disability is also higher than in the general population. Some studies (Cooper, 1997; Lund, 1985; Moss and Patel, 1993) suggest that the following percentages of people with learning disabilities not due to Down’s syndrome have dementia:
50 years + - 13 per cent65 years + - 22 per cent
This is about four times higher than in the general population. At present, we do not know why this is the case. Further research is needed. People with learning disabilities are vulnerable to the same risk factors as anyone else. Genetic factors may be involved, or a particular type of brain damage associated with a learning disability may be implicated.
How can you tell if someone is developing dementia?Carers play an important part in helping to identify dementia by recognising changes in behaviour or personality. It is not possible to diagnose dementia definitely from a simple assessment. A diagnosis is made by excluding other possible causes and comparing a person’s performance over time. The process should include:
A detailed personal historyThis is vital to establish the nature of any changes that have taken place. It will almost certainly include a discussion with the main carer and any care service staff.
A full health assessmentIt is important to exclude any physical causes that could account for changes taking place. There are a number of other conditions that have similar symptoms to dementia but are treatable: for example, hypothyroidism and depression. It is important not to assume that a person has dementia simply because they fall into a high risk group. A review of medication, vision andhearing should also be included.
Psychological and mental state assessmentIt is equally important to exclude any other psychological or psychiatric causes of memory loss. Standard tests that measure cognitive ability are not generally applicable as people with learning disabilities already have cognitive impairment and the tests are not designed for people without verbal language skills. New tests are being developed for people with learning disabilities.
Special investigationsBrain scans are not essential in the diagnosis of dementia, although they can be useful in excluding other conditions or in aiding diagnosis when other ssessments have been inconclusive.
What can be done if it is dementia?Although dementia is a progressive condition, the person will be able to continue with many activities for some time. It is important that the person’s skills and abilities are maintained and supported for as long as possible, and that they are given the opportunity to fulfil their potential. However, the experience of failure can be frustrating and upsetting, so it is important to find a balance between encouraging independence and ensuring that the person’s self-esteem and dignity are not undermined.
At present there is no cure for dementia. People progress from mild to moderate to more severe dementia over a period of years. New drug treatments seek to slow down or delay the progression of the disease and it is hoped that treatments will become more effective in the future. See the Society’s information sheet Drug treatments for Alzheimer’s disease – Aricept, Exelon, Reminyl and Ebixa.
Strategies for supporting the person with dementia People who develop dementia are, first and foremost, human beings with individual personalities, life histories, likes and dislikes. Dementia affects a person’s ability to communicate, so they may develop alternative ways of expressing their feelings. By understanding something of a person’s past and personality we can begin to understand what they might be feeling and why they respond in the way they do.
Many practical strategies have been developed to support people with dementia and their carers. Here are some ideas:
Enable individuals to have as much control over their life as possible. Use prompts and reassurance during tasks they now find more difficult.
Help the person by using visual clues and planners to structure the day.
Use visual labels on doors to help people find their way around their home in the early stages.
Try to structure the day so that activities happen in the same order. Routines should be individual and allow for flexibility.
A ‘life story book’ comprising photos and mementos from the person’s past may be a useful way to help the person interact and reminisce.
If speech is a problem make use of body language. Simplify sentences and instructions, listen carefully and give plenty of time for the person to respond.
If someone is agitated, the environment might be too busy or noisy.
Relaxation techniques such as massage, aromatherapy and music can be effective and enjoyable.
If someone becomes aggressive, carers and professionals should work together to try to establish reasons for the person’s frustration and find ways of preventing the behaviour or coping with the situation should it arise.
Medication may be used if someone is experiencing high levels of agitation, psychotic symptoms or depression. It is important that any prescribed medicine is monitored closely and that other ways of dealing with the situation are thoroughly explored.

3 people found this helpful

Meri mom ko migrane ki problem h .wo iska tratment approx 1 year kra chuki h phir v unko dard rehta h sr me. To Dr. .ne Naxdom 500 khane k liye bola h .iska koi permanent ilaj h ki nhi .unka pain ok ho jaye .plz reply kre. Unko kbhi right ,kbhi left me pain rehta h.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD (AM), PGDPPHC, ACLS
Alternative Medicine Specialist, Chandigarh
Migraine is usually triggered by some foods, smells or triggers which the patient should try to identify. The tablet you mentioned is just meant to suppress the symptoms but does not treat migraine. Avoid bright lights or jarring sounds during the attacks. Do get in touch if you need personalised consultations.
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How Homeopathy Helps Prevent Epilepsy?

Diploma in Diet and Nutrition, PG HOM (London), CCH, CGO, BHMS
Homeopath, Mumbai
How Homeopathy Helps Prevent Epilepsy?

Epilepsy is a disease that affects the brain's nerve cells and triggers the release of abnormal electrical signals. This can cause temporary malfunctioning of the other brain cells and result in sudden loss of consciousness. Epilepsy can affect both children and adults.

Epilepsy can be treated in a number of ways. One of the most preferred forms of treatment is Homeopathy. Homoeopathy not only controls these episodes but can also cure it. A few homeopathic remedies that can be used to treat epilepsy are:

  • Cicuta: Cicuta is very effective when used to treat cases of epilepsy where convulsions are marked by violent, body distortions. This can include the horrific backward bending of the spine. These convulsions also make the person's face turn blue and trigger a locked jaw. This can also be used to effectively treat epilepsy cases triggered by head injuries and worms.

