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Dr. Amarinda Chowdari

Neurologist, Navi Mumbai

Dr. Amarinda Chowdari Neurologist, Navi Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Amarinda Chowdari
Dr. Amarinda Chowdari is one of the best Neurologists in Vashi, Navi Mumbai. She is currently practising at New Life Hospital in Vashi, Navi Mumbai. Save your time and book an appointment online with Dr. Amarinda Chowdari on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurologists in India. You will find Neurologists with more than 31 years of experience on Lybrate.com. Find the best Neurologists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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New Life Hospital

No. A01, Plot No. 112, Mahavir Dham Society, Sector 12, Vashi, Landmark: Near Eye Care Hospital, Navi MumbaiNavi Mumbai Get Directions
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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

I am severe diabetes and high BP, suffering from insomnia and extensional conditions.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
I am severe diabetes and high BP, suffering from insomnia and extensional conditions.
Bp and diabetes is caused by psychological stress. Please take counselling sessions to learn to deal and cope with it. Also take healthy diet and exercise regularly. Please click on private chat if you have any questions.
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My left hand was trembling since 4 years. I take various types of medicine for it but the result is zero. What can I do pls help me.

MBBS
General Physician, Mumbai
Take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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I am suffering from severe migraine from over 2 years. How to avoid migraine attacks and what should I have to avoid it.

BHMS
Homeopath, Ludhiana
Hello. Thanks for asking me. Migraine is not good for anyone. You need proper treatment. Avoid fast food and oily food. Drink plenty of water. Start regular walk. It will reduce migraine. Avoid stress. Take 8 hrs good sleep. All these will help you in reducing migraine. If you still have problem then consult me privately for medicine.
1 person found this helpful
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My hands are shivering. I feel that this is because of nerves weakness. Could you suggest a method through which I can cure this. Please also suggest some food items which will strengthen my nerves. Please.

MD - Pathology
General Physician, Amritsar
Get your thyroid profile done . hyperactivity of thyroid causes tremors and feeling of nervousness. If it is normal meet a psychiatrist you may be having anxiety related tremors. There is no problem like weakness of nerves. Just take good nutritious diet with plenty of fruits and vegetables and plenty of water.
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How to prevent migraine? Bcoz now I can't tolerate the migraine pain, or else I'll commit suicide, I don't want to live with this migraine, n yesterday I had removed wisdom tooth, coz of this wisdom tooth removal, there is a rapid increase in my head, Firstly only my right side of the head n body was paining, but now both the sides are paining, pls help me, I want to live.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
1 person found this helpful
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I am suffering from epilepsy from 15 years and taking encorate 500mg, 300mg what do you sugest.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
If you are stable on Encorate chrono and not having fits, you can continue with same medicines. If you still have fits regularly you need to get a consultation to decide the right combination of medicines for you
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Which medicine use in migraine and how to use Thus type medicine. Please told me Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
Dear Lybrate user cause for migraine is over stress and tension. Follow meditation every day, practice pranayama 10mnts morn-eve. Avoid spicy and junk foods. Take adequate sleep. Tab shirashuladi vajara rasa 1-0-1 a/m for 10 days. Cap migrowin 1-1-1 for 10 days. Apply migrakot oil on scalp.
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My frend have a migraine she done heavy wrk or crying it will be come .so what we will do at that time against medicines.

MBBS
General Physician, Delhi
Hi, I would like to advice your friend to avoid chocolates, alcohol,take no milk black coffee, it will help to resolve her migraine. Mean time get a CT - head of her done to make sure no other major cause for headache.
1 person found this helpful
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I'm suffering from sciatic pain and numbness in frontal side of both the thighs due to pinched nerves in lower most cylinfer of spinal chord. Pls. Suggest ayurvedic physiotherapy, massage, physical treatments and medicines.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I'm suffering from sciatic pain and numbness in frontal side of both the thighs due to pinched nerves in lower most c...
Homoeopathic medicine--------- adel-39 drops (adel) drink 20 drops in 20 ml fresh water 3 times daily----------- magnesia phos 6x (adel) chew 4 tab every 2-3 hrly till pains subside---------- take a calcium rich diet constituting milk and its products and 1 egg daily.------------------taking fish oil capsules is also beneficial in your case.
2 people found this helpful
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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

Hi my cousins brother has epilepsy since last 9 years with medicines. How much time he need to continue with medicine. Is it curable epilepsy completely ?Please tell.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Epilepsy is a treatable disorder. Medicines have to be taken for atleast 3 years after the last fit has occurred. If seizures keep on occurring at intervals then medicines need to be changed or added accordingly, and further continued for 3 years. For any further queries on the disorder or treatment options, you may consult online.
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Sir, I was affected with bells palsy following severe neck pain/nerve pain back side of right ear and taking physiotherapy since one week on face on doctor's advice with wysolone and herpikind medicines. Now no neck pain. Kindly advise for better medication.

