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JSS Hospital

Neurologist Clinic

Ramanuja Rd, Ramachandra Agrahara, Mysore Mysore
1 Doctor · ₹250 · 1 Reviews
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JSS Hospital Neurologist Clinic Ramanuja Rd, Ramachandra Agrahara, Mysore Mysore
1 Doctor · ₹250 · 1 Reviews
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Our medical care facility offers treatments from the best doctors in the field of Neurophysiologist . Our entire team is dedicated to providing you with the personalized, gentle care that......more
Our medical care facility offers treatments from the best doctors in the field of Neurophysiologist . Our entire team is dedicated to providing you with the personalized, gentle care that you deserve. All our staff is dedicated to your comfort and prompt attention as well.
More about JSS Hospital
JSS Hospital is known for housing experienced Neurologists. Dr. Vinayak I Kadlimatti, a well-reputed Neurologist, practices in Mysore. Visit this medical health centre for Neurologists recommended by 95 patients.

Timings

MON-SAT
09:00 AM - 11:00 AM
FRI
02:30 PM - 03:00 PM

Location

Ramanuja Rd, Ramachandra Agrahara, Mysore
Ramachandra Agrahara Mysore, Karnataka - 570004
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Doctor in JSS Hospital

Dr. Vinayak I Kadlimatti

DNB (General Surgery)
Neurologist
7 Years experience
250 at clinic
Unavailable today
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Menstrual Migraine - Ways It Can Be Treated!

MBBS, MD - Obstetrics & Gynaecology, FICS, FICOG
Gynaecologist, Mumbai
Menstrual Migraine - Ways It Can Be Treated!

Menstrual Migraine can be termed as an extremely persistent headache that can happen just before, during or right after menstruation. Often, the feeling of nausea also keeps on lingering. The cause which triggers this type of migraine can be the fluctuating levels of oestrogen that a woman’s body experiences when she is on her periods.

What can be the possible treatment?

  1. Application of ice pack or simply rubbing ice on your forehead can help lessen the pain a bit.

  2. Relaxation exercises can be practiced to reduce the tension of the muscles.

  3. Acupuncture therapy can also be done to improve the headache and it can further aid in relaxation of the muscles.

  4. Over the counter painkillers such as ibuprofen or paracetamol can be taken for immediate relief.

  5. Your doctor can also administer TRIPTAN (specific drugs used to treat the symptoms of migraine which work on the chemical receptors within the brain) if the pain is unbearable.

  6. Do not experiment much with hormonal contraception methods after unsafe sexual intercourse. It just might worsen the pain.

  7. NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can also be administered, only if they have been prescribed by the doctor, as the harmful effects of those drugs are aplenty.

  8. Magnesium deficiency in the body is one of the most important causes for menstrual migraines. Thus, eating foods rich in magnesium such as dark leafy greens, nuts, whole grains, avocados, bananas, etc. and taking magnesium supplements or vitamins are advisable.

  9. There are certain foods which can even trigger such attacks. They include foods packed with monosodium glutamate (MSG), aged cheese and caffeine. Such foods should be strictly avoided. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

Migraine - Know Types Of It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD Medicine, DNB Neurology
Neurologist, Delhi
Migraine - Know Types Of It!

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. Your doctor can help find the right medication for you.

My legs and hands are getting numb and its getting worse. Can it be after effect of electric shock 4 years back, can I be paralyse.

BHMS
Homeopath, Chennai
My legs and hands are getting numb and its getting worse. Can it be after effect of electric shock 4 years back, can ...
Hi, there are numerous reason for nubmness. Need more information to diagnose. Consult a Homoeopathy doctor nearby for better results. Its nothing to worry or to panic.
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I am (59 yrs) have been in turmoil and grief due to passing away of my wife (52 yrs) about 4 months months back which led to sleeplessness. As per doctors advice I am on zolsoma 1 mg. Is it ok to take these continuously? As Currently am in US, could I look for any alternative?

BHMS
Homeopath, Noida
I am (59 yrs) have been in turmoil and grief due to passing away of my wife (52 yrs) about 4 months months back which...
Try to relax yourself -- Exercise. Exercise is one of the most important things you can do to combat stress. Take a few minutes to breathe in and out in slow, deep breaths. Reduce Your Caffeine Intake. Write It Down. Chew Gum. Spend Time With Friends and Family. Laugh. Massage. Eat a healthy diet. Pursue one hobbyWalk in nature Meditation. Yoga For details you can consult me.
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HI, I have tendency of having severe migraines every month. Grateful if you could kindly suggest how to get rid of it?

