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Dr. S. Kothari

Neurologist, Pune

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Dr. S. Kothari Neurologist, Pune
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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. S. Kothari
Dr. S. Kothari is one of the best Neurologists in Sadashiv peth, Pune. He is currently associated with Poona Hospital & Research Centre in Sadashiv peth, Pune. Book an appointment online with Dr. S. Kothari and consult privately on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 30 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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Poona Hospital & Research Centre

Plot No 27, Sadashiv Peth. Landmark: Near Alka Talkies, PunePune Get Directions
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Her height is 163 cm and weight is around 75 kg and that is causing nerve pain and other issues. She is also having hb around 9. As she is having nerve pain, walking may be little less. What could be ideal ways for her to reduce weight.

BHMS
Homeopath, Chennai
Her height is 163 cm and weight is around 75 kg and that is causing nerve pain and other issues. She is also having h...
Diet and lack of exercise are the two most important factors that contribute to obesity. While the modern day diet is becoming more and more full of fats, sweets and empty calories, it is becoming devoid of nutritious vitamins and minerals. The fibre content is also decreasing. One tends to stack up on junk food in an effort to take a quick bite while on the go. At the same time, physical activity is on the decline. One has increased access to vehicles and the need to walk or cycle is almost not present. Even for commuting short distances, one uses cars or two wheelers. All these things are readily contributing to this epidemic of obesity. When it comes to getting rid of the excess fat, one needs to work conscientiously and consistently on both the counts mentioned above. One’s diet has to be altered so as to include more and more natural fruits and vegetables. Processed food and junk food should be cut down to the minimum. A daily exercise regimen needs to be adopted. Exercising for 30-40 minutes for a minimum of 5 days a week is necessary. Homeopathy helps by regulating the metabolic system of the individual. There are more than 100 medicines listed in the Homeopathic literature for obesity. It is a tough job selecting the right medicine for a particular patient. One needs to take into account a lot of things before selecting the right course of treatment. These things relate to other symptoms or conditions that may be present or the person may be suffering from. A lot of importance is given to the reason, if any can be found that stimulated weight gain. This reason could be a particular illness or an event or some psychological setback in life. The general reaction of the person to extremes of temperature, his or heating habits also need to be taken into account.
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I am 25 year old & I always do masturbating daily 3 to 5 times how should I control please help me.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
I am 25 year old & I always do masturbating daily 3 to 5 times how should I control please help me.
It's normal as 90% of males engage in that act but you should not do it excessively as it may hamper your routine work and also you should not do it in the public area. Try to engage in other mind diverting activities like reading, writing etc.
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Migraine - Identifying the Early Signs!

MBBS, MD - Internal Medicine, Fellow in Pain Management, DM - Neurology
Neurologist, Delhi
Migraine - Identifying the Early Signs!

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are- 

  1. Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
  2. Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.

Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

  • Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
  • Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
  • Motor: Usually related with the movement problems like the limb weakness
  • Verbal: It is related with the speech problems

Headache: In case of a migraine attack one might experience:

  • Pain on both sides or one side of the head
  • Pain is throbbing in nature
  • Vomiting and nausea
  • Sensitivity to smells, sound and light
  • Vision is blurred
  • Fainting and lightheadedness

Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

  1. Onset of headaches >50 years 
  2. Thunderclap headache - subarachnoid haemorrhage 
  3. Neurological symptoms or signs 
  4. Meningism 
  5. Immunosuppression or malignancy 
  6. Red eye and haloes around lights - acute angle closure glaucoma 
  7. Worsening symptoms 
  8. Symptoms of temporal arteritis

These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

  1. Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
  2. CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
  3. MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
  4. Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.

Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

  • Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
  • Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.

Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Consult a doctor find the right medication for you.

1952 people found this helpful

I have constipation problem how I can cure all so suffering from fisher some time.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have constipation problem how I can cure all so suffering from fisher some time.
Take 2-tab. Charcol at night before bed. Syp. Livoluk 10 ml at night.This can help cure in constipation. take green veg., salaad in meal.grapes at night,one apple daily in morning. Banana in morning, juice,whole grain ,oats,more fiber meal,digestive foods, plenty of water during day and 1 glass of water before meal, avoid bad habits...stress ,alcohol, smoking, non-veg.,avoid fatty meal,oily foods. To confirm cause of constipation you may go for tests stool r/m, stool c/s,lft,blood sugar,cbc,usg whole abdomen ,x ray barium meal for examination for rectum,sigmoid, best tests is endoscopy for large intestine . Do not eat papaya if you diabetic. go for walk daily in morning. use anovate cream for fisher.
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I am 22 year old student. I am suffering from headache since 6 months. It is always be at left side of my head. During headache I feel vomiting, does not like light, does not like talking. Am I suffering from migraine? I.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 22 year old student. I am suffering from headache since 6 months. It is always be at left side of my head. Durin...
It might be the early symptoms of migraine do take balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 30 minutes regularly best wishes.
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Managing EPILEPSY in WOMEN

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Managing EPILEPSY in WOMEN

Epilepsy is a common illness and therefore, we commonly encounter women with epilepsy (WWE), who are either pregnant or contemplating pregnancy. There are a lot of apprehensions and misconceptions regarding managing epilepsy in this group of WWE. Here, I wish to highlight some of the important aspects of managing epilepsy in women who are planning a pregnancy or are currently pregnant.

