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Dr. Gupta Dr Avnish A

Neurologist, Pune

400 at clinic
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Dr. Gupta Dr Avnish A Neurologist, Pune
400 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Gupta Dr Avnish A
Dr. Gupta Dr Avnish A is one of the best Neurologists in Market yard, Pune. You can visit him at Vinayaka Hospital in Market yard, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Gupta Dr Avnish A on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 33 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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Vinayaka Hospital

Vastushree Complex, Market Yard Last Bus Stop, Market Yard, Landmark:-Near Hyde Park, PunePune Get Directions
400 at clinic
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Doctor, If I was tensed my hand shivers uncontrollably and I am thinking always negative about what I do? And I also do regular exercise. How can I control it?

MBBS
General Physician, Cuttack
1. It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 other causes of tremor could be stress, anxiety, agitation, panic, nervousness, inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4. Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/coffee/ smoking/alcohol 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
HEADACHE
Headache is one of the 10 most disabling conditions overall.Over all types of headache 47% are due to migraine and tention type of headache.The prevalence of migraine headaches ranges from 8.4% to 18%.In addition to individual morbidity ,it results in great cost to society.Migraine is more prevelent in female and tention type headache is evenly distributted among both male and female.
Migraine is initialy episodic ,occuring 2 or lesstime/weak.It usualy disturb daily activities of patient and may progress to chronic migraine. Tention type of headache does not disturb daily routine of patient.Poor socioeconomic status,education,female gender,less sleep,anxiety and depression may transform episodic migraine to chronic migraine.
Sudden onset bursting headache is bad and one should consult the doctor immediatly
Overuse of pain killels can also cause headache
2 people found this helpful

Dear Sir/Madam I am suffering with migraine head ache since 20 years. Now I am 36 years old. I am frequently using tablets for migraine. But no use of that. I am suffering daily with migraine head ache. I am requesting you give me solution for my problem. Thanking You.

BAMS
Ayurveda, Bangalore
Hi, Take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I have numbness in left foot fingers for last two years. My diabetic is in control. Please Suggest me remedies. What should i do ? Please advice.

MD - Psychiatry, MBBS
Psychiatrist, Patna
I have numbness in left foot fingers for last two years. My diabetic is in control. Please Suggest me remedies. What ...
Take a multivitamin like neurokind plus daily. Take a combination of pregabalin 75 mg and nortriptyline 10 mg (pregabid nt) two tablets at night. You will feel improvement.
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I am 25 years old male. I am having pain in my left part of the head. And this pain is at a specific position. Kindly suggest the possible problem.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
pain is complex phenomenon, so there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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Sir I am also suffering from migraine so please give me best medication to get rid of severe headache during migraine.

MBBS
General Physician, Cuttack
1.Take Paracetamol 500mg 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, 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 after consulting physician
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My right hand fingers go numb in the night.in the morning when I get up it takes about 5_7 min for the numbness to go .I am not diabetic, BP too is OK. Then why.

C.S.C, D.C.H, M.B.B.S
General Physician,
My right hand fingers go numb in the night.in the morning when I get up it takes about 5_7 min for the numbness to go...
If you are overweight and have hypothyroidism these also need to be tested and if all are normal you may be keeping head over the hand causing a slight decrease in blood flow / pressing the nerve to cause numbness.
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I am 34 yrs old male. I have Pervasive developmental disorders from last 3 months.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Pervasive developmental disorder is a disorder of childhood. If it is present, it has to be present since childhood. As you say you are having it since last 03 months. So please explain in details what do you want to say. It is always better to describe your symptoms in detail, so that we can help you better.
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I am 33 years men. My problem is whole body pain. Weakness ,numbness recently I have checked anti CCP .anti CCP blood results is positive. Please advice sir thanks.

MBBS, MD - NEUROPSYCHIATRY
Psychiatrist, Bangalore
I am 33 years men. My problem is whole body pain. Weakness ,numbness recently I have checked anti CCP .anti CCP blood...
You might be suffering from stress. Ask your self is there anything which is bothering you. Try to address the issue. Take it head on rather than trying to ignoring it. You may also get benefit from mediacation.

