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Dr. Alurkar

Neurologist, Pune

100 at clinic
Dr. Alurkar Neurologist, Pune
100 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Alurkar
Dr. Alurkar is one of the best Neurologists in Rasta peth, Pune. Doctor is currently associated with KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. Alurkar and consult privately on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 31 years of experience on Lybrate.com. You can find Neurologists online in Pune 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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Hindi

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#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
100 at clinic
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I am a 19 years old boy, I use to have headache almost every day since months. Few months back I suffered from migraine but I overcame tht in 6 months but again I feel headache heavier than that. What should I do?

MBBS, cc USG
General Physician, Noida
I am a 19 years old boy, I use to have headache almost every day since months.
Few months back I suffered from migrai...
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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Can you please tell me the best treatment for migraine.

BHMS
Homeopath,
Homoeopathic treatment is best treatment for migraine, it reduces migraine attack and severity of headache. when you are suffering from migraine? any other problem you have with migraine etc.
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I'm having migraine for many years. Now a days it's severe migraine attacks. Is this due to lack of sleep or smoking. I do smoking. Do I have to quit smoking.

Doctor of Medicine
General Physician, Surat
Migraine is more or less is functional condition emotional stress, anxiety, insomnia could aggravate the migraine attack, it is good idea to quit the smoking, better to get out of the stress condition, try some yoga.
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My Dad got a paralysis attack in year 2006 . He is fine now his blood pressure is normal . Can he still take medicine named met first xl 25 which is apparently medicine for high bp . Request your advice please.

MBBS, cc USG
General Physician, Noida
My Dad got a paralysis attack in year 2006 . He is fine now his blood pressure is normal . Can he still take medicine...
Yes he should take bp medicine regularly as bp is normal because of medicine bp monitoring is required daily and consult your physician he may reduce dose of bp medicine after seeing bp monitoring chart.
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I am 20 male and have migraine, Blood pressure from last 2, 3, 4 months, what is will do?

MBBS, cc USG
General Physician, Noida
I am 20 male and have migraine, Blood pressure from last 2, 3, 4 months, what is will do?
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 tell me your BP reading so that I can guide you further kindly consult Physician for further management
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I am 38 yr. Old male married and two kids. I had seizure three years ago. I took medicine for three years religiously. Now my doc has stopped the medicine. What preventions to take from now onwards to prevent it further.

MBBS
General Physician, Mumbai
You are advised to lead a stress free life and there should be no triggering factor for seizure to recur.
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I am suffering from neck pain from past one month. I have to sit all day long due to my work. My neck and shoulder blades are paining. My left hand is also paining and I am feeling numbness. Please suggest.

MBBS
General Physician, Cuttack
I am suffering from neck pain from past one month. I have to sit all day long due to my work. My neck and shoulder bl...
1.Take crocin 500mg one tablet sos after food upto a maximum of 3 tablets daily 2.Apply volini gel twice daily 3.Give warm compress locally 4. Take rest If you have recurrent attack of neck pain a)Take X ray cervical spine to exclude spondylitis and consult orthopedic specialist b)Sometimes It could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest, use soft pillow while sleeping c) Do physio therapy and neck exercise d)Consult me for further advice
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I have epilepsy .and I get unwanted jerks every morning after a sleep. I want a remedy.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Dear lybrate-user. We need to see all of your reports like MRI and EEG. These unwanted jerk occur due to brain hyper excitability. You need to take anti epileptic medicine for a period. All d best!
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I'm 19 years old, and even though I don't feel nervous or fear or any other emotions, than why do my hands tremble?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I'm 19 years old, and even though I don't feel nervous or fear or any other emotions, than why do my hands tremble?
Dear lybrate-user. For social anxiety disorder, hand shaking is enough. There may not be any other symptoms like nervousness or fear. Social anxiety disorder treatment consists of cognitive behavioral therapy, life style changes, relaxation therapy and meditation. Once you learn how to manage your anxiety yourself with the help of the above treatment methods, you will be cured. The process could take some time according to the depth of the problem and the circumstances at which the patient lives. Take care.
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Sir I am suffering from migraine pain And the pain I uncountable pls help me out.

