Natural Remedies for Anxiety: Calm Your Mind Naturally
Anxiety is a widespread problem. All of us have experienced this at some time in our lives, during examinations, job interviews, marriage proposals or even during sex. As a brain specialist in India, I often encourage patients to explore holistic and natural approaches before relying on medicines. In this blog, we’ll go through the natural remedies for anxiety, focusing on diet, nutrition, yoga and supplements.
Understand What is Anxiety with Dr Chandri Chugh?
Let’s start with the ABCs. Anxiety is a feeling of restlessness and discomfort due to the fear of what may happen. It is primarily due to a fear of losing control, compounded by constant chatter of the mind that something terrible will happen and we won’t be able to deal with it. An anxious person may experience fast heart rate, pounding heartbeat, sweating, indigestion, frequent urination, diarrhoea, insomnia, anger, frustration, fidgeting, tremors and even depression at later stages.
All of us have experienced anxiety at some time in our lives. Sometimes, anxiety is good to prepare us for the future. Still, it can be debilitating if our personality starts getting affected by it. Suppose you start having the symptoms mentioned above and feel anxious more often than not. In that case, I suggest you try some of the remedies mentioned below. Always remember, it is wise to talk to a specialist and tackle the problem head-on rather than wait.
Food and Diet for Natural Remedies for Anxiety
Anxiety, a common and overwhelming condition, affects our mental and physical well-being. While professional guidance is essential, there are Natural Remedies for Anxiety that can complement your anxiety management. One vital aspect of this holistic approach is your diet. The food you consume can profoundly influence your mood, stress, and anxiety. In this segment, we’ll explore the power of a balanced diet, rich in specific nutrients, and the avoidance of certain elements to alleviate anxiety. From emphasising unprocessed, natural foods to including anxiety-relieving components such as Omega-3 fatty acids and probiotics, your diet can be a valuable tool in your quest for a calmer and more relaxed state of mind. Join us as we delve into the food world and discover the natural remedies to help you combat anxiety effectively.
Balanced Diet
This is a given, but let’s stress it again. Make sure your diet is as natural as possible. Green vegetables, fruit, lean protein, legumes. Less grains, carbohydrate. Processed food needs to be avoided at all costs. Limit the sugar intake to treat anxiety. This means that we have eliminated excess sugar from our diets. Avoid juices, cola, soda, cocktails, junk food.
Omega-3 Fatty Acids
These are wonderful supplements that are very helpful for patients with anxiety. These are also very good for your brain and heart health. Fish such as salmon are rich in these omega-3 three fatty acids. In India, other varieties of fish, such as Indian Mackerel, Sardines, Salmon, Hilsa, and Rohu, are also rich in Omega three.
Probiotics
Emerging research suggests a connection between gut health and anxiety. Probiotic-rich foods are increasingly being recognised as essential not only for gut health but for brain health as well. In India, the fermented foods used are curd, kanji (purple fermented spicy drink), dhokla, idlis, dosa, and fermented rice batter.
Limit Alcohol and Caffeine
Excessive alcohol and caffeine consumption can increase anxiety symptoms. Be mindful of your intake and consider alternatives like herbal teas or decaffeinated options. Chamomile teas are effective in dealing with anxiety.
Supplements of Remedies for Anxiety
Supplements can restore tranquillity and balance in the quest for Natural Remedies for Anxiety. Two essential supplements that promise Remedies for Anxiety are magnesium and vitamins B6 and B12. Magnesium, an essential mineral, extends its therapeutic influence to anxiety and blood pressure regulation, muscle twitching, and insomnia control. It assumes the role of a calmative for the nervous system. You can harness the benefits of magnesium from dietary sources such as nuts, seeds, and vegetables or consider magnesium supplements under the guidance of a specialist.
On the other hand, vitamins B6 and B12 emerge as pivotal contributors to brain health and mood regulation. These vitamins facilitate the production of brain-calming chemicals, integral to proper brain function and anxiety management. Whole grains, lean meats, and leafy greens are rich sources of these mood-regulating vitamins. In this section, we delve into these supplements, uncovering their potential to alleviate anxiety and restore peace of mind.
Magnesium
Magnesium is an essential mineral that helps control anxiety, blood pressure, muscle twitching, and insomnia. It plays a role in calming the nervous system. You can find magnesium in foods like nuts, seeds, and veggies or consider magnesium supplements under the guidance of a specialist.
Vitamins B6 and B12
Vitamins B6 and B12 are essential for brain health and mood regulation. These vitamins help produce brain-calming chemicals essential for proper brain functioning and control of anxiety. These vitamins are in whole grains, lean meats, and leafy greens.
Yoga and Pranayama for Remedies for Anxiety
Yoga is a 5000-year-old practice or even older. It has been well established that yoga offers many spiritual and mental benefits besides physical benefits. Incorporating 30 minutes of yoga daily can do wonders for your body and keep you smiling peacefully.
Deep Breathing and Pranayama
These can be done in various ways and have been referred to as cardiac coherence breathing or boxed breathing. Whichever jargon you prefer, follow these simple steps to start your practice. Breathe in for 4 seconds, hold for 4 seconds and then let go for 6 seconds. Always be with your breath and try not to wander off in your thoughts. This practice done for ten minutes is very helpful in bringing the focus back to what matters…you.
Yoga Poses
Suryanamaskar is the be-all and end-all posture for most ailments that you may face in your life. Start with 5 to 9 cycles daily and then progress slowly. You can also try Child’s Pose, Downward-Facing Dog, and Warrior II, which can help release tension and reduce stress. You don’t need to be a yoga expert; even basic poses can be effective.
Mindfulness Meditation
Mindfulness meditation is a crucial component of yoga that involves staying present and non-judgmentally observing your thoughts and sensations. Regular practice can improve emotional regulation and reduce anxiety over time.
Conclusion
While natural remedies for anxiety can be beneficial, it’s essential to remember that everyone’s experience with anxiety is unique. What works for one person may not work for another. It’s also important to consult with a healthcare provider before making significant dietary changes or adding supplements to your routine, especially if you have existing medical conditions or are taking medications.
Incorporating these natural remedies alongside professional guidance can be a powerful combination in managing anxiety. Remember, the journey to inner peace is personal, and it’s okay to seek help and explore various strategies to find what works best for you. You can take positive steps toward a calmer, more balanced life by nurturing your mental and emotional well-being.
Migraine Medicine: What a patient should know
Migraine Medications Introduction
Migraines can be incredibly debilitating, affecting millions of people worldwide. If you’re one of the many who suffer from these throbbing headaches, you’re not alone. Migraine headaches are one of the most common headaches, which start from one side of the head or the eye and then spread all over. They may be accompanied by nausea, vomiting, neurological symptoms like tingling, paraesthesia, numbness, weakness, and other gastrointestinal symptoms. Migraine medications depends upon the correct diagnosis of patient-specific factors such as age, comorbidities, frequency of headaches, association of aura symptoms, and occupation. In this blog, we’ll explore different migraine medications in simple language so you can make informed decisions about your treatment options.
Types of Migraine Medication
Medications are divided into two categories:
acute and abortive medication and preventive or prophylactic medications. Both play a specific and considerable role in stopping and preventing migraine headaches.
