Dr Chandril Chugh

Why Do Elders Suffer From Alzheimer's?

As people grow older, there are several changes taking place in the body. Older people are more susceptible to diseases and disorders. This is because the body systems start to grow weak and fail to function well. There is a specific pattern of neurological diseases in the elderly. As time goes by, the body becomes weak, and its ability to fight diseases is diminished. Alzheimer’s in elderly is one such old age disorder that affects the elderly. It is a disorder where a person’s ability to retain information is lost. Alzheimer and Dementia are some of the medical terms that generally confuse. Dementia is a general term related to the decline in mental ability. In contrast, Alzheimer’s is a progressive disease where the brain cells decline rapidly. 

What neurological issues do the elderly face?

Neurological disorders are very common amongst people of old age. Ageing can lead to several neurological diseases such as Hemorrhage in the brain, Dementia, Stroke etc. 

Causes of Alzheimer’s 

While the exact reason for Alzheimer’s isn’t totally understood, some of the causes of Alzheimer’s are - 

• Age - While it’s not necessary that everyone may develop Alzheimer’s disease with ageing, the chances of it developing are still high with Alzheimer's age of onset. People over the age of 65, are at risk of Alzheimer’s and belong to the Alzheimer's age group. This is because, with ageing, the brain shrinks along with the loss of neurons. In Alzheimer’s patients, the neurons start degenerating rapidly, thus causing cognitive impairment and memory loss. 
• Genetics - If a member of your family has Alzheimer's, it is likely that you too may develop the disease. The inherited genes from family members may or may not influence the chances of getting the disease. 
• Lifestyle- Your dietary choices, your health, poor sleeping patterns, and other lifestyle choices can influence your chances of having Alzheimer’s. Binge drinking or excessive alcohol consumption can also lead to cognitive impairment. 
• Alzheimer’s Environmental factors -Apart from the above factors, environmental factors such as pollution of the air, etc can lead to Alzheimer’s disease. 

Suppose one looks at the neuropathology of Alzheimer’s disease. In that case, one comes to know that Neurofibrillary tangles and Beta-amyloid plaques are mainly responsible for the damage caused to the brain cells. They cause the shrinking of the brain and the rapid depletion of neurons in the brain, thus impeding the normal functioning of the brain. There are three types of Alzheimer’s disease. Alzheimer’s being a progressive brain disease, a patient goes through the following stages - 

Stage 1- The Mild Stage

This is the first stage of the disease where one may start forgetting small things. This observation may go unnoticed as forgetfulness is a common problem among the elderly. The neurons start to degenerate, and their connection with parts of the brain responsible for memory is hindered. A person may face small difficulties such as difficulty in remembering dates, events, days, names of family members, phone numbers, forgetting to pay the bills, etc.

Stage 2- The Moderate Stage 

In the moderate stage, the intensity of the disease slightly increases. The symptoms are quite evident. One may notice changes such as difficulty in remembering events of life or close family members, forgetting words, etc. Here, the part of the brain responsible for language, senses, reasoning, and consciousness is affected. As time passes, each day becomes a challenge. One may feel detached from the world and lonely. 

Stage 3- The Severe Stage 

The third stage is where things start turning worse. The neurons start degenerating rapidly. One finds it difficult to breathe or swallow food. The patient is unable to leave the bed and is dependent on someone. 

Some symptoms of Alzheimer’s 

The symptoms of Alzheimer’s may appear slowly and hence, can be unnoticeable. The symptoms may occur as mild at first but eventually, they intensify. As time passes, Alzheimer’s disease symptoms start getting worse, and the person may get irritated with their condition. They have a hard time remembering, and thus they may develop trust issues. The brain’s neurons rapidly degenerate at the severe stage, and the person starts to lose control of their condition. Some of the symptoms are- 

• • Lack of energy or the zest to work
  • Forgetting to carry out simple tasks

• Withdrawal from social life, signs of depression 

• Trouble understanding or interpreting words, symbols, etc.
• Struggling in solving problems, remembering directions 
• Slurred speech, and trouble putting words to thoughts 
• Confusion about the time and place. Difficulty in remembering faces. 
• Wandering
• Delusions 

• A constant state of confusion and mix up of the past and present events 
• Weight Loss, seizures, etc. 
• Lost control over bladder and bowel movement (due to damaged brain cells) 
• The trouble with swallowing food
• Hallucinations 
• Extreme mood swings. 

It is said that old age is the second childhood, and hence it is important that one takes special care of the old ones. Alzheimer’s completely steals one’s lifelong memories, and dealing with it can be quite frustrating. It is important that one consults the best neurologist in Patna for quick treatment. Only with the care and support of close friends and family, one can cope up with Alzheimer’s disease. 

For further health complications and issues related to Alzheimer's Disease, you can prefer consulting a reputed neurologist through teleconsultation or online appointment for proper guidance and treatment.

Also Read: 

• Stroke It’s A Choice! Don't Call It A Disease

• Risk Factors Of A Stroke

• Caring For A Person With Epilepsy:10 Ways

by Dr Chandril Chugh

Ways To Sleep Better During Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is a rare type of arthritis that primarily affects the spine. Severe inflammation of the vertebrae might eventually lead to persistent pain and disability. In more exceptional cases, the inflammation can cause new bone to form on the spine, thus causing a deformity. Ankylosing spondylitis can also affect other parts of your body, causing pain and stiffness in them. It could also affect your most functional joints, such as the shoulders, hips, and knees. One should be confident enough to face the World and can easily manage Workplace if one has AS with the help of a doctor and support from office people. Don’t ever feel demotivated..