MBBS
General Physician, Cuttack
1. Take crocin Pain relief one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple 2. Drink plenty of water and take rest. 3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack 4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack 5. Go for regular exercise, reduce weight if over weight 6. Practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
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MBBS, MD - Consultant Physician
General Physician, Ghaziabad
Headache is a common reason for patients to seek medical attention. We see so many online queries on headache. If you are suffering from headaches, read this article because, understanding your problem can help you solving it.
There are many causes of headache, and if correctly diagnosed and treated , you may become ?Headache? free.

Common Causes Of Headaches:

Migraine
Tension Type Headache
Idiopathic Stabbing
Cluster Headache
Exertional Headache
Systemic infection
Sinusitis
Head Injury
Vascular Disorders
Subarachnoid Haemorrhage
Brain Tumour
The patient who presents with a new, severe headache have causes that may be different from patient with recurrent headaches over many years.

People frequently ask me to get imaging of brain done to rule out the cause of headache. They have special attraction for MRI and CT Scans. But not every headache requires investigations. But there are headaches which require investigations. Let us understand , when a headache requires immediate attention.

Headache Symptoms that Suggest a Serious Underlying Disorder :

Worst headache ever
First severe headache
Headache worsening over days or weeks
Associated with Neurological Deficit
Fever or unexplained systemic signs
Vomiting preceding headache
Pain induced by bending, lifting, cough
Pain that disturbs sleep or presents immediately upon awakening
Known systemic illness
Onset after age 55
Pain associated with local tenderness, e.G, region of temporal artery
If you have any of these symptoms, you need to have a doctor consultation as soon as possible.

Now, let us read about two most common types of headaches, i.E Migraine and Tension type headache that we see in clinical practice.

Migraine :

Migraine, a very common cause of headache, more commonly affects women than men. It is usually an episodic headache which is usually unilateral (on one side of head) and is associated with certain features like:

Nausea (Feeling of vomiting)
Photophobia (Sensitivity to light)
Phonophobia (Sensitivity to sound)
Light-headedness
Scalp tenderness
Vomiting, Nausea (Feeling of vomiting)
Visual disturbances
Paresthesias (tingling sensations)
Vertigo
Alteration of consciousness
Diarrhea
Seizure
Confusion
People having migraine, usually during acute attacks, prefer to be alone and don?t want any sound, light, want to sleep in dark room.

Acute attacks are usually triggered by some stimulants called as ?triggers? which are commonly following :

Bright lights
Sounds
Hunger
Stress
Exertion
Hormonal fluctuations during menses
Lack of or excess sleep
Alcohol, Wine, Cheese or other chemical stimulation
Patients should try to notice their triggers and should do life-style adjustments to avoid them.

How to Deal with Migraines?

Patients having migraine should seek a medical consultation. There are drugs which are given to terminate acute attacks of migraine, as well as to prevent them.
They should have a fix routine of sleeping like from 10 pm to 6 am. They should not sleep for more than 30 min during daytime, as excessive sleeping during day time would cause problem in falling asleep during nighttime, leading to disturbance of sleep cycle and precipitation of migraine.
They should avoid wine, cheese, lemon.
Tension - Type Headache :

It is a chronic head-pain syndrome characterized by tight, band like discomfort. It is bilateral (means on both sides of head). The pain typically builds slowly, fluctuates in severity and may persist more or less continuously for many days. The headache may be episodic or chronic (present >15 days per month). It may be associated with sleep disturbances.

How to Deal with Tension Type Headache?

The pain can generally be managed with simple analgesics but should be taken under medical supervision as they have a long list of adverse effects. There are other drugs too, but can be given only under medical supervision.
Behavioral therapies including relaxation are also effective.
Patients with this type of headaches are advised to throw away their ?Headaches? to prevent the ?Headache? , means they should try to sort out the tension or problem that is causing the headache.
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Sleep Apnea and Its Link to Heart Failure

DM - Cardiology, MD-Internal Medicine , MBBS
Cardiologist, Delhi
Sleep Apnea and Its Link to Heart Failure

We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High Blood Pressure: When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy: As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as Cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia: An irregular heartbeat is also known as Arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, Arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous Positive Airway Pressure (CPAP): This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices: Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.

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I am 31 male, feels vibration in body, particularly in forearm.

MD - Pathology
General Physician,
Get thyroid profile done. This needs personal examination before starting treatment. If you take alcohol or you smoke- stop now.
1 person found this helpful
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I am 32 year old. I have severe migraine pain, tried many medicine, but didn't work. Pls provide me solution.

