Dr Chandril Chugh

Is it okay to get neurological tests?

The neurological examination is undertaken to examine if there is any disorder in the central nervous system. The central nervous system comprises the brain, spinal cord and nerves. It is in charge of everything you do, which includes muscle movement, functioning of the organs and even thinking and planning. There are approximately more than 600 types of central nervous system disorders, amongst which the most common ones are:

• Parkinson's disease
• Multiple sclerosis
• Meningitis
• Epilepsy
• Stroke
• Migraine headaches

An examination of the nervous system comprises tests designed to examine the strength of the muscles, balance, and various aspects of the  nervous system. Diagnosis at an early stage helps in determining the proper treatment and may also decrease the long-term complications. 

When does one need a neurological exam?

Although symptoms depend more on the disorder, the most common symptoms are:

• Headache
• Problems in balance and coordination
• Blurred vision
• Numbness in arms or legs
• Behavioural changes
• Changes in ability to smell and in hearing
• The confused state of mind
• Weakness
• Fatigue
• Fever
• Seizures

What happens during a neurological examination?

A neurologist performs the examination and helps in treating neurological conditions once diagnosed. The neurologist tests different nervous system functions during the exam, and the type of tests depend on the symptoms. Still, most neurological exams include tests of some or all of the following:

1. Mental status

The doctor may ask general questions such as date, time or place. You may even be asked to perform tasks that may include remembering a list of items, naming objects or drawing specific shapes. 

      2. Coordination and balance

The neurologist may ask you to walk in a straight line and do other such balancing exercises. Other tests may include closing eyes and trying to touch your nose with your index finger.

      3. Reflexes

A reflex is referred to as an automatic response to stimulation. They are tested by tapping different parts of the body using a small rubber hammer. If the reflexes are normal, the body will move a certain way or respond when tapped with a hammer. The neurologist may tap several areas on your body during the exam, including below the kneecap and areas around your elbow and ankle. 

       4. Sensation

The doctor may touch your legs, arms and other different body parts with various instruments, which may include a tuning fork, dull needle or alcohol swabs. You will then be asked to recognize the sensations such as cold, heat and pain.

       5. Cranial nerves

These nerves connect the brain with eyes, nose, ears, face, tongue, neck, throat, upper shoulders and some organs. There are 12 pairs of these nerves. The neurological examination will determine which nerves are involved in the symptoms. You may be asked to identify specific smells, stick your tongue out and try to speak and move your head from side to side. There could also be hearing and vision tests. 

         6. Autonomic nervous system

This system controls essential functions such as breathing, heart rate, blood pressure and body temperature. The neurologist may check the blood pressure, pulse, and heart rate while sitting, standing, or lying down to test this system. Other tests include checking pupils in response to light and a test to check your ability to sweat normally.

What do the test results mean?

If the examination result does not look normal, the doctor might order more tests to help make a more accurate diagnosis. The tests may include one or more of the following:

• Blood and urine test
• Imaging tests such as an x-ray or an MRI
• A biopsy removes a small piece of tissue for further testing
• A cerebrospinal fluid (CSF) test. CSF is a clear fluid that surrounds the brain and spinal cord. This test takes a small sample of this fluid.
• Electroencephalography (EEG) and electromyography (EMG) analyses brain activity and nerve function by using small electrical sensors.

Nervous system disorders and mental health problems may have similar or no symptoms. This is because some behavioural symptoms are signs of nervous system disorder. If a mental health screening doesn't have regular or prominent changes in behaviour, you may be recommended a neurological exam. 

Neurological examination may take a long time as so much in the body is controlled by the nervous system, from breathing to a sense of touch. While they can be unpleasant, they do not hurt and are safe to take. The examination follows a structure, so the patient usually knows the steps the doctor will undertake, which helps calm the anxiety and nervousness. Most tests can be performed at a physician's office or an outpatient testing facility with no risk to the patient. A century ago, the only way of making a definite diagnosis was by performing an autopsy after someone died. Today, with the advancement in science and technology, doctors are well-equipped with the tools to monitor and assess living brain and nervous system activities. Scientists are keen to develop more advanced and improved screening methods for quick and accurate results with minimum risk to the patient. 

Fortunately, we are in a century where science has found solutions to most of the problems. Humans can save their lives by opting for the proper treatment at the right time. Therefore, it is advisable to keep a close watch on yourself and your loved ones. In case there is an unexplained change in behaviour, take the test. 

by Dr Chandril Chugh

Answering some important questions related to brain tumors!

A Brain Tumor is a mass growth of neurons (or other brain cells) in the brain. The human skull has a high degree of rigidity. Hence, any increase within such an enclosed space will result in problems. A Brain Tumor can be either malignant (cancerous) or benign (noncancerous). When these Tumors spread, they can lead to internal pressure within the skull, which is dangerous and can be life-threatening! Brain Tumors that originate in the brain are referred to as primary Brain Tumors, while cancer that begins elsewhere in the body spreads to your brain as metastasized Tumors.

How fast a Tumor can grow varies greatly. The rate of growth, along with the location, determines how it will affect the functioning of the nervous system.

How do you detect a Brain Tumor?

The Brain Tumor symptoms vary more depending on where and how large the Tumor is. While some cancers directly affect the brain, others create pressure on the surrounding brain. Headaches are the most common symptom of a Brain Tumor. The patient may experience worse headaches in the morning, occur while sleeping and are made worse by sneezing or coughing too much. One may also experience vomiting, blurred vision, confused state of mind, seizures, weakness of a limp or change in mental functioning. Other common symptoms are clumsiness, memory loss, difficulty in writing or reading, difficulty swallowing, hand tremors, loss of balance, eye problems, dizziness, trouble speaking, changes in mood, emotions and behaviour, difficulty walking, muscle weakness in the face, arm or leg, loss of balance, difficulty in making decisions, inability to follow simple instructions and feeling very tired all the time.

What are the risk factors for a Brain Tumor?

Family history

Although it is rare for a Brain Tumor to be genetically inherited, it is recommended to talk to a doctor if several people in the family have been diagnosed with a Brain Tumor. The doctor might suggest a genetic counsellor for you.

