preventing a stroke
25 Aug
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What is a Stroke and How to Prevent It

A stroke is a serious medical condition that occurs when blood flow to a part of the brain is blocked or reduced, causing brain cells to die. It can lead to long-term disability, memory problems, or even death. Understanding the causes of a stroke and knowing how to prevent it is crucial for everyone. In this blog, we will explain what a stroke is, the risk factors involved, and ways to prevent it, both before and after having one.

Understanding a Stroke

A stroke happens due to a problem with the blood supply to the brain. There are two main types:

  1. Ischemic Stroke: The most common type, where a blood clot blocks a blood vessel in the brain.
  2. Hemorrhagic Stroke: Occurs when a blood vessel bursts in the brain, causing bleeding.

Both types can damage brain cells, leading to physical, emotional, or mental difficulties. The sooner a person receives medical attention during a stroke, the better the chances of recovery.

How to Prevent a Stroke at Home

Preventing a stroke often involves lifestyle changes and managing health conditions. Here are some simple steps you can take at home:

  • Maintain a Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help lower your risk. Avoid foods high in salt, sugar, and unhealthy fats, as these can increase blood pressure and cholesterol levels.
  • Exercise Regularly: Aim for at least 30 minutes of moderate physical activity, like walking or cycling, most days of the week. Regular exercise can help keep your heart healthy and control your weight.
  • Monitor Blood Pressure: High blood pressure is a major risk factor for strokes. Regularly checking your blood pressure and taking steps to keep it within a normal range can help reduce the risk.
  • Avoid Smoking and Limit Alcohol Consumption: Smoking and excessive drinking can increase your risk of a stroke. If you smoke, seek help to quit, and if you drink alcohol, do so in moderation.

How to Prevent a Stroke After Having One

If you have already had a stroke, the chances of having another are higher. However, you can still take steps to lower the risk:

  • Follow Your Doctor’s Recommendations: Make sure to take any prescribed medications, such as blood thinners or blood pressure medications, as directed by your healthcare provider.
  • Regular Check-Ups: Regular visits to your doctor can help monitor your health and make any necessary adjustments to your treatment plan.
  • Manage Chronic Conditions: Conditions like diabetes, high blood pressure, and high cholesterol should be controlled with the help of medications and lifestyle changes.
  • Stay Active: Even after a stroke, staying physically active can help reduce the risk of another. Activities like walking or gentle exercises can improve your overall health.

How to Prevent a Second Stroke

Preventing a second stroke requires extra precautions:

  1. Take Medication as Prescribed: After a stroke, you may be prescribed medications like antiplatelets or anticoagulants to prevent blood clots.
  2. Maintain a Healthy Lifestyle: Continue eating healthily, exercising, and avoiding smoking or excessive alcohol consumption.
  3. Join a Stroke Rehabilitation Program: Such programs can help improve mobility, speech, and other skills, reducing the chances of having another stroke.
  4. Use Assistive Devices if Needed: If a stroke has affected your ability to walk or move, use a cane or walker to prevent falls and further complications.

How to Prevent a Stroke with Aspirin

Aspirin is often used to help prevent strokes, especially for people at high risk. It works by thinning the blood, which reduces the likelihood of blood clots forming. However, it’s essential to only take aspirin if your doctor recommends it, as it is not suitable for everyone. Taking aspirin without medical advice can cause bleeding issues or other side effects.

Can a Pacemaker Prevent a Stroke?

A pacemaker is a device that helps control abnormal heart rhythms. While it is not specifically designed to prevent strokes, it can help reduce the risk in some cases. Certain heart conditions, such as atrial fibrillation (an irregular heartbeat), can increase the chances of a stroke. By keeping the heart rhythm steady, a pacemaker can help reduce this risk. If you have a heart condition, discuss with your doctor whether a pacemaker might be beneficial for you.

SCIATICA
25 Aug
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Sciatica Treatment

Sciatica Treatment by Dr Manoj Khanal

There are five nerve roots that originate in the lower vertebrae, making the sciatic nerve the largest nerve in the body. The sciatic nerve connects the spinal cord to the skin and muscles in the lumbar spine region. It runs from the buttocks and quadriceps all the way down to the soles of the feet. In addition to transmitting sensation to the back of the thigh, a section of the lower leg, the sole, and the outer border, it regulates the muscles located in the back of the knee and the lower leg. Finding the best sciatica treatment is very important.

What is Sciatica?