Acute Migraine Medication
These are taken when you already have a migraine attack to relieve the pain and associated symptoms.
Over-the-counter (OTC) Pain Relievers
These belong to the category of NSAIDs, which are painkillers and include drugs like ibuprofen, aspirin, or naproxen. These drugs can help alleviate mild to moderate migraine pain. However, they may not work for everyone and should be used cautiously to avoid overuse. If taken for more than ten days in a month, they may result in what is known as medication overuse headaches.
Triptans
These drugs work on serotonin receptors in the brain nerves and abort the pain transmission pathways. They work by narrowing blood vessels in the brain and reducing pain signals. Commonly used triptans are sumatriptan, rizatriptan, and eletriptan. Triptans can be very effective but should be used under a doctor’s guidance. These medicines are usually avoided in patients with cardiovascular risk factors and should be taken only under supervision. Other administration forms, like subcutaneous injections and intranasal sprays, are also available for patients with intense nausea and headaches who cannot accept oral medication.
Preventive Migraine Medication
This class of medication is used for patients with frequent headaches and helps prevent the onset of headaches. These are taken daily and are divided into the following categories:
Tricyclic compounds and neurotransmitter modulators
Drugs like amitriptyline or venlafaxine can help prevent migraines. They work by altering the brain’s chemical balance. These drugs are helpful in many patients who may have underlying anxiety, psychiatric disorders, or depression.
Beta-Blockers
Medications like propranolol are often used to manage migraines. They help relax blood vessels and reduce the frequency of attacks. These drugs have been well-studied and considered safe for most patients. Caution is exercised for patients with asthma, breathing problems, thyroid diseases, and depression.
Topiramate or valproate
Drugs like topiramate or valproate may be prescribed for migraine prevention. They affect the brain’s electrical activity and can be effective for some individuals. These drugs may cause cognitive slowing and weight gain (especially valproate). Caution is exercised for pregnant patients.
CGRP Inhibitors
These newer medications, such as erenumab and fremanezumab, target a protein involved in migraine development. They are often used when other preventive options fail.
Rescue Migraine Medication
In severe cases, the following drugs may be used. However, these may not be available in all countries, and their use may also be restricted due to abuse potential. It is best to discuss with your Neurologist about rescue medicines mentioned below.
Ergotamines
These are older medications that can be effective but have more side effects and are used less frequently today.
Steroids:
In some cases, short-term use of steroids like prednisone and dexamethasone may be recommended to break a severe migraine cycle. Steroids have also been shown to prevent migraine relapse; however, their use remains limited due to multiple side effects.
Choosing the Right Migraine Medication
When choosing the migraine medication, it is essential to confirm the diagnosis. Elaborate history with recognition of migraine triggers is significant. Your doctor may recommend preventive Migraine medication if you have frequent and severe migraines. For occasional migraines, acute medications may be sufficient.
Medical History
Your overall health, other medical conditions, and current medications can influence which migraine medication is safest and most effective for you. Patients with diabetes, high blood pressure, hypothyroidism, and mental and psychiatric patients should discuss their conditions with the Neurologist. Pregnancy and lactation also determine the choice of drugs.
As migraine medicines need to be used over an extended period, it is essential to discuss the side effects of these drugs. All drugs may not be suitable for you. Patients engaged in day jobs have different drug preferences than those who have night jobs. A detailed discussion with your Neurologist will help.
Cost and Accessibility
Insurance coverage and medication costs can vary. Check with your insurance provider and discuss affordable options with your doctor.
Patient Preferences
Your preferences and comfort with the chosen medication also matter. Some people prefer pills, while others may prefer injections or nasal sprays.
Conclusion
Migraines can be incredibly disruptive, but you don’t have to suffer in silence. With various migraine medication available, there are options to help you manage and prevent migraine attacks. Work closely with your Neurologist to find the proper medication or combination of treatments that best suit your needs.
Remember, managing migraines is a journey, and what works for one person may not work for another. Stay patient and keep an open line of communication with your healthcare team to ensure you receive the best possible care for your migraine condition.
When to take your child to see a Pediatric Neurologist?
When to take your child to see a Pediatric Neurologist?
As parents, we are always concerned about our children’s health and well-being. When it comes to their neurological health, it’s important to be aware of any signs or symptoms that may require the attention of a pediatric neurologist. In this informative blog post, Dr. Chandril Chugh, a leading pediatric neurologist in Patna, will provide expert guidance on when to consider taking your child to see a neurologist. With his vast experience and dedication to pediatric neurological care, Dr. Chugh aims to help parents make informed decisions and ensure the best possible outcomes for their children.
Seizures
Seizures can be a distressing experience for both children and their parents. If your child experiences a seizure or has recurrent seizures, it is crucial to seek immediate medical attention. Consulting a pediatric neurologist, such as Dr. Chandril Chugh, is essential for a comprehensive evaluation and effective management of seizures in children.
Dr. Chandril Chugh, a highly skilled and experienced pediatric neurologist in Patna, understands the complexities surrounding seizures and their impact on a child’s well-being. With his expertise in diagnosing and managing seizures, he can provide the necessary guidance and support to help your child lead a fulfilling life.In addition to his medical expertise, Dr. Chandril Chugh understands the emotional impact that seizures can have on both the child and the family. He provides compassionate care, offering support and guidance to help you navigate the challenges associated with managing seizures. You can trust that Dr. Chandril Chugh will work collaboratively with you and your child to optimize their neurological health and enhance their quality of life.
If your child experiences a seizure or has a history of recurrent seizures, do not hesitate to reach out to Dr. Chandril Chugh, the best pediatric neurologist in Patna. With his specialized knowledge and dedication to providing exceptional care, he will help you understand the seizures, determine their cause, and develop an appropriate treatment plan that prioritizes your child’s well-being.
Developmental Delays
If your child is experiencing significant delays in reaching developmental milestones, such as motor skills, speech and language, or cognitive abilities, it is crucial to seek professional evaluation and support. A pediatric neurologist, like Dr. Chandril Chugh, specializes in assessing and identifying potential underlying neurological issues that may contribute to developmental delays. Dr. Chandril Chugh, renowned as the best pediatric neurologist in Patna, has extensive experience in pediatric neurology and a deep understanding of the intricate relationship between the nervous system and developmental processes. When you bring your child to Dr. Chandril Chugh, he will conduct a thorough evaluation to assess their developmental progress and identify any areas of concern.
During the evaluation, Dr. Chandril Chugh will carefully review your child’s medical history and conduct comprehensive neurological examinations. These evaluations may include assessments of motor skills, language development, cognitive abilities, and other relevant domains. Additionally, Dr. Chandril Chugh may request further tests or screenings, such as genetic testing or neuroimaging, to gain a comprehensive understanding of your child’s neurodevelopmental profile.
Headaches
Frequent and severe headaches in children should never be overlooked, particularly when accompanied by additional symptoms like vomiting, dizziness, or changes in vision. It is important to consult a pediatric neurologist who can thoroughly investigate the underlying cause of these headaches and provide appropriate management strategies. Dr. Chandril Chugh, a trusted pediatric neurologist in Patna, specializes in evaluating and treating children with headaches.