Age

The risk for most Brain Tumors increases with age.

Chemical exposure

Consistent exposure to certain chemicals, such as those you encounter in your work environment, can heighten the risk for brain cancer.

Exposure to radiation

People who have been exposed to ionising radiation are comparatively at an increased risk of Brain Tumors. The nuclear power plant incidents in Fukushima and Chernobyl are examples of how people could be exposed to ionizing radiation.

How are Brain Tumors diagnosed?

The diagnosis begins with a physical exam and a study of medical history. The physical exam is a very detailed neurological examination, and the doctor conducts a test to see if the carnival nerves are intact. These nerves originate in the brain. The doctor will also look inside the eyes using an ophthalmoscope, an instrument that shines a light through your pupils and then onto your retinas. Doctors check how your pupils react to light and if there is any swelling of the optic nerve. When pressure increases inside the skull, there is usually a change in the optic nerve. The doctor further evaluates the strength of muscles, memory and ability to do mathematical calculations.

Further, there may be more tests after the physical examination, which include:

CT and MRI scan of the head

They are conducted to obtain a more detailed scan which helps doctors see some structures like blood vessels and brain more clearly.

Angiography

A dye is injected into your artery, which travels to the streets in the brain. It allows the doctor to see what the blood supply of Tumors look like

Skull X-rays

Brain Tumors may lead to fractures in the bones of the skull, which are detected through specific X-rays. They also check if there are calcium deposits that are sometimes contained within a Tumor.

Biopsy

Biopsy identifies if the cancerous cells are present in the Tumor. Then, a small piece of the Tumor is obtained, and a neuropathologist specialist examines it.

What is the treatment of a Brain Tumor?

The treatment primarily depends on the type of Tumor, size of cancer, location of the Tumor and overall health. The most common treatment for Tumors is surgery. The motive is to remove as much cancer as possible without damage to the healthy parts of the brain. While the location of some Tumors allows for safe removal, others may be located in an area that causes limitations to how much of it can be removed.

There are some risks of brain surgery, such as infection and bleeding. Surgery can be combined with other treatments such as radiation therapy and chemotherapy. Physical therapy, occupational therapy and speech therapy help in speeding up the recovering process after neurosurgery.

What are the complications that are associated with a Brain Tumor?

People with Brain Tumors, whether it is cancerous or noncancerous, experience complications as the Tumor grows, which include:

• Difficulty in speech
• Faster or slower pulse rates
• Vision, smelling and hearing problems
• Weakness or inability to move arm or leg on one side of the body
• Decreased level of alertness
• Numbness that creates interference with feeling hot or cold on the body

While you cannot prevent a Brain Tumor, you can reduce the risk by refraining from smoke and excessive radiation exposure. However, after a Brain Tumor treatment, it is crucial to follow up with your doctor regularly.

by Dr Chandril Chugh

Teenage Depression - Early signs, causes, treatments

What Is Teenage Depression

Several changes occur during one’s teenage years. Teenagers go through a lot of changes biologically and physically during this phase. Depression is a significant threat that hangs over a teenager as this is the age where most hormonal changes occur. Teenage depression causes constant feelings of sadness and despair. Loss of interest in activities is a warning sign of depression in youth. Depression can occur at any stage of life, but depression in youth shows different symptoms compared to adult depression. Issues like peer pressure, academic pressure, constant changes in the body, hormonal shifts and instability in mental peace can cause teenage depression.

Highs and lows are expected in life, but for some teenagers, it is more than lows; it becomes constant and repetitive over time, known as teenage depression. Teenage depression cannot be overcome by willpower; it is something that requires long-term treatment like medication or psychological treatment.

Symptoms

Changes in behaviour that might cause a problem in a teenagers life are straight pointers towards teenage depression. Depression can cause disruptions in social life and cause problems for a teenager that are hard to overcome. The extent may vary from person to person, but the following are some behavioural and emotional changes that may be considered signs of depression in teens.

Changes in behaviour

Several changes in behaviour occur during the teenage years. Still, the following are some behavioural changes that are not considered normal and can worsen if not taken care of at the right time.

• Lack of energy and tiredness throughout the day
• Lack of sleep or sleeping too much
• Changes in food habits-eating too much and gaining weight or eating too little and loss of weight
• Abuse of alcohol, drugs or tobacco.
• Becoming reckless and restless- being unable to sit in a place or lacking concentration
• Becoming slow in essential functions like thinking, talking, writing or in any other body movements
• Frequent body and headaches
• Social isolation-staying alone and not making any friends
• Degradation in academic performance or lack of interest in academics and not showing up for classes
• Less consciousness about personal appearance or hygiene.
• Getting triggered easily- anger outbursts and reacting harshly without thinking twice
• Inflicting self pain- cutting, burning, excessive piercing or tattooing.
• Attempting suicide
• Not indulging in social activities 

Emotional changes

Teenagers go around several emotional changes as there are constant hormonal and physical changes going on. The following changes in the dynamic patterns of teenagers are considered as symptoms of depression in teens.

• Signs of extreme sadness for no reason, like crying and sobbing. 
• Emotional outbreaks like crying or laughing too much for no reason.
• Getting frustrated quickly and reacting over matters that have no significance.
• Getting irritated easily and getting annoyed easily.
• Losing the sense of interest and pleasure in usual activities
• Having conflicts with family and friends. Losing interest in social contact.
• Feeling guilty for no apparent reason
• Low self-esteem
• Being stuck up in the past and exaggerated self-doubt and self-blame
• The constant need for approval and over-sensitivity towards failure and rejection
• Having problems in thinking, concentrating, making decisions and remembering things.

When to seek help from a doctor:

If the problems of lows keep increasing and interfere in their daily lives, consult a trained doctor in adolescent psychology. Depression among teenagers is common and often gets solved by a few sittings with a trained professional in psychology. Knowing when to interfere in a teen’s life is necessary; usually, parents ignore the fact that a teen is going through a rough patch and taking wrong steps, which can turn out to be disastrous. Knowing when to consult a doctor is a must for parents.

Teens and depression are a lethal pair, and if left untreated, they can lead to severe risks. Depression symptoms may not get better with time and can turn worse over time. Getting professional help at the right time can help save a life. 

