Doctor in Dr Haresh Parekh Neurologist
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
Deep Brain Stimulation Procedure
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Hi, I had a severe accident 4 months back when my wrist was totally broken. Now since i'm having a nerve problem so doc has suggested me New nervijen plus medicine. Post having the medicine I am having a piles symptoms. Please advice.
HI, I consulted neurologists for my headache/migraine problem, who recommended topirol/topiramate 50 mg. I am concerned about side effects especially to eyes such as acute angle closure glaucoma, ocular pain. I am concerned, scared about this medicine after reading many reviews especially to eyes. Please advice.
Hi, I am planning to get pregnant and have sex during ovulation. But I have acute insomnia. I just can't sleep for many nights. I have no stress. I take alprax some times to sleep. But is it good for getting pregnant. If not which medicine should I take to sleep so it does not affect me getting pregnant.
I am having bell palsy from last 10 months. And it has not been recovered yet properly. So what should I do? Which medicine should I take?
I suffered from H PYLORI BACTERIA disease few months back. I was fine with the treatment which was HPKIT. Now again the problem has come back with constipation, insomnia, lack of energy. What should I do?
A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:
- Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
- Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
- Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
- Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
- Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
- Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
- Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
- Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
- Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
- Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
- Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
Neurology is the branch of science and medicine dealing with the central and peripheral nervous system. The nervous system is made of the brain and spinal cord. The disorders, illness or injuries of the nervous system can become problematic for people suffering from them. One of the worst diseases of the nervous system is Parkinson’s disease.
It is a progressive disorder affecting the central nervous system that leads to slowing down of movement and slurring of speech over a period of time. It is a condition where the nerve cells in the brain producing dopamine (a neurotransmitter) are affected.
- Tremor: If you have noticed a slight shaking of your hands or limbs, then Parkinson’s might be the cause. The trembling can range from mild to severe as the disease progresses. The back-and-forth rubbing of your thumb and forefinger is known as pill-rolling tremor. One of the most prominent signs is your hand shaking even when it is rested.
- Bradykinesia (slow movement): As the disease progresses, you may find it difficult to move your hands or legs or going from one place to another. Even making the smallest movement will require an increased effort on your part.
- Rigid Muscles: The muscles in your body can become stiff causing you pain and making it difficult to perform physical activities.
- Masked Face: Your face may experience spasms or become stiff periodically. It can also lead to complete paralysis on one side of the face.
- Stooping or improper balance: Having Parkinson’s disease can make your body posture imbalanced resulting in stooping or hunching over.
- Decreased Automatic Movements: You may experience difficulty in smiling, blinking or swinging your arms while walking.
- Alteration in voice or speaking: Your voice can become soft or you may slur while talking. You can also experience a monotonous voice.
- Writing may become small: You can experience changes in your handwriting as it becomes small and crowded.
- Loss of Smell: The smell of food sitting right in front of you may not register in your olfactory resulting in loss of appetite.
- Constipation: Having Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
- Have Trouble Sleeping: It might be difficult to fall asleep for people suffering from Parkinson’s. Also, there are sudden movements during the sleeping process.
- Dizziness: People suffering from Parkinson’s may faint from time to time.
These were some of the symptoms and signs by which you can tell whether a person has Parkinson’s or not. However, as of now it is not curable and can only be treated with medicines. But, early detection can definitely help in preventing it from affecting the whole body.
Alzheimer’s disease is a neurological, irreversible, progressive brain disorder. It is a chronic neurodegenerative dementia that causes the death of brain cells, causing memory loss and cognitive decline. It affects a person’s thinking and behavior. The symptoms develop slowly and get worse as time passes.
As it is a kind of dementia, Alzheimer’s is caused by the death of brain cells. Over a course of time, brain cells die progressively and at the end, the tissue is left with fewer nerve cells and connections. As a result, the total brain size shrinks. Tiny inclusions called plaques and tangles can be seen in the postmortem. These cannot be seen or tested in a living Alzheimer’s affected brain. These plaques are given the name “amyloid plaques” because they are found among the dying cells of the brain when a protein called beta-amyloid builds. The tangles stay in the neurons; they are formed from a protein called tau.
There are several reasons behind all this, some of which are listed below-
- Anti-anxiety medications
- Hitting on the head too many times
- Regularly sleep-deprived
- Diabetes in the brain
- Old age
- Genetic line
- Down’s syndrome
- Cardiovascular diseases
Alzheimer’s disease damages the brain, so the clinical signs and symptoms begin to show very early. The symptoms are-
- Memory loss
- Agitation and mood swings
- Poor judgment
- The trouble with money calculations
- Difficulty doing familiar tasks
- Trouble in planning or solving a problem
- Confusion with time and place
- Difficulty in communicating
- Loss of motivation
- Inappropriate behavior
- Aggressive personality
- Childlike behavior
Preventing Alzheimer’s disease:
Alzheimer’s disease ultimately results in death. Even if there are treatments, they cannot fully cure it. So it’s better to try to prevent it before it happens. Ways to prevent Alzheimer’s disease are-
- Eating more fruits and vegetables.
- Eating berries every day.
- Increasing omega-3 fatty acids.
- Taking folic acid supplements.
- Drinking grape juice or red wine with evening meal.
- Doing the Mediterranean style diet.
- Controlling the blood pressure.
- Having strong social support.
Treatment of Alzheimer’s disease:
- Treatment of Alzheimer’s disease is a long time process.
- First of all, doctors perform a physical exam to check the overall neurological health. By this, they check muscle strength, reflexes, walking ability, sense of sight and hearing, coordination and balance.
- Then comes the blood test to find the cause of confusion and memory loss by checking the thyroid disorder and vitamin deficiency.
- Then they perform the neuropsychological test and check the mental status.
- Then there are other tests, like MRI, CT, and PET.
- After all this, drugs are given and a safe and supportive environment is created with proper exercise and nutrition.
Alzheimer’s disease is undoubtedly the worst kind of disease. Hence, it is highly recommended to contact a doctor as soon as any symptom is noticed.
Menstrual Migraine can be termed as an extremely persistent headache that can happen just before, during or right after menstruation. Often, the feeling of nausea also keeps on lingering. The cause which triggers this type of migraine can be the fluctuating levels of oestrogen that a woman’s body experiences when she is on her periods.
What can be the possible treatment?
Application of ice pack or simply rubbing ice on your forehead can help lessen the pain a bit.
Relaxation exercises can be practiced to reduce the tension of the muscles.
Acupuncture therapy can also be done to improve the headache and it can further aid in relaxation of the muscles.
Your doctor can also administer TRIPTAN (specific drugs used to treat the symptoms of migraine which work on the chemical receptors within the brain) if the pain is unbearable.
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) can also be administered, only if they have been prescribed by the doctor, as the harmful effects of those drugs are aplenty.
Magnesium deficiency in the body is one of the most important causes for menstrual migraines. Thus, eating foods rich in magnesium such as dark leafy greens, nuts, whole grains, avocados, bananas, etc. and taking magnesium supplements or vitamins are advisable.
- There are certain foods which can even trigger such attacks. They include foods packed with monosodium glutamate (MSG), aged cheese and caffeine. Such foods should be strictly avoided. If you wish to discuss about any specific problem, you can consult a Gynaecologist.