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Dr. Pravin Nafade

Neurosurgeon, Pune

Dr. Pravin Nafade Neurosurgeon, Pune
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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. Pravin Nafade
Dr. Pravin Nafade is a trusted Neurosurgeon in central Panchgani, Pune. He is currently practising at Sai Shree Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Pravin Nafade on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 38 years of experience on Lybrate.com. You can find Neurosurgeons 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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I need to know the permanent cure for migraine. Is it possible?? Which is the safest drug to be used yo relieve a atta of migraine?

BAMS
Ayurveda, Bangalore
Hi, take tab. Migrakot 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 regularly get headache what is the solution to reduce headache and I am having migraine since ten years please tell me solution to reduce headache is there any home remedy for migraine pls suggest me.

MBBS, cc USG
General Physician, Gurgaon
I regularly get headache what is the solution to reduce headache and I am having migraine since ten years please tell...
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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I am 29 years old I am suffering for nerves problems last 1 year what should I do ?

MBBS, DGO (cal)
General Physician,
Consult psychiatrist and have a discussion. He might help you with counselling and some minor short term medicinal help.
1 person found this helpful
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I am having a severe headache or migraine. I can't sleep even. All I could feel is pain in my head please help.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I am having a severe headache or migraine. I can't sleep even. All I could feel is pain in my head please help.
Various causes of headaches,tension headache, Ophthamiic causes for headaches,Hypertension, hypotension,sinusitis ...e tc we need to diagnose for preventive aswell as remedial &allied measures,
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I want to ask about my cousin. He' s 8 years old. 2 weeks ago he was feeling unconscious and lazy, we took him to sir gangaram hospital, delhi. Their doctors said he might be suffering from meningitis and later they discovered that it was a blood clot. A fluid in the brain was getting collected beacause of which swelling was their in the brain. And for that they did a operation making a hole and taking out some quantity of fluid, and bone from the back, lower part was also cut for some reason. When this child was born he suffered from jaundice because of which his whole blood was changed and because of that he suffered from a problem of listening so a machine was fitted in the brain so that he could hear and speak. And now because of a machine is fitted in the brain, doctors can not do his MRI. He is on ventilator from the first day. There is movement of his right hand, leg and eyes(but don' t know if he is able to see or not) but no left side movement. Doctors are saying his left side is paralyzed. Yesterday another minor operation was done in which now the ventilators air is being given through trachea. If you want I can give you the reports before the operation and after the operation if you want Please tell us what to do

MPTh/MPT
Physiotherapist,
First of all operation not supposed to be done for blood clot. Machine fitted on right side or left side of the brain? kindly send me the detailed reports. Kindly consult neuro physiotherapist and audiologist also. This will help you in this case.
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Severe Headache - Can it Be Migraine?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Severe Headache - Can it Be Migraine?

One of the most debilitating conditions that anyone can experience is migraine. They can severely limit you by affecting your personal and professional life as you are in constant pain. Migraine can manifest in a type of headache with intense pain, an acute sensitivity to light, vomiting and nausea. Often described as a severe throbbing pain in the head, it may stop you from completing regular daily tasks and may delay or postpone your work.

How can migraines be treated?
The exact cause for these debilitating migraine pain hasn't been pointed out yet, but certain triggers such as stress, hormonal changes in the menstrual cycle, sun exposure, bright or flashing lights, among many others have been identified. The first line of defense for you would be to understand and identify what your triggers are. Once that is done, you can try and avoid them. If these still trigger a migraine or are about to trigger one, you can immediately take medications or steps to control it or at least lessen the pain to go through your day. Some of the options you can employ to this effect are mentioned below.

