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Dr. Dhairyashil Saste

Neurologist, Pune

500 at clinic
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Dr. Dhairyashil Saste Neurologist, Pune
500 at clinic
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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. Dhairyashil Saste
Dr. Dhairyashil Saste is a popular Neurologist in Aundh, Pune. He is currently practising at AIMS Hospital - Aundh in Aundh, Pune. You can book an instant appointment online with Dr. Dhairyashil Saste on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 27 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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AIMS Hospital - Aundh

Survey No.154, Aundh. Landmark: Near Parihar Chowk, PunePune Get Directions
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Oyster & Pearl Hospital Pvt.Ltd

#402/A, Senapati Bapat Road, Gokhale Nagar. Landmark: Near Dominos Pizza, PunePune Get Directions
500 at clinic
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

Sir, I want to know what is the precautions to get way from paralyzed it's for old person.

MBBS
General Physician, Chandigarh
If the person is already paralysed then you need to take the help of a physiotherapist to restore the mobilisation of body functions as far as possible.
1 person found this helpful
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Hi I am feeling that my bare foot many a times becoming senceless from bottom. If I keep this in hot salt water for 15 min. Then I feel better but after 3 days it again gives me numb sensation. What should I do please. Advice.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It is because of diabetic/senile neuropathy. It should be investigated do reply back for private consultation and detailed treatment plan.
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Hi, One of my cousins had brain tumour. Now the tumour has been removed and the doctors have suggested chemotherapy. Now my question is why did they suggest chemotherapy. She only had tumour in her brain. Does chemotherapy mean she has cancer?

MBBS, MS - General Surgery, FICS (Surgical Oncology), Fellowship of Association of Indian Surgeons(FAIS), Fellowship in Minimal Access Surgery(FMAS) & Reproductive Medicine, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Oncologist, Ghaziabad
Hi, One of my cousins had brain tumour. Now the tumour has been removed and the doctors have suggested chemotherapy. ...
Usually brain tumors are cancerous. Sometimes they start in the brain. At other times, they can start from other body parts and spread to the brain. You need to find out which is the case here. Radiotherapy is also used in many cases.
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I am suffering from cerebellar ataxia caused by genetic disorder now I cannot walk please help me.

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Physiotherapy with electrotherapy suggested. May evaluate with a brain scan if rapidly progressing symptoms esp new.
8 people found this helpful
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My mother 82 years, has been diagnosed with Parkinsynosis after trial and error from several physicians and surgeons who first treated her for NPH for around 3 years, and also for bi-polar disease for about a decade. She seems to be on the path of recovery as far as the Parkinson's disease is concerned. But she has movement problems is not able to stand on her feet/legs and needs to be lifted. She also has problems with her back. We have been advised to give her Neuro-physiotherapist support. Kindly advise.

MBBS, DPM
Psychiatrist, Bangalore
My mother 82 years, has been diagnosed with Parkinsynosis after trial and error from several physicians and surgeons ...
Dear Shanta, At this ripe age, your mother needs physiotherapy more than any diagnosis and treatment. Try and reduce your or any other caretakers burden. You can plan for a home nursing aid to help you out of burn out. There are many old age aids in the market like special beds, commodes and walkers. Try out the ones those will be useful.
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I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I am a diabetic. Is it due to spine problem or diabetes. I had taken treatment from neurologist also for a month. No response. Kindly advise medication.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I a...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually your issues can be either due to diabetes or spine, it is difficult to actually say without examining you in detail. But if there is no back pain issues, then it may be unlikely due to a spinal pathology. Anyway a proper examination and investigations can actually tell us whether the issues are due to spine or due to diabetes. We can initiate with medications for neuropathic symptoms like pregabalin or gabapentin in small doses with or without vitamin b12 supplementation for 2-3 weeks and see from there how it goes. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Whenever I go for sleep my right side of the nose is getting blocked but there is no runny nose. And I also have a headache in different parts of the head (not one sided) like above the ears in both side and sometime I also feel pain below the eyebrow. Some says it is migraine and some says it is due to sinus. What is it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Whenever I go for sleep my right side of the nose is getting blocked but there is no runny nose. And I also have a he...
Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine tuecreum 30 daily in the morning and in the evening and give feedback after 6 days.
1 person found this helpful
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Brain Stroke: 8 Lifestyle Changes For Its Prevention!

FRCS (Ed) Neurosugery, M.Ch - Neuro Surgery
Neurosurgeon, Indore
Brain Stroke: 8 Lifestyle Changes For Its Prevention!

As the famous quote says, 'prevention is better than cure', let us take you through some preventive measures to keep you and your loved ones away from the dreadful brain stroke. Brain stroke occurs due to an interruption in the regular blood flow to the brain or bursting of a blood vessel or due to the bursting of blocked artery, which reduces the supply of oxygen and nutrients, leading the brain cells to die.

Top 8 things that will reduce the likelihood of having a brain stroke:

  1. Eat well: Having good eating habits are not just good for a healthy outlook of the body, but also benefits the body in many other ways. Eating a plenty of fresh fruits and vegetables, fibre rich diet, reducing salt and fat content can prevent stroke.
  2. Stay Active: Regular exercising not just makes you feel and look good, but also reduces the odds of developing a brain stroke. Exercising regularly or keeping the physical activities regularly will keep you away from suffering a stroke. Pick any physical activity, but do work out to stay away from the brain stroke.
  3. Say no to Smoking and drugs: Yes! The more you smoke, the more are the chances of you of suffering the deadly brain stroke.
  4. Control your blood pressure: Normal range varies with age of patient. Regular check-up of blood pressure is advisable to control the chances of suffering a stroke as high blood pressure can result into damage of arteries, which causes brain stroke.
  5. Drink in limits: Limit the amount of alcohol you consume, as alcohol increases the blood pressure, which is one of the main reasons behind the stroke. The high amount of alcohol can increase the blood pressure to a higher level very quickly. Consulting a doctor is the best option in case you are not able to control your alcohol intake.
  6. Cholesterol: People suffering from high cholesterol are at higher risk of strokes as the cholesterol can travel to the arteries in the body making the arteries narrow and the body more prone to suffer a stroke. Choosing healthy lifestyle helps in reducing the cholesterol level.
  7. Diabetes: High level of diabetes is one of the most prominent reasons behind stroke. One should get his diabetes level checked and keep it under control since the arteries might get blocked because of fatty deposits because of higher sugar levels.
  8. Depression/Stress: Any kind of depression or stress, generally leads to avoidance of all or some of the points discussed above and hence becomes a reason for an unhealthy body, which is more prone to strokes. Consultation with a doctor and/or psychiatrist is advisable in case a person if suffering from depression.

Improving your health and taking charge of your life should be the top most priority and should never be ignored. Regular health checkups can pick these diseases early and are encouraged. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

1953 people found this helpful

Hi good day to all respected doctors my mom age is 52 she has nerve pain in hands and thyroid. Kindly suggest what to do. If she consumes any medication she has allergic kindly suggest how it can cure. With proper diet. Please.

MBBS
General Physician, Jalgaon
Hi good day to all respected doctors my mom age is 52 she has nerve pain in hands and thyroid. Kindly suggest what to...
Please For your mother. Wake up early go for morning walk in greenery daily Take salads and fruits more Take beet root plus carrots juice daily Take Tab neurobion forte 30 1 1 Lohasav 10 ml twice a day for 3 months Tab ostocalcium 2 per day for 3 months Tab bandy plus 1 1 stat Reconsult after 1 month.
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