When you bring your child to Dr. Chandril Chugh, he will conduct a comprehensive evaluation to understand the nature and potential triggers of their headaches. This evaluation may involve a detailed medical history review, neurological examinations, and, if necessary, further diagnostic tests such as imaging studies or laboratory analyses. Dr. Chandril Chugh’s expertise in pediatric neurology enables him to accurately diagnose the cause of your child’s headaches.
Neurological Disorders:
Frequent and severe headaches in children should never be overlooked, particularly when accompanied by additional symptoms like vomiting, dizziness, or changes in vision. It is important to consult a pediatric neurologist who can thoroughly investigate the underlying cause of these headaches and provide appropriate management strategies. Dr. Chandril Chugh, a trusted pediatric neurologist in Patna, specializes in evaluating and treating children with headaches.
When you bring your child to Dr. Chandril Chugh, he will conduct a comprehensive evaluation to understand the nature and potential triggers of their headaches. This evaluation may involve a detailed medical history review, neurological examinations, and, if necessary, further diagnostic tests such as imaging studies or laboratory analyses. Dr. Chandril Chugh’s expertise in pediatric neurology enables him to accurately diagnose the cause of your child’s headaches.
Abnormal Movements or Tremors
If your child exhibits involuntary movements, tremors, or other abnormal motor symptoms, it is important to consult a pediatric neurologist for a thorough evaluation and appropriate management strategies. Dr. Chandril Chugh, a renowned pediatric neurologist in Patna, specializes in assessing and addressing motor abnormalities in children.
When you bring your child to Dr. Chandril Chugh, he will carefully evaluate their motor symptoms through a comprehensive examination. He will assess the nature and frequency of the involuntary movements, tremors, or other motor abnormalities, and inquire about any accompanying symptoms or relevant medical history. Based on his expertise and knowledge in pediatric neurology, he will determine the most appropriate diagnostic tests, if necessary, to further investigate the underlying cause of these motor abnormalities. Dr. Chandril Chugh understands the unique challenges that children with motor abnormalities face, and he approaches each case with sensitivity and personalized care. He will explain the evaluation process to you and your child, ensuring that you feel comfortable and informed every step of the way. Through his extensive experience, he can distinguish between various neurological conditions and provide an accurate diagnosis.
Neurodevelopmental Assessments
When concerns arise about your child’s behavior, learning abilities, or social interactions, seeking the expertise of a pediatric neurologist is crucial. Dr. Chandril Chugh, a renowned pediatric neurologist in Patna, specializes in conducting comprehensive neurodevelopmental assessments to evaluate cognitive, behavioral, and emotional functioning in children.
Understanding the intricacies of your child’s neurodevelopment is essential for identifying any underlying neurological factors that may contribute to their challenges. Dr. Chandril Chugh employs a multidimensional approach to assess various aspects of your child’s cognitive abilities, including memory, attention, problem-solving skills, and language development. He also evaluates their behavioral and emotional functioning, taking into account factors such as social interactions, emotional regulation, and adaptive skills.
During the neurodevelopmental assessment, Dr. Chandril Chugh will engage with your child in a supportive and child-friendly environment. He utilizes a range of specialized tools and techniques to gather comprehensive information about your child’s strengths and areas of concern. These may include standardized assessments, observations, interviews with parents and caregivers, and collaboration with other professionals involved in your child’s care, such as teachers or therapists.
Genetic or Metabolic Disorders
If your child has a known or suspected genetic or metabolic disorder that affects the nervous system, seeking the specialized care of a pediatric neurologist is paramount. Dr. Chandril Chugh, a highly skilled and experienced pediatric neurologist in Patna, is dedicated to providing comprehensive and individualized care for children with such conditions.
When it comes to genetic or metabolic disorders impacting the nervous system, early detection and ongoing management are vital. Dr. Chandril Chugh works closely with patients and their families to understand the unique challenges posed by these conditions. With his expertise in pediatric neurology, he offers a compassionate and comprehensive approach to care, aiming to optimize your child’s neurological health and overall well-being.
During the initial evaluation, Dr. Chandril Chugh will carefully assess your child’s medical history, symptoms, and any relevant genetic or metabolic factors. He may collaborate with geneticists, metabolic specialists, and other healthcare professionals to ensure a thorough understanding of your child’s condition. By leveraging advanced diagnostic tools and techniques, Dr. Chandril Chugh can provide an accurate diagnosis and establish a baseline for monitoring your child’s neurological health.
Traumatic Brain Injury (TBI)
When your child has experienced a head injury due to sports, accidents, or other trauma, taking prompt action and seeking the expertise of a pediatric neurologist is crucial. Dr. Chandril Chugh, a renowned pediatric neurologist in Patna, specializes in assessing and managing head injuries in children, prioritizing their neurological healing and overall well-being.
Head injuries can range from mild concussions to more severe traumatic brain injuries (TBIs). Regardless of the severity, it is essential to have a professional evaluation to accurately assess the extent of the injury and monitor your child’s recovery progress. Dr. Chandril Chugh brings extensive experience and expertise in pediatric neurology to provide comprehensive care for children who have experienced head injuries.
During the initial evaluation, Dr. Chandril Chugh will conduct a thorough assessment of your child’s symptoms, medical history, and the circumstances surrounding the head injury. He may order diagnostic tests such as imaging scans, including CT scans or MRIs, to evaluate the extent of the injury and identify any potential complications.
When it comes to your child’s neurological health
Dr. Chandril Chugh, the best pediatric neurologist in Patna, is dedicated to providing comprehensive care, accurate diagnoses, and effective treatment plans. Don’t hesitate to seek his expertise if your child requires specialized neurological evaluation and management. Your child’s well-being is our priority, and we are here to support you every step of the way.
What is Epilepsy and Seizures?
What is Epilepsy and Seizures?
Epilepsy and Seizures are neurological conditions affecting individuals of all ages, including children. These conditions can significantly impact the lives of children and their families, making it essential for parents, caregivers, and healthcare professionals to have a comprehensive understanding of their symptoms and available treatment approaches. In this blog, we will explore the world of epilepsy and seizures in children, with best neurologist in patna Dr Chandril Chugh exploring their symptoms and various treatment options.
Children are particularly susceptible to epilepsy and seizures due to the ongoing development of their brains. Seizures occur due to abnormal electrical activity in the brain, causing temporary disruptions in normal brain function. Epilepsy, on the other hand, is characterised by recurrent seizures. It is estimated that around 1% of children worldwide have epilepsy, making it one of this age group’s most common neurological disorders.
Recognising the symptoms associated with epilepsy and seizures in children is crucial for early identification and appropriate management. The symptoms can vary depending on the type of seizure a child experiences. It’s important to note that not all seizures involve convulsions or loss of consciousness. Common signs and symptoms include convulsions, loss of consciousness, changes in behaviour, staring spells, and temporary loss of skills or abilities.
Understanding Epilepsy and Seizures
Seizures occur due to abnormal electrical activity in the brain, resulting in temporary disruptions in normal brain function. Epilepsy is a neurological disorder characterised by recurrent seizures. In children, epilepsy often manifests during early childhood or adolescence. It is important to clearly understand epilepsy and seizures to recognise their symptoms and provide appropriate care for children affected by these conditions.
Seizures can be classified into two broad categories
Focal seizures, also known as partial seizures, occur when abnormal electrical activity is localised to a specific brain area. These seizures can manifest with or without loss of consciousness. The symptoms experienced during focal seizures can vary depending on the part of the brain affected. They may include sensory changes, motor movements, or alterations in perception or emotions.