Backache in itself is bad enough, but conditions such as Ankylosing Spondylitis make it even worse. One of the most common symptoms is a disturbed sleep cycle due to debilitating back pain. When your body doesn’t get proper rest and sleep quality is compromised, your health can further deteriorate. Lack of sleep can leave you exhausted, adding to fatigue as well as brain fog. Such a disturbed sleeping pattern can worsen anxiety levels and add to increased depression and stress. However, you don’t have to give up on quality sleep. 

Below are some tips that will guide you in how to sleep with ankylosing spondylitis.

1. Sleep on a comfortable Bed and Mattress

Your mattress should be such that it is cosy and comfortable. Suffering from ankylosing spondylitis could affect other joints such as the neck, shoulders, and hips. Hence a hard mattress or bed will affect your sleep. A mattress that evenly distributes your weight when you lie on it is beneficial. It would be best to make sure that it shouldn’t be too soft or too firm. A mattress that is too soft won’t provide the required support whereas, if it is too firm, it won’t hold the natural curves of your body, making it difficult to sleep on them. You can always ask your doctor for the best bed for ankylosing spondylitis.

Unsure if the reason for your sleep loss is ankylosing spondylitis or not? Read all about the ankylosing spondylitis disease in detail and find out.

2. Take notice of your pillow.

Generally, it has been observed that people who use larger pillows are hunched when they lie flat on the pillow. This causes stiffness of the neck and worsens ankylosing spondylitis. Using a thin spondylitis pillow will help you maintain a comfortable position and maintain a good sleeping posture while sleeping. One must consult the doctor for the best pillow for ankylosing spondylitis.

3. Heat and cold therapy

Warm water is soothing for s

ore joints. A warm bath before bed will help loosen your joints and relieve any sensation of pain, helping you sleep soundly. At the same time, you can use an ice pack to loosen the stiffness of your back. 

4. Straighten up and Stop Propping Up Your Legs: 

Sleeping with your spine straight could help you lessen the ache. You can lie flat on the back or stomach and avoid curling your legs up into your body. When you suffer from lower back pain, placing a pillow underneath your legs while you sleep could be tempting for temporary relief from pain. However, this may alter your body’s position while you wake up, thus causing more damage. 

5. Exercise: 

An essential part of ankylosing spondylitis treatment includes daily exercise. A common complaint among patients of ankylosing spondylitis in the neck is the stiffening of the back muscles. Taking a brisk walk in the evening could help wake up your muscles and ease the backache. Stretching and exercise will help you improve the quality of rest and sleep you desire to achieve. It will also help you fall asleep faster, beating the problem of insomnia. Exercising regularly or an early morning fitness program can enhance your sleep, letting you repose peacefully. One must also take precautions while doing exercises so AS doesn't get worse.

6. Deep breathing: 

Deep breathing is an excellent exercise that can help you increase and maintain your lung capacity and keep your rib cage flexible. Here are some deep breathing tips you could try:

• Sit or lie down and observe your breathing. 
• Take a slow, deep breath. You must feel the air that enters through your nose and moves toward your lower abdomen.
• Allow your abdomen to expand fully through deep breathing.
• Breathe out slowly through your mouth or nose.
• Place one hand on your abdomen, feeling it rise as you inhale and fall as you exhale. 
• Alternate regular and deep breaths a few times.

Visit Your Doctor

If ankylosing spondylitis starts affecting your sleep schedule, it is time to see your physician for treatments. The best treatment will help you manage the pain and slow your disease. Prescribed medications after proper consultation and tests can help you get better sleep and reduce pain. Medications such as Nonsteroidal anti-inflammatory drugs (NSAIDs) and TNF inhibitors will reduce the inflammation, preventing any further damage to your joints. TNF inhibitors might also help improve the quality of your sleep.

While there is no proper cure for Ankylosing Spondylitis, several treatments are available to help relieve the symptoms. They can also help delay or prevent the process of the spine fusing and stiffening. In most cases, treatment involves a combination of motion exercises. Despite this condition’s chronic nature, it is perfectly functional to live with it by making healthier lifestyle choices. One should be taking proper care of their body, along with medications and exercise. Following a nutritious diet, doing spondylitis exercises and not letting toxic substances into your body, such as nicotine and alcohol, can prove very useful for living with ankylosing spondylitis.

You can try consulting a reputed neurologist through an online appointment for proper guidance and treatment for further health complications and issues related to ankylosing spondylitis.

Also Read: 

• Stroke It’s A Choice! Don’t Call It A Disease.

• Risk Factors Of A Stroke

• Alzheimer’s Disease Effects On Brain

by Dr Chandril Chugh

Common Neurology Problem In Old Age: Geriatric Neurology

Age plays a key role when it comes to your health. With growing age, one’s overall health deteriorates and one is more prone to illnesses. While there are physical changes that take place, there are also several changes in your brain and nervous system. Hence, it is more likely for people over the age of 60 or 65 to experience neurological problems. This is because the neurons start degenerating over the years. There are certain neurological patterns in the elderly. Over time, the body loses its ability to fight diseases. 

What is Geriatric Neurology?

Geriatric neurology is a branch of medicine that looks after the diagnosis and geriatric counselling and treatment of neurological disorders in the elderly and geriatric age group. Many old age people suffer from chronic pain, geriatric trauma or progressive disorders. Hence, it becomes essential that special care is taken of these individuals. Elderly are the most vulnerable to neurological disorders and geriatric neurologists for geriatric care need to carefully look after their needs and their geriatric treatment. 