Sciatica is a condition characterized by pain caused by inflammation of the sciatic nerve. This discomfort can feel like a severe leg cramp or a shooting pain that makes standing or sitting nearly impossible. The pain often extends from the lower back to behind the thigh and below the knee. In severe cases, it can be debilitating. For those suffering from sciatica, finding the best sciatica treatment is essential to managing the pain and improving quality of life. Consulting with Dr. Manoj Khanal, a best neurologist, can be crucial in receiving expert care and relief.

Potential Causes

Some potential causes of sciatica include:

  • Herniated or slipped disc: The most common cause of sciatica, where a disc in the spine displaces and puts pressure on a nerve root, leading to pain.
  • Spinal stenosis: A condition where the spinal canal narrows, placing pressure on the nerves.
  • Spondylolisthesis: This occurs when one vertebra slips forward over the one below it, narrowing the space through which the sciatic nerve exits.
  • Obesity: Excess weight can place additional pressure on the spine and vertebrae, potentially leading to sciatica.
  • Piriformis syndrome: A condition where the piriformis muscle deep in the buttocks spasms and tightens, putting pressure on the sciatic nerve and aggravating the condition.

Symptoms

Sciatica is often associated with the following symptoms:

  • A painful sensation that travels from the lower back or spine to the buttocks and down onto the leg.
  • Pain in the affected area ranging from mild discomfort to severe, burning pain.
  • Worsening of pain with coughing or sneezing.
  • Numbness.
  • A burning or tingling sensation in the legs.
  • Weak muscles.
  • Pain typically affects only one side of the body.

The severity of sciatica pain can vary widely. It might present as a sharp, stabbing pain or a dull ache that can be nearly unbearable. In extreme cases, sciatica is usually caused by irreversible damage to the sciatic nerve, and it often accompanies symptoms from other parts of the body, such as:

  • Changes in bowel or bladder function.
  • Sexual dysfunction.
  • Symptoms appearing in both legs.
  • Severe leg paralysis that restricts movement.

Sciatica Treatment

Following an assessment of your medical history and symptoms, the physician will perform a physical examination to assess muscle strength and reflexes. The doctor might suggest raising your legs while lying down, walking on your toes, or rising from a crouching position. They may also order one or more imaging tests, such as:

  • X-rays
  • MRIs
  • CT scans
  • Electromyograms

When it comes to choosing a best sciatica treatment, the options depend on the duration and severity of your symptoms, which may include:

  • Rest
  • Physical therapy
  • Medications
  • Lifestyle changes
  • Surgical procedures

Mild sciatica pain usually resolves over time. Initially, you might need to take one or two days of rest, but it’s crucial to begin physical activity as soon as possible to maintain the strength of your muscles and spine. However, prolonged bed rest is not recommended, and returning to physical activity is essential.

Prevention of Sciatica

Medical professionals recommend several strategies to protect your back from recurring pain:

  • Regular physical activity.
  • Maintaining proper posture while sitting.
  • Ensuring correct body mechanics.

If self-care measures have not alleviated your discomfort, it is advisable to consult with a neurologist or spine surgeon. Dr. Manoj Khanal, recognized as the best neurologist in Delhi, can provide expert care if your pain has persisted for more than a week, has become more severe, or has progressively worsened over time.

Neurological Disorders
25 Aug
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Treatment of Neurological Disorders

Treatment of Neurological Disorders by Dr Manoj Khanal

The nervous system, comprising the brain, spinal cord, and nerves, regulates all bodily functions, including swallowing, speaking, breathing, moving, and learning. Any issue within this system can significantly impact these essential functions. Neurological disorders, which affect the central or peripheral nervous system, impact hundreds of millions of people worldwide, involving the brain, central, and autonomic nervous systems.

Common Neurological Disorders

Neurological disorders are diverse and include conditions such as:

Causes

Understanding the causes of neurological disorders is crucial for anyone experiencing or at risk of these conditions. The brain and spinal cord are protected by various membranes, while peripheral nerves are shielded beneath the skin. Damage to these protective barriers can lead to malfunction or disease in the nervous system. The causes of neurological disorders can include:

  • Lifestyle factors
  • Infections
  • Genetic factors
  • Nutritional deficiencies
  • Physical injuries
  • Environmental influences

Symptoms of Neurological Disorders

The symptoms of neurological disorders vary widely depending on the specific condition and the affected area of the body. Some disorders cause emotional distress, while others lead to physical pain.

Emotional Symptoms:

  • Mood swings
  • Outbursts
  • Delusions
  • Depression

Physical Symptoms:

  • Partial or complete paralysis
  • Weakness in the limbs
  • Numbness
  • Seizures
  • Difficulty reading and writing
  • Cognitive decline
  • Unexplained pain
  • Decreased concentration

If you or a loved one experiences these symptoms, it’s essential to seek medical help immediately. Dr. Manoj Khanal is the best neurologist for treating neurological disorders, offering expert care for a wide range of conditions.

