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Dr. S. Sontakke

Neurologist, Pune

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Dr. S. Sontakke Neurologist, Pune
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. S. Sontakke
Dr. S. Sontakke is a renowned Neurologist in Sadashiv peth, Pune. He is currently practising at Poona Hospital & Research Centre in Sadashiv peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. S. Sontakke 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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Poona Hospital & Research Centre

Plot No 27, Sadashiv Peth. Landmark: Near Alka Talkies, PunePune Get Directions
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
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I am 36 Years old male. I frequently get migraine pain. I am getting migraine pain once in a ten days period, it often lasts only a day or so but sometimes longer. When headache occur I take paracetamol 500mg, which gives me relief. I have been facing migraine problem more than 4 years. What should I do to avoid migraine pain.

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
1 person found this helpful
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I am 64 year having trouble of parkinson' s from last 7 years. It is in my left hand. Have you any treatment by which it can be curable? also suffering by prostate since last one year. Do you have any treatment?

BAMS
General Physician, Delhi
Take cap nervemax once daily & cap prostina twice it will work in both diseases. Click private for further information
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I have been suffering from headache for 4 days. How can I know if it is migraine?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have been suffering from headache for 4 days. How can I know if it is migraine?
Check your bp. Check your eyesight by refraction. Take crocin pain relief one sos. If not ok, inform
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My dad is paralyzed he is a diabetic patient nd has a blood sugar, pressure he is at bed the right side is paralyzed For strength in the body and paralyzed leg suggest some food so that we can serve?

MSc
Dietitian/Nutritionist, Hyderabad
My dad is paralyzed he is a diabetic patient nd has a blood sugar, pressure he is at bed the right side is paralyzed
...
1. Make wise food choices. 2. Limit sweets. 3. Eat less fat. 4. Eat plenty of whole grain foods, fruits, and vegetables. 5. Eat often. 6. Carefully control your intake of carbohydrates. 7. Eat a set amount of food. 8. Stick to regular meal times. 9. Avoid temptation.
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I am 70 years old suffering from diabetes for last 20 years and hypothyroid. My h1bac is 6.1. I have undergone angioplasty in jan, 2010. My lipids and kft & lft are normal. I am suffering from unbearable pain, numbness and tingling in my feet. My nerves of feet get stretched and it appears that there is some padding at the bottom of feet. I am generally constipated and taking triphla at night. I find difficulty in walking fast and long distances as I feel weakness in thighs. I am on allopathic medicines for diabetes and heart problem. Please advise. .

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. For me to answer we will have to first find out whether these symptoms are due to lower back region where some compression of nerves can be a cause or it is due to your long standing diabetes. Actually I will need a: - detailed neurological charting of lower limbs including motor and sensory examination of you lower limbs which can be done by a physical therapist - mri ls spine if you have chronic back pain issues. Do not hesitate to contact me if you need any further assistance.
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I am 53 years male feeling numbness on the tip of middle & ring finger of right hand since 2 months.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There could be many reasons for numbness but usually it is a manifestation of an impingement of a nerve somewhere alonq its course. Can you please tell me, whether you have any neck pain, radiating upper limb pain, paresthesias etc? also do you feel any difficulty in grip, weakness, wasting of hand muscles etc? anyways I advise you to start with vitamin b 12 supplementation and medication for neuropathic supplementation like pregabalin or gabapentin in basic doses to start with. Do you have any comorbid conditions like diabetes, hypertension etc? please get back to me with answers so that I can advise accordingly. Do not hesitate to contact me if you need any further assistance.
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I am suffering from the lack of sensation in my leg 12 years back I was hited on my toe and I lost sensation in my leg is there any treatment? please help me.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Hi, your symptoms are suggestive of a nerve damage because of the trauma. First and foremost, however, I would advise you to consult a physician in neuro medicine, if not met already, and do as advised. He/ she may require you to undergo further diagnostics to ascertain the root cause and remediate accordingly. Hope this helps.
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Sir I'v two sons. The elders on is 9 years old. He has problem with epilepsy for the last 4 years. His treatment is going on. He doesn't eat anything. So, his liver is very weak. What should I do?

