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Dr. Piyush Uthwal

Neurologist, Pune

at clinic
Dr. Piyush Uthwal Neurologist, Pune
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Piyush Uthwal
Dr. Piyush Uthwal is a popular Neurologist in Chinchwad, Pune. You can visit him at Lokmanya Hospital - Chinchwad in Chinchwad, Pune. Book an appointment online with Dr. Piyush Uthwal and consult privately 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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Identify Your Headache- Could be Migraine Due to Bad Oral Hygiene

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician
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Maintaining good oral hygiene has now become all the more important. A new study has linked the cause of migraines to be a specific type of bacteria present in mouth and gut. People complaining of splitting headaches is fairly common place nowadays. Statistics in india show that nearly one third indian women and one fifth of indian men suffer from this type of headache.

Symptoms of migraine include:


Moderate to severe pain that affects the whole head or may shift to one side
Increased sensitivity to light, sound and pungent odour
Blurring of vision
Nausea and/or vomiting
Dizziness, fatigue
Seeing dark spots in front of eyes


There are three different types of headaches- severe headache, cluster headache and migraine.

Headache is simply unpleasant pain in the head region of varying intensity. Cluster headache is intense one sided headache with tearing in the eye of the side of the pain. Migraines are moderate to severe pain in the head, usually diffuse and presents along with the above stated symptoms.

Causes of migraine:

Knowing what causes migraine can help avoid it. Common causes that affect different people are as follows:


Stress
Hormonal changes and supplements
Over use of contraceptive pills
Exertion
Excessive heat
Sleeping in small closed rooms with inadequate ventilation
Overuse of mosquito repellent
Acidity
Bad oral hygiene
High bp
Overuse of pain killers
Smoking


Food that triggers migraine:

Many people experience migraine because of different food items. Identify your trigger and then try hard to avoid it.


Chocolates
Wine
Processed and canned meat products
Onions, potatoes, spinach, and over eating of rice


Since many years now, nitrate medicines have been used to maintain cardiovascular health and previous research has revealed that heart patients who were given medications containing nitrates routinely complained of headaches. The migraineurs had high nitrate levels, but the actual connection to link the two had not been established until now.

Researchers at the university of california-san diego investigated this further to identify the connection between what the migraineurs eat that alters their experience with migraines. Bacterial sequencing was done on the 172 participants of samples collected from their mouth and gut. Tests showed an abundance of nitrate reducing bacteria in their faecal samples, but even more in their mouth bacteria.

The study published in the journal msystems has identified the link between oral bacteria and migraine, but it is still not evident whether these bacteria are the cause or a result of migraine. But even then it is best to stay safe from our side by maintaining a healthy lifestyle and a good oral hygiene. Migraine is often neglected by the patients and hence becomes difficult to treat. Identify the above triggers and causes of migraine and consult a physician if you have any of them.
Identify Your Headache- Could be Migraine Due to Bad Oral Hygiene
1 person found this helpful

My 10 yr old son is suffering with adhd plus autism disorder.

MD
Pediatrician
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It require team work including pediatrician, family itseif and some time psycho concellor. Drug treatment for symptoms like hyperactivity, obsession, hallucinations, epilepsy etc.

While walking sometime I feels numbness in my vanes and wish to remove my shoes. It is a chronic problem and it has been happening for 1 month. My doctor advised to taken B-12 tablet. As a second opening I need your advice.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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While walking sometime I feels numbness in my vanes and wish to remove my shoes. It is a chronic problem and it has b...
I think your doctor is right as although numbness and tingling sensation in hands and feets can be due to many factors and Vit B-12 deficiency is one of them.So take vit B-12 capsule for 2-3 months and give more emphasis to Vit B-12 diet like Food: Eggs, Brown Rice, Fish, Yogurt(Dahi), Milk and milk products like Cheese, Cow and Soya Milk.
2 people found this helpful