MBBS
General Physician, Udaipur
It can not be cured fully with guarantee that it it will not come back. But it can be avoided to a great extent and even if it comes it can be fought with no pain. For its treatment, consult me online on Lybrate directly.
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Bell s Palsy - Myths And Facts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Bell s Palsy - Myths And Facts!

Bell’s Palsy-
Bell’s Palsy is a disease, which causes a sudden, temporary weakness in the facial muscles. It is facial paralysis that makes patients unable to control his facial muscles on either side of his face. This disease can occur at any age.

There is no known reason for its cause. However, the disease is believed to be caused because of swelling and inflammation of the nerve that controls the muscles on the affected side. The risk factors include diabetes and upper respiratory tract infection. This is caused due to the malfunction of the cranial nerve.

Bell’s Palsy affects millions of people worldwide. For most of them, the disease is temporary. The symptoms usually start to improve within a few weeks from the first appearance. The complete recovery takes close to six months. There are a few people who continue to have the Bell’s Palsy for their complete life. The disease rarely affects someone twice. People who recurrently face the disease are often found to be a victim of diabetes or viral infections.

People, often, unknowingly interpret the disease as a stroke. It, however, is not a stroke. A stroke affecting the facial muscles would also affect the body muscles and cause weakness in other parts of the body too.

Bell’s Palsy Causes-
The causes that trigger Bell's Palsy in the human body are still unknown. Often researchers associate it with an exposure to a viral infection. The facial nerve passes through a narrow bony area in the skull and when it swells, it pushes against the hard surface of the skull when there is a viral infection. Apart from the facial muscles, the disease also affects tears, saliva, taste and a small bone positioned in the middle of the ear. At other times, researchers also associate it with physical damage to the facial nerve that causes a similar swelling of the face.

Mostly the disease occurs due to viral infections. The infections play an important role in the development of the disease. The viruses that are linked to the development of the disease are:

1. Cold sores and genital herpes, also known as herpes simplex

2. Chickenpox and shingles, which are also known as herpes zoster

3. Infectious mononucleosis, which is also known as herpes zoster

4. Cytomegalovirus infections

5. Respiratory illnesses or adenovirus

6. German measles or rubella virus

7. Mumps or the mumps virus

8. Flu or the influenza B virus

9. Hand-foot-and-mouth disease or the coxsackievirus

Some Risk Factors of Bell’s Palsy-
It has often been noticed that Bell ’s palsy follows a pattern when affecting people. These include:


1. The disease often occurs in females who are pregnant and are in the third trimester of the gestation period. It can also affect the mother after the first week of the birth.

2. People having an upper respiratory infection, such as the flu and the cold, are commonly affected.

3. People having diabetes are also frequently affected.

As mentioned before, the disease rarely affects the same person recurrently. If there is a family history of the disease recurring repeatedly, it suggests a genetic trait or predisposition of the disease.

Bell’s Palsy Symptoms-
There are a few symptoms which constantly recur when Bell’s Palsy strikes a person. These symptoms include:

1. Inability to move the eyelid or blinking.

2. The eye on the affected side of the face waters more or less than it occurs usually.

3. Drooling even in a conscious state.

4. A reduced sense of taste in the mouth.

5. Twitching of the facial muscles.

6. Pain or numbness behind the ear.

Of all the symptoms drooling and facial weakness, reach their peak in a day or two. These symptoms then begin to reduce, which helps people to recover within a couple of weeks. Complete recovery happens within 3 months. Some of the patients may show neurological symptoms, which are defined as mononeuritis. This is what causes the tingling, headache, memory and balance problems. Other symptoms, which are unexplained by the facial nerve dysfunction, are ipsilateral limb weakness, ipsilateral limb paresthesias, and clumsiness.

Bell’s Palsy Diagnosis-
Bell’s Palsy is a disease which requires the diagnosis of exclusion. As there is no specific test for the disease, the doctor observes the diseased person’s face and asks him to move various parts of his face, including the facial muscles, for instance, closing the eyes, lifting the brow, showing the teeth and various other movements. Observing these parts, the doctor eliminates various other possibilities and tries to determine a reasonable cause for the disease.