Preventing Neurological Disorders

While some neurological conditions are prevalent, they can often be prevented by prioritizing overall health and well-being. Here are some tips to help prevent these disorders and maintain a healthy and alert mind:

  1. Regular Exercise: Engaging in consistent physical activity significantly reduces the risk of neurological diseases. Exercise also helps manage existing conditions like Alzheimer’s, enhancing energy, mood, sleep, and brain health, while reducing anxiety and depression.
  2. Avoid Smoking, Alcohol, and Drugs: These substances impair cognitive function, motivation, and memory. They can also increase the risk of cancer and other serious health issues.
  3. Nutrient-Rich Diet: A diet rich in Omega-3 fatty acids, found in foods like flaxseed, seafood, and nuts, supports brain function and reduces the risk of neurological disorders and developmental defects.
  4. Mindfulness and Prayer: In our fast-paced world, taking time to relax and appreciate life is essential. Chronic stress from a busy lifestyle can negatively impact health. Practices like mindfulness and prayer help reduce stress and improve overall well-being.
  5. Lifelong Learning: Maintaining a strong sense of purpose and staying active are crucial for mental health. Engaging in a variety of hobbies and continuously learning new skills throughout life helps preserve cognitive function.

Expert Neurological Care

For those seeking top-tier neurological care, Dr Manoj Khanal Kanpur offers outstanding neurology services. With the expertise of Dr. Manoj Khanal, the best neurologist for treating neurological disorders, provides the most effective treatment options, ensuring that patients receive the highest quality care.

What is Dysphragia
23 Aug
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Dysgraphia | Treatment by best neurologist | Dr Manoj Khanal

Do you ever find it difficult to articulate your thoughts in a manner that is both clear and legible when you place pen to paper? A continuous issue, writer’s block is not a one-time occurrence for certain individuals. Dysgraphia is the term used to describe this condition.

Dr Manoj Khanal, best neurologist in Delhi will explain all about this disorder.

What is dysgraphia?

Dysgraphia is a cognitive disability that primarily affects an individual’s writing capabilities. It is not merely a matter of poor penmanship; it is a problem with the physical act of writing, as well as the planning, organisation, and execution of written communication.

Are dyslexia and dysgraphia interchangeable?

Sometimes dyslexia and dysgraphia are confused; however, they are distinct cognitive impairments. Dyslexia primarily impacts reading, while dysgraphia primarily impacts penmanship. People with dyslexia may experience difficulty with penmanship and writing; however, this does not necessarily indicate that they have dysgraphia.

How is it diagnosed?

Accurate diagnosis is crucial, as it is feasible to possess both ailments. A professional team frequently evaluates an individual’s language processing, motor abilities, and writing in order to diagnose dysgraphia. This may involve the observation of writing examples, academic exams, and IQ assessments.

In order to identify potential issues, written assessments and samples are analysed for adults. Ultimately, a comprehensive assessment is instrumental in determining the existence of dysgraphia and the necessary support.

Dysgraphia symptoms

The initial step in obtaining treatment may be to identify the symptoms of dysgraphia. Common Dysgraphia symptoms include the following:

  • Untidy, inconsistent, or indistinct handwriting may be indicative of handwriting issues.
  • Spelling errors are not uncommon, even when the words are well-known.
  • Poor grammar and punctuation: Having difficulty utilising appropriate grammar and punctuation.
  • Writing at a sluggish pace: Taking significantly longer to compose than their peers.
  • Absence of writing: A reluctance to participate in writing activities due to irritation.
  • Physical discomfort is the term used to describe the sensation of pain or exhaustion at the time of writing.

It is imperative to acknowledge that the severity of these symptoms differs from individual to individual.

Causes of Dysgraphia

Although the precise causes of dysgraphia are unknown, research suggests that it is most likely the result of issues in the brain regions responsible for language and motor skills. The following are some potential contributory factors:

  • Brain distinctions are variations in brain anatomy or function that impact motor skills and language.
  • Dysgraphia may coexist with developmental issues, including autism or ADHD.
  • Dysgraphia may result from damage to cerebral regions that are involved in writing.

Who is at a heightened risk of developing dysgraphia?

Dysgraphia’s precise causes are currently under investigation. Nevertheless, a child’s risk can be increased by a variety of factors.