If you are a teen and are suffering from the same problems or one of your friends is going through the same, consider opening up to a parent, teacher, close friend, or anyone you trust. Getting help at the right time can help you save a life.

Causes of depression among teenagers:

There is no specific reason for depression. Depression can be caused due to several reasons. Following are some reasons that can cause depression in an adolescent.

•     Chemical imbalance in the brain: Human body uses chemical reactions to send signals from brain to body and other processes. Imbalance in chemicals can cause numerous diseases, and depression is one of them.
•     Hormonal changes: Many hormonal changes occur during the teenage years, which can cause problems like adolescent depression and anxiety.
•     Inherited traits: Just like physical features, mental and psychological problems can also get passed on through genes.
•     Trauma: Traumatic experiences can leave a scar on one’s mind and can turn out to be a severe problem if not treated in time.

Prevention and Treatments:

There is no sure-shot way of preventing depression, but the following are some steps you can take to prevent your teenager from depression.

• Get your teenager involved in social activities and encourage them to make social contact. Maintaining social connections can bring about tremendous change in the state of teenage depression.
• Seek help when needed. Often we neglect psychological problems and think they will pass but not taking the proper steps at the right time can lead to severe problems.
• Continue the treatment and believe in the process of healing. Professionals know their way around these problems and can help solve problems.

by Dr Chandril Chugh

How do you know if you have silent migraine?

by Dr Chandril Chugh

Effective Ways to Reduce Stress in Your Daily Life

In today's competitive world, many of us are constantly striving to prove our worth, working day and night to achieve our goals. However, amidst this relentless hustle, we often forget to take care of our most important asset—ourselves. The rise in lifestyle-related stress has led to a significant increase in mental health issues such as anxiety and depression. While some level of stress can motivate us to move forward, when it becomes an everyday occurrence, it can lead to serious health problems.

Stress has not only impacted our Mental Health but also contributed to chronic lifestyle disorders like obesity, heart disease, and stroke. Everyone, from children to adults, experiences stress, though the causes may differ. Children often face stress from bullying, peer pressure, and family issues, while adults grapple with workplace challenges, financial problems, and relationship uncertainties.

If stress has started affecting your health, it's time to make some changes. Below, we explore some of the most effective ways to reduce stress and improve your overall well-being.

Prioritize Your Health

One of the most effective ways to reduce stress is by prioritizing your health. Eating nutritious foods and getting adequate sleep can significantly lower stress levels. Nutritious foods like nuts, avocado, salmon, dark chocolate, and oats promote the secretion of serotonin, the "happy hormone," which helps reduce stress hormones like adrenaline and cortisol. Additionally, establishing a regular sleep routine is crucial. Aim for at least 7 hours of sleep each night to improve your mood, concentration, and ability to manage stress.

Practice Self-Compassion

Another vital step in managing stress is practicing self-compassion. Understand that it’s okay to have a bad day. Instead of focusing on the negatives, shift your attention to solutions. Taking some "me time" is crucial for recharging. Engage in activities that bring you joy, whether it's meditation, yoga, exercise, or a simple walk in the park. This self-care practice can help you feel more energized and better equipped to handle life's challenges.

Focus on Your Strengths

Avoid dwelling on unnecessary issues in life. Recognize your limits and focus on your strengths. It's essential to learn to say no when needed and to eliminate negative thoughts. If a situation cannot be avoided, try to alter it. Create a to-do list, prioritize your tasks, and always make time for yourself. By shifting your perspective, accepting mistakes, and showing gratitude, you can significantly reduce stress and enhance your mental health.

Try Music Therapy

You don't need to make drastic changes to reduce stress; sometimes, simple adjustments can make a big difference. One such method is music therapy. Listening to soothing music can help you relax, as it increases dopamine production—a hormone that induces calmness and relaxation. Music can also improve memory, concentration, and reduce pain and stress-related chemicals in the body. Explore this guide for more on how music can be a powerful tool in stress management.

Take a Nature Break

Nature offers a powerful remedy for stress. Whether it’s a walk in the park, a hike in the mountains, or just sitting by the ocean, immersing yourself in nature can significantly improve your mood and help manage stress. Studies suggest that spending time in natural settings reduces stress and enhances mental clarity. Planting trees, getting fresh air, and enjoying the outdoors can have a long-lasting positive effect on your mental and emotional health. For more insights, check out Nature and Stress Relief.

Stay Connected with Loved Ones

In today's tech-driven world, we are more connected to our devices than to the people who matter most. Spending time with friends and family is one of the simplest yet most effective ways to reduce stress. Sharing your worries with loved ones can help you release negative thoughts and focus on your strengths. Whether it's a chat over coffee or a phone call, these connections can provide much-needed emotional support.

FAQs

1. What are the adverse effects of stress on our health?
Stress can trigger the release of hormones that weaken our immune system, making us more susceptible to illnesses. It can also exacerbate existing health conditions and negatively impact neurotransmitters, sex hormones, and metabolic processes.

2. Can stress affect our brain and its functions?
Yes, chronic stress can lead to structural changes in the brain and even kill brain cells. It can shrink areas of the brain associated with memory, emotions, and metabolism, potentially contributing to neurological disorders.

3. When should I visit a neurologist?
You should consult a neurologist if you experience symptoms such as frequent headaches, tremors, memory loss, pain, or numbness. For more information, visit Dr. Chandril Chugh, a specialist in neurology.

4. Can stress cause neurological issues, and what are the symptoms?
Chronic stress can lead to neurological issues, with symptoms including heart palpitations, insomnia, muscle weakness, high blood pressure, sweating, and nervousness.

5. How can you treat chronic stress?
Cognitive-Behavioral Therapy (CBT) is one of the most effective treatments for chronic stress. Additionally, doctors may prescribe medications to manage symptoms like insomnia or high blood pressure.

Conclusion

Managing stress is essential for maintaining both mental and physical health. By incorporating these ways to reduce stress into your daily routine, you can improve your well-being and reduce the risk of stress-related health issues. Remember, small lifestyle changes can make a significant difference in how you handle stress.

by Dr Chandril Chugh

Sudden Death: What Can Be The Reason Behind It?