  1. Medications to prevent a migraine attack: The medications mentioned here are specialized treatments and can only be taken after a consultation with a doctor. If you are deemed as a candidate for preventative medication for migraines, then either one or a combination of drugs from the following may be prescribed to you.
    • Valproate and Topiramate are anti-seizure medications which can be used to prevent migraines.
    • Propranolol, a type of beta blocker and used for cardio vascular problems, has proven to be very effective in preventing migraines.
    • Onabotulinumtoxin A or a type of Botox, has shown a lot of promise in preventing migraines and is being slowly rolled out as a proper drug as a treatment option.
    • Certain antidepressants have also shown to be quite effective in reducing the symptoms of migraines as well.
  2. Medications to relieve pain: Some of the go to medications that help relieve your pain from migraine are mentioned below. Although some of them are OTC (over the counter) drugs, it is best advised that you consult with your doctor for medications which suit you better. The side effects of these medications can be bad and thus, it is not advised to continue them in the long run and to find other means to control pain from migraines. Some of the medications to relieve pain temporarily are:
    • Triptan is a drug used to treat severe migraines
    • Caffeine along with Ergotamine can also help dull the pain and deal with it.
    • Ibuprofen and aspirin and Acetaminophen are common pain killers that you can use
    • Codeine, which contains opioids are also used to treat this problem.
    • Metoclopramide and chlorpromazine are two examples of anti-nausea medications as vomiting along with nausea may frequently accompany your migraine.

Always remember that these medications can have strong side effects if not taken properly, therefore do not just pop a pill, consult your physician first and know which one should you take and how frequently. 

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I am a chronic patient of migraine with constant headaches throughout the day however this problem has reduced quite much but the sleeping problem has got really worse lately as I am unable to sleep at all and this has resulted in anxiety in which I feel as if I will not be able to sleep again I panic on small issues and get irritated, from November last year I have been eating pills for sleeping and I continued it unknowingly till July on doctors prescription but when I came to know about it I tried to reduce it but I was unable to do so it seems I have become habitual and have continued it since then with breaks in between, yesterday night I took two pills but it did not work. Since this problem has started I have become physically weak and I think that all this has stemmed from the fear of getting sleep that I have even if I sleep for sometime is not sound one and I feel frustrated throughout the day. Please help me out.

MD- Ayurveda
Ayurveda, Ujjain
Remove your fear of sleeplessness & develope a confidance in yourself. Take these safest & most effective Ayurvedic medicines ,surely you will be able to overcome of your; s problems. VRIHAD BRAHMI BATI 1-1 twice a day with milk, CEFAGRAIN (Charak pharma -combi pack) tab. 2-2-2 (three times a day) with water & it’s 4 drops put in both nostrils twice a day at morning and at bed time ,PATHYADI KWATH 40-40 ml with equal quantity of lukewarm water twice a day in empty stomach. ASHWAGANDHA RIST 30-30 40 ml with equal quantity of water twice a day after meals. Please informe me it’s results after a month.
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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, Mumbai
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.
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I am 30 years old lady mere pero ki naso me bhut dard hota me roj ka kam bhe nahi ker pati khade hone per modne me muze dard hota he muze kya kerna chahiye ?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
Nason me dard aur modne me dard se jahir hai ki aapko vayu vikar hai jo modern medicine ke anusar ra, gout, arthritis aadi ki ahuruat ho sakti hai. Gout me adhiktar toe ke joint se problem shuru hui mani jati hai or ra me chhote joint se shuru hui mani ja sakti hai. Nason me dard calcium ki kami, nerves pain kuchh bhi ho sakta hai. Aapki digestion aur metabolism me problem hone se agar aam (mucous in stools) ki utpatti ho rahi hai to aapko pachan kriya bhi sahi rakni hogi. Aap esr, uric acid, ra factor, calcium adi ke test reports bhejen. Tab tak aap chvya, chitrak, sonth, peepal, peeplamool herbs ka karha (decoction) piyen. 1 cup din me 2 bar minimum. Halka bhojan khayen. Garam pani piyen. Aapki apan vayu dosh ke karan lumbo sacral spine me affect aata hai. Jiske karan spine ki spondylitis/ spondylosis bhi ho sakti hai. Spine ka ls spine ap aur lateral view x-ray ki report bheje. Koshish karen zyada pain killer na len.
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I am suffering from migraine. What are the symptoms of it n how can be minimized.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGD IN NATURO & YOGA SCIENCE
Ayurveda, Katni
Migraine symptome are very cleare first half side it can be right or left in most cases sometimes its front and back side headache. Second is it attacks in every 2-15 days depending on severity. If its chronic pt feel drowsyness, and vomitting also. It should nt leave untreated because it can give major problem in future.
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I am 30 year old female suffering from migraine problem is there permanent solution for that.