There is a gamut of diseases that people of old age may experience such as- stroke, geriatric old age disease and different types of Alzheimer’s Disease etc. Given below is a list of neurological disorders in the elderly: 

• Alzheimer’s Disease 

Usually known as memory loss disease, Alzheimer’s disease is a very common condition among people over the age of 65. Depending on the intensity of the disease, a person may experience mild, moderate or severe symptoms. Alzheimer’s disease may start off with small imperceptible symptoms such as forgetting names, events, phone numbers, etc. It is a progressive disease and over a period of time, one may experience extreme symptoms such as difficulty in swallowing or breathing, etc. This is because neurons which used to carry out functions in the body previously, now start to degenerate at a rapid rate. With proper care and appropriate medications, this neurological disease can be treated. 

• Parkinson’s Disease

Parkinson’s is yet another progressive neurological disorder amongst the elderly. Here, the part of the brain responsible for movement is affected. The onset of this disease starts usually when the person is in their 60s. Some of the common symptoms are, trembling of hands,  slow movements, stiffness in hands, legs, etc problems with balancing, low volume speech, the reduced swinging of the arms while walking, etc. Parkinson’s disease can be caused because of genetic factors or environmental factors. Your doctor may prescribe a few medications as well as few exercises and modifications in lifestyle, to reverse the effects of this disease.

• Stroke 

A stroke is a life-threatening disease that can occur in elderly people. Strokes take place as a result of interruption in the blood supply or bursting of a blood vessel in the brain. It is extremely crucial that one takes quick measures and acts quickly when a person is having a stroke. The first step is to identify the signs of a stroke. Some of the signs are - troubled speech, paralysis, numbness or weakness on one side of the body, loss of balance, blurred vision, dizziness, severe headache where the cause is not known. A stroke needs immediate medical attention, otherwise, it can be fatal or cause haemorrhage in the brain or permanent disability. One should immediately call for help and get the required medical attention that the patient needs, in order to help the person having a stroke. Special care needs to be taken of the patient as a stroke can have a huge impact and shock to the person. 

• Geriatric Depression 

Geriatric Depression is a mental condition of persistent and lasting moments of depression in older adults. While it is quite common to feel lonely and sad from time to time, geriatric depression is a lasting emotional disorder. This type of depression can increase the risks of suicides and hinder the quality of life. Limited mobility, isolation, financial hardships, dependency, death of loved ones, etc can contribute to geriatric depression. The patient may face constant restlessness and troubles sleeping. It is important that the patient is taken to therapy and is provided with proper treatment. With proper love and care from family members and close friends, one can deal with this disorder. 

• PTSD 

Post-traumatic stress disorder or PTSD is a mental health condition characterized by nightmares and trauma. PTSD is very common in ageing veterans who have seen the brutality and extreme violence when they served in the war. The memories of such violence can be upsetting for people and cause serious trauma. PTSD can also be caused by tragic events of sexual harassment, torture, natural calamities, etc. Such unresolved and untreated issues of the past can cause them - restlessness, flashbacks, nightmares, difficulty in sleeping, etc. One can also find oneself overwhelmed by emotions of fear, anxiety, stress and lose their touch with reality. It is crucial that they seek the proper treatment for PTSD as soon as possible. 

Neurological disorders are common in old age. This is particularly why old people require special care and attention. Old age is dicey, as one is vulnerable and dependent on others. It is important that the elderly get the required medical attention. Consult the best neurologist in Patna for quick diagnosis and treatment of ailments. With the love and support of loved ones, one can easily cope up with the problems in life. 

For further health complications and issues related to Geriatric Neurology, you can prefer consulting a reputed neurologist through teleconsultation or online appointment for proper guidance and treatment.

Also Read: 

• Stroke It’s A Choice! Don't Call It A Disease

• Is Your Diet Cola Making You Dumb?

• Caring For A Person With Epilepsy:10 Ways

by Dr Chandril Chugh

Ankylosing Spondylitis : All you need to know

Ankylosing Spondylitis (AS) is a rare type of arthritis that primarily affects the spine and sacroiliac joints. Also known as Bechterew’s disease, this condition causes severe inflammation in the vertebrae, leading to chronic pain and stiffness. While more common in men, Ankylosing Spondylitis can affect anyone, often beginning in the late teens or early adulthood. Early detection and management are crucial for minimizing its impact on daily life.

Causes of Ankylosing Spondylitis

The exact cause of Ankylosing Spondylitis remains unknown, but genetics play a significant role. Individuals with the HLA-B27 gene have a higher risk of developing AS. Although not everyone with this gene will develop the condition, a family history of Ankylosing Spondylitis increases the likelihood of acquiring it.

Symptoms of Ankylosing Spondylitis

Symptoms of Ankylosing Spondylitis usually start between the late teens and early 30s. The condition often begins in the lower back and can progress up to the neck. Early signs include:

• Morning Back Pain: Pain that worsens at night and improves throughout the day.
• Large Joint Pain: Pain in the hips and shoulders.
• Postural Changes: Stooped shoulders and poor posture.
• Stiffness: Morning stiffness lasting at least 30 minutes.
• Buttock Pain: Pain that radiates from one buttock to the back of the thighs.
• Systemic Symptoms: Weight loss, fatigue, loss of appetite, fever, and anemia.
• Lung Function: Reduced lung function due to chest involvement.