I have pain in my right lower back hip and running through thighs to foot and feel pinching burning pain and numbness in little finger finger.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
I have pain in my right lower back hip and running through thighs to foot and feel pinching burning pain and numbness...
Dear lybrate-user, the pattern of pain you r telling cud be of sciatica. But no worries ayuvreda and panchakarma has remedy for you. Get a mri done to pin point the cause and site of pain. Meanwhile go for ayurveda's panchkarma therapy - we have many option for you - kati basti (specialised panchakarma procedure for backpains), localised massgae with herbal oils, localised medicated steam, pottali massage. Continue these procedures for atleast 15 days. Regular oiling of the joint will improve the lubrication also. These procedures will relax your back muscles and give strength to your nerves and muscles of back. Also start some yogic exercises - tadasana, dhanurasan, halasana along with these therapies. This will greatly help. Please avoid pushing / pulling heavy objects, long sittings, long two-wheeler drives. Although some herbal medicines might also help you but after proper history taking. Please update with your valuable feedback after 15 days.\
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I am under treatment for epilepsy and have been prescribed encorate chrono 500 mg. And a common side effect of this drug is hairloss. Will visiting a dermatologist be helpful? I know that changing the epilepsy drug is an option but my neurologist isn't agreeing for it.

MD - Psychiatry
Psychiatrist, Chennai
Then change the neurologist, as hair loss in your age is highly depressing. There are wonderful new anti-epileptics which act without causing hair loss. A good doctor understands the need of the patient and tailors the drugs accordingly. If there is no other option he can tell like that, since other options are there and he is not willing to use them, you have no other option other than to change the neuro.
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Suffering from Trigeminal Neuralgia since 6 months and am on Oxetol 300 mg*2. Please advice. Also if this can be due to RCT done?

MPTh/MPT
Physiotherapist, Indore
Hello lybrate-user, for trigeminal neuralgia stem cell has been found effective in some cases. If you have any reports with you and you willing to opt this as an alternative treatment please let me know. Regards.
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I am suffering fro migraine from the last 6 yrs. I m 28 yrs old. I have taken allopathy homeopathy treatments but no effect. Suggest any remedy.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Eat green vegetables. Healthy food. Fruits. Drink plenty of water. Do pranayama early in the morning. Walk minimum for 30 minutes per day. Take sootshekhar ras. Kapard and godanti bhasm with honey three times a day.
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I am 38 years old. I have severe headache issue for last 4 months. I hav chkd with ENT he says all is ok. Possibly a migraine. So I hav started taking migrabe pills. Nothing has improved. What shld I do .

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am 38 years old. I have severe headache issue for last 4 months. I hav chkd with ENT he says all is ok. Possibly a ...
If your diagnosis is migraine for sure, treatmnet depends on various factors. That means treatmnet for the acute attacks of headaches and treatmnet for preventing future attacks. All forms of treatments depend on the type, severity, duration of headaches and most important being associated contributory factors for headache. Factors like impaired sleep patterns, stress, anxiety, depression, hormonal imbalances, disturbed menses etc can be contributory factors for migraine.
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Dear sir. I am a teacher. I want to know this. What are the symptoms of Dyslexia and dysgraphia?

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
Dear in the earlier childhood stages, diagnosis of dyslexia may be a little difficult. In older children or adults with dyslexia, these other signs may appear: trouble with reading, writing, and spelling. Ongoing trouble with schoolwork. Difficulty learning a foreign language. Poor handwriting. Difficulty remembering numbers. Trouble following a sequence of directions and telling left from right. The symptoms to dysgraphia are often overlooked or attributed to the student being lazy, unmotivated, not caring, or having delayed visual-motor processing. To diagnose dysgraphia, one must have more than one of the following symptoms: cramping of fingers while writing short entries odd wrist, arm, body, or paper orientations such as creating an l-shape with your arm excessive erasures mixed upper case and lower case letters inconsistent form and size of letters, or unfinished letters misuse of lines and margins inefficient speed of copying inattentiveness over details when writing frequent need of verbal cues referring heavily on vision to write poor legibility handwriting abilities that may interfere with spelling and written composition having a hard time translating ideas to writing, sometimes using the wrong words altogether may feel pain while writing.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad


What happens to people with autism when they grow up?

