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Dr. Mangesh

Neurologist, Pune

700 at clinic
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Dr. Mangesh Neurologist, Pune
700 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Mangesh
Dr. Mangesh is a renowned Neurologist in Karve Road, Pune. You can visit him/her at Sahydree Hospital in Karve Road, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Mangesh on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 34 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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Sahydree Hospital

39/25 Shankar Smruti Kachare Wadiln 9, Karve Road Deccan, PunePune Get Directions
700 at clinic
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My body gets tired often and also my hands are shivering. Can you prescribe some medicines.

MSc
Dietitian/Nutritionist, Hyderabad
Hi, lack of energy could be owing to a host of reasons--nutrient deficiencies, sporadic sleep cycles, under-eating and subsequently overeating, dehydration, skipping breakfast to name only a few reasons. To regain energy, ensure you drink ample water through the day and that your meals are wholesome and complete and that your daily diet includes fruits and fresh vegetables. Hope this helps.
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My sister has shivering in whole body from few days. She was taking chest infection medicines from few days. We take her to hospital doctor has given her nubilizer. But still she has shivering in hands. Kindly suggest good treatment.

MBBS
General Physician, Mumbai
Get her blood checked for cbc, mp , widal , sgpt and urine r/m and get an xray chest done and revert back to us with reports
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Hi Dr. I am suffering from brain tiredness. I easily get tired after that even I can't talk properly. Different words I say. Pls suggest supplement so I get energetic.

M.Sc - Psychological Counseling, B.A ( Hons) - Psychology
Psychologist, Delhi
Hello, try taking some glucon d, if you are not a diabetes patient. Add dates, walnuts and almonds to your diet. Drink plenty of fluids, like, coconut water, buttermilk, plain watter, sweetlime juice. All the best.
2 people found this helpful
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My mother is suffering from migraine headache from last 30 years, what kind of is treatment for her.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. Don't take painkillers daily for migraine headaches, it's better to take the preventive medicines. Painkillers on long term basis can further aggravate the migraine headache into Medication Overuse Headace (Read my health tip on Medication Overuse Headache) Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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Hello, I want to know about my father. He is 62 years old. in 2011 he was attached with brain stroke. Now he is taking tablet" telvas am "for controlling bp. But now a days bp is 103/61. So can you please tell me is it harmful for him in future or not? Thanks,

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
Hello,
I want to know about my father. He is 62 years old. in 2011 he was attached with brain stroke. Now he is takin...
Hi, brain stroke patients have poor autoregulation mechanism. So it's necessary to keep the BP in a range. Although controlling high BP is important, keeping at too low may be harmful also. I will be comfortable if it's in a range of 110 to 130 systolic. You may consult your doctor to adjust his medication accordingly.
8 people found this helpful
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Dear sir, my brother suffering from parkinson's decease from past 7 years, we tried hard for treatment but no treatment in english medicine. His hand is continuously shaking. Is there any treatment. Please provide details. How and where it can be treated.

DNB in Psychiatry, completed course from Asha Hospital, Hyderbad
Psychiatrist, Salem
I feel the dosage has to be adjusted. If you mention the medicines he is taking, one can suggest the remedy..
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5 Ways Physiotherapy Helps in Dementia

Master in Physiotherapy (MPT), Bachelor of Physiotherapy (BPT), CMT-Diploma in Osteopathy
Physiotherapist, Gurgaon
5 Ways Physiotherapy Helps in Dementia

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

  1. Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
  2. Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
  3. The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
  4. Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    
  5. Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition.

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I can't sleep at night and can't wakeup in the morning and this is a big problem for me. Now I become insomniac. How can I solve the problem?

BAMS
Ayurveda, Ambala
I can't sleep at night and can't wakeup in the morning and this is a big problem for me. Now I become insomniac. How ...
Due to lack of sleep there are many complications arise such as lack of concentration ,irritability, fatigue & digestion problem.. So these are some instructions & methods for good sleep : • Frequent oil massage of head with oil relax your mind and enhances sleep .You can also do foot massage daily it destress you . • Do not take stress . Do meditation and long breathing pranayams to relax the mind. • Do not take caffeine, tea & alcohol in excess and these are stimulant ,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Avoid sleep during day time as it makes it harder to fall asleep at night. •Try to sleep early at night . Do not think during sleep and avoid use of laptop during night . Do exercise and long walk daily . • Avoid to take sleeping pills because these are habit forming drugs and these drugs disturb your normal sleep pattern. • Take a bowl of curd daily in afternoon and one glass of milk at night daily . You can consult me privately for your detailed complete treatment and doubts.
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I want to know the name of sleeping pills .which is easily available and work fine in the case of insomnia.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
I want to know the name of sleeping pills .which is easily available and work fine in the case of insomnia.
It's not the right way to get the prescription. However Henbane herb and indian snakeroot herbs induce natural sleep, though work slow. It's safe. Pl do not take chemical hypnotics.
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My age is 23. Height 6 ft. Weight 76 kg. My serum cortisol morning is 234ng/ml. I am having numbness and tingling all over body. Chest and belly fat enlargement. Hair growth excessively. Does excessive cortisol or cushing syndrome also causes numbness and tingling all over body?

