We offer following online consultation services

shri sai gastro & renal homoeopathic clinic

dr. abhishek pandey

sultanpur, U.P., INDIA

We offer following online consultation services;

1. Consultation via e-mail (drabhishekup@gmail.com)
2. Consultation over Skype (dr.abhishekpandey) using video/voice services. Please send all your details and tests done on e-mail (drabhishekup@gmail.com) to us beforehand for a more productive discussion.

 Charges -

1. Email Consultation – US$ 200 or INR 1,000
2. Audio/Video Consultation – US$ 500 or INR 5,000 (Time – 15 minutes)

  All Consultations are important for us and are responded to with in 24 hours of receiving payment.

Spondylitis

Spondylitis is an inflammation of the vertebra. It is a form of spondylopathy. In many cases spondylitis involves one or more vertebral joints as well, which itself is calledspondylarthritis.

migraine

Migraine pain and symptoms affect 18% of women and 8% of men.

The exact cause of migraine is not fully understood.  Migraine has long been observed to run in families so it is thought that there is a genetic component in migraine.  Most researchers think that people who have migraine have a more than usually sensitive or ‘hyper-excitable’ brain, so that they are much more sensitive to stimuli that would not affect someone not prone to migraine.

Experts do know that people with migraines react to a variety of factors and events, called triggers.  These triggers can vary from person to person and don’t always lead to migraine.  A combination of triggers — not a single thing or event — is more likely to set off an attack.  A person’s response to triggers also can vary from migraine to migraine.

Frequently mentioned migraine trigger factors include:

• Lack of or too much sleep
• Skipped meals, getting hungry or not eating enough
• Bright lights, loud noises, or strong odours
• Hormone changes during the menstrual cycle
• Stress and anxiety or relaxation after stress
• Some weather changes
• Alcohol
• Caffeine (too much or withdrawal)
• Changes of routine and travel

Migraine with aura (previously called classical migraine).

With a migraine with aura, a person might have these sensory symptoms (the so-called “aura”) 10 to 30 minutes before an attack:

• seeing flashing lights, zigzag lines, or blind spots
• numbness; or tingling in the face or hands
• disturbed sense of smell, taste, or touch
• feeling mentally “fuzzy”

Only one in five people who get migraine experience an aura.

Migraine without aura (previously called common migraine).

With this form of migraine, a person does not have an aura but has all the other features of an attack.

How can I tell if I have a migraine or just a bad tension-type headache? 

Compared with migraine, tension-type headache is generally less severe and rarely disabling. Compare your symptoms with those in this chart to see what type of headache you might be having.

Symptom	Tension	Migraine
Intensity and quality of pain
Mild-to-moderate	x	x
Moderate-to-severe		x
Intense pounding or throbbing and/or debilitating		x
Distracting, but not debilitating	x
Steady ache	x	x
Location of pain
One side of head		x
Both sides of head	x	x
Other Symptoms
Nausea, vomiting		x
Sensitivity to light and/or sounds	rare	x
Aura before onset of headache		x

Adapted from a table produced by the American Council for Headache Education

How can I tell if I have a migraine or a sinus headache? 

Many people confuse a sinus headache with a migraine because pain and pressure in the sinuses, nasal congestion, and watery eyes often occur with migraine. To find out if your headache is sinus or migraine, ask yourself these questions:

In addition to my sinus symptoms, do I have:

1. moderate-to-severe headache
2. nausea
3. sensitivity to light

If you answer “yes” to two or three of these questions, then most likely you have migraine with sinus symptoms. A true sinus headache is rare and usually occurs due to sinus infection. In a sinus infection, you would also likely have a fever and thick nasal secretions that are yellow, green, or blood-tinged. A sinus headache should go away with treatment of the sinus infection.

When should I seek help for my symptoms? 

The Migraine Trust recommends that migraine sufferers should obtain a diagnosis from their GP. A migraine diary can help a GP identify whether you have migraine and if so what type of migraine. The diary will also assist the GP in prescribing medication for your migraine.