Sudden Death Meaning 

Sudden death occurs unexpectedly. Research highlights that sudden deaths, also called premature deaths, by definition, are much more likely to occur in children, adolescents, and healthy middle-aged adults. Thus, a person’s life is irrevocably affected by untimely deaths due to losing someone significant, intimate, and vital to them, such as their family members. 

Sudden Death Symptoms

Sudden death from heart failure is one of the most commonly found sudden death reasons. One should seek immediate medical attention if they detect any of the following signs and symptoms in themselves or their loved ones.

• Pain or discomfort in the chest.

• Palpitations of the heart.

• Arrhythmias (rapid or irregular heartbeats).

• Experiencing unexplained wheezing.

• Breathlessness.

• Fainting or going to faint.

• Feeling lightheaded or dizzy.  

Sudden Death Causes

While sudden deaths might have various reasons, they all have in common is that they are unanticipated, unlike an end due to terminal illness. The families saddened by these tragedies have little or no time to say their final farewells. As a result, grief comes as a bolt from the sky.

Sudden death, as per a published report, refers to any death that occurs abruptly. It includes the following:

• Suicide
• Accident on the road or in another mode of travel
• Suicide, drowning, fall, fire, or other calamities
• Advanced terminal sickness that has gone undiagnosed, such as terminal cancer
• Natural reasons that occur suddenly, such as cardiac arrest, intracerebral Hemorrhage, or cot death
• Unexpected death as a result of a contagious disease such as covid-19
• Sudden death as a result of a significant illness that was previously recognized but not anticipated, for example, seizures
• Murder
• Conflict or terrorism

Sudden Death From Food Poisoning.

Food poisoning is a commonly occurring problem. Food poisoning is typically moderate for most people, but it can be severe and even fatal for a small percentage of them. Usually, food poisoning outbreaks occur when people consume food or drink water contaminated with bacteria, bacterial toxins, parasites, or viruses.

While Bacillus cereus infections are unpleasant, they are seldom fatal. Patients have diarrhoea or nausea and vomiting based on the toxins produced by the bacterium. However, the consequences can be more catastrophic, with death happening in certain sporadic instances.

Sudden Death From Sepsis

A blood infection is a rapid killer. A person might be highly fit and healthy one day and then die the following morning. Sepsis, often known as blood poisoning, is a silent killer since it is unpredictable, fast, and has non-specific symptoms. As per estimates,  sepsis kills more people than lung cancer, heart attacks, and all forms of cancer combined.

Sepsis may be fatal within the first 12 hours, so it is essential to raise awareness of its symptoms that mirror the flu. The symptoms are fever, fast heart rate, fast breathing, discomfort, pale or discoloured skin, and an overall sense of being extremely sick within six hours.

When the body's infection-fighting mechanisms activate, they impair and improperly function organs. Sepsis can develop into septic shock. There is a significant decrease in blood pressure that could result in severe organ damage or death.

According to a study, Sudden death from stroke is one of the most found sudden death reasons worldwide. A neuro physician in Jaipur cites from published Research that haemorrhage or bleeding in the brainstem, which results in respiratory and vasomotor centre failure, is typically the direct cause of stroke-related sudden death.

According to the Stroke Association's Research, persons who have a stroke die within 30 days of it since they develop complications soon. Additionally, one in every eight strokes is deadly, and one in every four is lethal within a year. Strokes are classified as a medical emergency.

Sudden Death From Stress 

New Research on nervous system facts demonstrates that mental stress alters the heart rate and rhythm, even in people who do not have symptoms of cardiac disease. According to the researchers, emotional stress can result in sudden death, particularly in individuals who already have arrhythmias.

Additionally, some risk factors function as Sudden Death factors. Several of them, such as advanced age, cigarette smoking, diabetes mellitus, hypertension, sex at an advanced age, hypercholesterolemia, family history of CHD, and obesity, enhance the risk of sudden cardiac death.

Acute myocardial infarction, fatal arrhythmias, acute aortic catastrophe, massive pulmonary embolism, and cerebral haemorrhage/massive stroke (cerebrovascular accident) are the five sudden death risk factors.

Sudden Cardiac Death Facts

Sudden Cardiac Death (SCD) is an unexpected and sudden death caused by a change in the heart rhythm (sudden cardiac arrest). It is the leading cause of natural mortality in the United States, accounting for around 325,000 adult fatalities per year. SCD is the root cause of about half of all fatalities from heart disease.

Men are more prone to experience Sudden Cardiac Arrest than women. , As per the study, people with underlying illnesses such as diabetes, hypertension, heart failure, or chronic renal disease—are at an increased risk of SCA. The Research discovered that a diet heavy in added fats, fried meals, processed meats, and sweetened beverages increases one's risk of sudden cardiac death.

When patients have heart attacks, they remain conscious, and their hearts continue to beat. When a person has SCA, they are unconscious, and their hearts stop beating. SCA affects persons of various ages, including almost 7,000 adolescents under the age of 18.

SCA is frequently the first sign of a cardiac issue.

Surprisingly, Sudden infant death facts highlight The following facts about premature newborn death:

• Sudden Infant Death Syndrome (SIDS) is a startling and quiet medical condition that can strike an otherwise healthy newborn.
• SIDS is also referred to as "cribs death" or "cradle death" since it occurs when the baby is asleep.
• SIDS is the most significant cause of mortality in infants between one month and one year.
• Though the majority of SIDS deaths occur in infants between the ages of one and four months. SIDS fatalities can occur at any moment throughout a baby's one year.
• Significantly more boys than girls die of SIDS.
• In the past, it appeared as though SIDS fatalities increased with the cold weather of the year. However, the statistics show that no significant correlation exists.

FAQs by patients about sudden deaths

1. What is the most prevalent cause of sudden death?

Coronary artery disease, which accounts for up to 80% of all occurrences of sudden cardiac death, is the most prevalent cause.

2. What are the signs of sudden death?

Regrettably, the initial symptom or indication of SDS might be untimely death. However, SDS might manifest the following warning signs: Consciousness loss, chest discomfort, particularly after exercising. 