Ankylosing Spondylitis can easily be mistaken for common back pain, but the long-lasting and severe nature of the pain caused by AS sets it apart.

Ankylosing Spondylitis in Women

While Ankylosing Spondylitis is more common in men, it also affects women. However, diagnosing AS in women can be more challenging, as they often exhibit different symptoms. Women may experience:

• Increased Fatigue: Higher levels of tiredness.
• Severe Stiffness: More pronounced stiffness, particularly at night.
• Pain: More pain in the neck, knees, and hips.

Women with AS are also more likely to experience systemic symptoms such as psoriasis, uveitis (eye inflammation), and inflammatory bowel disease. These symptoms can delay diagnosis as they affect areas beyond the joints. Pregnant women with AS should work closely with their doctors to manage inflammation and avoid pregnancy complications.

Treatment for Ankylosing Spondylitis

Currently, there is no cure for Ankylosing Spondylitis, but treatments are available to manage symptoms and improve quality of life. Here’s how you can manage AS effectively:

Medications

Consult a specialist before taking any medication. Commonly prescribed drugs include:

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Such as ibuprofen and naproxen to reduce inflammation.
• Corticosteroids: These may be prescribed for severe inflammation. Medications should always be taken under a doctor’s supervision.

Exercise

Staying active is crucial for managing AS and preventing stiffness. Recommended exercises include:

• Yoga: Helps maintain flexibility and reduce pain.
• Deep Breathing: Supports lung function.
• Stretching and Posture Training: Essential for maintaining joint flexibility and avoiding poor posture. Stretching can also help alleviate back pain.

Posture Training

AS can lead to vertebral stiffness, affecting posture. Practicing good posture can prevent slouching. Use cushions or ergonomic chairs to enhance your posture.

Therapies

Several therapies can help manage AS symptoms:

• Heat and Cold Therapy: Warm showers or heating pads relieve stiffness, while ice packs reduce swelling and inflammation.
• Physical Therapy: A therapist can help you practice good posture techniques and middle back pain relief.
• Massage: Regular massages can help maintain flexibility and reduce pain. Always inform your masseuse about your condition to avoid tender spots.

Sleeping Tips

Sleeping can be challenging for those with AS. To improve sleep, consider using a specialized pillow or consult an expert on the best sleeping position for your back. Learn more about ways to sleep better during Ankylosing Spondylitis.

Conclusion

Living with Ankylosing Spondylitis can be challenging, but with proper treatment and lifestyle adjustments, you can manage symptoms effectively and maintain a good quality of life. Regular consultations with a specialist, combined with appropriate medication, exercise, and therapy, are key to managing this lifelong condition. If you’re struggling with AS, consider consulting a neurologist or scheduling a teleconsultation for personalized advice.

Also Read:

• Stroke: It’s A Choice! Don’t Call It A Disease.
• Risk Factors Of A Stroke
• Alzheimer’s Disease Effects On Brain

By taking proactive steps, you can effectively manage Ankylosing Spondylitis and enjoy a better quality of life.

by Dr Chandril Chugh

Food for Nerve Repair: 6 Foods to Heal Damaged Nerves

When it comes to cravings, it's tough to resist our favorite foods. But for those dealing with nerve damage or chronic pain, it’s crucial to be mindful of what you eat. Some foods can exacerbate nerve pain, while others can actually help heal damaged nerves. By incorporating specific foods into your diet, you can support nerve health and reduce pain and discomfort.

In this article, we’ll explore 6 Food for Nerve Repair and provide insights into how you can adjust your diet to support nerve regeneration and overall well-being.

Understanding Nerve Damage and Its Impact

Nerve damage can occur due to various reasons, including injuries, chronic conditions like diabetes, or nutritional deficiencies. Symptoms can include pain, tingling, numbness, and muscle weakness. While treatments are available, adjusting your diet to include Food for Nerve Repair can play a significant role in your recovery.

Consulting a healthcare professional before making any dietary changes is important, especially if you’re dealing with chronic nerve issues. If you’re in Patna, consider seeking advice from a Best Neurologist In Patna who can provide tailored guidance on how to manage and repair damaged nerves.

1. Foods Rich in Vitamin B: The Power of B-Complex

One of the most effective ways to support nerve health is by ensuring an adequate intake of B vitamins. Vitamin B-Complex includes B6, B12, and B1, all of which are essential for nerve function and repair. These vitamins can reduce nerve pain and enhance sensory perception.

• Vitamin B12: Found in sardines, salmon, tuna, mackerel, and cod, Vitamin B12 is crucial for nerve regeneration.
• Vitamin B1: Green peas, black beans, and lentils are great sources of Vitamin B1, which helps prevent nerve damage.
• Vitamin B6: Tuna and salmon are rich in Vitamin B6, which plays a role in neurotransmitter production and nerve health.

Vegetarians can opt for fortified foods to meet their B vitamin needs. However, before starting any new supplements, it’s advisable to consult a healthcare provider to ensure you’re taking the right dosage for your needs.

2. Green and Leafy Vegetables: Nature's Nerve Healers

Green leafy vegetables are packed with essential vitamins and minerals that support nerve health. They are especially rich in alpha-lipoic acid (ALA), a powerful antioxidant that helps relieve neuropathic pain and promotes nerve regeneration.