MBBS
General Physician, Ahmedabad
Sir, I was affected with bells palsy following severe neck pain/nerve pain back side of right ear and taking physioth...
Medicine and physiotherapy is OK. Wysolone dose to be tapered. Avoid exposure to cold. FEEL FREE TO ASK PRIVATELY WITH DETAILS FOR MORE PROPER SCIENTIFIC SUGGESTIONS.
1 person found this helpful
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Migraine daily from 3 days in the morning what the reason or related to heart disease bcoz I my bp always 150.

MD (Hom.), BHMS
Homeopath, Delhi
Your blood pressure is high. Headache could be due to that also. Take homoeopathic medicine glonoinum 30-5 pills three times daily for 1 week. Go for regular morning walk. Avoid taking oily ,spicy and junk food. Revert back after 1 week with feedback.
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My course for seizure disorder treatment is about 3 years, and medicins are VALCOT CR-300 & Neuroforte. Doctors told me take these meds for 3 years, 2 times a day. I want to ask you Doctor is there any other meds that comes in Market for same disease that will shorten my Period of medication/ treatment? Please can you tell me the names of that medicins? Thanks a lot.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
My course for seizure disorder treatment is about 3 years, and medicins are VALCOT CR-300 & Neuroforte. Doctors told ...
No. The medication that your are taking is good enough for control of seizure disorder. No matter what medications you take you are required to take them for at least 3 years, after the last seizure you had. Only when you do not have seizures for 3 years while on treatment, you can consider decreasing or stopping treatment on advise of your treating doctor.
1 person found this helpful
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Is there any medicine for hereditary sensory motor neuropathy (HSMN). Which is a rare neurological disease? How it can be cured?

MBBS
General Physician, Chandigarh
You yourself are saying its a hereditary disease my advice is consult a good neurosurgeon and follow dis treatment
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I have swear pain in my head. I have migraine and cervical problem. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have swear pain in my head. I have migraine and cervical problem. Please help me.
Take OTC MEDICINE TAB. Naprosyn 500 mg . Cap.pan – D 40mg once a day. Avoid stress,oily foods. give relax your neck.
1 person found this helpful
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Hi, I have headache problem since my childhood, it pains just like any thing while I'm driving, due to light, max sound etc. I feel that is migran what would you say.

BAMS, MD Ayurveda
Sexologist, Lonavala
Hi, I have headache problem since my childhood, it pains just like any thing while I'm driving, due to light, max sou...
The symptoms of migraine is as follows feeling dizzy or faint. increased sensitivity to light and sound. nausea. pain on one side of the head. pulsing and/or throbbing pain. vomiting. you can go for following remedy 1. Take ½ glass of carrot juice 2. Add ½ glass of spinach juice 3. Mix well 4. Drink this juice to cure migraine and for headache you can apply following remedy 1. Remove peels from 5 lemons 2. Grind them well 3. Add a little water and make paste 4. Apply this paste on the forehead
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Is it good to drink water melon juice and musk melon shake in a day? Does water melon juice boost sexual health?

BHMS
Homeopath, Faridabad
Is it good to drink water melon juice and musk melon shake in a day? Does water melon juice boost sexual health?
Hi, Would recommend you to take fruit rather than going only for it's juice! As eating whole fruit contains fibre which helps in digestion. Yes, there are certain vitamins and minerals that can give your sex drive a boost. After all, you need nutrients to enable your body to function properly, including because they are the building blocks of life, but they also allow you to have the best sex of your life without spoiling the fun. These includes Vitamin C (lemons, oranges, limes, kiwis, peas, potatoes, peppers, berries, grapefruit, melons and Brussel sprouts), Folic acid (avocado, sunflower seeds, asparagus, cauliflower, romaine lettuce, beets, celery, corn, almonds, peanuts and spinach), Vitamin B (brown rice, peanuts, paprika, chicken, baked potatoes, bananas, tomatoes), Vitamin E (spinach, asparagus, whole grain breads, broccoli, tomatoes, egg yolks, walnuts, chickpeas and sweet potato). Zinc deficiency means unhealthy sex life. So, eat lots of brown rice, flax seeds, pork, squash seeds, dark chocolate, oysters, garlic, crab, wheat germ, lobster, egg yolks, and kidney beans. Magnesium is a “mineral aphrodisiac,” because of its ability to increase your sex drive and performance in bed. At the same time, this nutrient helps produce sex hormones that are responsible for your urges down there, so add rice, wheat, almonds, sage, pumpkin seeds, cocoa powder flax seeds, squash seeds, sage, basil and dry roasted soybeans At the end, make sure you eat enough Selenium in your diet - sunflower seeds, flounder, salmon, Brazil nuts, scallops, liver, pork, chicken, barley, onions, brown rice and sardines to reach optimal levels of this essential nutrient.
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