Since autism is a spectrum and people have varying skill levels, future is not the same for all people with autism. A lot of children who are able to cope with mainstream school /college education go undiagnosed and are successful at jobs but may be considered quiet or reserved adults by their family, friends and colleagues.

Several adults on the spectrum who have been diagnosed, and been in a supportive environment in their childhood, have written books which have facilitated and enhanced the understanding of the condition. We have examples of people who are professionally very successful. Some have gone on to become famous authors and at least one has won a Nobel Prize. Some advocate and speak for themselves and for other people with autism in the community.

Some of those who are fully independent in their everyday life may find it difficult to sustain the demands of a job and work environment. Some are married and some choose not to.

Some of those who are married face difficulties in forming relationships with their spouses and carry out responsibilities that come with marriage and having a family, and may continue to need support of another person in planning and carrying out the activities in running a house.

As in every other condition, some people on the spectrum will always need support in life and may never be fully independent. As yet, in India, there are few schools which have an environment or the attitude to accommodate the special needs of people on the autism spectrum. Vocational centers and employment opportunities are even fewer.

For most parents struggling with getting services for their child with autism, one of the biggest worry is‘what after us?’ As yet, there are not enough and appropriate lifespan services for people with autism where they can lead a life of dignity and respect.

However, with support from people around them including the family, friends, neighbours and teachers all of them can lead a happy and meaningful life.

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सर सिर मे अचानक एलेक्ट्रिक शॉक लगने टाइप दर्द होता है जो सिर्फ 1 से 2 सेकेंड तक रहता है लगता है अगर एैसा कूछ देर तक रहेगा तो मौत हो जयेगी ये कभी कभी रोज़ या महीना दो महीना मे होता है उचित मार्गदर्शन दे

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
ऐसा लगता है आप दर्द से अत्यधिक डर गए हैं ।आपको किसी न्यूरो फिजिसियन को दिखाना चाहिए और एक mri और एक eeg तो करवा ही लेनी चाहिए। इसके बाद ही आपके सिर दर्द का सही कारण व निवारण पता चल पाएगा। आपका दिन शुभ हो।
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Im suffering from migraine and I am getting fat day by day is it is swelling? How can I lose fat?

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist, Ludhiana
Im suffering from migraine and I am getting fat day by day is it is swelling? How can I lose fat?
hello you need to take a healthy balanced diet along with regular exercise regime for 5 days a week like brisk walking,cycling and stretching exercises. drink plenty of water. take small and frequent meals at regular intervals. start your day with 5 almonds soaked overnight with apple and green tea. include seasonal fruits and vegetables and sprouts. take fruits as mid meal. avoid sweets, junk food and aerated drinks. for detailed diet plan you can consult for migraine avoid meal gaps, as gapping creates acidity which in turn causes migraine. thank you
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ADHD - Know The Symptoms

MBBS, MS - General Surgery, MCh - Pediatric Surgery
Pediatric Surgeon, Jaipur
ADHD - Know The Symptoms

If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.

ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.

The most common symptoms, which are almost diagnostic of ADHD are:

  1. Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
  2. Increased restlessness: The child would be extremely restless and gets distracted easily.
  3. Fidgeting: The child would be seen constantly fidgeting with his fingers.

The following are the less common ones:

  1. Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
  2. Sleep disorders
  3. Difficulty in following directions
  4. Poor executive functioning skills
  5. Disorganization, which can lead to poor motor coordination and impaired movements
  6. ADHD kids tend to forget things very easily and need help with coordinating movements
  7. The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
  8. These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.

While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.

This will help identify areas that need support from an Occupational Therapy, which are the following:

  1. Support with gross and/or fine motor skills
  2. Support with improving handwriting
  3. Support with engaging in playing sports and games
  4. Support in engaging in social activities
  5. Improving sensory processing difficulties
  6. Improving visual perception
  7. Support in adapting to the environment
  8. Teaching strategies to participate in various social and academic activities

So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a pediatrician.

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