Generalised seizures, on the other hand, involve abnormal electrical activity that spreads across the entire brain. These seizures often result in loss of consciousness and can be further classified into several subtypes. Absence seizures, also called petit mal seizures, are characterised by brief lapses in awareness, staring spells, and a temporary cessation of activity. Tonic-clonic seizures, formerly grand mal seizures, are the most well-known type of generalised seizure, featuring convulsions, loss of consciousness, and jerking movements.
In addition to these main types, there are other types of seizures that children can experience, such as atonic seizures (sudden loss of muscle tone), myoclonic seizures (brief muscle jerks), and tonic seizures (muscle stiffness). It is important to note that each child’s experience with seizures may vary and present with a combination of different seizure types.
Recognising the symptoms associated with seizures in children is crucial for early identification and appropriate management. It is important to be observant and seek medical attention if a child displays any signs of seizures, such as convulsions, staring spells, unresponsiveness, sudden changes in behaviour, or temporary loss of skills or abilities. Timely diagnosis and intervention can significantly impact the child’s quality of life and help manage the condition effectively.
Symptoms of Seizures
Seizure symptoms can vary depending on the type of seizure a child experiences. It’s important to note that not all seizures involve convulsions or loss of consciousness. Here are some common signs and symptoms:
Convulsions:
Convulsive seizures involve uncontrollable shaking and jerking movements. The child’s muscles may contract and relax rapidly, leading to twitching or convulsions of the arms, legs, or entire body. These convulsions can be intense and last for a few seconds to a few minutes.
Loss of Consciousness:
Some seizures can cause a child to lose consciousness, resulting in a blank stare or unresponsiveness. During these seizures, the child may appear “out of it” or unaware of their surroundings. They may not respond to stimuli or attempts to communicate.
Changes in Behavior:
Seizures may lead to sudden changes in behaviour, such as confusion, agitation, or aggression. A child experiencing a seizure might display unusual actions or emotions. They may become restless, anxious, or display aggressive behaviour without apparent cause. These changes in behaviour can be brief and may resolve once the seizure subsides.
Staring Spells:
Children may experience brief episodes of staring or daydreaming. These staring spells can be mistaken for inattentiveness or daydreaming but are a form of seizure activity. During these spells, the child may appear unresponsive, their eyes may be fixed, and they may not react to their surroundings.
Temporary Loss of Skills:
Seizures can cause temporary loss of skills or abilities, such as language regression or motor control difficulties. For example, a child who was previously able to speak may have difficulty forming words or sentences during or after a seizure. They may experience a temporary loss of coordination or have difficulty with fine motor skills.
It is important to note that the duration and intensity of seizures can vary. Some seizures may be brief and mild, while others can be more prolonged and severe. It is crucial to seek medical attention if a child displays any signs of seizures, as an accurate diagnosis and appropriate treatment are essential for managing their condition effectively.
Treatment Approaches for Epilepsy and Seizures
While there is currently no cure for epilepsy, several treatment approaches are available to help manage seizures effectively in children. The primary goal of treatment is to control seizures while minimising side effects and improving the child’s quality of life. Here are some common treatment options
Medication (Antiepileptic Drugs – AEDs)
Anti-seizure medications are the most common and effective treatment for epilepsy. These medications are prescribed based on the type of seizures a child experiences and their needs. The medications work by stabilising the electrical activity in the brain and reducing the likelihood of seizures. Working closely with a healthcare professional to find the right medication and dosage for the child is important. Regular monitoring is essential to assess the effectiveness of the medication and make any necessary adjustments.
Ketogenic Diet:
In some cases, a ketogenic diet may be recommended for children with epilepsy, especially those who do not respond well to medications or have specific seizures. The ketogenic diet is high in fats and low in carbohydrates, which promotes the production of ketones in the body. Ketones are believed to have anticonvulsant effects, helping to control seizures. This diet requires careful supervision and monitoring by a healthcare professional and a dietitian to ensure that the child receives proper nutrition while adhering to the specific dietary requirements.
Vagus Nerve Stimulation (VNS):
VNS is a non-drug treatment option involving the implantation of a vagus nerve stimulator device. This device delivers regular electrical impulses to the vagus nerve, sending these impulses to the brain. VNS helps to reduce the frequency and severity of seizures in some children with epilepsy. It is often considered when medications do not provide sufficient seizure control or have caused intolerable side effects. The device can be adjusted and programmed by a healthcare professional to meet the child’s specific needs.
Epilepsy Surgery:
In certain cases, when seizures are uncontrolled and originate from a specific, identifiable brain region, epilepsy surgery may be an option. The goal of epilepsy surgery aims to remove or modify the area of the brain responsible for generating seizures. The suitability for surgery is determined through comprehensive evaluation, including brain imaging, EEG monitoring, and other diagnostic tests. Epilepsy surgery is a complex procedure that requires expertise and should be performed by specialised healthcare professionals.
Responsive Neurostimulation (RNS)
Responsive neurostimulation is a newer treatment approach that involves implanting a device in the brain. This device detects and responds to abnormal electrical activity in real-time, delivering electrical stimulation to prevent seizures from occurring or to lessen their intensity. RNS is typically considered for children with focal seizures that are difficult to control with medications and may not be suitable candidates for surgery.
Conclusion
In conclusion, epilepsy and seizures can significantly impact the lives of children and their families. It is essential to be aware of the symptoms associated with seizures and to understand the available treatment options. If your child experiences seizures, seeking medical attention and consulting with a pediatric neurologist or epileptologist is important. They can provide an accurate diagnosis and develop an appropriate treatment plan tailored to your child’s needs.
Anxiety and Depression Symptoms and Treatment
Mental illness is a growing public health concern worldwide, including India. Due to its diverse population and unique socio-cultural challenges, India faces an intricate mental health landscape. This blog will examine the incidence, prevalence, symptoms and available treatments of mental illness in India in an attempt to shed light on an often ignored but extremely significant issue. Mental health disorders encompass an array of conditions which affect an individual's thoughts, emotions and behaviours in various ways.
Incidence and Prevalence:
- Mental illnesses, including anxiety and depression, profoundly affect individuals' well-being and daily functioning.
- Despite their widespread impact, social stigma, lack of awareness, and limited resources often lead to underdetection and undertreatment.
- Social stigma and misconceptions surrounding mental health contribute to underestimated prevalence estimates, hindering timely intervention and treatment.
Anxiety And Depression Symptoms
- Anxiety disorders, such as generalized anxiety disorder and social anxiety disorder, manifest as excessive worry, rapid heart rate, and restlessness, significantly impairing daily functioning.
- Depression, characterized by persistent sadness, changes in sleep and appetite patterns, and feelings of worthlessness, affects individuals across various age groups and backgrounds.
Depression is one of the most widespread mental health disorders in India and affects an enormous proportion of Indians across various age groups. Its symptoms include persistent sadness, loss of interest in activities previously enjoyed, sleeping disturbances and changes in appetite as well as feelings of worthlessness or guilt.
Keeping these symptoms under control may require professional assistance for proper diagnosis and Treatment Of Depression.