MBBS
General Physician, Delhi
Migraines are painful headaches often accompanied by nausea, vomiting, and sensitivity to light. Migraine phases a migraine episode can be a complicated event, with symptoms that change over hours or even days. Migraines tend to progress through several stages. Causes hormones and headaches more women suffer from migraines. Menstrual migraines or hormone headaches -- female hormones are to blame. Migraines triggered by tyramine in some people, certain foods and drinks -- or components they contain -- can trigger a migraine. One well-accepted migraine trigger is tyramine. Foods that trigger migraines is dinner causing dismal migraines? learn what to avoid and get tips on controlling migraine food triggers. If a woman is taking birth control pills, her headaches are most likely to occur during her" off week, when estrogen levels drops. Some women start getting migraines only at menopause, when their period stops. For others, menopause is the first real relief from migraines. Lifestyle and environment can also trigger migraines. Weather changes, altitude changes, bright lights, sleep problems, stress, smells, cheeses, caffeine, aspartame are just some of a long list of potential triggers. Every migraine patient has his or her own headache trigger pattern. Migraine headache treatment: preventive and abortive migraine medication migraine medicines can prevent a migraine attack while others are available for when the pain becomes intense. Daily antidepressant medications are also used to treat migraine; they can help reduce migraine frequency. For you 1. Avoid triggers 2. Start yoga 3. Prevention through medicine.
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When a hemorrhagic stroke occurs, why do patients wont get proceeded for a surgery? instead they observe him for a couple of days or a week. Though there is no recovery from dead neurons how do patients still recover from paralysis in such cases?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Hemorrhagic stroke needs careful evaluation why patients should go for surgery as you think once the bleeding is under control and stroke is under control there are chances of recovery. To understand this you need to know some anatomy,physiology and neurology of brain system
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I am 25 year healthy man. I heard sounds in brain. Feel as someone is keep watch on me. Getting disturbed from brain.

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Kolkata
Dear,it is likely that you are having auditory hallucinations. Please contact a psychiatrist as soon as possible.
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Hi 20 days ago I sat on my left leg for about 30 minutes. When I got up I found finger next to my smallest finger and part of toe numb. Its been 20 days but no improvement in condition/ I took mecomore injection (5) now what to do? no pain. No burning sensation. Please guide me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Numbness in leg is due to pressure on the nerve. This could be due tonerve root compression. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Use no pillow under the head. Any way take paracetamol 250mg od & sos you will need other supportive medicines also. Do back (spine) exercises make sure you are not allergic to any of the medicines you are going to take you may have to use lumbosacral support for some time. Avoid painful act/activities. Take medicines as prescribed it may have to be further investigated. Do ask for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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Hi i Have left drinking hands legs shaking always getting angry nervous at even for silly problem.

MD - Ayurveda
Ayurveda, Jaipur
Hi i Have left drinking hands legs shaking always getting angry nervous at even for silly problem.
This is just a withdrawal symptom of Alcohol. Keep on doing Yoga regularly and Exercises too. Regards.
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My Mother feels difficulty in sleeping. Even she can't do it for an hour. The problem persists from 10 years. She had regular checkups from Surgeons and many other doctor too but still the problem continues. Tell me whether its a case of Insomnia or other thing?

DHMS (Hons.)
Homeopath, Patna
My Mother feels difficulty in sleeping. Even she can't do it for an hour. The problem persists from 10 years. She had...
Hi, dear lybrate user, she should follow the under noted tips: * go for meditation to reduce stress, anxiety and depression, if any. * take, plenty of water, to eliminate toxins. * she should meet her friends in d society to share her problem with them. * homoeo-medicine** @ coffea cruda 30-6 pills, thrice a day. @ ignatia 30-6 pills, thrice a day. Is there any shocking event she has sustained. In d past take, care,
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Hello sir, I am 22 years old male i am suffering from legs and hands numblling so please tell me know which food for good health for nerves. And some of the doubt join 1 week daily sex causes nervous weak or not? And late night sleep please natural tips`

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Hello sir, I am 22 years old male i am suffering from legs and hands numblling so please tell me know which food for ...
Daily sex is not harmful and there is no need to worry about that. Numbness of hands and feet means that there could be a disease of nerves (peripheral neuropathy), which can be confirmed by doing nerve conduction studies.
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