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Dr. Pravin Nafade

Neurosurgeon, Pune

at clinic
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 26 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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My dad of age 56 years last 1 year back he met with brain stroke, last December one day he got fits and behaved very angrily we admitted him in hospital and again last month he had the same may I know the condition, does it leads to paralysis?

BPTh/BPT, BPT
Physiotherapist
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May be same, please check, his legs and hands are moving or not then unable to move its paralysis, if he can move and actively walk, then there is no problem.

I was suffering from hypokalemic periodic paralysis 2 years before and was admitted for 1 week. Now I am alright. What are the causes for this condition.

DM - Neurology
Neurologist
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hypok PP is usually of genetic origin...also high carbohydrate diet, excessive physical activity followed by rest, can precipitate an attack...sometimes secondary causes like vomiting, diarrhea, renal disease, etc. can lead to hypokalemia and paralysis...

In brain if blood clotting is there will that be harmful in future?

MD - Psychiatry, MBBS
Psychiatrist
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Clot in brain may be harmful if it is inside blood vessel, because it may hamper blood supply to that part of brain, thus may result in paralysis/stroke. If it has clotted outside the vessel as a result of trauma/injury then it may gradually get resolved without much complications. Clotting inside vessel is called thrombosis and to prevent this long term medications may be required.

I was diagnosed with hydrocephalus. Post operation and having a shunt added, I recovered. I drank alcohol, about a pint. And have been suffering with the uneasiness and lack of awareness, alertness, as it was before I got operated. Although the CT scan shows no damage, I want to get rid of this constant feeling of a hangover. Please help.

C.S.C, D.C.H, M.B.B.S
General Physician
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You have to sop alcohol. Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers. Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap some wine for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you.

I am suffering from migraine since 6months and till then taking the medication, still no major relief has been observed. Is there any home remedy I could. Take.

cc USG, MBBS
General Physician
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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 This problem can be solved by meditation i can give you address of Rajyoga meditation centre near your house (this is free of cost) consult Physician/me for further management

I have migraine headache since three days please tell me what medicine should I take?

cc USG, MBBS
General Physician
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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 kindly consult Physician for further management -

What is Parkinson's deasis? Is it possible treatment on it & how? I couldn't pickup full cup of hot tea or couldn't write properly, what should I do?

MBBS, MD - Medicine, DM - Neurology
Neurologist
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Parkinson's disease is a movement disorder, it can not be completely cured but there symptomatic treatment is available with which patients can lead a almost normal life. Consult a neurologist for evaluation and proper treatment.

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.

Numbness and tingling in left hand.

MPTh/MPT
Physiotherapist
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Do cat and camel stretches for 10 counts per day for week. This will help to relax neck muscles from pain,numbness and tingling sensation from hands. Avoid medications while undergoing physiotherapy treatment.

I am getting headache (migraine) from past 2 years?

MBBS
General Physician
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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 kindly consult Physician for further management

19 years boy use to sleep heavily and also he is not so active. Suggest me what to do. His daddy is fits patient he also eat anything which ever sees even gulabjamun mix and also like roasted gram or cooking grams etc etc what is the remedy for this kindly suggest me.

D.P.H, MBBS
General Physician
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19 years boy use to sleep heavily and also he is not so active. Suggest me what to do. His daddy is fits patient he a...
Madam he requires two things 1. Change in life style. 2. Counselling regarding life style you have to assure following steps a. He should get up early morning. B. Give him two glass of luke warm water to drink. C. Send him for morning walk for 35 minutes. D compel him to do some exercise/ meditation/ or he should join gym. E. Give him one apple to eat f. In breakfast he should be given sprout, oat meal, milk, / chacha/ boiled chola mater g. In lunch at plenty of salad, green leafy vegetables, 2 chapati of whole wheat / or mix with chan flour, soybean flour / brokali / rice / low salt diet/no water after meal water is allowed after 30 to 60 minutes. H at tea time only two biscuits and one cup of green tea after some time some fruit like kale, papaya, anar, santra. Water milon and etc. I. Dinner should w be light at 8 30 pm with salad chapati little rice and green leafy vegetables. J. No oily spicy and processed food is allowed /totally avoid k. No cold drinks, dry fruits, dairy products l. No smoking tobacco chewing or alcohol. M. Drink plenty of water whole day. For counselling he should be send to some good local counselor.

May I know the symptoms of migraine. The patient have been suffering from a severe headache all the tym.

PGDHHM, MBBS
General Physician
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May I know the symptoms of migraine. The patient have been suffering from a severe headache all the tym.
Common symptoms of migraine are -- feeling dizzy or faint , increased sensitivity to light and sound ,nausea , headache ,pulsing / throbbing pain, vomiting sometimes blackouts. Take over-the-counter painkiller medicine for headache if intolerable pain. Drink plenty of liquids. Eat healthy diet. Avoid stress. .do deep breathing exercises. If still symptoms persists, consult

My mom have been suffering from migraine from her childhood. How could it be cured?

MBBS
General Physician
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Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination

I am long time suffering from fever and migraine tell me what is the solution of my problem.

MBBS
General Physician
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I am  long time suffering from fever and migraine tell me what is the  solution of my problem.
There is no definite cause of migraine but it is associated with severe pain on either side of head you have to place your self in a quite place with less anxiety some it you might feel like vomiting. Have lot of fluid water by mouth you might take a pain killer. The time of attack. Get your sinusitis checked by a ent specialist.

My brother aged 63 year old felt CVA haemorrage at basal ganglia size about 4.2 * 2.3 two month back on 9th august 2015. Now he is conscious/alert but left side paralysis is same. What is the prognosis what is the best treatment now.

