Appearance
question:hi, I m 35 yo male, I feel severe pain since the past one month & consulted my physician, taken MRI of LS spine states Degenerative changes in L5-S1 with central & left posterolateral protrusion of L5-S1 compressing thecal sac & narrowing left lateral recess & neural foramina. Also shows mild diffuse annular disc bulging of L4-L5, indicates bilateral neural foramina. Kindly advise me what is the remidy, which type of treatment will help me?
answer:Dear friend, welcome to HCM. you have slipped discs in the lower spine. those probably are causing pressure on your nerves and hence the pain. pl. see a spine surgeon to evaluate if conservative treatment would help or surgery is must. nowa days minimally invasive spine surgeries can be safely and effectively done at good centres. Take care and pl. keep me posted on your progress.
question:My mother is 85yrs old, since 3 months she is suffering from positional vertigo only when she rests her head on the pillow to sleep she feels dizzy and then when she tries to sit up that time her dizziness increases, she is under medication of certain 16 mg for 2 months and also under vitamin injections , she is much better now plus after a few tests, she was diagnosed with thyroid and has started taking eltroxin 100 mg for the past 3 weeks. Today she has suddenly felt the same dizziness quite severe and her hands have also been shivering . She has been advised diligan tablet along with stugeron forte and has been given an injection of adoforan with stemetil. I would appreciate if you could tell me the cause for this.
answer:Dear friend, welcome to HCM.it seems a part of the same BPPV. differentials would be posterior circulation (V-B) insufficiency of the brain, low BP, anaemia etc. have all these been checked? surely a positional vertigo? pl. see your doctor for evaluation.Take care and pl. keep me posted on your progress.
question:hi, i have low bp problem for the last 4yrs. last week suddenly my right arm was numb fr few seconds . when i went to doctor. he prescribed neurokind tab n ask me for xray cervical spine . Now the report said i have cervical spondailiysis. n doc gv me segnoflam tab . i i want to confirm whether this medicines are correct. n I m also suffering from severe Headache towards right hand side . which goes till further. N My veins r so prone that time. please advise .
answer:Hi, Thanks for posting your query. These medication may help in your neck pain and right upper arm pan but never help complete cure. Numbness in arm indicates some sort of neuropathy and you should go for nerve conduction studies. You should also consult with neurophysician and should get pregabalin/ gabaneuron/ oxcarbazepine on written prescription. You should also go for CT/ MRI scan cervicl spine. Thanks , Dr. Mayank Bhargava
question:New onset seizures (multiple simple with aura and one grand mal) at the age of 35 with a white spot found in the right temporal lobe. No other medical or health issues. On 500 mg Keppra twice a day. I believe no seizures since the start of medication on 5/28/12. However I have had numbness in my toes on my right foot . Is this related to the lesion , seizures, or medication?
answer:Dear friend, welcome to HCM. the symptoms are most likely due to seizures. but need to know the cause of the lesion. is it fully evaluated? what has your doc told you was the cause of the temporal lobe. was a CSF exam . done? need to make sure it is not progressing, as you have new symptoms. pl. see your neurologist about the same. take care and pl. keep me posted on your progress.
question:i have a complain of nodding of my neck i.e. neck tremor for last 20 days. previously there is simply a feeling of resistance in my neck region for which i had cervical traction and few isometric exercises done. letter when i feel neck nodding , a MRI of brain and cervical region done which reveals normal brain scan but there is loss of cerval vertebrae curvature, slight protusion of disc at c5 level and few other degenarative changes suggestive of cervical spondylitis , could it be a cause of nodding of head or something else will be the cause ? what should be the cause and the treatment.
answer:Dear friend, welcome to HCM. cervical spondylitis can not give rise to neck nodding. is something like titubation or a fine tremor? I would advise you to take neurology opinion as distant opinion can not be given in your case. also MRI brain is normal. take care and pl. keep me posted on your progress.
question:Good Morning. Doctor , i am having head problem, left part of my head looks weak, the case is such my mind dosent looks in control, sometimes it gets very positive and sometimes very negative. It is getting weak , reaction taking and learning capacity is getting reduced. Kindly suggest a solution to my problem. Regards
answer:hi your problem lies not in your head..but in your mind its necessary to know that our thoughts drives our body,,so they have to be positive..nice..and light looks like you are anxious worrisome by nature quit that at once.. here are my suggestions 1)get up early in morning try expose yourself to sun ..this cause release of the feel good hormones in our body 2)do breathing exercises..or aerobic exercises..this will ensure a good blood supply in your brain 3)listen to some good cheerful music 4)feel like a free bird and do whatever that keeps you happy 5)have a good diet every day with lots of juices and fruits 6)believe in yourself..nothing can go wrong unless you want ..so BE HAPPY BE BOL GOD BLESS