BHMS
Sexologist, Lucknow
My age is 23. Height 6 ft. Weight 76 kg. My serum cortisol morning is 234ng/ml. I am having numbness and tingling all...
My dear give family history first. Offcourse sometimes its happens. Reduce years weight little bit. Do morning walk 3to4 km a day. Add up fibre in food. Tk plenty of water. Consultant years physician. God bless you.
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Sir or mam I want to ask one question. I am already suffering from migraine. please tell me what is symptoms and causes and solutions.

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
Migraine can be tackled by a combination of medical and lifestyle measures. Lifestyle measures: 1) regular intake of meals. Avoid fasting, eat breakfast, lunch and dinner at fixed timings. 2) good 7 hours of uninterrupted sleep daily 3) avoiding foods that precipitate migraine like cheese, chocolate, excess coffee/tea and sour foods medical measures: if you have frequent episodes, you will need 2 types of medicines- one to be taken daily as prophylaxis and 2nd to be taken during attacks of headache for quick relief of pain. These medication should be started only after consultation with a neurologist and ruling out other rare but serious causes of headache.
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I am suffering from polio from 6 years and tell me what is the prevention and what is the control on this?

DM - Neurology
Neurologist, Rajkot
Once paralytic polio is established, it cannot be cured. It can be managed with physiotherapy just to prevent contractures of muscles. But it can definitely be prevented by vaccination since birth of a child including booster doses. With vaccination in india we have almost eliminated it.
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I am 48 years old married woman, I hav sleepless since last few months, please advice remedy for insomnia.

MBBS
General Physician, Jalgaon
I am 48 years old married woman, I hav sleepless since last few months, please advice remedy for insomnia.
Please Do meditation regularly before going to sleep Go for morning and evening walk regularly Take Tab macfresh 15 1 at nt Cap tagara by Himalaya 2 caps once a day for 3 months.
1 person found this helpful
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Severe Epilepsy - How To Deal With It?

MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
Severe Epilepsy - How To Deal With It?

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

1. Medication: Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

2. Surgery: Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

  1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
  2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
  3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
  4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
  5. Surgery to remove half the brain's cortex or outer layer

3. Dietary changes: A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures. If you wish to discuss about any specific problem, you can consult a neurosurgeon.

2906 people found this helpful

What is sleep paralysis? How is it serious if a person get 4 attacks in 4-5 days?

MPTh/MPT
Physiotherapist,
Sleep paralysis is a phenomenon in which a person, either falling asleep or awakening, temporarily experiences an inability to move, speak or react. It is a transitional state between wakefulness and sleep, characterized by complete muscle atonia (muscle weakness). It is often accompanied by terrifying hallucinations (such as an intruder in the room) to which one is unable to react due to paralysis, and physical experiences
1 person found this helpful
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When I was in 2nd standard in 2003, I was 8 yrs old. It was summer time, some construction was going on in our house! on that day I came home after having a 2 hours tution, and had food. After eating I went to my terrace where the construction was happening! in my house at 2nd floor and at terrace we have solid steel frames for better ventilation (to which we call" tattar"), so small gates of both the" tattar's" on both floors were open. There was a boundary of like 8cm around the" tattar" at terrace. I went to terrace for some work and when I was returning, unfortunately my feet was stuck to that boundary around the" tattar" and I fell down and collide to the flap (dimensions of flap are 3mm thick of solid steel) of the" tattar" at 2nd floor. That flap went through my" left temple from the mid and came out from my forehead from mid here also tearing my skull badly. Though I was gone faint, because of the collision and was referred from jn medical college aligarh for delhi where I had the operation for my broken skull. I got 16 stitches in count and everything was ruined! at that time because of my low age doctors advised me to get heal untill I pass of 18. They also told that my skull can heal and grow again because I was growing then! but now i'm 20 yrs old and i'm healthy but theres still an empty space of like 3.5 cm in length and 2 cm of height, the rest portion healed but it healed as a crack fill up, theres no joint in my skull from mid of my left temple to mid of my forehead. So, please suggest me what should I do to get my self repaired again with a smooth crack less skull. And theres also a big mark of 16 stitches, please tell about the solution for both of these problems. I hope for a reply! please help me!

M.Ch - Neuro Surgery
Neurosurgeon, Jammu
You need to get a ct scan head with bone window and 3d reconstruction. Let me know the report of the scan.
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Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Please suggest.

BPTh/BPT
Physiotherapist, Delhi
Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Ple...
Hello. No it's not a fact. Diagnosis of Parkinson's is not that tough. It's symptoms almost declare it. And you can opt. For MRI. Regards!
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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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How to tackle Migraine

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
Migraine can be tackled by a combination of medical and lifestyle measures.
Medical measures: if you have frequent episodes, you will need 2 types of medicines- one to be taken daily for a period of at least 6 months as prophylaxis and 2nd to be taken during attacks of headache for quick relief of pain. These medication should be started only after consultation with a neurologist and ruling out other rare but serious causes of headache.

Lifestyle measures:
Lifestyle measures play an equal, if not greater role in management of migraine. They include:
1) regular intake of meals. Avoid fasting, eat breakfast, lumnch and dinner at fixed timings.
2) good 7 hours of uninterrupted sleep daily
3) avoiding foods that precipitate migraine like cheese, chocolate, excess coffee/tea and sour foods

In addition, you may have to temporarily avoid excessive travel and exposure to sunlight which can precipitate headache. Yoga/ meditation and relaxation techniques will help immensely.
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