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Dr. Kukarni Rahul

Neurologist, Pune

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Dr. Kukarni Rahul Neurologist, Pune
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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. Kukarni Rahul
Dr. Kukarni Rahul is a popular Neurologist in Warje, Pune. She is currently practising at Kulkarni Hospital in Warje, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Kukarni Rahul 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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Kulkarni Hospital

Warje, Old Octroi Naka, Next Kake City, Warje LM: Next to Univercell Building, PunePune Get Directions
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Hypersomnolence - How It Can Be Managed?

MD - Psychiatry
Psychiatrist, Ahmedabad
Hypersomnolence - How It Can Be Managed?

Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disordersThis is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

  1. There is no underlying cause that has been identified, though there is a genetic predisposition.
  2. People with history of head trauma are more affected
  3. People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
  4. People with sleep apnea often are hypersomnolence
  5. Restless legs syndrome, narcolepsy
  6. Neurodegenerative disorders like Parkinson’s and Alzheimer’s tend to sleep more.

Symptoms:

  1. Sleeping for longer hours at night time
  2. Excessively sleepy during daytime
  3. Able to doze off anytime during the day
  4. Inappropriate and involuntary sleeping pattern
  5. Having difficulty getting out of bed after waking up, even after prolonged sleep
  6. Feeling of disorientation
  7. Feeling agitated, anxious, lethargic, and irritated
  8. Impaired cognition and memory
  9. All these lead to extreme state of drowsiness
  10. Increased tendency for hallucinations
  11. Reduced appetite and even weight loss in some people
  12. There is restlessness, reduced pace of thinking and speaking
  13. Overall reduced energy levels
  14. Social interactions are affected including work life, social functions, etc.

Diagnostic criteria:

  1. If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
  2. The added feature of no tiring physical activity can also lead to suspicion
  3. In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
  4. It cannot be explained by lack of sleep on a regular basis
  5. One or more of the above conditions could be present, which can help in making the diagnosis

Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
 

4621 people found this helpful

Migraine Vs. Headache - Know The Difference!

MD, FIPP
Pain Management Specialist, Kolkata
Migraine Vs. Headache - Know The Difference!

'Tension type headache' is the most common type of headache experienced by most of us in our life.

How to differentiate between a Migraine and Tension-type Headache?

When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a tension-type headache or a migraine. Let's understand how different they are from each other.

A typical tension-type headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.

Some specific areas which get affected by a tension-type headache are:

  •   Temples
  •   Forehead
  •   Back of your neck

Factors that trigger this headache type are a muscle strain, stress or anxiety.

A migraine, on the other hand, is also a type of a tension-type headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:

  •   Vomiting
  •   Nausea
  •   Sensitivity to sound or light
  •   Pain in the temples
  •   Temporary loss of vision
  •   Pain behind your ear or eye

What are the common causes of a migraine?

  •   Hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine
  •   Drinks like wine and extremely caffeinated beverages
  •   Foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.
  •   Medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.

How to treat a tension-type headache?

Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:

How to treat a migraine?

If you experience migraine attacks less frequently, these medicines may give you quick relief:

Some preventive tips:

  •   Make changes in your diet such as avoid such foods, including caffeine and alcohol which are believed to trigger tension-type headaches.
  •   You can also try muscle relaxation exercises, yoga or meditation to ease the migraine attack.
10 people found this helpful

Sleep Pyschiatry: Its Stages and Benefits

DPM, MBBS
Psychiatrist, Mumbai
Sleep Pyschiatry: Its Stages and Benefits

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person’s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

  1. Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
  2. Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
  3. It also relaxes our voluntary muscles and thereby, relieves us from physical stress
  4. Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.
 

2412 people found this helpful

Is there any home medicine for migraine related vertigo. I am having motion sickness when walking and my doctor specified its migraine related vertigo. Is this causes tiredness and bitterness in mouth too? Would like to see if any homeopathy medicine is available for migraine related vertigo.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
hello,according to ayurveda migraine & vertigo might be due to increased body heat & indigestion etc. i need complete history & details to treat you accordingly. consult privately.
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I am suffering from insomnia. And it is giving me lot of problems. Can you please suggest as how I can get rid of it.

M.D. (Ayurveda )
Ayurveda, Patiala
I am suffering from insomnia. And it is giving me lot of problems. Can you please suggest as how I can get rid of it.
Tarke ashpi tabs, 2 tabs, twice a day after meals, with warm milk. Take praval pishti tabs, 2 tabs, twice a day, before meals, with half a glass of water. do massage on scalp with brahmi thailam, at night. Avoid tea, caffeinated drinks after 6 pm. Avoid spicy food, fried food in your diet. Avoid cold water and other cold eatables in your routine. Good luck.
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Good day to you. For a few months i've been having numbness and weakness in my left leg and scrotum. Got my mri results back and they say. Mild scoliosis at L4 L5 region with minor disc bulge with no nerve compression. No sign of cauda equina. Small annular tear at L4 region with muscular spasm. What's causing my numbness? How do I fix the disc bulge?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Good day to you.
For a few months i've been having numbness and weakness in my left leg and scrotum. Got my mri resul...
Most likely, the cause of your symptoms are disc bulge. The best treatment at this stage is physiotherapy. Medications such as pregabalin and gabapentin are also helpful.
1 person found this helpful
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I am 74 years and am feeling numbness in my foot for the last 3-4 months It is not continues it stays for 4-5 minutes and then it goes. Please let me know the DOCTOR in Gurgaon for consultation

International Academy of Classical Homeopathy, BHMS
Homeopath,
I am 74 years and am feeling numbness in my foot for the last 3-4
months It is not continues it stays for 4-5 minutes...
Plz do x ray spine Take hyper200 once day for 4days Led pal 200 as above Cal phos 12c 3tims day for 30 days
1 person found this helpful
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My right eye was flinching and the very next day my rightface got swollen. And it has become numb. I couldn't eat or open my mouth flexibly right side. I want to know what is the cause for this. This from 2 days.

DHMS (Hons.)
Homeopath, Patna
My right eye was flinching and the very next day my rightface got swollen. And it has become numb. I couldn't eat or ...
Hello, it might b due to cold exposure. Take homoeo-medicine** @ rhus tox-6 pills, thrice a day. @ lyco-30-6 pills, thrice a day. Reprot, your progress, wkly.
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My mother age 65 year suffering from parknism after taking long time medicine of psychology but i have consult no doctor neurologist they suggest only synoda plus,pacitane 2 mg and premiprex 0.25 and some exercise is this problem is curable please suggest me?

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
Give mental relaxation excercises eat badam n milk do brain excercise n some useful acupressure points are much more useful
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I am 62 year, male, 5' 8'ht, 75 kg wt, had a brain tumour (parasagital meningioma) operated in 2004. I am leading perfectly healthy life with daily exercise, yoga n pranayam for 30-40 mnts. But my hands, fingers have started shivering. Kindly advise.

MBBS
General Physician, Cuttack
I am 62 year, male, 5' 8'ht, 75 kg wt, had a brain tumour (parasagital meningioma) operated in 2004. I am leading per...
. 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, 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, parkinsonism 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 if you have 6. Take good nourishing diet 7. Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9. Consult neurologist for further advice.
1 person found this helpful
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