Incorporating vegetables like broccoli, asparagus, spinach, and kale into your daily diet can aid in the recovery of damaged nerves and reduce the symptoms of neuropathy. Regular consumption of these vegetables can also enhance overall well-being and support other aspects of health.

3. Ginger: The Anti-Inflammatory Superfood

Ginger, a common spice in many Indian households, is not just great for flavoring food—it's also a powerful anti-inflammatory agent. The active compound in ginger, gingerol, helps reduce nerve pain and inflammation.

For those suffering from neuropathy or nerve-related discomfort, incorporating ginger into your diet can provide significant relief. Ginger oil is also often used topically to reduce pain and irritation caused by nerve damage.

4. Low-Fat Dairy: Fuel for Nerve Repair

Low-fat dairy products are a staple in many diets, but they’re also packed with nutrients that support nerve health. Dairy contains acetyl-L-carnitine, an amino acid that functions as an antioxidant in the body and promotes the creation of healthy nerve cells.

Including low-fat options like milk, yogurt, and cheese in your diet can provide your body with the amino acids needed to repair damaged nerves and reduce nerve pain. The recommended dosage is about three grams of acetyl-L-carnitine daily for eight weeks to notice significant improvements.

5. Fruits: The Antioxidant Powerhouses

Fruits are a delicious way to boost nerve health. They are rich in antioxidants, which help reduce inflammation and support the healing of damaged nerves. Including a variety of fruits in your diet ensures that your body gets the necessary nutrients to combat oxidative stress and repair nerve damage.

Some of the best fruits for nerve health include apples, berries, oranges, and grapes. These fruits contain flavonoids like quercetin, which have anti-inflammatory properties that can soothe neuropathy pain and promote nerve healing.

6. Seeds: Small but Mighty Nerve Healers

Seeds like pumpkin seeds, flaxseeds, and chia seeds are nutritional powerhouses that support nerve health. They are rich in Benefits of Omega-3 Fatty Acids and essential micronutrients like potassium and magnesium, which are crucial for nerve function and repair.

Incorporating these seeds into your diet can help ease nerve pain and support the regeneration of damaged nerves. They’re easy to add to smoothies, salads, or even as a topping on yogurt, making them a convenient and effective way to boost your nerve health.

Foods to Avoid for Nerve Health

While incorporating the right foods into your diet is essential, it’s equally important to avoid foods that can aggravate nerve pain. Here are some tips:

• Gluten: If you have a gluten allergy, avoid gluten-containing foods as they can worsen nerve pain.
• Refined Grains: Switch to whole grains to maintain stable blood sugar levels, which can help reduce nerve pain.
• Added Sugars: Opt for natural sugars found in fruits rather than added sugars, which can increase inflammation.
• Saturated Fats: Choose lean alternatives and healthy fat sources to manage inflammation and reduce the risk of conditions like type 2 diabetes, which can lead to nerve damage.

FAQs About Foods That Can Heal Damaged Nerves

1. Can diet alone heal damaged nerves?
Diet plays a crucial role in supporting nerve health and can aid in the healing process. However, it’s important to combine a healthy diet with proper medical treatment and lifestyle changes for the best results.

2. How quickly can I expect to see results from dietary changes?
Results vary depending on the individual and the extent of nerve damage. Consistently following a diet rich in nerve-healing foods, along with medical guidance, can lead to improvements within a few weeks to a few months.

3. Are supplements necessary for nerve healing?
Supplements can be beneficial, especially if you’re not getting enough nutrients from your diet. Always consult with a healthcare provider before starting any supplements to ensure they’re appropriate for your needs.

4. Is it safe to make dietary changes without consulting a doctor?
While making healthy dietary choices is generally safe, it’s best to consult with a doctor or nutritionist, especially if you have underlying health conditions or are on medication.

5. How can I incorporate these nerve-healing foods into my daily diet?
Start by adding these foods to your meals in small, manageable ways—like incorporating leafy greens into your salads, adding seeds to your smoothies, or using ginger in your cooking.

Conclusion

Healing damaged nerves requires a comprehensive approach that includes the right diet, medical treatment, and lifestyle changes. By incorporating these 6 food for nerve repair into your daily routine, you can support your body’s natural healing process and reduce the symptoms of nerve damage. Remember, always consult with a healthcare provider before making significant changes to your diet or starting new supplements to ensure that your approach is safe and effective.

by Dr Chandril Chugh

Nerves Impact The Intensity Of Alzheimer’s : How?

Alzheimer’s is a neurological disorder that impedes the brain’s memory and ability to function. More commonly known as the memory loss disease, the prevalence of Alzheimer's disease is worldwide.  A person grappling with Alzheimer’s disease, the brain cells start to deplete to a stage where the brain’s size shrinks and the person’s memory is completely diminished. In Alzheimer’s disease, nervous system development is  severely affected. 

Who Does Alzheimer’s affect? 

Generally, it is people above the age of 65 who are at the risk of having this illness. This is because, with ageing, the brain shrinks along with loss of neurons. However, in case of Alzheimer’s patients, the neurons start degenerating rapidly, thus causing cognitive impairment and memory loss. Apart from this,  genetics too can be a factor that leads to Alzheimer’s. If Alzheimer’s runs in your family, you’re at a risk of it developing in you too. Neurological problems, such as stroke, head injuries, and other health conditions too, can affect the brain and lead to Alzheimer’s. In some serious cases, severe Alzheimer’s can lead to hemorrhage in the brain. 