I am 23 year old and male person and have migraine for last couple of year. I have taken medicine for pain relif and several medicine which control the migraine pain but I haven't got relief. What should I do now ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Hi. Headache is pain in any region of the head. Headaches may occur on one or both sides of the head, be isolated to a certain location, radiate across the head from one point, or have a viselike quality. A headache may appear as a sharp pain, a throbbing sensation or a dull ache. Headaches can develop gradually or suddenly, and may last from less than an hour to several days. If You give through a description of the condition, the type of pain and the timing and pattern of attacks and food habits. It can be helpful for us to give appropriate medication. Here by I am advicing few General medication which helps to relieve headache. Medication:-According to ayurveda based on individuals prakruti i, e body constitution, age, diet and life styles. In classics different modalities of treatment has been mentioned like shodhana (Panchakarma-detoxification procedure of the body), Shamana (internal medicine). Ayurvedic therapies (panchakarma) for migraine: 1.Shirolepa – Application of herbal pastes which pacify Pitta Dosha like Sandalwood, camphor, Jatamansi. 2.Shiro Dhara – pouring of thin stream of liquid over scalp. 3.Shiro basti-Retaining the medicated oils over the leather cap fitted over the scalp. Any vata-pitta pacifying oils are beneficial for this purpose. 4.Sneha nasya – Instillation of medicated oils can be carried to the nostrils. Shamana (Internal medication):- 1.Pathyadi khada-10 ml with warm water twice a day after food. 2.Tab Niargim-1 tab twice a day after food. 3.Tab Kamaduga with mouktik-1 tab twice a day before food. Tips:- 1.Do not take pain mitigating medicines frequently. Over intake of pain medicines may cause rebound headache and may eventually increase the frequency of migraines. 2.Make sure to sleep and eat at regular intervals. 3.Make sure to sleep at least 7 hours at night. 4.Avoid fasting. It will increase both Pitta and Vata dosha, worsening migraines. Do not skip meals. 5.Quit smoking and get rid of alcoholic addiction 6.Do not drink strong coffee / tea. Make it light. 7.Do not take too hot water bath or too cold water bath. 8.Avoid spicy n fermented food.

Nerves weakness is my problem. I often getting this more When I swim. Even if I eat badam daily, this is happening. Why?

MBBS, MD (Medicine), DM (Neurology)
Neurologist
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Nerves weakness is my problem. I often getting this more When I swim. Even if I eat badam daily, this is happening. Why?
It is not clear what you mean by" nerves weakness" you may first consult a psychiatrist after checking your blood sugar levels (fasting/post-prandial) are normal. I do not appreciate you have a primary neurological problem.
1 person found this helpful

My brother is 22 years old. He is facing hand shaking issue both left and right hand many times even he sit comfortably at home or in no anxiety position, no tension position. He does take any durg. He drink very occasionally once in 1.5 month around. He has not bad habit using hand or. Kindly suggest the solution.

MD - Psychiatry, MBBS
Psychiatrist
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It may be due to hyperthyroidism or some neurological illness. Get t3, t4, tsh done and consult a neurologist for detailed evaluation.
1 person found this helpful

My father has age of 55 years. Recently he made an accident as a normal head injury and back pain few days back but now two things are normal but blood creatinine level is rising rapidly. There is no prior symptoms of any type of kidney disease but now he suffering for blood creatinine. What can be the possible reason for that. He is under treatment in hospital and admitted since one week.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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My father has age of 55 years. Recently he made an accident as a normal head injury and back pain few days back but n...
Hi, sudden increase of creatinin in blood may be due to 1. Rhabdomyolysis-may occur due to crush injuries after accidents. In this damaged skeletal striated muscle breaks down rapidly. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidneys and may lead to kidney failure. The severity of the symptoms, which may include muscle pains, vomiting, and confusion, depends on the extent of muscle damage and whether kidney failure develops. The muscle damage may be caused by physical factors (e. G. Crush injury, strenuous exercise, medications, drug abuse, infections.) 2. Some kinds of antibiotics or blood pressure medicines will cause. Normally, it's totally reversible when you reduce or stop taking these medicines, 3. Diet-. Fox example, pickles, bacons, sausages pizzas and so on are all of high quality of salt, which will cause water-sodium retention in the kidneys 4. Infections-, who have renal insufficiency previously, get infections, such as cold, pneumonia, intestinal infection, and urinary tract infection, they are easy to have an elevated creatinine level in a short time. 5. Dehydration-drinking less water, a fever or sweating, especially during frequent urine, can cause severer narrowed blood volume in kidneys.

Muje koi vitamin ki tablet batayie jis se mere hands shake nai ho and meri ye weakness khatam ho jaye.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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Muje koi vitamin ki tablet batayie jis se mere hands shake nai ho and meri ye weakness khatam ho jaye.
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 regulated time schedule Best wishes

My Father in law aged 65 years has recently diagnosed for parkinson's disease. He is suffering from shaking of hands and legs, poor speech, slow response. What should I do for fast recovery apart from medication.

MRCP (UK), MD - Psychiatry, MBBS
Psychiatrist
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My Father in law aged 65 years has recently diagnosed for parkinson's disease. He is suffering from shaking of hands ...
Hi Am sorry for your family. Parkinson's is a long term condition .the cloud in the silver lining is medications r effective. BEING PATIENT is the best thing you can do as many a times it takes a while to figure out the right meds/doses/combination. See to it that he is productively engaged as depression hits many with Parkinson's. Hope this helps Rgds.

