Neurology
893 questions answered by doctors & treatment decisions assisted by team clinicspots.
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Female | 54
Managing Myasthenia Gravis and Rituximab Treatment Options
Hi in October 2022 my cpk was 2000 plus and crp was 12. Diagnosed with IIM. My leg muscles were affected that time. Early ild effects in chest ct scan. Started taking prednisone mmf 1500. But in Oct 2023 my voice is also affected can't speak now. Myositis panel of antibodies negative But Achr antibodies positive and ace levels are high. Still cpk is 1800 and hscrp is 17. 86. Diagnosed with myasthenia gravis and taking prednisone mmf and pyridostigmine now. Taken ivig also but still no improvement in voice and weakness. Recently I had severe diarrhea due to high dose of mmf. I want to know will rituximab treatment will be helpful for me. As my doctor is planning for that but now my cd 19 levels also high. Kindly suggest helpful which and what treatment is suitable and advisable.
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
It seems you're dealing with health issues like myositis and myasthenia gravis, which weaken muscles affecting your legs and voice. Since previous treatments haven’t helped, your doctor suggests rituximab to reduce inflammation and improve symptoms. Monitoring is important due to high CD19 levels. Be sure to discuss any concerns or side effects with your neurologist.
Female | 29
Constant Head Pressure: Brain Tumor or Anxiety?
Should I be worried constant head pressure and headaches a brain tumor or anxiety? Can anxiety symptoms last 24/7?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Feeling pressure in the head can stem from various sources, such as a brain tumor or anxiety-related issues. Notably, anxiety symptoms may persist consistently rather than appearing intermittently. Brain tumors often lead to additional manifestations like impaired vision or speech difficulties. If you experience concerning symptoms, it's crucial to promptly consult a neurologist for accurate diagnosis and appropriate treatment.
Female | 38
Unexplained Health Symptoms
Hello i'm Laura Grapes from Cedar Rapids Iowa born and raised here & currently still am.... Soo what I'd like to do is tell you what's been going on with me over the months withall the change in me in all the symtoms i've gotten and still currently getting and as time passes on nothings improving so i'd love to hear back from you thank you, Laura
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
You mentioned ongoing issues but didn't give details. Symptoms may stem from stress, poor sleep, or even medical conditions. To address this, track symptoms in a journal. Maintain a nutritious diet. Ensure sufficient rest. Consider seeing your doctor for an evaluation.
Male | 23
Understanding Rabies: Symptoms, Treatment, Prevention
I want to know about rabies dieses
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Rabies, a viral disease, spreads through infected animal bites. Common symptoms start with fever, headaches, and fatigue. As it progresses, confusion and swallowing difficulties arise. Preventive vaccination before potential exposure is crucial. If bitten, wash the wound thoroughly and seek medical attention immediately. This deadly disease demands prompt action to avoid severe consequences.
Male | 38
Causes of Prolonged Dizziness Episodes
What causes sudden bouts of dizziness for days?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Dizziness lasting days may arise from various causes. Ear issues like BPPV or Meniere's disease could trigger dizzy spells. Low blood sugar or dehydration also causes dizziness sometimes. Staying hydrated and eating regularly helps prevent this. However, if dizziness persists despite remedies, consulting a doctor becomes crucial. They can pinpoint the underlying reason and recommend suitable treatment.
Female | 26
Persistent Severe Head Pain: Effective Treatment Strategies
I have been having severe head pain for over r years now which I have used different medications like pain relief, at times the head pain last for 3 days before I will feel little relief
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Headaches that last long are tough. You might have migraines. They bring throbbing aches, noise/light bothers you, feeling nauseous. Stress, hormones, and foods can cause them. Try relaxing, sleep routine, note triggers. If it doesn't ease, see a doctor. Managing migraines takes effort but help is out there.
Male | 22
Left-side Migraine: Causes and Treatment Tips
I have migraine in left side
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Headaches on one side of your head, throbbing with each pulse. Loud noises and bright lights feel like knives. Sometimes, nausea even joins in. This unwelcome guest? A migraine. Certain foods, stress, lack of sleep, or hormonal changes can trigger it. But you can fight back! Stay hydrated, breathe deeply, and find calm. Pay attention to what triggers it. If migraines don't take the hint, talk to a neurologist.