3. Is it possible to avoid sudden death in children?

Each year, about 23,000 children and adolescents die of sudden cardiac arrest in the United States (SCA). Many of these arrest-related deaths can be avoided if parents and children identify the early warning symptoms of SCA and receive medical care before a crisis.

Do not hesitate to contact Dr Chandril Chugh, a neurologist in Delhi, if you find any of the above signs and symptoms within you or in any of your near and dear ones.

by Dr Chandril Chugh

What are the benefits of improving your posture?

A posture is said to be good when the bones and muscles of either side of the spine are symmetrical to each other and equally support the body. Correct posture is critical to your health and well-being. The good news is that you can achieve correct posture with minimal effort and improve your health by being mindful of your posture throughout the day and making simple changes to improve your posture.

But, what exactly is the need of having a good posture? You might have heard from your parents that ‘Sit Straight’, ‘Walk with your shoulders up and straight’. Let’s read why there is a need for improving your body posture or what are the benefits of good body posture:

• Adds to Healthy Lungs: The basic concept behind straight back and healthy lungs is that when we slump or slouch, the muscles in the front side of our body compresses which hinders oxygen to fill lungs properly as it should.  This might cause breathing problems and other issues in the long run as your body needs ample oxygen to function properly. Sitting with straight back or walking with your skull straight with shoulders up helps your body to exercise the oxygen intake upto 30% more efficiently than it could before. 

More importantly, it is advised to add Yoga to your morning routine. Yoga expands lungs and stimulates the blood flow to provide oxygen to every organ of the body. 

• Improve Work Life: When standing up tall, facing the public with confidence inhibits trust of workload, trust of punctuality, trust of leadership in your co-workers and your leaders. It's most important to look presentable, enthusiastic and confident when you are out for work or become your boss. 

Slumping or leaning your shoulders in front communicates a lack of self confidence, as if you are lazy, unenthusiastic. Slumping will make you fall asleep easily as it increases pressure on shoulder bones and neck bones. 

• Reduces Joint Pain: Your body is designed to stand in a "neutral" position where your pelvis, head, and core are in a stacked position. The forward-facing head, sloping hips, and excessively curved spine put pressure on the muscles in a way that they cannot stand.This causes pain in Neck bone and lower back bone. If you are a gym goer and some of the exercises have impared your posture or have increased pain in your joints you should contact Dr. Chandril Chugh, one of the best neurologists in Delhi.
• Healthy stomach means healthy you: Anything incorrect with the body affects the stomach.Good posture while eating communicats complete digestion of food and circulation of digestive juices. Practically, When you stand straight in 180 degrees your organs align well as they are at their originality, meaning no compression or pressure on intestines,stomach and healthy flow of food and digestive juices.  

A slumped posture hinders your digestive process and leads to constipation and GERD. 

• Reduced Headaches and stress: People who tend to lean more or have a habit of moving with shoulders leaning, neck fallen downwards are more prone to chronic headaches and it doesn't last longer. They tend to experience headaches every single day and it can turn out to be cervical cancer and in the long run. 

To avoid this one can go for spine and neck exercises. As many of us have busy schedules and tend to find less time for ourselves. This induces more despaired posture and unnecessary headaches. So, one should spend at least 15 minutes a day for neck exercises. You can also contact a doctor for assistance.

• Increased Athletic Spirit: Good Posture doesn’t resist at head and back but it provides strength to core muscles of your body, buttocks, pelvis and more. When you begin to improve your posture, your body builds up a spirit of individuality, you tend to get more lean towards strengthening your body, you feel more alive and energetic than before. The basic idea behind this is when your body acts according to its natural build up and you support it in doing so, your energy enhances giving it a wave to do more than required. 

To improve your mismanaged body posture contact Dr. Chandril Chugh. 

• Helps in Weight Management: When you bend your pelvis your stomach creates a pot belly makes you look obese and unfit. Recognising your correct posture by understanding the benefits of having a good posture can make you look skinnier and help you achieve your dream fat stomach. 
• Better body functioning in the long-run: At the age of 65 many individuals are seen to have slumped back may be to bone density issues or perpetual habit of leaning your back. Working for hours day and night causes these kinds of problems in your late 60s. It's better to wake up in advance about future issues. 

Your body posture affects the aging of your body. Standing with impaired posture puts pressure on your connective tissues, especially  your joints, and you may feel pain and stiffness as you age. Maintaining a proper posture from the beginning of your teenage years or 20s will make you feel more mobile in your 60s. 

It's more important to get your body regularly checked with specialists like Dr. Chandril chugh as an advisory for your better old age. 

Tips for Improving Your Posture

• Yoga
• Wear a good pair of shoes
• Contact a good doctor in case of pain in neck or spine
• Exercise your neck 
• Have a small walk every morning/evening
• Stretch buttocks regularly
• Notice your shoulders while walking
• Don’t over-use laptops/PC with leaned neck

Your body is like a baby seedling if not watered properly or placed in sunlight, it bends and gets impaired. Likewise, if you don’t take care of your posture it tends to bend in the way you bend it.

Knowing the benefits of good posture are handy for your future reference but, knowing, How poor is your posture? How should you correct your posture? Is more important. Contact or Visit Dr. Chandril Chugh, one of the best Neurologists in Delhi and Patna.

by Dr Chandril Chugh

Mental Health Day: Significance and Objective

World Mental Health Day and Mental Health Day in India is observed on 10th October every year. This day is significant because it raises public awareness about mental health care and encourages people to become involved in improving their mental health.

Mental health is one of the most overlooked aspects of public health. Around one billion people suffer from mental illnesses; three million people die each year from excessive alcohol consumption, and one person commits suicide every 40 seconds. In addition to social stigma and discrimination, some human rights violations are committed against people with mental health issues.

Mental health refers to a person who is "adjusted emotionally and behaviorally in an acceptable manner." It is a state of mental health that is devoid of mental disease. Mental health is defined by the World Health Organization (WHO) as "personal well-being, autonomy, perceived self-efficacy, competence, intergenerational reliance, and self-actualization of one's intellectual and emotional capacity, among other things."

Mental health problems can develop due to sadness, stress, loneliness, anxiety, grief, mood disorders, and a variety of other mental illnesses. Therapy, counselling, or medicine can all aid in the recovery process from various ailments.