Things that should be covered in the diary are:

1. how often you have headaches
2. where the pain is
3. how long the headaches last
4. when the headaches happen, such as during your period
5. other symptoms, such as nausea or blind spots
6. any family history of migraine
7. all the medicines that you are taking for all your medical problems, even the over-the-counter medicines (better still, bring the medicines in their containers to the doctor)
8. all the medicines you have taken in the past that you can recall and, if possible, the doses you took and any side effects you had

The Migraine Trust has an online diary which will help you record this information. Your doctor may also do an exam and ask more questions about your health history. This could include past head injury and sinus or dental problems. Your doctor may be able to diagnose migraine just from the information you provide. You may get a blood test or other tests, such as CT scan or MRI, if your doctor thinks that something else is causing your headaches.

Sometimes, headache can be a symptom of another health condition than migraine.

You should talk to your doctor about your headaches if:

• You have several headaches per month and each lasts for several hours or days
• Your headaches disrupt your home, work, or school life
• You have a severe headache with a stiff neck
• You have a headache with confusion or loss of alertness
• You have a headache with convulsions
• You have a headache after a blow to the head
• You used to be headache – free but now have a lot of headaches
• You develop severe headaches for the first time over the age of fifty
• You have symptoms that persist between attacks

Although migraine can change over the course of a person’s lifetime, it is always wise to see your GP if your migraine symptoms change, just to make sure the symptoms are still those of migraine.

Can stress cause migraines? 

Yes. Stress can trigger both migraine and tension-type headache. Anything can actually trigger a migraine e.g. lack of sleep, missing a meal etc. if these are combined with stress then a migraine can be triggered.

Making time for yourself and finding ways to deal with stress are important.

Some things you can do to help prevent or reduce stress include:

• being active (at least 30 minutes most days of the week is best)
• doing relaxation exercises
• getting enough sleep

How are migraines treated? 

Migraine has no cure. But your migraines can be managed with your doctor’s help. Together, you will find ways to treat migraine symptoms when they happen, as well as ways to help make your migraines less frequent and severe. Your treatment plan may include some or all of these methods:

Medicine. There are two ways to approach the treatment of migraines with drugs: stopping a migraine in progress (called “abortive” or “acute” treatment) and prevention. Many people with migraine use both forms of treatment.

Acute treatment. Over-the-counter pain-relief drugs such as aspirin, acetaminophen, or NSAIDs (nonsteroidal anti-inflammatory drugs) like ibuprofen relieve mild migraine pain for some people, if taken early enough and at the right dose. If these drugs don’t work for you, your doctor might want you to try a prescription drug.

Most acute drugs for migraine work best when taken right away, when symptoms first begin. Always carry your migraine medicine with you in case of an attack. For people with extreme migraine pain, a powerful “rescue” drug might be prescribed, too. Because not everyone responds the same way to migraine medication, you will need to work with your doctor to find the treatment that works best for you.

Prevention. Some medicines used daily can help prevent attacks. Many of these drugs were designed to treat other health conditions, such as epilepsy and depression. These drugs may not prevent all migraines, but they can help a lot. Hormone therapy may help prevent attacks in women whose migraines seem to be linked to their menstrual cycle.

Ask your doctor about prevention drugs if:

• your migraines do not respond to drugs for symptom relief
• your migraines are disabling or cause you to miss work, family activities, or social events
• you are using pain-relief drugs more than two times a week
• you are having frequent attacks, more than two to four attacks a month

Lifestyle changes. Practicing these habits can reduce the number of migraine attacks:

• Manage your exposure to triggers that you can control, such as hunger.
• Get up and go to bed the same time every day.
• Try not to skip meals.
• Engage in regular physical activity.
• Limit alcohol and caffeine intake.
• Learn ways to reduce and cope with stress.

Alternative methods. Biofeedback has been shown to help some people with migraine. It involves learning how to monitor and control your body’s responses to stress, such as lowering heart rate and easing muscle tension. Other methods, such as acupuncture and relaxation, may help relieve stress. Counselling also can help if you think your migraines may be related to depression or anxiety. Talk with your doctor about these treatment methods.