As the disease is treated on the basis of exclusion, there is no routine testing or imaging test that can help in the diagnosis process. However, the degree of the nerve damage can be assessed using the House-Brackmann score. There are many studies, which have revealed that 45% of patients are not referred to a specialist. This simply suggests that the disease requires a straightforward diagnosis and is easy to manage.

Differential Diagnosis of Bell’s Palsy-
As there is no particular diagnosis in the treatment of the disease, doctors make use of the differential diagnosis technique in the treatment of Bell’s Palsy. In differential diagnosis, doctors distinguish a particular disease from other diseases that present similar clinical features. The technique finds its usage while diagnosing a particular disease to eliminate imminently life-threatening conditions.

During the differential diagnosis of Bell’s Palsy, there are various diseases which are easily eliminated such as a stroke. However, it is very difficult to eliminate the involvement of the facial nerve with the herpes zoster virus. In order to understand the major difference between the two, one must look for the small blisters on the external ear.

The Lyme’s disease also produces facial palsy, which occurs at the same time as the classic erythema migraine rash. Other times, it occurs at a later stage. In cases where the Lyme disease is common to the Bell’s Palsy disease, it may lead to facial palsy.

Bell’s Palsy Treatment-
As mentioned before, a vast majority of people have shown improvement in health and recovered completely from the disease with and at certain times, without treatment. There is no designated treatment for the disease. Doctors may suggest various medications or physical therapies that help to speed up the recovery of the patient. The medicines may vary from doctor to doctor. However, these medications may differ in accordance with the doctor. Surgery is rarely a solution or option in case of Bell’s Palsy.

Having said that, there are various procedures for the treatment of Bell’s Palsy. They include usage of the following:

1. Steroids

2. Antivirals

3. Physiotherapy

4. Surgery

5. Alternative Medicinal Therapies

 

1. Steroids – Various steroids such as corticosteroids, improve recovery of the patient within 6 months. Due to this, early administration of corticosteroids such as prednisone is recommended. The early treatment is necessary as it provides the patient with around 14% higher chances of recovery.

2. Antivirals –Various tests and reviews have shown that antivirals are not as effective in treating the disease as steroids. In fact, they are only beneficial in cases that display some form of mild diseases. There is another review, which stated that antivirals combined with corticosteroids were advantageous for the duration of the treatment. There is a huge amount of speculation when it comes to using antivirals for the treatment. However, antivirals still result in a benefit, which is slightly less than 7%, and therefore this course of treatment is not ruled out.

3. Physiotherapy – Physiotherapy helps in maintaining the tone of the impacted facial muscles and stimulating the facial nerve. Because of this, physiotherapy can be beneficial to some individuals.

4. Surgery – Surgery may help patients recover from facial nerve palsy. There are various techniques that exist to assist with the process of surgery. A form of surgery is a procedure that is beneficial in restoring the smile of patients suffering from facial nerve paralysis. However, this is a surgery that can be as harmful as it is beneficial. There are various side effects associated with the surgical technique. One may experience total hearing disability. In fact, around 3-15% patients experience hearing loss after the surgery.

5. Alternative Medicinal Therapies – Alternative Medicinal Therapies include various techniques such as acupuncture on the affected region. Paralyzed muscles often tend to shrink and shorten causing permanent contractures and pain. Physical therapies can guide the patient to prevent such an incident from occurring.

However, the efficiency of such techniques still remains unknown to the doctors. This is due to the fact that the studies conducted are available in a low quality. Another therapy is the hyperbaric oxygen therapy. However, the evidence available for the therapy is quite tentative.

Myths related to Bell’s Palsy
Bell’s Palsy disease often confuses people leading them to believe various myths. The most prominent myths include:

Myth #1: Bell’s Palsy Causes Permanent Facial Paralysis

Bell’s Palsy is a form of temporary facial paralysis. The facial nerve that is on one side of the face is disrupted. Due to this, the message, which is received from the brain, is interfered. However, in a majority of cases, the disease is temporary. The paralyzed area of the face starts to cure within a few weeks and within three to six months; the paralysis completely disappears on its own. In a few percentages of cases, the nerve function does not return to normal. The nerve function may return but the full function does not return.

Myth #2: There is No Treatment Which Ensures the Treatment of Bell’s Palsy

There are various techniques which are available for the treatment of Bell’s Palsy. As mentioned above, the disease can be defeated using steroids, antivirals, physiotherapy, surgery and alternative medicinal therapies. These are the most effective treatments for the disease. Apart from this, selective neurolysis and botox can be used to treat the disease.