  • Family history: Learning difficulties, such as dysgraphia, may be inherited.
  • Prenatal factors: Dysgraphia may be linked to pregnancy complications, such as early delivery.
  • Co-occurring learning disabilities: Dygraphia is more prevalent in individuals who have ADHD, dyslexia, or oral and written language (OWL) issues. Attention, which is indispensable for reading and writing, may be impaired by ADHD. Language processing, which is essential for written expression, is influenced by OWL.

Dysgraphia in adults: Dysgraphia is frequently diagnosed in infants, but it can also affect adults. The challenges may manifest in a variety of ways, including difficulty taking notes during meetings, sending emails, or effectively complete forms. The same strategies that are effective for toddlers can also be beneficial for adults with dysgraphia.

Notable Individuals with Dysgraphia

It may come as a surprise to you that dysgraphia is a common condition among successful individuals. Their experiences may serve as an incentive, illustrating that it is feasible to surmount challenges. Albert Einstein, Leonardo da Vinci, and Agatha Christie are among the notable individuals who are believed to have dysgraphia.

Dysgraphia: A Lifelong Condition.

Dysgraphia can be a challenging condition to manage; however, Dr Manoj Khanal, most qualified neurologist in Delhi and available as the best Neurologist in Max Hospital, Shalimar Bagh provides assistance and techniques.

The following are a few methods:

  • Occupational therapy: A professional therapist can provide support in the development of fine motor skills and the enhancement of handwriting.
  • Assistive technology that can assist with writing includes speech-to-text software, ergonomic writing aides, and specialised keyboards.
  • Accommodations at school or work: It may be advantageous to allocate additional time for written activities, permit typed assignments, or implement alternative assessment methods.
  • The development of self-esteem: Individuals with dysgraphia may experience an increase in confidence by fostering a positive attitude and acknowledging their strengths.
  • Seeking assistance: Engaging in conversations with individuals who have dysgraphia may offer valuable insights and emotional support.

Please bear in mind that dysgraphia is a learning disorder, not a metric of intelligence or aptitude. Individuals with dysgraphia can lead productive lives and accomplish their objectives with the appropriate support and strategies.

alzheimer
23 Aug
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Alzheimer’s Disease Treatment by Dr. Manoj Khanal

Alzheimer’s disease is a challenging condition, both for patients and their families. But with the right treatment and support, people living with Alzheimer’s can experience a better quality of life. Dr. Manoj Khanal, a renowned neurologist based in New Delhi, is dedicated to helping those affected by Alzheimer’s with his personalized treatment plans and compassionate care. In this blog, we’ll explore Dr. Khanal’s approach to Alzheimer’s treatment, his background, and why his care makes a real difference.

Who is Dr. Manoj Khanal?

Dr. Manoj Khanal is a highly experienced neurologist with a special interest in treating a range of neurological conditions, including Alzheimer’s disease, stroke, epilepsy, Parkinson’s disease, and dementia. After earning his MBBS from Central University of Assam in 2004, Dr. Khanal completed his MD at Gauhati Medical College, Guwahati in 2007, and later went on to specialize in Neurology with a DM in Neurology from the prestigious PGIMER, Chandigarh in 2012.

He is based in New Delhi, where he practices at his clinic located at Shop No 10, AB-10, Block BH, CNDS, Shalimar Bagh. Dr. Khanal is known for his dedication to improving the lives of his patients through careful diagnosis, effective treatment, and continuous care.

Dr Manoj khanal he is a neurologist in delhi

Dr. Manoj Khanal’s Approach to Alzheimer’s Treatment

Alzheimer’s disease is complex, and each patient experiences it differently. Dr. Khanal understands that there’s no “one-size-fits-all” solution, which is why he takes a personalized approach to every patient’s care. His treatment plans often include a combination of medication, lifestyle changes, and support therapies tailored to each patient’s needs.

In addition to pharmaceutical treatments, Dr. Khanal is a proponent of holistic care. He believes in taking care of not just the physical symptoms, but also the emotional and psychological well-being of his patients. Dr. Khanal emphasizes the importance of involving family members in the care process, ensuring they are educated about the condition and equipped to provide the necessary support.

A Focus on Family Support and Emotional Care

Alzheimer’s doesn’t just affect the patient—it impacts the entire family. Dr. Khanal provides guidance and advice for caregivers, helping them understand the disease and manage the challenges they may face. He offers emotional support and practical tips to ensure caregivers aren’t overwhelmed.

Dr. Khanal’s philosophy is rooted in the belief that patients and their families should feel empowered. By fostering strong communication and providing consistent support, he helps families navigate the emotional rollercoaster that comes with an Alzheimer’s diagnosis.

Healthy lifestyle choices like exercise and brain games help manage Alzheimer’s disease.