1. If a woman is seizure-free for at least two years, she can consider withdrawing anti-epileptic drugs (aeds) under the supervision of neurologist, and then plan for pregnancy.

2. If a woman has seizures, it is better to continue aeds during pregnancy, as the risk to the baby is several times higher with seizures, as compared to that with aeds.

3. Sodium valproate has the highest risk to the developing baby, and it should be avoided in pregnancy.

4. Aeds such as levetiracetam, lamotrigine, oxcarbazepine, topiramate, etc are safe and may be continued during pregnancy.

5. The lowest effective dose of aed should be used.

6. Try to use only a single anti-epileptic drug, if possible.

7. Folic acid vitamin supplements should be used in pregnancy.

8. The dose of anti-epileptic medication may have to be increased during the last three months of pregnancy.

9. Ct scan of the brain should be avoided, as far as possible, during pregnancy, as radiation exposure due to it may harm the baby.

10. Mri brain is reasonably safe for baby, especially after the first three months of pregnancy. So, if needed, it may be performed.


 

Is Your Kid Troubled With Numb Limbs? Then You Must Visit A Pediatrician!

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Is Your Kid Troubled With Numb Limbs? Then You Must Visit A Pediatrician!

Your child needs complete care whether it is emotional, psychological or physical. A thorough evaluation of your child’s body and mind is vital at nascent stages. Especially if you observed any complaints by your little one that may require medical help, such as:

1. Frequent headaches
Much like adults, children too can experience headaches that last from 30 minutes to 3 hours. A range of primary or secondary headaches like, migraine, meningitis, sinusitis or tension may affect children due to neurological issues.

2. Blurry vision
If you observe either a vision developmental delay or near-sightedness and farsightedness in your child, it might be related to neurological issues.

3. Slurred Speech
If your child is 7-8 months and is not responding to sounds or cannot babble non-sense words, it calls for a neurological check-up.

4. Motor and Co-ordination Delay
Sometimes babies are unable to perform motor skill activities like crawling, walking or using fingers to grip or hold, such delay requires attention of the parent.

5. Fatigue
Check if your kid has become lazy and decreased his physical activities due to fatigue and tiredness suddenly of late.

6. Abnormal Movements
Common involuntary movements or tics like eye blinking, twitching of nose, grimacing or making sounds is in some cases overlooked. Tourette syndrome is an example of such a tic, which has been evaluated as a neurological issue.

7. Tremors or Seizures
Children are prone to febrile seizures (fits) or tremors along with fever that occur between 6 months and 5 years. These are signs of neurological issues that require an immediate check-up.

8. Numbness in Limbs
Neurological complications in your child’s infancy may also cause joint pain and numbness of arms and legs.

9. Behavioural disorders
A change in behaviour or attitude in your child is noticed if he/she is suffering from attention-deficit/hyperactivity disorder, school problems, sleep issues, intellectual disability or other neural conditions.

10. Weakness
This symptom is tricky in children, as it may be confused with general tiredness by your human eye. It may be unheard of but many children face trouble in performing easy tasks. A neurological exam may identify the source for treatments.

An underlying problem to the nervous system can cause harm or impairment in the normal growth and development of your kid. Early diagnosis helps in correct care, recovery and prevention of long-term problems. You can opt for a routine neurological examination if you find such symptoms in your child. These exams check the functioning of your child’s brain, spinal cord, nerves that come from the brain and spinal cord and offers accurate diagnosis. If you wish to discuss about any specific problem, you can consult a pediatrician.

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What is the symptom s ofigrane. How to get rid of migraine. What to do when migraine attack comes.

MBBS
General Physician, Mumbai
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 and For pain take tablet paracetamol 650 mg
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Causes Behind Migraine

BHMS
Homeopath, Delhi

A migraine is a headache that causes a distinct pulsating pain, usually in one side of the head. It is different from normal headaches in the sense that the pain is much more intense and it may be accompanied by nausea or vomiting as well. Some patients have also complained about light sensitivity while others have also complained about pain in all areas of the head.

Some of the factors that separate a migraine from a normal headache are as follows:
While a headache may last at best a day, migraines may last longer, sometimes even up to 3 days.

  1. Feelings of nausea or actual vomiting
  2. Sensitivity to light
  3. Extreme sensitivity to changes in sound

Causes behind migraine
Some of the common and known causes, which may trigger migraines in people are:

  1. Hormonal changes in the body that may have adverse effects
  2. Dehydration is also known to trigger migraines
  3. Patients with hypoglycemia may also face migraines if the blood sugar level drops within their body
  4. 4 Change in air pressure due to change in altitude may also cause migraines to appear
  5. Lack of sleep
  6. Stress
  7. Lifestyle issues such as smoking and excessive alcohol consumption.