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 2.Drink plenty of water and take rest. 3.Check your BP 4. Avoid stress, anxiety, depression, agitation,exposure to loud noise, bright light since it precipitates migraine attack 5. Go for regular exercise 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 after consulting neurologist
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5 Natural Homeopathic Medicines For Bell s Palsy

BHMS
Homeopath, Raebareli
5 Natural Homeopathic Medicines For Bell s Palsy

Some diseases like Bell’s Palsy have a sudden onset. One moment everything is fine and the next, half your face feels paralysed. Bell’s Palsy is a viral infection that causes temporary paralysis of one side of the face. The exact cause is unknown but this virus is said to be related to the herpes virus. The sudden onset of this condition can make a person believe that they have suffered a stroke and this condition can last for several months. Many people do not completely recover from this condition. A numb sensation, lack of control over the lips and eyelids, drooping of one side of the face and an inability to smile or blink are some of the symptoms of this condition.

Homeopathy has been used to treat a number of Bell’s Palsy cases successfully. However, the results vary from person to person and the extent of nerve damage done. This form of treatment does not address only the visible symptoms but addresses the physical, mental and emotional health of a person as a whole. Since homeopathy has negligible side effects, it can be prescribed to children and adults alike. Some common homeopathic remedies for Bell’s Palsy are:

  1. Aconite and Causticum: Aconite is prescribed in the initial stages of this condition especially is paralysis seems to have set in after exposure to a cold draft. Patients who can benefit from aconite often also complain of a tingling sensation on the affected side of the face. On the other hand, causticum is prescribed to treat chronic cases of facial paralysis.

  2. Hypericum: This is the most preferred homoeopathic remedy in cases of paralysis caused due to injury to a nerve. In addition to the symptoms of Bell’s Palsy, the patient may also complain of tingling or numbing sensations and burning sensations on the affected side of the face.

  3. Ignatia: Bell’s Palsy can also be triggered by grief. In such cases, Ignatia has been proven to be quite effective. It also resolves excessive saliva production and frequent biting of cheeks of the tongue while talking and swallowing.

  4. Cadmium Sulph: Bell’s Palsy that develops as a result of a sudden haemorrhagic condition can be treated with Cadmium Sulph. In such cases, the patient may have a distorted face and may face difficulties swallowing food and speaking properly. He or she may also be unable to close the eye on the affected side of the face.

  5. Bacillinum and Causticum: The medicines are prescribed in cases of Bell’s Palsy triggered by the suppression of facial eruptions.