Neuropathology of Alzheimer’s Disease 

Neurofibrillary tangles and Beta-amyloid plaques are mainly responsible for the damage caused to the brain cells. Apart from this, another important feature of this neurological disorder is depletion of nerves and loss of connection between the neurons. With time, the brain eventually shrinks and its normal way of working is impeded. Depending upon the intensity and severity of the disease, there are three types of Alzheimer’s disease - mild, moderate, and severe. A person goes through each of these stages as time progresses. 

The symptoms of Alzheimer’s intensify over the years. Some of them are given below- 

• Lack of energy or the zest to work
• Forgetting to carry out simple tasks
• Withdrawal from social life, signs of depression 
• Trouble understanding or interpreting words, symbols, etc.
• Struggling in solving problems, remembering directions 
• Slurred speech, and trouble putting words to thoughts 
• Confusion about the time and place, difficulty in remembering faces. 
• Wandering
• Delusions

How does Alzheimer’s affect the body?

Alzheimer’s is a progressive disease, meaning that the symptoms keep getting worse as time passes by. While the cognitive effects of Alzheimer’s disease are known to everyone, very few know how debilitating effect Alzheimer’s can have on the person’s body. Alzheimer’s disease kills you slowly over a period of time. It doesn’t hit you all at once, it is a slow burn, which at first affects the memory and gradually all of you.  Hence, many a time, one may miss the early signs of this disorder. 

Some of the physical challenges that a patient may notice are - 

• • Loss of balance and poor coordination 
  • Trouble in movements such as standing, sitting 
  • Shuffling or dragging feet while walking 

• Problems sleeping 

• Weak or stiffened muscles 
• Fatigue 
• Problems with bladder and bowels 
• Difficulty in chewing or swallowing food 
• Seizures or twitches 

Physical symptoms start showing up during the moderate stage of Alzheimer's. 

Alzheimer’s and Phantom pain

Phantom pain is a condition where one perceives or imagines the pain from the part of the body which no longer exists. It is a common condition amongst dementia patients to perceive pain. The degeneration of brain cells makes it difficult for Alzheimer's patients to explain or articulate pain. There’s no specific diagnosis of phantom pain, doctors can still identify them and treat them. 

Autonomic Dysfunction and Alzheimer’s 

Autonomic dysfunction is the medical condition where the nerves in the Autonomic Nervous System (ANS) are damaged. This condition is usually common in patients with Alzheimer’s disease. Autonomic nervous system regulates several involuntary movements in the body such as digestion, heart rate, respiratory rate, urination, etc. The effects of this disease can range from mild symptoms to severe life threatening conditions. 

Some of the symptoms of Autonomic Dysfunction are - 

1. Dizziness and fainting
2. Urinary problems, bladder issues, incontinence, etc.
3. Sexual problems in both men and women
4. Sweating abnormalities which indirectly affect the regulation of temperature in the body
5. Blurry vision, sluggish pupil reaction. 
6. Difficulty in digesting and other digestive issues such as bloating, constipation, diarrhoea  
7. Problems with heart rate. Exercise intolerance where there is difficulty in maintaining heart rate. 
8. Tremors and muscle weakness 

Researchers have observed that Alzheimer’s disease can lead to autonomic dysfunction. The nerve damage in this disease interrupts the messages sent between the brain and the other organs, as well as areas of the autonomic nervous system. It is necessary to seek consultation from a professional for proper diagnosis and treatment. Consult the best neurologist in Delhi for quick recovery and enhanced treatment.  

Alzheimer’s is a disease where the rapid loss of neurons affects the person, both mentally and physically. Simple, routine activities become a challenge. Going through the day, constantly forgetting stuff can make the patient moody, and frustrated. Living with Alzheimer’s is a difficult task. Not only is the person’s ability to remember is lost, there are other functions in the body that are impaired. It becomes necessary for the caretaker and the family members to give attention and care for people with Alzheimer’s. 

Also Read: 

• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Caring For A Person With Epilepsy: 10 Ways

Caring For A Person With Epilepsy: 10 Ways

Epilepsy is a neurological disorder characterized by seizures. The nerve cell activity in the brain is disturbed, thus causing the frequent outbursts of electrical energy. Caring for someone with epilepsy can be difficult as one does not know when or where the seizures occur. Epilepsy depends from person to person. While some people can live on their own and manage their seizures by themselves, others on the other hand may need a lot of care and attention. 

Epilepsy seizures can be different for different people. There are several reasons why a seizure can be triggered. Sometimes bleeding or haemorrhage in the brain can lead to seizures. The two major types of seizures are- 

• Focal onset seizures- These seizures at first start in the brain and later spread to other parts of the body. A person may experience sudden movement or twitching which is out of their control. They might zone out or not remember anything after the seizure. 

• Generalized seizures -These seizures affect multiple parts of the brain at the same time. People are barely aware of what’s happening around them. These can be dangerous and frightening to watch. 

Such sudden outbursts can make living with someone with epilepsy difficult. 

How to support someone with epilepsy?

The sudden seizures and the effect it has on the person, makes caring for them an arduous task. One needs to be calm and ready when it comes to looking after someone with this disorder. Here are a few tips that will come in handy while caring for someone with epilepsy. 

• Always be prepared

The seizures are irregular and unpredictable, hence, it’s important that the caretaker is ready for anything that they might have to face in the future. The best way to be prepared is to know what the other person is going through. You can do this by reading more about epilepsy and talking to the doctors and gaining more information about what type of seizure the person has and what to do when someone has a seizure. 