DM - Neurology, MD - General Medicine, MBBS
Neurologist
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Your brother's hemorrhagic cva most likely resulted from uncontrolled bp. Most important treatment is to control bp strictly now and in future. Regarding his left side weakness, improvement can be only achieved by aggressive physiotherapy.

Top 3 Strategies To Keep Migraine At Bay

DM - Neurology, MD - Medicine, MBBS
Neurologist
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Every person suffering from migraine will agree that - although medications can control the head-piercing pain that each attack brings with it, preventing the onset of the pain altogether is the best way to deal with it. Follow these three simple strategies and based on the reaction of your body to these, mould your lifestyle to effectively prevent the occurrence of migraine to a good extent.

1. Get adequate amount of exercise
A large majority of people who suffer from migraine steer clear of any highly intensive or strenuous exercise as it is known to be the prime trigger for a severe attack. Having said that, avoiding physical activity altogether can worsen your migraines and thus you should focus on indulging in some light exercises. Activities such as jogging, walking and yoga can reduce the duration of your migraines and also bring down its severity and frequency. Moreover, regular exercise brings down stress levels which are also a major factor for triggering migraine attacks.

2. Take note of your meal schedule and type of food that precipitates headache
For most patients migraine is triggerred by irregular meal schedule and some foods acts as triggers for migraine like cheese, chocolate, chinese foods. It is very imprtant to maintain a regular meal schedule, avoid skipping meals and take note of the items that precipitate your headache. Items that can precipitate headache is different for every individual and maitaining a headache diary can help you to identify these triggers. Also, note down the occurrence of your migraines, their duration and severity. Having adequate data makes it extremely simple to recognize a recurring pattern and leads you to the main cause behind your migraine attacks.

3. Maintain a stable sleep schedule
Sleep plays a great role in triggering migraine attacks and irregular sleep patterns, not getting adequate sleep, or sleeping more than required – all these habits can lead to a severe attack. Thus, try and create a sleep schedule for yourself keeping your daily routines in mind and follow it without fail.
Top 3 Strategies To Keep Migraine At Bay

Sir. I continuously feeling numbness and stiffness in my feet especially on my fingers. My heart rate also fluctuates throughout the day. It reaches to the levels of 125+ n sometimes lower down to 55- inspite of not doing any physical activities. I feel anxious throughout the day n also not able to sleep well during nights. I feel choked during my sleep which wakes me up with a shock. Cn you pls tell me the disease I am suffering? Pls suggest any remedies or consultation if necessary.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist
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Sir. I continuously feeling numbness and stiffness in my feet especially on my fingers. My heart rate also fluctuates...
Symptoms of osteoarthritis may include joint pain and progressive stiffness that develops gradually. Symptoms of rheumatoid arthritis may include painful swelling, inflammation, and stiffness in the fingers, arms, legs, and wrists occurring in the same joints on both sides of the body, especially upon awakening.

My Wife is 40 years old, housewife, She is having history of Migraine since 20 years which is not regular, during extreme pain she takes Ketrol, Last 5 yrs, during summer June To August, she gets muscular contraction pain, starting from Left hand, sensation in Jaws, heart beats becomes more, sometimes around heart muscular contractions, and extreme headache, This painful session goes away after 4-5 days on its own and NO MEDICINE is relief, almost ALL Doctors puts her on antidepressants with advise to avoid anxiety and tensions, which is not at all a case, In extreme pain case we inject voveran as per pain condition, My Observation after Long visits to noble faculty is that She has migraine, and Fibrosis, and anemic, During this I came in contact with home Doctor, and he advised essential AUREA Gold drops, and this works, Recently when we visited Cardio Doctor, he says DONOT use this, may lead to damage to Kidney, Presently same situation is repeated to wife, and I feel, we should continue with essential AUREA, Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Please take 1. Abhra rasayan 1 tab, morning and evening with pathyaksha dhatryadi kashayam tablet 3.2. Shyama chintamani ras 1 tab, 9 am and 9 pm with jatamansi pachan. I have never seen a patient who did not get cured of migraine after using the medicine. This is very much useful.

My mother is 53 years old women. And still not attained menopause. Also suffers from migraine. Is it normal? as it pains a lot. To do any sort of tests we neither have time nor money. Please help.

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician
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Do not worry about your mother. It is the age she will attain menopause. Regarding migraine headache ---- let her take adequate fluids, regular diet, stress to be avoided, sleep well at night, avoid, walk in sunlight mid day time, no test is required morning walk & exercise adviced.

What is the brain hemorrhage?

DM - Neurology
Neurologist
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'hemorrhage' is the scientific term for bleeding; brain hemorrhage is bleeding into the brain. There are 3 kinds: bleeding into the brain itself, or bleeding into two spaces around the brain - the sub-arachnoid space or the sub-dural space. The last one, sub-dural hemorrhage occurs most often following an injury, very occasionally after a long gap and can be very confusing. For example, trivial injury to a very elderly person can lead to bleeding into the sub-dural space months later, lead him into coma gradually and be only diagnosed only on a ct scan. Sub-arachnoid hemorrhage is usually catastrophic, starting with a headache like a bolt from the blue and striking the person down and many times leads to death. There are many treatments to be done, but it is a very complex and difficult disorder. Bleeding into the brain can be'minor' but in 25 % of the cases it is instantly fatal; another 25 % die within 30 days; and another 25% die within 1 year. That means 75% patients with brain hemorrhage die within 1 year - that's how serious it is! the most common causes of brain hemorrhage are age and high blood pressure.
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