Anxiety Disorders
Anxiety disorders are unfortunately very prevalent in India, particularly generalized anxiety disorder, panic disorder and social anxiety disorder. People suffering from such conditions experience excessive worry, fear and physical symptoms like rapid heart rate, sweating, shortness of breath and restlessness - these conditions have an immense negative impact on daily functioning and quality of life requiring early intervention with appropriate treatments to ensure its continued existence.
Bipolar Disorder:
Bipolar disorder is characterised by extreme mood swings that oscillate between depressive and manic-hypomanic episodes, creating extreme emotional roller coasters for individuals suffering with it. They may experience elevated mood, energy, impulsive behavior, deep sadness and loss of interest - disrupting daily life and interpersonal relationships, necessitating comprehensive management and support services to manage them effectively.
Schizophrenia
Schizophrenia is a severe mental disorder, impacting an individual's thoughts, emotions, and behavior. People living with schizophrenia may experience hallucinations, delusions, disorganized thinking patterns, lack of motivation or initiative and many more symptoms that require long-term support to manage symptoms effectively and improve overall functioning. To effectively treat and support those living with this complex condition.
Understanding the incidence and prevalence of mental health disorders in India is critical for creating effective strategies and resources to tackle mental illness. By raising awareness, reducing stigma, and offering accessible mental healthcare services we can support individuals on their journey toward mental wellbeing while creating a healthier society overall.
Treatment of Anxiety and Depression:
Seeking professional assistance is critical when experiencing mental health disorders and substance use disorders. In India, various options exist to address both conditions simultaneously and promote recovery
Medication:
Psychiatrists may prescribe medications to manage symptoms and balance mood. Depending on your specific diagnosis, antidepressants, anti-anxiety drugs, mood stabilizers and antipsychotics may be used as part of treatment plans to address co-occurring mental health and substance use disorders; such medications can alleviate symptoms while simultaneously decreasing cravings and improving overall well-being.
Psychotherapy
Psychotherapy (or talk therapy) is an integral component of mental health and substance use disorders treatment, including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and interpersonal therapy. Through therapy sessions such as these individuals are able to understand what factors may contribute to their conditions while creating healthy coping mechanisms and improving overall quality of life.
Support Groups
Support groups offer individuals a safe and nonjudgmental space in which to share their experiences, gain strength from others with similar challenges, and learn from those who have gone through similar trials. Peer support is an integral component of recovery as it fosters community spirit, reduces feelings of isolation, promotes accountability and binds together those suffering from dual diagnosis by creating a space to address both their mental health needs as well as substance use issues simultaneously. Support groups may especially be beneficial for people living with mental illness/substance abuse co-occurring simultaneously.
Lifestyle Modifications
Leading a healthy lifestyle is key in treating mental and substance use disorders, from regular physical exercise, getting enough restful sleep and eating properly to engaging in mindfulness practices like yoga or meditation rooted in ancient Indian traditions which can help individuals manage stress better while increasing self-awareness and improving mental wellbeing.
Addressing mental health and substance use disorders requires a holistic and integrated approach. To meet the unique needs of individuals with dual diagnosis, integrated care that addresses both their mental health symptoms and substance abuse concerns must be provided. Medication, psychotherapy, support groups, lifestyle modifications are effective tools for recovery; combined with medications or lifestyle modifications individuals can embark on their path of recovery and take back control over their lives. Providing accessible yet specialized treatment options will give people what they need to overcome challenges successfully and lead fulfilling lives.
Conclusion:
Mental illness is a significant problem in India, and understanding its incidence, prevalence, symptoms and available treatments is of critical importance. Raising awareness, combatting stigma and expanding access to quality mental healthcare services nationwide are necessary steps towards creating a healthier future where mental well-being and illness are treated with equal urgency as physical ailments. Seeking help shows strength; recovery is achievable with support and treatment from professionals.
6 signs that it’s time to consult a Best Neurologist
Neurological conditions can significantly impact one's quality of life. From headaches and chronic pain to more severe symptoms like memory loss and dizziness, it's crucial to recognize when it's time to seek the expertise of a neurologist. In this article, we will explore 6 signs that it’s time to consult a best neurologist and discuss how specialists can help diagnose and treat these conditions. At the Dr. Good Deed Clinic, renowned neurologist Dr. Chandril Chugh provides top-notch care for neurological disorders, offering patients the comprehensive support they need.
What Are Neurologists?
A neurologist is a medical professional specializing in diagnosing and treating conditions affecting the nervous system. This includes the brain, spinal cord, peripheral nerves, and muscles. Neurologists manage various disorders, from migraines and epilepsy to Parkinson's disease and dementia. They use various diagnostic tests and therapeutic approaches to help patients manage their symptoms and improve their quality of life.
Signs You Need to Consult a Neurologist
Recognizing the signs that indicate the need for a neurologist's expertise is crucial for timely diagnosis and appropriate treatment. Here are six common signs that it’s time to consult a best neurologist and how they can help.
Headache
Everyone experiences headaches occasionally, but certain characteristics can indicate a more serious issue. If you experience headaches frequently, especially if they are accompanied by symptoms like nausea, dizziness, or visual disturbances, it's essential to consult a neurologist. Persistent headaches could signal an underlying neurological condition that requires specialized treatment.
Chronic Pain
Chronic pain is a condition that lasts longer than the usual course of an injury or illness, often persisting for months or even years. It can stem from various sources, including nerve damage or disorders like fibromyalgia. If your chronic pain is accompanied by other symptoms such as numbness or weakness, it's time to see a neurologist. They can help identify the underlying cause and suggest appropriate treatment options.
Dizziness
Dizziness can manifest as vertigo—a sensation of spinning—or as disequilibrium, a feeling of unsteadiness. Both can be caused by neurological disorders affecting the brain's balance centers. If you experience frequent dizziness or have difficulty maintaining balance, a neurologist can diagnose the underlying issue and recommend treatments to alleviate your symptoms.
Numbness
Tingling or numbness can result from various causes, including simple issues like restricted blood flow or more serious conditions like neuropathy or stroke. If numbness occurs suddenly, persists, or affects one side of the body, it’s crucial to seek medical attention. A neurologist can determine the cause and provide treatment to prevent further complications.
Memory Problems or Confusion
While occasional forgetfulness can be normal, significant memory issues, confusion, or personality changes may indicate a neurological disorder. Conditions like Alzheimer's disease or other forms of dementia can impair cognitive function. A neurologist can perform tests to diagnose these conditions and develop a management plan to slow progression and improve quality of life.
Parkinson's Disease
Parkinson's disease is a progressive neurological disorder characterized by symptoms like tremors, stiffness, and slow movements. It primarily affects older adults and results from the loss of dopamine-producing brain cells. While there is no cure, early diagnosis by a neurologist can help manage symptoms through medication, therapy, and sometimes surgical interventions like deep brain stimulation.
Specialized Care at Dr. Good Deed Clinic
At Dr. Good Deed Clinic, Dr. Chandril Chugh and his team provide specialized care for a range of neurological conditions. With support from neuroradiology, neurosurgery, intensive care, and pathology departments, they offer comprehensive treatment plans tailored to each patient's needs. For acute stroke patients, the clinic provides thrombolysis treatment, while those with spastic disorders can receive Botox therapy. The clinic also offers diagnostic tests like neostigmine testing for conditions such as myasthenia gravis.