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Sir I'v two sons. The elders on is 9 years old. He has problem with epilepsy for the last 4 years. His treatment is g...
Contitinue antiepileptic medicines without any break for minimum 3 years or as advised by physician. Epilepsy never causes weakness or anorexia. He is suffering from clinical malnutrition as evidenced by just 22 kg (normal 26-27. Give him home made balanced diet at frequent intervals. Encourage daily excercise/sports activity.
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I am a 56 year male and have been suffering numbness in three middle fingers of my right leg since yesterday afternoon. Pls guide me about the likely reason for the same.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am a 56 year male and have been suffering numbness in three middle fingers of my right leg since yesterday afternoo...
It might be of ls spine lesion or of vascular or pathological cause and do consult neuro physio and take appropriate therapy.
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What are the remedies to prevent insomnia at night? The person suffering is 20 year old. Has sedentary lifestyle and does most of his work on phone laptop etc.(gadgets)

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
What are the remedies to prevent insomnia at night? The person suffering is 20 year old. Has sedentary lifestyle and ...
Just only one thing to change your habbit for that use laptop or gadgets in early morning reschedule yourself wake early like 5 am daily and don't sleep during day.
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Hi I am feeling heaviness on the chest for last 15 days. I got 2 d and stress test done. Both but still feel anxiety. Blood in leg goes drain. Little nunlmbness on cheeks. Plse help.

DM Cardiology
Cardiologist, Delhi
Dear , if your echo and tmt are normal, then the chest heaviness can not be due to heart. Still I would advise you to consult a cardiologist in person.
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I am 22 years old. In past I had a migraine problem now I overcome that problem. Now I started a problem of cervical. From last month have a regular pain in my head. Behind the ears, neck everything pain is very bad please suggest me what to do and to whom I should concern.

MBBS
General Physician, Cuttack
I am 22 years old. In past I had a migraine problem now I overcome that problem.
Now I started a problem of cervical....
1. Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2. Apply volini gel twice daily 3. Give warm compress locally 4. Take rest if you have recurrent attack of neck pain a) take x ray/mri cervical spine to exclude spondylitis and consult orthopedic specialist b) sometimes it could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest, use soft pillow while sleeping c) do physio therapy and neck exercise after consulting physiotherapist.
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I have headache like migraine pain I don't want to use medicines, whether it is possible to get out of it any other ways possible?

MBBS, cc USG
General Physician, Gurgaon
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 suffered from nerves disorder what I do to control that ? i am 21 years old male.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
How you understand that suffering from nerves disorder at this age? please send further case history to suggest non side effect remedy asap best wishes.
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I am 65 yrs old.My both feet have numbness with burning sensation at their bottom. I am not diabatic but taking bp & cholostral tablets which are under control, as er doctor advice, I am taking duloxetine-20mg& oxcarbazepine-300mg daily but there is no improvement. Please suggest further treatment.

Mch Orthopaedic, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Ghaziabad
Hi, I am Dr. Saurabh gupta from max hospital and I would like to answer your query. Numbness with burning sensation in feet suggests neuropathy. The reason may be due to defeciency od nutrients or due to vascular compromise or due to any pressure effect. 1. So you can take multi vitamin supplements consisting of pyridoxine, methyl cobalamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids 3. Daily out door exercises (150 min per week). Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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I am in a state of mental stress, my hair have started greying. I think 20-30% have greyed and I am only 25 years old. I feel depressed, frustrated, alone. I also feel lethargic. I don't feel the urge to work, I have Insomnia. Can you help me out?

Fellow Observership, Certificate in Forensic Psychology, MD-Psychiatry, MBBS
Psychiatrist, Akola
Simple answer Yes. But its difficult to give a fit all generic answer to help you get well. Hence kindly get back with further information like your work, do you smoke/drink, take any other medications, how are your energy levels, interests etc. Good Luck
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