Selective neurolysis involves releasing a platysma muscle downward and reducing the activity. The selective neurolysis is very useful for a patient to regain his ability to smile. The botox treatment is a non-surgical treatment. When injected by a nerve expert, it helps patients to regain some symmetry into their faces and improve their facial appearance.

Myth #3: Prognosis of the Disease is not Very Good

There are many people who are under the impression that prognosis for Bell’s Palsy is not very good and hence they hesitate in using it for the treatment. However, doctors state that prognosis is generally very good for the patients.

After making use of the prognosis method, a person starts to improve on his symptoms within the first two weeks. The duration for complete recovery remains the same, i.e. three to six months.

Autism Spectrum - How Homeopathy Can Help Your Child?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Pune
Autism Spectrum - How Homeopathy Can Help Your Child?

One of the best pleasures of life is to watch a child grow up and begin to learn and explore new things in the surroundings. However, children affected by autism spectrum disorder (ASD) or autism may not be able to do this at the same pace as other kids. They are a little slow to respond and may not socialise very easily.

ASD is a collective term used for a range of symptoms, including poor verbal and nonverbal communication, poor social skills, repetitive behaviour, and impaired learning abilities. The onset and severity of symptoms also vary across children. While some show symptoms in preschool, others would be completely normal and start showing symptoms after a couple of years of schooling. The following are some symptoms that indicate the child could have autism.

  1. Lack of babbling by 9 months of age
  2. No response when called by their name even after 12 months of age
  3. Not uttering single words by the age of 16 months, two words by 24 months
  4. Lack of social skills including resistance to cuddling, not mingling with other kids
  5. Self-injurious behaviour like banging head on the wall, hurting a toy, etc.

Homeopathy offers safe, effective remedy for children with autism. Treatment regime is highly customised based on underlying and accompanying symptoms of each patient. The following are commonly used ingredients; however, self-medication is best avoided.

  1. Agaricus: The child talks and sings but does not respond. There is indifference, fearlessness, shouting, constant jerking of the head, difficulty reading, possible double vision and feels awkward physically and mentally.
  2. Carcinosin: The child is obstinate and has compulsive obsessive tendencies. It is hyperactive, does not sleep, has addictive tendencies, and likes to drink milk which worsens the symptoms.
  3. Androctonus: The child is destructive, suspicious, mischievous, but very quick to respond. The child behaves very well at times and can be very naughty at other times.
  4. Helleborus: The child is generally weak, slow to respond, appears thoughtless, often stares into air, and looks depressed with involuntary sighing and habit of lip biting. Sight, hearing, and taste could be affected.
  5. Cuprum Metallicum: The child is extremely tense, irritable, rigid, malicious, and very difficult to handle. Does not like to be touched or spoken to or played with. Can be aggressive with the parents, driving them to despair.

May have tics infestation on the scalp.
Another recent approach is the CEASE (Complete Elimination Autism Spectrum Expression) Therapy. This combines homoeopathy with orthomolecular medicines that provide the required nutrition for brain development (vitamins, minerals, Omega 3 fatty acids, etc.) This helps in overall brain development and restoring function in affected children. As noted, the right potency of these products will determine the response to treatment.

Myelopathy - Know Signs Of It!

MBBS, MS - Orthopaedics
Orthopedist, Raipur
Myelopathy - Know Signs Of It!

Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy.

Here are the causes and symptoms of myelopathy.

Causes

1.  Injury
This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.

2.  Spinal stenosis
This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.

3. Degenerative disc disorders
As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.

4.  Tumor
It is a little known fact that tumors very often do cause myelopathy.

5. Multiple sclerosis
There are many other diseases which may cause myelopathy and multiple sclerosis is one of them.

Symptoms

There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them.

1. Changes in coordination
What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.

2. Sudden muscle weakness
It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.

3. Decreased hand-eye coordination
This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.

These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.

I have numbness in my right hand when get up early in morning ,it feels difficult to hold bottle in morning and numbness while brushing my teeth from last 15 days.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have numbness in my right hand when get up early in morning ,it feels difficult to hold bottle in morning and numbn...
Hello User. You should take some tests like CBC ESR, RA test, Serum Uric Acid and Vitamin B12 levels. Then consult with reports for proper homoeopathic treatment.
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