• First Aid 

Since the seizures are so unpredictable, it’s safer to keep a first aid box handy as the patient may hurt themselves. The first thing to do is to ease the person out of the epileptic seizure. Keep them away from other people and let them calm down. In case of any injuries, cover them up. Remove all the obstacles in front of them to avoid clashes. Practice breathing with them. If things get worse, provide them with the required medications or call for help. 

• Observe and take notes 

As a caregiver, one of the best ways to support someone is observing their seizures. Doctors can’t be with the patient the whole day, however, as someone who is usually around the patient, you can observe them and their seizures and take notes of them. You can note down how long the seizure lasts, when and how it takes places, what triggers the seizures, etc. Maintaining a record of all these points will help you and the patient in future treatment. 

• Medications  

It is vital that you provide the person suffering their medications on time. Ensure what dosage they’re having and at what time. It is necessary that the person suffering has their medicines on time for their effective working. Medications will help the person recover and have a better life.

• Be supportive and encouraging

As a caregiver one of the best ways you can help a person with epilepsy, is by encouraging them. A few words of daily encouragement can help them overcome the disorder and get better. The frequent seizures have a great impact on the person and can affect them severely. Hence, it becomes necessary that you take good care of them and help them relieve their anxiety and frustration. Help them focus on the positive aspects of life and engage in activities that will keep them busy and shift their attention. 

• Ensure they get enough rest

Seizures can be exhausting, both mentally and physically. Therefore, sleep is necessary. Ensure that the person is getting enough and sound sleep. Sleep deprivation is one of the triggers of seizures. Hence a sound and peaceful sleep is a must. 

• Make them communicate 

Being dependent on someone and having frequent seizures can deeply affect the mental state of a person. Thus, talking to them and having a conversation can comfort the person, and help in managing epilepsy. 

• Take care of their diet 

When a person has a seizure they’re barely aware of what happens around them. They may tend to skip their meals or ignore their diet. Some may even resort to alcohol in order to overcome this disorder. However, alcohol will only cause further damage to the patient’s body and health. 

• Keep emergency contact ready 

Safety is of most importance. Therefore, in case of any emergency, such as times when the person has a seizure longer than usual, or anything unusual you notice, keep the emergency contact nearby. This way you can immediately call for help without wasting much time. Consult the best neurologist in Delhi for better treatment and care of a person with epilepsy. 

• Teach them relaxing techniques

In order to get someone to overcome their seizure, you should help them relieve their stress and anxiety. Teaching them relaxing techniques will help them soothe themselves and calm them down. Stress is one of the reasons for seizures. By learning relaxing techniques such as meditation or yoga, you can ease out the stress. 

Caring for someone with this disorder can be overwhelming and exhausting. However, it is important to note that this is just as hard for them as it is for you. With proper love, care and medical attention, one can take control of their life. 

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• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Development Of Nervous System In A Child :Its Importance

Development Of Nervous System In A Child :Its Importance

A newborn child is a universe in itself. The initial years are of most importance and require great care and attention. There are several changes taking place in the body as the growth takes place at an exponential rate. Most of the development in a child takes place in the first five years. Similarly, the development of the nervous system too, takes place in the initial years, which later helps the child to learn, speak, think and carry out several activities. 

The spinal cord, the brain and the nerves make up the nervous system. There are two types of nervous system, the central nervous system and the peripheral nervous system. A child goes through four stages of nervous system development. At birth, the bones in the skull of the newly born baby are soft and flexible. Later, as the baby grows, the bones become strong and hard. The development of the central nervous system which comprises the brain and the spinal cord, starts right when the child is in the womb. 

The development of the brain in childhood depends on various factors such as the child’s environment, relations and experiences. At birth itself, the brain has approximately 100 billion to 1 trillion neurons. The well development of the brain depends upon the proper nutrition and brain building activities. 

The 6 stages of Development Of Nervous System are - 

As mentioned earlier, the development of the nervous system begins in the womb itself. There are millions of nerves present all over the body which help in carrying out several functions of the body. The neurons are responsible for major functions such as learning and memorizing, and thus their development continues for lifetime. The formation of neurons in children is as follows :

• Stage 1- Neurogenesis

This is the first step in the formation of neurons in the body. The cells undergo mitosis, in order to produce neuroblasts, or stem cells which ultimately can be differentiated into neurons. 

• Stage 2- Cell Migration 

At this stage, things start getting a bit complex. Here, the cells start moving to great distances in order to form distinct nerve cell populations. For example- layers of cerebral cortex, nuclei in the central nervous system. 

• Stage 3- Cell Differentiation 

In the process of cell differentiation, the cells form into distinctive types of neurons or glial cells. 

• Stage 4- Synaptogenesis 

As the name suggests, synaptogenesis is the establishment of synaptic connections as axons and neurons grow. The synapses, axons and the dendrites all help in communication. The formation of synaptic connection starts right from the second trimester and continues throughout childhood and adult life.  

• Stage 5 - Neuronal Cell Death 

This is the selective death of nerve cells. 

• Stage 6- Synapse Rearrangement 

In this stage, some synapses are lost whereas, on the other hand, other synapses are developed in order to refine synaptic connections. 

Food and Nutrition for the Development Of Nervous System

Food is the fuel for the human body. It is quintessential that a growing child gets the right nutrition supplement in order to ensure their robust growth. Some of the food items that serve as good nourishments are - eggs, greek yogurt, green leafy vegetables, fish, nuts and seeds such as peanuts and sunflower seeds, oatmeal, fruits such as apples, bananas and plums. All of these foodstuffs will aid in enhancing memory and improving cognitive skills. 