Additional Resources
For more information on why regular neurological check-ups are essential, visit 10 Reasons To See A Neurologist Regularly. This resource provides valuable insights into maintaining neurological health and the importance of preventive care.
Conclusion
If you experience any of the symptoms mentioned earlier or have been diagnosed with a neurological condition, don't hesitate to schedule an appointment with a neurologist. The dedicated team at Dr. Good Deed Clinic is well-equipped to provide expert diagnosis and treatment, ensuring you receive the highest level of care.
FAQs
What symptoms should prompt a visit to a neurologist?
Symptoms such as persistent headaches, chronic pain, dizziness, numbness, memory problems, and signs of Parkinson's disease should prompt a consultation with a neurologist.
How does a neurologist diagnose neurological conditions?
Neurologists use a combination of patient history, physical examinations, and diagnostic tests like MRI, CT scans, and EEGs to diagnose neurological conditions.
Can chronic headaches be a sign of a serious neurological disorder?
Yes, chronic headaches can indicate serious conditions like migraines, cluster headaches, or even brain tumors, and should be evaluated by a neurologist.
What is the role of a neurologist in treating Parkinson's disease?
Neurologists diagnose and manage Parkinson's disease, recommending treatments like medication, physical therapy, and sometimes surgical options like deep brain stimulation.
Is numbness always a neurological issue?
Not always, but persistent or sudden numbness can indicate a neurological issue such as neuropathy, stroke, or multiple sclerosis, requiring evaluation by a neurologist.
What treatments are available for chronic pain from a neurological perspective?
Treatment options include medications, physical therapy, nerve blocks, and other interventional procedures depending on the underlying cause of the pain.
What Should You Do If Someone Is Having a Seizure?
In simple terms, a seizure is an uncontrolled electronic disturbance in the brain that can cause changes in your behaviour, movement, or feelings, and in levels of consciousness. If someone has 2 or more seizures that are 24 hours apart, at least, for unidentifiable reasons can be epilepsy. A seizure is caused due to various reasons like organ failure, a certain type of medication, electrolyte imbalance, hypersensitive encephalopathy, medical withdrawal. Factors that lead to a seizure or how often a seizure occurs or why it occurs at a particular time can be difficult to determine.
When we talk about general first aid for seizures, always remember to keep the patient comfortable and safe.
- Never leave the person alone until the seizure is over: Seizures are unpredictable in nature; one can get injured as well, or get unconscious, so not leaving the person alone is of utmost importance.
- Observe how long the seizure lasts: Be sure to observe how long the person takes to return to normal after the seizure.Consult a professional if the seizure lasts longer than usual for that person.
- Stay calm: Remember to stay calm as the person going through it will also feel better and most seizures only last for minutes.
- You can prevent injury by keeping objects out of the way: Keep all the sharp objects away if the person is at home or if he is at a public place keep away from a moving vehicle as it can be dangerous.
- Make sure that the person is breathing fine: If the person is lying, turn him to the other side with his mouth towards the ground so that he can breathe and saliva doesn’t block the airway.
- Never give the person anything to eat or drink until he is fully alert: A person during a seizure should not eat or drink as it can make him choke, so never put food or any pills while they are not aware.
EMERGENCY SEIZURE MEDICATION FOR CHILDREN
Treating a child with a severe seizure can be difficult in an emergency room because the seizures make him move a lot which in turn makes it difficult to undress him or give him an IV (intravenous drugs). So, a better option would be to give him drugs via the mouth and not rectally. A rectally given valium stops seizures within minutes especially when IV is not an option. Oral use of Midazolam can reduce further complications and lower the risk of death. Seizure symptoms among children can be lateralized tongue biting, the flickering of eyelids, dilated pupils with a blank stare, lip-smacking, increased heart rate, blood pressure, and post-ictal phase.
COMMON SEIZURE SYMPTOMS
- Odd feelings, they are indescribable
- Unusual tastes and feelings, unusual experiences like feeling detached, out-of-body sensations and the body look or feels different
- Feeling confused
- Memory Lapses
- Episodes of daydreaming
- Jerking movement of arm, body, or leg
- Falling
- Headache
- Tingling, numbness, or feeling of electricity in different parts of the body
- Unexplained sleepiness, weakness, or confusion
- Losing control of urine or stool unexpectedly
SEIZURE TREATMENT GUIDELINES
- Put on gloves, if possible
- Place something soft under the person’s head so that he cannot bang his head against the ground
- Do not place anything in the person’s mouth
- Loosen tight clothing, especially around the person’s neck
- Do not try to restrain the person or use force on him
- Call for an ambulance if the person stops breathing, if the seizure lasts more than 5 minutes, there are multiple seizures happening without the person regaining consciousness, if pupils are not equal in size after the seizure, if the person is injured, if the seizure occurs underwater.
When it comes to seizure treatment at home, avoid clutter, as it can be dangerous for even the people living there.
If you want to prevent seizures, you should know your triggers. The most common triggers are stress, anxiety or emotional issues, alcohol or drug abuse, and even the process of quitting them can cause seizures. Sleep deprivation and the exhaustion from it, change in medication or skipping a dose of anti-seizure drugs, something that over stimulates your senses like flashlights, working on a computer for long hours, hormonal changes in women, pregnancy or menstruation, and mental strain can be potential triggers. If you take notice of these changes, you can surely prevent a seizure.
Having a healthy diet, reducing your screen time, and sleeping well can take you a long way.
Treatment options for seizures are following a ketogenic diet, brain surgery, putting a vagus nerve stimulator in the chest. If you have had a seizure even just once, you are at risk of other episodes as well. You will have to work with your doctor and take some medications, make some lifestyle changes, and other preventive steps. When it comes to the seizure management protocol, ventilation is one thing that you should look into. To provide privacy to a person, during and after the seizure, timing the seizure is of utmost importance. Protecting from injury should also be a priority as we mentioned earlier. Remember that panicking is not an option.
If you are thinking about who to consult, consider Dr. Chandril Chugh who is an American-trained Stroke and Aneurysm Specialist. He is a gold medalist in MBBS and believes that a doctor’s job is not only to heal but to spread awareness as well. You can easily book an online consultation session. Talk to us about your disease and get your life back.
5 Ways to Help a Loved One Diagnosed with Multiple Sclerosis
Introduction
People generally have a similar reaction when a loved one is diagnosed with multiple sclerosis. What does this mean? How do I cope?
Multiple sclerosis is a chronic disease handicapping the central nervous system (including the cerebrum, optic nerves, and spinal line). Multi-zone scarring is a sign of multiple sclerosis. In Multiple Sclerosis, the immune framework goes after the myelin sheath that covers nerve filaments and causes correspondence issues between the human cerebrum and the rest of the human body. Myelin permits the nerves to direct electrical signals rapidly and productively. Myelin sheaths that deteriorate or weaken in multiple places can leave scars or sclerosis behind. Specialists call these regions lesions. As these areas of spots multiply, there are major to never fibres due to which the patient's body can not carry out certain functions.
In the long run, the infection can cause long-lasting harm or deterioration of the nerves. Patients with Multiple Sclerosis can lose their ability to walk independently or even at all.
This illness is more often diagnosed in females than in males. Globally, the National MS Society reports more than two million patients suffering from the disease.