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Hi doctor, I'm very fearful while picking up the client call and strange people around me. My voice tremble like anything. Though, I know the answer to the client call, I couldn't explain to them comfortably. I feel ashamed when I finished call as I had a bad call. And, when strangers aren't around, my confident and way of speaking is really good. I'm not sure where this fear goes. Please help me. This is my career related issue and I have to come out of this problem. Currently, I'm taking medicines for hand tremor Betacap TR 40, Benfomet plus and Lonazep 0.25 which is suggested by neurologist. Please advise.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hi doctor, I'm very fearful while picking up the client call and strange people around me. My voice tremble like anyt...
You are just afraid of people and their judgments of you. This is closely related to the fear of public speaking, which everyone has, including me. But you will not notice it because we use the fear t prepare and deliver the talk properly. You can imagine that nobody is there and just speak naturally. You are obviously good but have a low self-confidence and esteem. It is all about trusting people. Do you know why you do not trust people? Have you had a bad experience? If not, you will still need to meet people and live with them. The ultimate test of a personality is in the social context. The greater test is when we meet with the opposite sex. And the final test is when we have to bed and board with a member of the opposite sex in marriage. If you wait for that time to resolve it, it might be too late and traumatizing. Even if you are afraid of people, face your fear and see what happens. They are certainly not going to kill you. So what is the worst that can happen? Really nothing but it will feel great to have friends and lots of companions in life. We are after all social animals, gregarious by nature and need each other. So don’t handicap yourself on this front. Attend a personality development class, personal grooming class, public speaking class, and conversation classes. It will help to do a lot of this with a close friend, if you have one. If not, find one. We are into relationships all the time. It is near impossible to live without people. All research has shown that living with someone gives us good health and long life too.
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Following a scratch from a pet dog in late april, I decided to go for a rabies booster dose (2 doses) since I had already taken the full course last year. Around 12 days after the rabies booster (on tuesday 5th may), I had a full-on tonic clonic seizure in my sleep (around 12.30 am). The convulsion lasted for around 3-5 mins and I ended up biting my tongue badly. I have no personal or family history of seizures (febrile or otherwise) and this was the first time ever. 15-30 mins (not sure) before the seizure occurred I remember smelling burning garbage/burnt rubber. The next morning, I rushed to the local neurologist who asked me to get an mri/mrv + eeg + lots of bloodwork done. The mri/venal mri was normal, so were the eeg and the blood-tests. The neurologist diagnosed it as late onset seizure disorder and asked me to start with keppra 750 mg twice a day. The same evening I went to another neuro for the eeg and looking at my reports and history, he advised me not to start with the medicine and wait for another seizure before starting the aeds. Also neurologist no. 1 noted that the only real insult was the rabies booster shot and was concerned about the possibility of adem. But since the mri was ok he let it go. Now its been 7 days since the seizure. I have balance issues, limb weakness, difficulty remembering stuff and since yesterday I have extremely itchy palms (with small red spots) and itchy eyes. Its so bad, I was unable to sleep at all last night. Also both my hands and legs (esp my legs) keep falling asleep even when I am sitting normally and I keep getting that pins and needles sensation. My query is this: 1. Is there a possibility of developing adem or any other form of vaccine related encephalitis in the days or weeks ahead? 2. The itchy palms and eyes are a common vaccine adverse effect. Should I be concerned about that? 3. There are more than a few cases of otherwise healthy individuals having seizures/convulsions after taking nootropic vaccines like anti-rabies, japanese encephalitis, tbe etc. Http://www. Jmedicalcasereports. Com/content/7/1/66 pls do check out this link. If my seizure was vaccine meditated. Is there a way to treat the condition (with steroids etc) and/or prevent it from recurring? please do let me know.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
H, good you consulted n had 2nd opinion too, medical science so vast so everybody almost follow scientific protocol. So rely on your Dr. He'll choose you best. Can you consider to have ayurveda opinon beside your city at ayurveda college where you may suggested for rutu shudhi seasonal detox n rasayan therapy for your issues which is said? pittaj apasmar in ayurveda terms. Prognosis is good still your Dr. Will share you to alert while driving n swiming of at operating machines.
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I am a 25 years healthy and fit male. On 26.10 2016 just after lunch I got a seizure attack and become unconscious for next half an hour. I was hospitalised and after ct scan and MRI doctors tald me that I had Neurocysticercosis problem. So please tell me what should I do now as doctors says that I have to take medicine fot next 3 months. What should I do.

MD - General Medicine, DM - Neurology
Neurologist, Kochi
Yes you have to these are worms getting into brain and arrested in the larval stage. No need to worry. Only symptom is seizure where you have to take the seizure medication.
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My mother migraine, how to solve, this migraine comes every 15 days, please concern.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular For medicine contact on private consultation good luck.
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I have been observing high level of sugar in my blood levels around 180 fasting and 220 normally on some days, normally it remains within limits. I am not controlling my diet on days when sugar level is normal I am 37 with no family history of high sugar levels. Kindly suggest what tests could be done to identify the problem n what do you diagnose out of it. I have been on valprin chrono 500 due to epileptic seizures which occurred around 12 yrs back.

MBBS, Diploma in Diabetology
Endocrinologist, Mumbai
I have been observing high level of sugar in my blood levels around 180 fasting and 220 normally on some days, normal...
Hba1c is most reliable test and gives an approximate idea of past 3 months sugar level. At your age target should be near to 6.5 with diet exercise and medication. Along with hba1c, following tests needs to be done as you are on anti epileptics as well. Fbs ppbs urine routine serum creatinine lipid profile liver profile.
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My hands often shiver like a old man, wherein I'm just 23. What is the remedy for the nerve weakness?

MBBS
General Physician, Mumbai
I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks
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I. have red eyes and often tears will come from eyes what to. Do? I am having migraine also give me any suggestion. i am allergic to brufen. Please help me.

MBBS, cc USG
General Physician, Gurgaon
Get checked your eyes for refractive errors I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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I am suffering from heaviness of head and tickling eyes. High blood pressure. thyroid problem. Excess cholesterol. Drinks, tobacco. Chances of heart attack?

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
I am suffering from heaviness of head and tickling eyes. High blood pressure. thyroid problem. Excess cholesterol. Dr...
Dear Now yes with your details you are a high risk case. Take care from now, so future is bright. Consult your physician an follow advise. You can enjoy good health too.
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