Public Awareness and Advocacy for Alzheimer’s

Beyond his clinical practice, Dr. Khanal is passionate about raising public awareness about Alzheimer’s disease. He frequently participates in conferences, media discussions, and public campaigns to educate the public about the importance of early diagnosis and the need for better care options for people with dementia-related conditions. You can find some of his insightful talks and interviews on YouTube and other media platforms.

Why Choose Dr. Manoj Khanal?

Dr. Khanal’s approach to Alzheimer’s treatment combines scientific expertise with empathy and understanding. His dedication to improving the lives of people with Alzheimer’s, along with his commitment to family-centered care, sets him apart as a trusted neurologist in New Delhi.

If you or a loved one is struggling with Alzheimer’s or dementia, Dr. Manoj Khanal is here to help. With years of experience and a compassionate approach, he is ready to work with you and your family to find the best path forward.

Contact Dr. Manoj Khanal for Expert Alzheimer’s Care

If you or a loved one need help managing Alzheimer’s disease, don’t wait to seek care. Dr. Manoj Khanal is here to guide you through the treatment process and provide the support you need.

Contact Dr. Khanal today:

📍 Address: Shop No 10, AB-10, Block BH, CNDS, Shalimar Bagh, New Delhi, Delhi, 110088
📞 Phone: 9953615453
🔗 Visit his website/contact page for more information and to schedule an appointment.

Let Dr. Manoj Khanal help you and your family manage Alzheimer’s with compassion, expertise, and a commitment to care.

Finding the best neurologist
03 Aug
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Best Neurologist in Delhi

Dr. Manoj Khanal is the best neurologist in Delhi

Dr. Manoj Khanal is the best neurologist in Delhi. With an Experience of 15+ years, Dr. Khanal offers treatment for Parkinson, Epilepsy, Headache & Migraine, Trigeminal Neuralgia, Brain Stroke, Alzheimer’s, Bell’s Palsy, and other neurological disorders.

A Comprehensive Guide to Choosing the Best Neurologist in Delhi : 

When it comes to your neurological health, choosing the right neurologist is of utmost importance. The Delhi National Capital Region is home to several reputed neurologists, each offering their unique set of skills and expertise. In this article, we will provide you with valuable insights on how to select the best neurologist in Delhi. Among the prominent names, Dr. Manoj Khanal from Max Super Speciality Hospital, stands out as a highly recommended and accomplished specialist in the field of neurology. At present Dr. Manoj Khanal has seen more than 20,000 neurology patients in outdoor, emergency, consultations and indoor visits suffering from epilepsy, stroke, headache, movement disorder, an autoimmune disorder, CNS infections etc in PGIMER and in Max Healthcare in 6 years.

  1. Credentials and Expertise: When searching for a neurologist, it is crucial to assess their credentials and expertise. Dr. Manoj Khanal possesses an exemplary educational background, having obtained a medical degree from a reputable institution. Look for board certification, memberships in professional associations, and any additional certifications or fellowships. Dr. Manoj Khanal is renowned for his extensive experience in diagnosing and treating a wide range of neurological conditions, making him an ideal choice for patients seeking top-notch care.
  2. Specialization and Sub-specialization: Neurology is a vast field that encompasses numerous subspecialties. Consider your specific condition or symptoms when selecting a neurologist. Dr. Manoj Khanal specialization in neurology, coupled with his sub-specialization in areas such as stroke management, epilepsy, and movement disorders, ensures that he possesses in-depth knowledge and expertise in treating a diverse range of neurological disorders.
  3. Hospital Affiliation: The hospital where a neurologist practices plays a significant role in the quality of care you receive. Max Super Speciality Hospital, is a renowned healthcare institution known for its state-of-the-art facilities and excellent patient outcomes. Equipped with the latest diagnostic tools and advanced treatment options, the hospital provides a conducive environment for neurologists like Dr. Manoj Khanal to deliver superior medical care.
  4. Patient Reviews and Testimonials: Reading patient reviews and testimonials can offer valuable insights into a neurologist’s reputation and the level of patient satisfaction. Positive reviews regarding Dr. Manoj Khanal expertise, compassionate approach, and successful treatment outcomes are indicative of his dedication and proficiency. Patients appreciate his ability to provide comprehensive care, including clear communication, personalized treatment plans, and ongoing support.
  5. Referrals and Recommendations: Seeking referrals and recommendations from trusted sources, such as primary care physicians or friends and family, can be instrumental in choosing the right neurologist. Many patients have recommended Dr. Manoj Khanal due to his exceptional diagnostic skills, effective treatment strategies, and genuine concern for patient well-being. A neurologist who comes highly recommended is likely to provide a positive experience and optimal outcomes.
  6. Accessibility and Availability: Consider the location and accessibility of the neurologist’s clinic or hospital. Delhi is a bustling metropolitan area, and choosing a neurologist who practices at a convenient location, such as Max Super Speciality Hospital, ensures easy accessibility and minimal travel time. Additionally, it is essential to evaluate the neurologist’s availability for appointments and emergency situations to ensure prompt medical attention when required.
  7. Communication and Patient-Centric Care: Effective communication between a neurologist and their patients is vital for proper diagnosis, treatment, and ongoing management. Dr. Manoj Khanal is known for his empathetic and patient-centric approach, where he takes the time to listen to his patients, understand their concerns, and explain complex medical information in a clear and understandable manner. This compassionate and personalized care instills trust and confidence in patients.
  8. Technological Advancements and Treatment Options: Neurological treatments have witnessed significant advancements with the advent of new technologies and innovative treatment options. Dr. Manoj Khanal stays abreast of the latest advancements and utilizes cutting-edge techniques to provide his patients with the most effective and efficient treatment options available. This dedication to staying updated with medical advancements ensures that patients receive the highest standard of care.