I am 30 years old. I am suffering from migraine. Kindly suggest. What should I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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Migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines 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.
1 person found this helpful

Sometimes I feel that my hands and feet fall asleep I'm facing this problem from 4 5 months so I have take 4 vitcofol injection 2 cc alternative day but no effect Blood cbc panel uric acid blood sugar levels NCS VANES TEST ARE NORMAL.

FRCS - Neurosurgery(UK), M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon
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Sometimes I feel that my hands and feet fall asleep I'm facing this problem from 4 5 months so I have take 4 vitcofol...
Get one MRI of cervical spine with screen whole to see if any nerve damage or no , you had taken b12 already. then further we can evaluate.

She is diabetic. She is taking insulin injections regularly. From 2 -3 months she is feeling numbness in arms and palms and finger. What may the cause behind this and is it curable ?

CCEBDM, Diploma in Diabetology, MBBS
Endocrinologist
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She is diabetic. She is taking insulin injections regularly. From 2 -3 months she is feeling numbness in arms and pal...
Mr. Lybrate-user, if high blood glucose is not well controlled, there is a possibility of developing peripheral neuropathy symptoms like tingling and numbness. If blood glucose is strictly controlled most otfen these symptoms improve quite well. Thanks.
1 person found this helpful

I am 25 years old. My both hands have been shivering for the last 10 years due to nerve weakness. What should I do.

cc USG, MBBS
General Physician
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This may be due to 1. Severe anxiety 2. Medical problem like Thyroid disorder get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)
1 person found this helpful

Why my hands shivers always? Sometimes it become difficult for me to take pics because of shivering.

MBBS
General Physician
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You may be having essential tremor essential tremor. 1.The cause of the tremor is unknown. in some cases it is hereditary and runs in families.some 2.it is exaggerated due to stress/anxiety/panic/nervousness/Physical exhaustion/low blood sugar/ smoking,alcohol abuse,excess tea, coffee/ inadequate sleep 3. There is no definite treatment, unless it is very severe 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 9.Consult neurologist for further advice

My mother is been diognised with stroke. Physiotherapy is going on. Please tell me how much time will it take for her recovery.

DM - Neurology, MD - General Medicine, fellowship in interventional neuroradiology
Neurologist
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On an average 6-12 months depending on the severity and type of stroke but definitely she needs evaluation to prevent future episodes.
2 people found this helpful

Hi My uncle had Parkinson's at the age of 73. Unka dimaag kharab ho gaya tha. Woh maid ko ched dete the. Thoda character loose ho gaya tha. I I hope this character kharab hona is not the symptom of Parkinson's or its medicines. N it is not necessary I that all Parkinson's patient behave like my uncle Please give me positive reply.

MBBS, Diploma in Psychological Medicine
Psychiatrist
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Hi My uncle had Parkinson's at the age of 73. Unka dimaag kharab ho gaya tha. Woh maid ko ched dete the. Thoda charac...
Nahi aap jo describe kar rahe ho woh Parkinson's ka lakshan nahi. Mood disorder (mania) mein aisa hota hai. Agar aisa bartaav woh pehli baar kar rahe ho to usually woh koi brain ka problem ya body me aur koi change ki wajah se se ho sakta hain. Unko psychiatrist ki zaroorat hain. Kafi sare investigations chahiye honge, including MRI and HIV.

1. Want to know home remedies for Migraine Headache? 2. Why the Migraine headaches triggers?

Diploma in Public Health, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Following are the few triggering points for migraine - Sudden loud noise like pressure horn of vehicle Sudden impact of light like direct looking to sun, camera flash etc. Any type of stress There is no home remedy for migrain.

My father is suffering from parkinson disease what to do he is suffering from 4-5 years but still not cured.

BHMS
Homeopath
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My father is suffering from parkinson disease what to do he is suffering from 4-5 years but still not cured.
Hello, parkinsons is a progressive disease of the nervous system marked by tremor, muscular rigidity, and slow, imprecise movement, chiefly affecting middle-aged and elderly people. It is associated with degeneration of the basal ganglia of the brain and a deficiency of the neurotransmitter dopamine. Consult a good homoeopath for the proper treatment. He will take a complete case history of your father and then accordingly give him a perfect suitable medication. Thanks.
1 person found this helpful

I have a problem of nerve, my hands vibrate all the time. What is the solution?

MBBS
General Physician
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Hello, this problem may be due to 1. Anxiety 2. Hyperthyroidism 3. Vitamin b deficiency 4 any nerve problem kindly consult neurologist for further management.
1 person found this helpful
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