Children are prone to harm or nerve damage. While it’s not that common for a nerve damage there’s always a possibility. Given below is the list of best food for nerve repair. 

• Food rich in magnesium and potassium help in curbing the nerve pain. Leafy vegetables, pumpkin seeds, fresh fruits, almonds, avocado, tofu, salmon, etc. are rich in magnesium and potassium. 
• Foods high in Omega 3 such as sardines, walnuts, salmon, etc.  
• Vitamins such as b12, b6, b2.
• Anti inflammatory foodstuffs such as ginger can heal the nerve damage pain
• Turmeric, a spice easily found in every household has several medicinal properties.  

The importance of Development Of Nervous System

The nervous system is the engine of the human body. It controls every cell, tissues and organ system in the body. Hence, it’s crucial that no harm is caused to the nervous system.  If the nervous system is harmed, there can be grave repercussions. Every part of the nervous system carries out major functions in the body. The spine, the skull and the vertebrae, thus exist in order to protect these fragile systems.

A child is just a delicate being as the nervous system. Thus, one needs to take utmost care while bringing them up. At times, because of some complications, or heredity and environmental factors, there is the late development process of the nervous system. In cases such as these, it is important that you seek guidance and treatment from a neurologist. Seek treatment from the best neurologist in Delhi for the well being of your child. 

Also Read: 

• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

7 Possible Causes For Lower Back Pain

Often, we may feel a stinging and sudden pain in the lower back. It can because of sitting for long hours in the same position. Lower back pain is a common condition and usually, there is no cause for concern as it gets better on its own. Almost everyone, at some point in their life, has faced it. However, at times the pain can be as a result of injuries or straining of muscles or because of some diseases, one can feel intense pain or ache in their lower back. 

Symptoms of Lower Back Pain

One can easily detect lower back pain as they feel a dull ache in their back. The pain can be acute or chronic, varying from person to person and what injury they have.  Symptoms can aggravate over time, some of them are -

• Dull ache- The pain is felt in the lower back, usually when there is a minor injury or a muscle strain. One can experience severe spasms, and difficulty in moving. 
• Stinging back pain that affects the buttocks, pelvis, hip, legs and the feet. 
• Pain that intensifies as you sit for long hours, etc. 

What causes lower back pain? 

The human body is an intricate design and is prone to injuries if not taken care of.  There are numerous reasons why one may have a backache. Factors such as age, gender, etc. too can cause lower back pain. The pain can range from minor, dull ache in the back to intense pain that hurts when you move and hampers your daily life. 

Some of the possible causes are -  

• Injuries  

Many a time, one can get severely injured while playing sports, driving or during road accidents or a fall that can inflict injury one. Receiving such a painful blow on the lower back can damage the spinal cord, or leave you with vertebral fractures. In cases such as these, it’s important to seek lower back pain treatment, to avoid any further complications. 

• Sprains and strains

Sprains and strains of the ligaments and muscles, can occur in the lower back suddenly because of some heavy work. This can be as a result of overstretching or tearing in muscles and ligaments. Symptoms can include muscle spasms, pain and stiffness in the back. 

• Disc Injury

The discs are the spongy cushions that are located between the vertebral column. These discs are delicate and are prone to injury as they can tear or herniate. The soft material in the discs can rupture or bulge and affect a nerve. Disc injury can occur after twisting your back or while lifting something heavy. Disc injury may go unnoticed or only seen during an X-ray. 

• Sciatica

A person with sciatica can fell stinging pain that runs down from the lower back to one or both the legs. This is because the pain radiates along the path of the sciatica nerve. Symptoms may include burning pain or piercing of sharp needles. At home, for quick pain relief, one should use an ice pack at the sight of pain. 

• Spinal stenosis 

In spinal stenosis, the spinal canal starts narrowing, which in return can add pressure on the spinal cord and the nerves in the spine. This condition is common amongst people over the age of 50 years. Spinal stenosis occurs due to the degeneration of the discs between the vertebral column. One may experience symptoms such as numbness, cramping and weakness in the legs. The very first symptoms that one may notice is difficulty while walking or standing.

• Abnormal spinal curvature  

When seen in an X-ray, the spinal cord looks like a ‘S’ from the side. This is the normal spine curvature. However, some people are born with deformities. Abnormal curve can cause poor posture and pain as it puts pressure on the tendons, vertebrae, muscles and ligaments. Some of the abnormal spinal curvatures that are detected during childhood or early adolescence are- scoliosis, kyphosis and lordosis. 

• Health conditions. 

There are several health conditions that can be a cause for lower back pain. Some of them are as follows :

• Arthritis is a medical condition wherein there is an inflammation of the joints. It is usually common among people of old age. 
• Pregnancy, endometriosis, ovarian cysts, uterine fibroids, cancer, etc are the lower back pain causes in females. 
• Spondylitis is another type of inflammation between the joints of the spinal cord. 

Can a neurologist help with lower back pain? 

The answer is YES. A neurologist can help with lower back pain. Very often people go to a chiropractor for back pain, however, what is not known is that even a neurologist can diagnose and treat diseases of the back. A neurologist specializes in conditions affecting the brain, nervous system and the spinal cord. They can detect the symptoms and causes for your back pain. 

While lower back pain is a common condition, it is necessary that you seek the proper treatment from an expert. 

by Dr Chandril Chugh