Selecting the best neurologist in Delhi is a crucial decision that can significantly impact your neurological health. Dr. Manoj Khanal, the best Neurologist in Delhi, emerges as an exceptional choice due to his extensive experience, expertise, compassionate care, and commitment to adopting the latest medical advancements. By considering the factors outlined in this article, you can make an informed decision and receive the best possible neurological care from a trusted professional like Dr. Manoj Khanal.

17 Aug
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What to Avoid When Someone is Having a Stroke?

Stroke is often known as a silent killer because it can happen without any warning and remains as one of the leading causes of death and disability around the world. When someone experiences a stroke, there is an immediate stop of the blood supply to the brain. The blood flow stops because a blood vessel ruptures or there is a blockage in a blood vessel. It is a deadly instance because people can have a stroke and not know about it, leading to a permanent damage in the brain. Stroke is a severe medical condition that requires immediate medical intervention. We at Max Healthcare have a dedicated centre of neurosciences and the best neurologist in Delhi for stroke treatment.

Stroke can be life-threatening and can even lead to permanent disability. There are certain essential things that a person suffering from stroke or the ones near them must follow in case of such an instance.

Here are things to avoid when someone is having a stroke:

Do not Let the patient Go to Sleep

It is important not to let the person who’s experiencing a stroke to go to sleep. People who have a stroke usually feel sleepy, and all that happens suddenly without any warning signs. Stroke treatment is time sensitive and letting a person sleep can be life-threatening. Even if the person is refusing to visit a hospital, it is important to call an ambulance and take them before any considerable damage.

Do not Drive them to the hospital

It is never advisable to drive a stroke patient to the hospital and never let the person drive themselves as stroke can impair the ability to drive safely. Always call an ambulance whenever someone is a having a stroke. Ambulances are equipped with necessary life-saving equipment, drugs and healthcare professionals who can immediately save the life of the patient. Emergency responders can start life-saving treatment as soon as they reach the patient which can help minimise damage.

Refrain from giving the patient anything to Eat or Drink

It is better to avoid eating or drinking when the person is experiencing a stroke. Since a stroke can cause muscle weakness throughout the body and can even lead to paralysis, a person suffering from a stroke can choke on food, water and have difficulty in swallowing.

Do not Give Them Any Medication

Do not self-medicate the person having a stroke. Usually, people believe that giving aspirin will help, but it does not because it is not always a blood clot that causes a stroke. It can be caused by a ruptured blood vessel and giving aspirin in such a situation will make the bleeding worse. To maximise chances of survival, it is essential to call an ambulance right away.

The points mentioned above are critical and must be followed without fail. A stroke can be deadly and life-threatening, so it is crucial never to delay in seeking medical attention. Most people will wait and observe if the symptoms will improve; however, it is one of worst things to do as it increases the chances of death or disability significantly. Remember, every second count when someone is experiencing a stroke. So, act wisely and fast!

Dr. Manoj Khanal is one of the Best Stroke Specialist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.

Amyotrophic lateral sclerosis (AL
17 Aug
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Everything You Need to Know About Amyotrophic Lateral Sclerosis (ALS)

Amyotrophic lateral sclerosis, also known as ALS, is a nervous system disease in which the neurons in the brain, as well as spinal cord, are attacked. The function of the neurons is to transfer messages from the brain and spinal cord to the voluntary muscles. The voluntary muscles are the ones which can be controlled, like in the arms and legs. ALS being a progressive disease can get worse as time passes. As it affects the nerves in the brain and spinal cord that control the muscles, the muscles get weaker and, this creates difficulty in walking, talking, eating, and even breathing. One should visit a brain hospital as soon as these symptoms start to appear.