Female | 19
Causes of Headache and Nausea
Why I am having a headache and nousea
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
When head throbs and the stomach churns, it often has simple causes. Perhaps not enough water passed your lips. Or maybe a meal you ate stirred unpleasant reactions. Anxieties also bring those unpleasant companions knocking. Drink deeply from the well, and eat gently. But if discomforts persist, visit a neurologist.
Female | 36
Severe Bilateral Head Pain, Tinnitus, Fainting After Ear Surgery
The patient is suffering severe bilateral head pain Tinnitus(earlier had an ear operation) Fainting
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
These signs may stem from post-surgery ear issues or poor blood flow to the brain. Resting, reducing stress, drinking fluids, and consulting a neurologist are wise steps.
Female | 29
Can anyone cure my 15-year epilepsy struggle?
I am patient of epilepsy last from 14 to 15 years. I have consulted many neurologist during this time but no recovery. Can you please help me.?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
The condition of the brain which is responsible for recurring seizures is called Epilepsy. Seizures may differ from one individual to another who may either have a staring spell, muscle jerk, or a blackout. Generally, it takes a long time to get well with the medication, or in some cases, even surgery is required. Do not forget to adhere to your neurologist's recommendations for the best treatment possible and continue your checkups regularly.
Female | 29
Is It Normal to Sleep All Day?
I've been sleeping all day for numerous day. Is this normal?
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
Sleeping all day long for countless days is not a usual thing. It might be a result of problems like depression, having low thyroid levels, or even infection. Being fatigued all the time, loss of appetite, and difficulty concentrating might also appear. It's necessary to consult a neurologist for an accurate diagnosis and treatment.
Female | 20
Could my headache symptoms be serious?
I’ve having this pain in my head and usually on one side and switches after couple of days, and get this feeling of electric shocks in my head and that my head is really heavy and hurts alot when moving and its been for a month now
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
You could be suffering from migraines. In the case of one-sided headaches in the beginning, one-sided headaches moving to the other side, electric shock feelings, and a heavy head that gets worse with movement, migraines may be responsible. Stress, sleep deprivation, consuming certain foodstuffs, or routine alteration can be the factors leading to a migraine attack. Relaxation, sleeping enough, drinking water, and avoiding triggers are some of the ways you can use to cope. In case it persists, contact a neurologist.
Male | 20
Why Am I Suffering From Prolonged Sleeping Problem?
I am suffering from a sleeping problem since many days i have not sleep properly
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
You're having trouble sleeping. Not getting enough sleep can make one feel tired and grumpy. Common causes of this can be stress, drinking caffeine before bed, or staring at screens late at night. Try to calm down at night by reading a book or having a hot bath. Avoid caffeine as well as screens. If the problem persists, you may want to seek a professional for advice.
Female | 18
Why did I experience sudden intense twitching in limbs?
Yesterday I had leg and feets pain like sprain today at night suddenly it started twitching it was so intense that I was moving my legs hands arm it was more in arm I was crying out ???? and and teeth were shivering and now suddenly my pain disappeared and shivering also disappeared I still can't stop crying. my forehead is hot and my teeth are shivering but I am not feeling much cold on my feet but there is some coldness
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
The twitching and shaking may be the result of muscle spasms caused by dehydration, low levels of certain minerals like potassium or calcium, or overexertion of muscles. A hot forehead could be a sign of increased body temperature. Be sure to drink enough water and eat foods rich in minerals like bananas, nuts, and dairy products. On the other hand, taking a warm bath and resting can also help relax your muscles. If these symptoms continue, it is necessary to see a neurologist.
Female | 25
Why do I experience persistent headaches for years?
Woman, 25 years, 65 kg weight, 173 cm height. Headache all the time for last 5-10 years, sometimes very strong,I have even lost consciousness, but usually semi strong all the time, it gets better only when someone is pushing(squeezing) my head, best from front (forehead).
Dr. Gurneet Sawhney
Neurosurgeon
Answered on 4th Sept '24
You might be a victim of tension headaches. The pain can often be described as a squeezing sensation around your head. The stresses in life can eventually lead to the worsening of these issues. They are also capable of causing you to lose consciousness. Start with relaxation techniques like slow breathing and easy neck moves. Never forget to drink water and reduce the stress to prevent these headaches. If the headaches continue or worsen, a visit to a neurologist is always recommended.
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