Homeopathic Approach

The role of Homeopathy is to break the recurrence of the headaches and cure them completely.

For which we need to understand what allopathic pain killers do and what constitutional Homeopathic treatment do

With Constitutional Homeopathic Treatment  the frequency, intensity and duration of migraine attacks goes down and the things which generally are able to precipitate migraine , if are not able to, then only it can be claimed to be cured.

The role of pain killers and antacids are basically to tide over the acute phase or provide comfort for the time being.

That is why the coming together of Allopathy, to control acute attack and Homeopathy, to cure it completely, will prove to be a new form of synthesis which will be a  boon for the society.

I had a 3 seizure attack one 2 year earlier and other 2, one day before. I was not aware of that disease but it's been diagnosed by a doctor, we are in general hospital, What we should do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I hope you have been investigated for the recent seizure attack. If there is no apparent or specific reason for the same, it is probable that you have epilepsy and would need medications for quite a good span of time. I would suggest you to get an EEG and MRI Brain scan done to rule out possible causes of seizures starting at your age. You may consult me online for any further queries or assistance needed
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Hi, My hands tremble sometimes. Is it because of weakness or is it because of some disease? Please help.

MBBS, cc USG
General Physician, Gurgaon
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)
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My mother age 58 she's suffering with Parkinson disease movement disorder from last 4 years.

MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Pune
My mother age 58 she's suffering with Parkinson disease movement disorder from last 4 years.
Hi Adil, You need to provide more information about the concerns you have regarding your mother's condition.
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What are the symptoms of migraine? Is it curable? How can we avoid migraine attack?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
The typical symptoms of migraine include, headache, nausea, vomiting and increased sensitivity to light and noise. Proper medications can help relieve the headache and also avoid headache attacks in the future.
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I am 29 years old. I have a problem that when I am trying to write something my right hand is trembling and I can't write anything due to that I am facing lot of problem. What is the problem behind this.

MBBS
General Physician, Mumbai
Your tremors are usually due to anxiety neurosis with vitamin b12 deficiency and also we should check your vital parameters of the body to rule out any other cause. As of now start with tablet folvite 5mg once a day for six months and vitamin d3 60000iu once a week for six months.
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Am a 23 year old boy, I am suffering from migraine for a few years. I had consulted so many doctors both ayurvedic and English but there was noo use of that. Can you suggest a good remedy for that? Expecting a good solution.

BAMS
Ayurveda, Ambala
To get relief from migraine- * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. * practice sarwangasan and shirshasan under the guidance of yoga expert. * sit with the gyan mudra in hands. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * if the headache is very severe & untolerable then you can take a tablet of paracetamol or ibuprofen. * you can take 2 teaspoon of shankhpushpi syrup in the morning.
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Continuously little headache from more then two week. Looking like something moving in my head. Sometime I feel like my body is not in my control. What is this.

MBBS, cc USG
General Physician, Gurgaon
Continuously little headache from more then two week. Looking like something moving in my head. Sometime I feel like ...
It is due to stress This problem can be solved by Meditation you can go for regular Physical exercise Get checked your eyes for refractive errors I can give you address of Rajyoga meditation center near your house (this is free of cost) consult me for further management
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I am 70 Year Man having Problem with my Right Hand Fingers due to Nerve Compression especially my Right Hand Thumb and Index Finger Kindly advice.

MPT
Physiotherapist, Cuttack
I am 70 Year Man having Problem with my Right Hand Fingers due to Nerve Compression especially my Right Hand Thumb an...
Sir, either you may have cervical spondylitis which is impinging your nerve and you are having problem regarding your finger or you may be suffering from a condition called carpal tunnel syndrome which also gives the same symptoms as that of spondylitis. In order to differentiate if you are having pain in and around your neck along with your symptoms then it could be spondylitis. If there is problem only with your thumb and index finger ie mostly gettig numb then it could be carpal tunnel syndrome.
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When I got seizure doctors did my MRI scan it mentioned that the neurons of my brain were moving very fast so they put me on leveracitam 500, tinep od, gabapentin, and benadon, I feel so weird so I request you to check my profile and my question again .i shall be very thankful to you all doctors.

Fellowship in Endoscopic Neurosurgery , M.Ch - Neuro Surgery, MS - General Surgery, MBBS
Neurosurgeon, Lucknow
if you have seizures then you need to be on medications. if you are having any side effects or feeling abnormal after taking medications then kindly reconsult your doctor
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I am 21 year old nd I've 6 month pregnancy. I suffer from migraine. Sometime it's occurred 3 times in week sometime it's occurred 3 times in 15 days. I take crocin Everytime bt it's not my prbm solution bcs one time I take tablet than its repeat that day. I really tired. I wanna know why this migraine occurred. Nd that type of medicine can harmful my baby. Pls give me solution.

MD - Homeopathy
Homeopath, Aurangabad
Yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me back you may contact me on this site. And check my package and get customized medicines.
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