Symptoms of Amyotrophic Lateral Sclerosis (ALS)

Some of the earliest signs of ALS include:

  • Constant tripping and falling
  • Difficulty in walking or doing the normal daily activities
  • Weakness in hand or clumsiness
  • Difficulty holding the head up or maintaining a good posture
  • Weakness in leg, feet or ankles
  • Muscle cramps and twitching in arms, tongue, and shoulders
  • Trouble swallowing or slurred speech

Types of ALS

There exist two main types of ALS:

  • Sporadic ALS: This being the most common form of ALS, affects up to 9 percent of individuals diagnosed with the disease. Sporadic means it sometimes happens without an apparent cause.
  • Familial ALS (FALS): This type of ALS runs in families. However, only 5 to 10 percent of individuals with ALS have this type. A faulty gene passes to the children through their parents. If one parent has the ALS gene, each of their children will have a 50 percent chance of inheriting the gene and being diagnosed with the disease.

Causes of ALS

ALS is inherited in 5 to 10 percent of cases, while the remaining cases have no known cause. As per the researchers, these could be the several possible causes of ALS:

  • Chemical Imbalance: Individuals with ALS usually have higher than normal levels of glutamate, which can be toxic to some nerve cells. Glutamate is a chemical messenger present in the brain, near the nerve cells in their spinal fluid.
  • Gene Mutation: Many genetic mutations can lead to inherited ALS, which has almost similar symptoms as the non-inherited form.
  • Protein Mishandling: Mishandled proteins present inside the nerve cells may accumulate which can eventually destroy the nerve cells.
  • Disorganized Immune Response: At times an individual’s immune system starts attacking some their normal cells, which may kill the nerve cells.

Risk Factors for ALS

Some of the established risk factors for ALS are:

  • Heredity: 5 to 10 percent of the individuals with ALS inherited it, which is known as familial ALS.
  • Age: The risk of ALS increases with age and people between the ages of 40 and 60 are more prone to be diagnosed with this disease.
  • Sex: Slightly more males than females develop ALS before the age of 65. This sex difference tends to disappear after age 70.
  • Genetics: There exist certain similarities in the genetic variations of individuals with familial ALS and some individuals with non-inherited ALS. These genetic variations might make individuals more vulnerable to ALS.

Treatment of ALS

Damage done by amyotrophic lateral sclerosis cannot be cured by treatments, however; medicines can slow the progression of symptoms, prevent complications and make an individual more independent as well as comfortable. One may require an integrated team of doctors skilled in multiple areas and other healthcare professionals to offer the right care. Doing this may prolong a patient’s survival and improve their quality of life.

Dr. Manoj Khanal is one of the Best ALS Doctor in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.

17 Aug
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What Do You Need to Know About Locked-In Syndrome?

There are over 600 neurological disorders. Each one has its own shocking complications and symptoms that prove the fact that human mind is way more complex than what we conceive. Even a simple defect in the smallest of the nerves can result in challenging complications.

While you may have heard of common neurological conditions like brain tumor disease or may even know about brain stroke symptoms or brain tumor treatment, there are various other neurological conditions you might have never heard. One such rare neurological disorder is “Locked-In Syndrome”.

Also known as pseudocoma, Locked-In Syndrome (LIS) is a condition in which the patient loses the ability to move all voluntary muscles except for some like blinking of the eyes. To put it in simple words, the patients suffer from a complete paralysis where though they are aware of their surroundings, it is impossible for them to make any movement or use verbal communication. Another condition known as total locked-in syndrome causes paralyses even to the eyes; thus, barring communication.

Here is what you need to know about locked-in syndrome:

Signs and Symptoms

The syndrome is mainly characterized by the complete loss of movement in the voluntary muscles. However, there are some other signs and symptoms as well which may vary from one patient to another.

Patients suffering from locked-in syndrome are not able to speak or make any facial movement. The only way they can communicate is through blinking or eye movements. They can understand everything that happens around them and recognize people as their cognitive function remains unaffected during locked-in syndrome.