Even though it tends to be hard to take in right away that your loved one or someone close to you has been diagnosed with Multiple Sclerosis, you are their caretaker and have to make them realize they should continue living their life to the fullest.
As of now, there is no proven remedy for Multiple Sclerosis.
There are no particular tests for multiple sclerosis diagnosis. Diagnostic tools like spinal taps, MRIs, multiple sclerosis blood tests, or evoked potentials are often used instead.
5 ways to multiple sclerosis patient care
1. Understand that there is a great deal of vulnerability with Multiple Sclerosis
As a caregiver, you have this unpredictable illness that may affect different patients. One day your loved one who has multiple sclerosis will feel fine, and the next day, they might have various complications. The vital factor in beating this is arranging, laying out schedules, planning, and having the capacity and eagerness to be adaptable as a guardian. Even when it comes to multiple sclerosis causes and symptoms, specialists say that never make assumptions that what you read or hear about numerous sclerosis patients will also be the case for your loved ones.
2. Be consistent with your treatment.
As a general rule, the best methodology is to treat any individual with a physical, neurologic issue as a solid and free individual equipped for navigation and taking care of oneself. Doing as such for your adored one to be freer is excellent for both of you. You might have to research gears like a ramp and wheelchair. A physical advisor can come to your place to recommend explicit changes. Design your house so that it becomes easy for them to get around. In this way, they will continue to serve in the role of confidant and socially active.
3. Keep yourself updated about the disease.
Few of the symptoms are easily visible, while other changes might be felt exclusively by the individual encountering multiple sclerosis. Therefore, listening to multiple sclerosis patient stories is necessary to educate yourself about the illness. Frequently ask your loved one who has multiple sclerosis about what they are going through and what all they wish that people taking care of them might be aware of the illness. It might be impossible for you to know the exact thing somebody with multiple sclerosis is going through. However, putting forth the attempt to attempt can have an enormous effect. Also, read articles and listen to the caregivers of other multiple sclerosis patients as they are experienced.
4. Assist them with the ordinary routine stuff.
It becomes a big challenge for patients with multiple sclerosis to do basic routine stuff like strolling, utilizing the restroom, cooking, and cleaning. Most Multiple sclerosis patients can facilitate care; however, they may eventually need assistance with transportation and household upkeep. Contingent upon your loved one's Multiple Sclerosis stages, you might need to assist with fundamental considerations like dressing them up, cooking and helping them to feed, toileting, and cleaning them from time to time. In the early stages, your loved ones might not require your assistance, but the gesture will significantly affect them. Keep them in the loop, so they know you are available if they need you in the future.
5. Always try to be adaptable and understanding.
Individuals with Multiple Sclerosis have great days and awful days, and these might even change in the middle of the day. The patients might even feel exhausted after a deep eight-hour sleep. Realizing that weariness can make it challenging for somebody you love to participate in exercises you had arranged, try to be OK if they drop on you.
Multiple Sclerosis patient care always requires being ready with a plan B if a terrible day happens.
Dr. Chandril Chugh is one of the most popular US-trained Neurologists. He has 16 years of experience in this field. He was the head of the Department of Interventional Neurology at Max Hospital, Saket, and is a prime supporter of Dr. Good Deed. He is also a member of AAN & SCCM. He is popularly known for his kindness and excellent assistance demeanor among his patients. Besides the fact that he takes incredible thought of his patient's wellness, additionally, he is awesome to talk with at each gathering.
Conclusion
When you're a caregiver, it's critical to deal with yourself. Work out consistently, eat well, and get a decent night's rest. Keep track of your and your loved one's medical care. Always be understanding and cooperative with them, and ensure that you are always with them whenever they need assistance. Have conversations with other caregivers to gain knowledge on the illness. Your help and care are the best treatment for your loved person with multiple sclerosis.
Having Children After a Multiple Sclerosis Diagnosis
Introduction to Multiple Sclerosis
A person suffering from Multiple Sclerosis experiences damage to the central nervous system by affecting the nerves located in the brain and spinal cord. Multiple Sclerosis is a chronic and handicapping sickness that generally begins in youthful adulthood and is twice as typical in females than males. This illness happens when the immune system assaults nerve strands and myelin sheathing. This assault causes aggravation, which annihilates nerve cell cycles and myelin.
Multiple Sclerosis is a deep-rooted infection, generally advancing to genuine and long-lasting incapacity, even though it can incidentally have just gentle side effects. Moreover, multiple Sclerosis is erratic and can go from harmless to handicapping.
Multiple sclerosis life expectancies of approximately twenty-five to thirty-five years after the finding of Multiple sclerosis is observed.
The disease is more common in countries of the Northern hemisphere.
Multiple sclerosis causes
A wide range of causes can lead to Multiple Sclerosis, including viruses, autoimmune disorders, environmental elements, and hereditary variables. Each of the potential causes shares the common component of the body's immune system going after sensory tissue. Myelin protects the electrical signs the sensory system uses to transmit. When obliterated, communication will have interference and delay. Specific sensory systems may be damaged permanently.
Multiple sclerosis symptoms and diagnosis
Different symptoms and signs of multiple sclerosis may arise based on where the affected nerve fibers are located and how far the disease progresses. They might be depending upon the sensory system impacted. They show up in different mixes, might include problems like Judgment, Consideration, Memory, and Focus. To determine how multiple sclerosis affects the body in general, the following points should be noted:-
- Exhaustion
- Wooziness
- Issue with coordination
- Paralysis
- Obscured vision or twofold vision, etc.
You should seek medical attention if you notice any of the symptoms listed above. You may be advised to consult a neurologist or healthcare provider for a diagnosis. Multiple sclerosis cannot be diagnosed with a specific test. Instead, a differential diagnosis is used to analyze the disease. The medical services supplier will do a careful clinical history and an actual test as the initial moves toward finding Multiple Sclerosis. The neurologist may suggest you go to certain tests like MRI, lumbar puncture, blood tests, etc to know more about the spread of illness.
Multiple sclerosis treatment
Multiple sclerosis does not have a cure. However, treatment options can slow its progression and provide benefits. Additionally, you can get treatment to manage symptoms, deal with flare-ups or relapses, improve your safety and function. Restoration treatments, including active recovery, muscle relaxants, occupational treatment, discourse and gulping help, mental treatment, or assistive gadgets like supports, may likewise be helpful. Corticosteroids and plasmapheresis are considered treatments for Multiple sclerosis attacks.
Multiple sclerosis and pregnancy
Luckily, there is no appearance of speeding up the course or worsening the effects of Multiple Sclerosis in pregnancy. From a few pieces of research, doctors have observed that Multiple Sclerosis side effects decline in pregnancy. However, the impacts of the illness might make it physically challenging to convey a pregnancy. MS and pregnancy fatigue, weakness, and coordination issues may increase the probability of falls. Parents will need to closely monitor the mother's infection to the disease and the fetus's health during this period. If a mother has unrecognized Multiple Sclerosis, there are high chances of her being diagnosed with MS after pregnancy as during pregnancy be more likely to start having symptoms.
Issues that a woman with MS will have over one with not are:-
- Small-for-gestational-age baby.
- Difficulty in pushing out the baby during labor and birth.
- Mosty to give a cesarean birth.