Everybody, everywhere, can join in this year's campaign: as people, by taking tangible measures to promote our mental well-being and the mental health of friends and family; and as companies, by taking steps toward implementing wellness programs for employees.

The government is working hard to expand mental health services with media outlets that will help raise mental health awareness.

Mental Health Significance and Theme of Mental Health Day

The pandemic had a significant influence on people's mental health. Governments from around the globe highlighted the need to scale up effective mental health services at all levels during the World Health Organization in May 2021. Additionally, several countries have developed novel approaches to delivering mental health treatment to their citizens.

It prompts us to consider acquiring additional knowledge about our nervous system for our mental well-being. Let us take a closer look at the matter.

There are several well-researched facts about the CNS. The nervous system is a complex network of nerves and special cells known as neurons that send information between various body areas. The brain is the body's most complicated organ, using 20% of the oxygen we breathe. The brain is believed to have 100 billion neurons linked to thousands of others. It is the electrical wiring of the body.

The neural system is essential because it enables all of the body's components to communicate. Additionally, it responds to both external and internal changes in the body. The nervous system communicates both electrically and chemically. The nervous system is composed of the brain, spinal cord, nerves. The nervous system is engaged in every thought, word, and action you make.

What could go wrong with your neurological system?

Numerous issues can affect your neurological system as per the nervous system facts, including the following:

• Nerve injuries that result in the death of nerve cells or the severance of nerves
• Meningitis and encephalitis are examples of infections.
• Stroke is caused by the obstruction or tear of blood arteries that supply the neurological system.
• Brain cancer
• Hyperglycemia or multiple sclerosis can cause nerve fibre damage.
• Aspartame slows metabolism, resulting in complex PTSD and sleep disorders.
• Brain haemorrhage symptoms include headache, nausea, vomiting, dizziness, seizures, confusion, sudden tingling or numbness or weakness, paralysis, difficulty in swallowing, etc.
• Stroke during sex

Once nerve cells die in the brain or spinal cord, they cannot regenerate. However, nerve fibres can occasionally regrow if their cellular body is not damaged. Nerve fibres might take months to regrow. Doctors can occasionally reattach tiny nerves, restore their function, and repair the spinal cord and the brain. If you notice any of the signs mentioned above or symptoms, these are sufficient reasons to consult a neurologist.

What effect does ageing have on the neurological system?

As individuals age, their brains lose nerve cells. Your body has a more challenging time producing new nerve cells and repairing damaged ones. In comparison to younger generations, older generations are more likely to:

• Have difficulty in recalling previous events or picking up new skills
• Have difficulty with words
• Have reaction times that are slower
• Skin has less sensitivity
• Clumsiness

It brings us to another critical point: what are the different forms of mental disease? The following are a few examples:

• Depressive conditions (such as depression or bipolar disorder)
• Anxieties.
• Personality abnormalities.
• Diseases of the mind (such as schizophrenia)
• Anorexia.
• Health diseases associated with trauma (such as post-traumatic stress disorder)
• Disorders related to drug addiction.

Mental Health Causes

The following factors will lead to the aforementioned mental diseases or mental illnesses:

• Genetics.
• Environment.
• Adverse childhood experiences.
• Stressful happenings, such as the death of a loved one or getting involved in a vehicle accident.
• Negative thinking.
• Unhealthy habits, such as not having enough sleep or skipping meals.
• Drugs and alcohol: Substance abuse can precipitate a mental disorder.

Mental Health Awareness

The key to excellent mental health is to be aware of how to improve one's mental health. Mental health awareness is essential because it enhances the likelihood of early intervention. This early detection increases the possibility of a speedier recovery. Mental health is now recognized as a disease as a result of increased awareness. These diseases are treatable.

It takes us to another thought-provoking point on the importance of mental health or the significance of World Mental Health. Our psychological, emotional, and social well-being all fall under mental health, affecting our feelings, thoughts, and actions. Moreover, it influences our dealing with stress, interactions with people, and making good decisions. Mental health is critical at all stages of life, including childhood, adolescence, and maturity.

Additionally, one could inquire about the mental health objectives. World Mental Health Day is observed to ensure that primary mental health treatment is available and accessible to all. Another goal is to promote the application of mental health knowledge in primary care and social development.

 Mental health care is critical because it has the potential to prevent many mental disorders. The following are some strategies for maintaining your mental health:

• Communicating your feelings, especially when you are distressed
• Keeping yourself active
• Eating well in the sense that you consume nutritious and balanced foods
• Drinking enough water
• Maintaining contact with your social circle friends and family
• Seeking help when necessary and not being afraid to ask
• Taking a break from your routine
• Doing something you enjoy or developing a long-lost hobby
• Accepting who you are and what you have, the way they are
• Caring for others

If you are concerned about your mental health or want to know more about taking care of your mental health, you should always contact a neurologist or opt to consult an online neurologist. Several cities also provide mental health care services wherein you can contact a mind doctor in Delhi, a top neurologist in Jaipur, a mind doctor in Agra, the best neurologist in Faridabad or even a migraine doctor in Jaipur.

FAQs related to Mental Health

1. What are the strategies that will help you remain mentally alert?

The following strategies may help you stay mentally alert for longer:

•         Physical activity
•         Limiting alcohol consumption
•         Smoking cessation
•         Obtaining therapy if you have hypertension, hypercholesterolemia, or diabetes

2. What are the foods that heal nerve damage?

Several of the best foods for nerve repair include the following:

• Vegetables that are green and leafy. Broccoli, spinach, and asparagus are all excellent sources of vitamin B, a nutrient that is necessary for nerve regeneration and function.
• Fruits. Consume at least one fruit every day to aid in the healing of injured nerves.
• Zucchini.
• Squash.
• Quinoa.

3. What is the state of mental health in India?

India is the world's most depressed country, according to a WHO assessment. According to the research, between 1990 and 2017, one in every seven Indians suffered from a mental disease such as depression, anxiety, or another severe disorder. Additionally, India suffers from a shortage of mental health specialists. These issues demand a quick response from both the government and individuals.