Causes

Locked-in syndrome is often caused by damage to a specific part of the brain known as pons which contains the important neuronal pathways between the cerebellum, spinal cord and cerebrum. A damage to this part interrupts the movement of motor fibers running from grey matter in the brain causing paralysis. Here are some of the causes and conditions that may lead to locked-in syndrome:

  • Amyotrophic Lateral Sclerosis (ALS)
  • Brainstem stroke
  • Traumatic brain injury
  • A stroke or brain hemorrhage
  • Lesion of the brain stem
  • Infection in the certain part of the brain
  • Poisoning from krait bite or other neurotoxic venoms

Diagnosis

There are various other disorders like Akinetic mutism and a Guillain–Barré syndrome that exhibit symptoms similar to that of locked-in syndrome. This makes it difficult to recognize the occurrence of locked-in syndrome and hence the delay in treatment. Therefore, it is vital that one should seek medical consultation from hospitals that have an excellent neurological department.

We at Max Healthcare have highly experienced neurologists who have specializations in all type of neurological disorders and neurosurgery like brain tumor surgery. Some of the diagnostic tests that are performed for locked-in syndrome include Magnetic Resonance Imaging, Magnetic Resonance Angiography and Electromyography.

Treatment

Though there is no specific treatment for locked-in syndrome, there are some therapies and supportive care methods that can increase the chances of recovery. In most of the cases, the doctors try to treat the underlying cause of the syndrome. They may also recommend tracheotomy to aid the patient in breathing.

Furthermore, to ensure that the patient gets enough nutrition, gastrostomy (where a feeding tube is inserted in the stomach) is performed as feeding and drinking via mouth is not possible. A special therapy called functional neuromuscular stimulation can also be used to stimulate muscle reflexes which can activate paralyzed muscles.

Another essential and effective treatment option is care, support and hope of the family members who can help the patient fight this unfortunate condition.

Dr. Manoj Khanal is one of the Best Neurologist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.

17 Aug
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Can You Have A Healthy Pregnancy If You Are Suffering From MS?

Also known as MS, Multiple Sclerosis is an autoimmune disorder that affects the brain and spinal cord. Unfortunately, in cases of many women, the diagnosis comes at a stage when they are about to plan a pregnancy. Several studies have shown that pregnancy, delivery, and rate of congenital disabilities are no different in women with MS when equated to those without MS. The good part is that there are no substantial evidence of MS causing infertility.

In the past, women with MS were advised not to start a family as the condition may keep them away from giving proper care to their newborn baby. In addition, it was also presumed that pregnancy might worsen the symptoms.

So, if someone is fighting hard with MS and wishes to plan a pregnancy, the advice is to seek consultation from the best neurologist in Gurgaon to better understand the chances of having a healthy pregnancy.

Living with MS While Pregnant

Luckily, the picture today is somewhat different. Multiple studies have shown that pregnancy reduces the chances of relapse and this mainly happens in the third trimester. However, if someone has unrecognized MS, they are more likely to start having symptoms during pregnancy. The incapacitating effects of MS may make it substantially hard to carry a pregnancy without any complications. Coordination problems and muscle weakness may surge the likelihood for falls. Furthermore, fatigue may worsen. With fatigue, wheelchair dependence may increase and so the risk of encountering UTIs.

Keeping the above things in mind, during pregnancy, women need regular and close monitoring to keep track of the condition and overall health of the baby. They may also require recurrent prenatal visits. Though, no standard treatment modifies the course of MS; there are medicines such as steroids and anti-inflammatory drugs that may help.

During pregnancy, rehabilitation and supportive treatment become especially important. Rehabilitation differs depending on the symptoms, but may help in:

  • Performing everyday activities
  • Getting the family involved
  • Being independent
  • Using canes, walkers and other assistive devices
  • Enhancing motor skills
  • Refining communication skills in those having trouble speaking caused by weakness or lack of coordination between face and tongue muscles
  • Dealing with bowel or bladder incontinence

Will There Be Any Complications in Breastfeeding?

Multiple Sclerosis does not carry any obstacle in breastfeeding. However, because it is still not clear whether disease-modifying drugs are passed in breast milk, most neurologists advise not to resume therapy until the time someone is breastfeeding. However, there is always an option to resume therapy and formula-feed the baby. Neither of them is right or wrong, as in the end only the mother can decide what is best for them and the baby.

The Role of Neurologist While Pregnant

The neurologist plays a significant role when someone is trying to conceive and that during pregnancy. They also have an opinion about therapy options that will work well in having a smooth pregnancy and prevent relapse after the delivery. Thus, the need of seeking consultation from the best neurologist in Gurgaon. Furthermore, some neurologists also prescribe intravenous immunoglobulin (IVIG) immediately after childbirth to significantly reduce the risk of postpartum relapse. On the other hand, some neurologists may recommend one or several doses of intravenous corticosteroids for the same purpose.

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