Doctors have observed that women with Multiple Sclerosis mostly have c section delivery. Some theories suggest that labor is delayed due to muscle problems.
No settled treatment modifies the direction of multiple sclerosis. In any case, you might be given medications like steroids and anti-inflammatory medicines. So do consult your neurologists for more information. Pregnant women who have multiple sclerosis may need to undergo rehabilitation programs. This will depend on the symptoms of the mother. Some of them are listed below for your help:-
- Keeping up your freedom
- Restoring coordinated abilities
- Utilizing assistive gadgets
- Socializing
- Setting a suitable activity program to advance muscle strength, perseverance, and control.
- Overseeing bladder incontinence
- Getting mental retraining
- Adjusting the home climate for security and ease of use
- Getting friends and family involvement.
Dr. Chandril Chugh has been in the Neurology field for sixteen long years and is regarded as one of the top US-trained Neurologists. He was the head of the Department of Interventional Neurology at Max Hospital, Saket, and is one of Dr. Good Deed's most vocal supporters. He is also elected to be a member of SCCM & AAN. His kindness and excellent assistance demeanor make him popular among his patients. Furthermore, he is lovely to converse with at every meeting since he listens to his patient's problems. Dr. Chandril Chugh completed his MBBS and won a gold medal. His vision is to assist people improving their lives and, bit by bit arise as thought forerunners in the field of the health board.
Conclusion
According to research, women with multiple sclerosis do not have a significantly different rate of birth defects from those without numerous sclerosis in pregnancy, delivery, and conceiving. The only problem comes during labor, as the mother might not have pelvic sensation and may not feel torment with contractions. This may likewise make it difficult to tell when work begins. The side effects of MS might be dispatched for quite a while. Pregnant women with MS should inform their doctor as soon as possible for timely diagnosis and treatment. Getting the proper clinical consideration can lead to having a healthy pregnancy and a sound child if the mother has Multiple Sclerosis.
Is It Important To Take a Second Opinion Before Spinal Surgery?
When do you need to undergo spinal surgery? Is undergoing one necessary? Dr. Chandril Chugh, American trained stroke and Aneurysm Specialist discusses all the factors that come up in all our minds.
REASONS FOR SPINAL SURGERY
If a patient comes up with lower back or neck pain, we observe him for a while and suggest maintaining physical activity, in case it resolves on its own. If the pain does not resolve on its own, you should see a doctor for further evaluation.
Spinal problems can also be treated in a non-surgical way as well. Options like physical therapy, exercises, medication, and sometimes spinal injections are also recommended before surgery is resorted to. If a patient is not responding to non-surgical options and still experiencing a lot of pain then, we recommend surgery, especially for those who go through a weakness in limbs due to spinal cord or nerve root compression.
TYPES OF SPINAL SURGERY
Lumbar Decompression Surgery for Spinal Stenosis: Lumbar decompression surgery, also known as, lumbar laminectomy, is performed to correct the narrowing of the spinal canal, called spinal stenosis. The surgeon removes the lamina in the spine that is causing pain.
A lumbar discectomy involves removing an injured disc in the lower back. An arthroscopic discectomy and an open spine surgery are both types of lumbar discectomy. Open spine surgery is more common.
Herniated Disc Surgery : In herniated disc surgery, the surgeon removes an injured part of the disc. In order to stop the pain from the disc, the surgeon may remove the disc and fuse the vertebrae together. Take the decision after getting a second opinion since spinal fusion makes it difficult to move the part that was operated on. The second opinion doesn’t hurt, ever.
Spinal Fusion Surgery: As discussed above, it involves fusing two adjacent vertebrae together to avoid pain caused due to their movement against each other. The surgeon uses small screws and rods to fuse the vertebrae and then leave them to naturally heal and fuse. The surgeon can also use a bone graft from another part of the body to help the vertebrae to fuse.
RECOVERY TIME
Recovery after discectomy is usually quicker, although you may feel numbness, pain, or weakness around the affected area.
When it comes to fusion surgery, it may take longer. It will take 3 to 4 months at least for the bones to recover and the process of healing will go on for a year. The length of surgery also depends upon your condition before surgery.
RISKS ASSOCIATED WITH SPINAL SURGERY
Anaesthesia risks: Spine surgeries are usually performed under general anaesthesia, intravenously to avoid pain during the surgery. Risks are rare but serious like death, heart attack, stroke, and brain damage. Complications may be caused because of other medical conditions. Please tell the medical team about tobacco use or if you or your other family members have ever had a reaction to anaesthesia.
Bleeding: The surgeon employs techniques that minimise blood loss however, blood loss can still happen.
Blood clots: After the surgery, the body’s clotting mechanism is super active to stop the bleeding caused by the surgery. Injury to the blood vessels around the affected site can cause clotting. Clots can occur during the first few weeks of surgery. Signs of a blood clot include swelling, tenderness or redness, and pain.
Dural tear: It occurs when the thin protective covering around the spinal cord gets torn during the procedure. Most dural tears heal without incident. In case, the tear doesn’t heal the spinal fluid can leak out through the tear and can cause a spinal headache. If you feel a headache after surgery, tell your surgeon, chances are you might need a second surgery.
Infection: The risk of infection after surgery is small. If the infection develops it is superficial, but it can spread to the deeper areas around the spinal cord and vertebrae. Common symptoms of infection include a red hot and swollen wound, pain, fever and chills, clear liquid or yellow pus coming out from the cut, a foul smell coming out from the wound site. Go to your doctor if you notice any of these symptoms.
TAKE SECOND OPINION
The complications mentioned are rare but still, you should ask the surgeon about the risks associated with the surgery. In fact, take a second opinion as well. Knowing the risks beforehand allows you to weigh the pros and cons of whether undergoing surgery would be right for you. Taking a second opinion is best when the first surgeon wants a confirmatory opinion before going for the second surgery. When this is the case, let the surgeon choose the surgeon as he would choose the one whose opinion he would value the most. If the surgeon is unable to explain to you why you need surgery, his explanation seems vague or your personal goals don’t match, when it comes to the treatment, you should surely take a second opinion. Taking a second opinion is important when the first surgery did not work and the doctor is recommending another one. If the first surgery is not beneficial, then the second one would be helpful in very specific circumstances.
Online second opinion services are also an option especially when the doctor you want to consult is at a distance. The doctors look at your X-ray scan, MRI reports and then provide a second opinion. But there is one drawback, they do not get to evaluate you and your condition in person.
HOW TO CHOOSE A SPINE SURGEON
- The surgeon should enlighten you about the pros and cons of undergoing surgery, and educate you about the process. He should describe to you what is technically possible about the potential benefits.
- Patients often ask about whether the orthopaedic surgeon or neurosurgeon should do their surgery. Each specialty has a different focus in training although both are equally trained to do the surgery. The orthopaedic surgeons are better suited for deformity and neurosurgeons are better in handling tumour cases. Both of these surgeons often work together in the operating room. Your surgeon should be board certified in orthopaedic surgery or neurosurgery.
- Last but not least, the number of years of experience that the surgeon has in the field of spinal surgery. A surgeon more experienced is going to have a way better technique while handling such a case than the one who does a spinal surgery occasionally.
In a nutshell, never ignore the symptoms and never avoid taking a second opinion.