  • Artemisia Vulgaris: This is used to often treat cases of Petit Mal Epilepsy which are characterized by staring into space, leaning forwards or backwards and stopping a sentence abruptly. It also addresses fear that triggers epileptic attacks.

  • Stramonium: Convulsions triggered by exposure to bright lights or shiny objects can be treated with this homeopathic remedy. In such cases, the patient may not lose consciousness but experiences jerks in the muscles of the upper body.

  • Cuprum Met: This homeopathic remedy is used to treat seizures that are preceded by experiencing an aura in the knees. Other symptoms that characterize this sort of an epileptic attack are spasms that begin in the fingers and toes and gradually spread to the rest of the body and jerking of muscles. This can also be used to treat convulsions that accompany menstruation and follow the delivery of a baby.

  • Bufo Rana: Not all epileptic attacks occur you are awake. Attacks that occur in your sleep can be treated with bufo rana. Such epileptic attacks are accompanied by experiencing an aura in the genital regions. This is especially helpful for women who experience seizures during menstruation.

  • Hyoscyamus: Some epileptic fits are followed by a deep sleep. This type of epileptic attacks can be treated with Hyoscyamus. Other symptoms addresses by this homeopathic medicine are fidgeting with bed clothes, fidgeting with fingers and muscular twitching.

Always remember for proper treatment consult a Homoeopathic doctor. We can take homoeopathic treatment with other medicines, and then can slowly reduce its doses.

3442 people found this helpful

I have been suffering from chronic migraine for past many years, is it possible to get rid of it?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for treatmnet.
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I am suffering from corporate tunnel symptoms fingers go rigid / stiff more in aircondition and winters pain also.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering from corporate tunnel symptoms fingers go rigid / stiff more in aircondition and winters pain also.
Avoid chill environment and do consult neuro physio or sports medicine specialist and take ift and laser therapy for pain in your mcp joint followed by wrist mobilisation exercise once pain subsided.
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Daily Exercise lowers risk of Alzheimer's

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Daily Exercise lowers risk of Alzheimer's

It has been proven that older adults who burn calories in moderate physical activities like jogging swimming gardening and dancing are likely to have lower risk of developing Alzheimer's disease

Exercise-associated calorie burn can increase the level of grey matter volume in key brain areas which are responsible for memory enabling the active adults to protect their brain from cognitive decline

Hello doctor my mother's age is 48. They are suffering from severe headache and they also had migrain problem from 12 years. Their head aches daily. They take pain killers daily like neprad, saradon, disprin to get relief. Their neck also pains alot. What should we do to cure them. Even when they travels their headache increase and vomiting starts. Please tell me any solution of these problems

MD - Pathology
General Physician, Amritsar
Take tablet suminat rapid release for aborting an attack of migraine. Try to avoid precipitating factors like cheese chocolates, loud music, dim light - these you will have to find out yourself. Take adequate sleep. Half an hour before travelling take tablet avomine and vertin 8. If problem not solved come back after 10 days.
2 people found this helpful
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Near upper right jaw feeling mild pain and numbness. Nerokind tabletes are suggested by dentist when these are used feeling fine but after 8 hours when tab power lasts again repeats numbness at upper right jaw. How long these tabs should be continued.

BDS
Dentist, Pune
Nurokind is form of vitamin b12 which is prescribed in many conditions. What are the tests you have undergone for this problem. Have you taken the full mouth xray (opg) or may be ct scan (cbct) for this. You can continue tablet for one more week and if symptoms doesn't improve do all the test necessary for diagnosis.
1 person found this helpful
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My father aged 68 years suffering from paralysis stroke since 15 year's still he can't walk without others support, his right side body portion is stiff, not able to bend, please advice me what to do.?

BHMS
Homeopath, Mumbai
Take homeopathy! build his will power by meditation! ask him to fight it out and face it rather than consider himself as a victim!
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Sleep Apnea - 7 Ways it Can Be Treated!

MS - ENT, MBBS
ENT Specialist, Delhi
Sleep Apnea - 7 Ways it Can Be Treated!

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

  1. CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
  2. BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
  3. ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
  4. Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
  5. Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
  6. Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
  7. Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful. If you wish to discuss about any specific problem, you can consult a doctor.
3884 people found this helpful

I am 26 years old man I want to confirm that my hands are always shacking both so I am so worried that why this is happening. Please suggest me what shall I do? And reason of this and how to cure?

MBBS
General Physician, Mumbai
It might be due to anxiety, hyperthyroidism or vitamin B12 deficiency and I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks and revert back with findings
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I have migraine problem from last 6 years and i'm taking Tab rizact 5 and Tab Nexdom 250 when ever I feel migraine pain.

BPTh/BPT, BPT
Physiotherapist, Hyderabad
Due lack of sleep Lack of exercise Less intake of vitamio related Not exposure to sunlight Above my be cause Prevent the above then the problem will solve
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Itching problem near anus and skin colour changed to black is this any disease r psoriasis explain me.

BHMS, MD - Alternate Medicine
Homeopath, Thrissur
Itching problem near anus and skin colour changed to black is this any disease r psoriasis explain me.
Itching may cause due to humidity in groin region and from using tight inner wears. This in turn changes the skin color to blackish due to skin thickening. Use loose and dry inner wears to avoid fungal infections further. You can use any anti-septic lotion for external washing too.
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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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