References:

• https://www.ncbi.nlm.nih.gov/books/NBK20367/
• https://en.wikipedia.org/wiki/Nerve_injury
• https://my.clevelandclinic.org/health/diseases/14480-brain-bleed-hemorrhage-intracranial-hemorrhage
• https://www.nature.com/articles/sc2011132
• https://www.webmd.com/mental-health/mental-health-causes-mental-illness
• https://www.who.int/campaigns/world-mental-health-day

by Dr Chandril Chugh

How Can Diabetes Cause Nerve Damage?

 Diabetes, a condition where sugar levels become higher than normal, causes damage to nerves. It is called diabetic neuropathy. Diabetes affects the blood supply to the nerves which in turn are unable to send and receive signals to and from the brain to the body leading to nerve damage. It mainly affects nerves in the feet and legs. Diabetes nerve damage is caused by high blood sugar levels, where the pain can potentially be unbearable and debilitating. Depending on the site of nerve damage and severity, the diabetes nerve pain symptoms can range from numbness in the feet and diabetes nerve pain in the legs to problems in the digestive system, blood vessels and heart. Diabetes nerve pain relief can be brought by consistent blood sugar management and adopting healthy lifestyle habits. Contact a neurologist who may advise diabetes nerve pain medication. You can also have online neurologist consultation. Following diabetes nerve pain home remedy like keeping blood pressure under control, eating healthy, not smoking and being active every day can effectively help in pain management.  Learn from the neurosurgeon in Patna about the nervous system facts, foods that heal nerve damage, aspartame side effects on the brain,best  food for nerve repair, complex ptsd and sleep, facts about the cns. These are the reasons to see a neurologist.

Diabetes and Nerve Pain Reasons

The reasons behind diabetes leading to nerve damage are not precisely known. It is understood that uncontrolled blood sugar levels damage nerves and affect the ability to send and receive signals. High blood sugar also damages the capillaries or the small blood vessels that take nutrients and oxygen to the nerves. In some people, low Vitamin B12 levels may also cause nerve damage. The online neurologist may prescribe blood tests to check for vitamin deficiency. Some other factors that cause diabetic neuropathy are:

• ·         Damaged blood vessels due to high cholesterol
• ·         Lifestyle factors like alcohol abuse or smoking
• ·         Mechanical injuries like those caused by carpal tunnel syndrome.

Diabetes Nerve Damage Symptoms

The symptoms depend on which nerves are affected and the type of diabetic neuropathy you have. Usually, you may not notice diabetes related nerve pain until considerable damage has occurred.  A person can develop one or more than one of the four kinds of diabetic neuropathy:

• ·         Peripheral Nerve Damage: It is the most common type of nerve damage which affects lower limbs first, followed by damage to nerves of the upper limbs. Symptoms include numbness, tingling sensation, heightened sensitivity to touch, cramps and severe foot problems.
• ·         Autonomic Nerve Damage: It affects the nerves of the bladder, intestines, eyes, heart, stomach; symptoms include bowel problems, lowered sexual responses, lack of awareness of low blood sugar levels,
• ·         Proximal Neuropathy: It affects the nerves in the hips, legs, thighs, and buttocks. In some people, it can also affect the chest and abdominal area. Symptoms include severe pain, shrinking thigh muscles, severe stomach pain, and difficulty standing after sitting for a long time.
• ·         Focal Neuropathy: It refers to nerve damage of specific areas like the cranium. Symptoms include difficulty in focusing, pain behind one eye, numbness in fingers or hands, paralysis of one facial side, and inability to hold things due to weak muscles. 

Diabetes Nerve Damage Diagnosis

The top neurologist in Jaipur will diagnose diabetic nerve damage with a physical examination, medical history and asking questions about your symptoms. He will also examine reflex actions, overall muscle strength and sensitivity to vibrations and touch. Some specialized tests like sensory, muscle response, and autonomic tests may be recommended depending on the type of nerve damage.

Diabetes Nerve Damage Risk Factors

Diabetes can eventually lead to nerve damage. But any of the following factors are likely to increase your chances of developing diabetic neuropathy:

• Uncontrolled levels of sugar in the blood heightens the risk of developing diabetic complications, including nerve damage.
• The longer you have had diabetes, the higher the chances of damage to the nerves. The possibilities become higher if diabetes has been uncontrolled.
• Being obese or having a Body Mass Index of more than 25 increases diabetes nerve damage risk.
• Smoking hardens and narrows the arteries, thus reducing the blood supply to the feet and legs. It leads to nerve damage.
• Diabetes affects the functioning of kidneys. Damaged kidneys are unable to process wastes efficiently and send toxins back into the blood causing nerve damage.

Diabetes Nerve Damage Treatment

Nerve damage is irreversible. However, the treatment is effective as the goals aim to:

• Reduce the progression of the disease

Maintaining the blood sugar levels within the range is critical to preventing or deferring the onset of nerve damage. When effectively managed, it may even reduce some of the associated symptoms. Consulting one of the top 5 neurologist in Patna will help you to identify your target range of blood sugar. Ideally, it should be between 80 and 130 mg/dL before meals and less than 180 mg/dL after meals for diabetic people.  

• Reduce pain: Book a consultation with the top neurosurgeon in Patna if you are keen to consider medication for reducing pain.  The medicines may not work for everyone. Each case has to be considered on an individual basis. The pain relief treatment includes anti-seizure drugs and antidepressants. The medications are known to relieve nerve damage pain even if you do not have seizures or are not depressed.
• Restore functioning by managing complications: The best neurologist in Faridabad can advise about the treatment depending on the type of neuropathy related complication. The complications could be problems associated with the urinary tract, digestive system, low blood pressure, or sexual dysfunction. You need to consult a specialist doctor along with your mind doctor in Delhi or mind doctor in Agra.

FAQs

How are nerves damaged from diabetes?

Diabetes can damage the blood vessels that supply oxygenated blood to the nerves. The damaged nerves cannot send and receive signals between the brain and other parts of the body. This causes the nerves to either send signals at the wrong time, not send at all, or send slowly. When this happens, the body responses become weak, and it causes loss of balance and numbness.

Why does diabetes cause problems for the feet?

Diabetes harms the nerves, causes infection, ulcers, and problems with blood circulation. Diabetic people are not able to feel any injury to the feet due to numbness. This exposes the person to further complications.

Is it possible to avoid diabetic neuropathy?

Yes, it is possible to avoid diabetic nerve damage by effective management of blood sugar levels. 

Also Read:

• Brain Hemorrhage Symptoms

• Best Food For Nerve Repair

• Mood Swings: Risks, Management & Treatment

by Dr Chandril Chugh

Types of Spinal Stenosis: Risk Factor & Diagnosis

Spinal Stenosis Meaning

Spinal stenosis is the shrinking of the areas within your spine. The shrinkage that generally occurs in the neck or lower back pressurizes the spinal cord or nerves that emanate from the compressed areas. An affected person will complain of severe pain in the calves, legs, and lower back while walking and standing. The pain generally eases by either sitting or leaning over, say, a chair or a countertop. The condition can cause pain, but spinal stenosis risk of paralysis has not been confirmed by scientific research. When considering if spinal stenosis can be cured, a consultation with an online neurologist can help you find treatments to relieve the symptoms.

The spinal stenosis causes are not known, and not everyone with this condition will develop symptoms. Some people may experience symptoms like numbness, pain, tingling, and muscle weakness. There are three main Spinal stenosis types: lateral recess stenosis in the thoracic region, central spinal stenosis in the cervical region, and foraminal stenosis in the lumbar region.

Spinal Stenosis Causes

The spine or the backbone extends from the neck to the lower back. The bones of the backbone form a canal that protects the spinal cord. The narrowing of the spaces within the spine may occur due to any of the following causes:

• Bone Overgrowth: Damage from osteoarthritis can cause wear and tear in the spinal bones. It leads to the formation of bone spurs that invades the spinal canal. Some bone diseases can also cause overgrowth in the spine bone.
• Thickening of Ligaments: The cords that hold the spinal bones together can become stiff, hardened, and thickened as we age. The thickened ligaments can protrude into the spine leading to reduced spaces.
• Spinal Injuries: Accidents or trauma can cause fractures in one or more spinal vertebrae. The dislocated bone may damage the spinal canal. Back surgery may cause swelling in the surrounding tissue thus, putting pressure on the spinal nerves.
• Herniated Discs: There is cushioning acting as shock absorbers present between the vertebrae that tends to dry as we grow old. Any crack in the disk may cause this soft material to break out and pressurise the spinal nerves.
• Tumours: Abnormal cell growth may occur inside the membranous covering of the spine, space between spinal cord and vertebrae, or inside the spinal cord. Such growth can press into the spinal nerves.

Spinal Stenosis Symptoms

Many people may not experience the stenosis symptoms even when their MRI and CT scans show the onset of spinal stenosis. The symptoms include:

• Tingling sensation or numbness in hands, feet, legs, or arms.
• Problems with gait, balance, and walking
• Neck pain
• Weakness in hands, foot, legs, or arms
• Pain or cramps in one or both legs that worsen on standing for long periods or walking extensively and which eases on standing or leaning forward.

Spinal Stenosis Diagnosis

Your neuro physician in Patna or the top neurologist in Patna will discuss your medical and family history to diagnose spinal stenosis. Additionally, he will also conduct a physical examination. He will prescribe several imaging tests to ascertain the cause of spinal stenosis. The imaging tests will include:

• Magnetic Resonance Imaging (MRI): An MRI uses a combination of powerful magnetic and radio waves to produce multiple cross-sectional scans of the spine. The scan can detect tumours and damage to disks and ligaments. It can also highlight the area where spinal cord nerves are being pressurised.
• X- Rays: Creating an X-ray image of the back can show the changes in the bone structure, such as bone spurs that may be protruding into the spinal canal, thus narrowing it down.
• CT Scan: A CT scan involves staking multiple X-ray images taken from several angles to produce cross-sectional body images. If an advanced scan is done, it involves using a contrast dye to highlight the herniated disc, tumours, and bone spurs.

Spinal Stenosis Treatment

The suitability of the selected treatment depends on the location of the spinal stenosis and the severity of the condition. Talk today with a top neurosurgeon in Patna who will advise about the best option. If the symptoms are mild, the neurologist doctor in Jaipur may recommend self-care tips. If that does not help, the best neurologist in Faridabad will prescribe medications or psychotherapy. If any other treatment does not relieve the painful symptoms, one of the top 5 neurologists in Patna may advise spinal stenosis types of surgery.

• Medications: The doctor may prescribe medications. This includes pain killers, antidepressants, anti-seizure medicines, and opioids.
• Physical therapy: People with spinal stenosis usually become less active to tolerate pain. But idling can lead to the weakening of muscles which can lead to more pain on movement. A therapist can help build endurance and strength levels, improve balance, and help maintain the stability and flexibility of the spine.
• Steroid Injections: Steroidal injections do not directly treat stenosis but reduce inflammation, thus relieving pain.
• Surgery: It is considered only if other treatments do not seem to work. The surgery aims to reduce pressure on the spinal nerves by making a space within the spine.

Spinal Stenosis Risk Factors

Some factors that can heighten the risk of developing spinal stenosis are:

• Being over the age of 50
• Degenerative changes, if young
• Trauma
• Congenital spinal deformity such as scoliosis
•  A genetic disease affecting muscle and bone development in the body

FAQs

Is Spinal stenosis type of arthritis?

Osteoarthritis is the most common form of arthritis. It leads to a loss of cushion between bones that causes them to brush against one another, causing pain, swelling and stiffness. When osteoarthritis worsens, the condition is called spinal stenosis.

Is Spinal stenosis type of neuropathy?

Spinal stenosis is an example of compressive neuropathy as it causes the spinal nerves to compress due to factors like herniated disks, bone spurs, etc.

What activities should be avoided with spinal stenosis?

Any extreme and excessive activity like back extension long walks, running, heavy sports, and certain poses that stretch the back should be avoided. 

Also Read

6 Most Common Neurological Disorders

How Alcohol Affects Your Brain?

Top 12 Interesting Facts About The Nervous System

by Dr Chandril Chugh