Neuroendoscopy surgery: Let’s catch on advanced skull base surgery

Revolution in skull base surgery: Neuroendoscopy

The up-to-date treatment options are much better than the traditional time. If you think of the modern Skull Base Surgery In Punjab, a lot has evolved with the time that few have thought about. Talking about the 21st century, endoscopic technology has transformed the way skull base surgery works. From cancerous to non-cancerous growth, many health conditions can be corrected with this latest technology.

With time, everything started to progress slowly, and the minimally invasive approach came into existence. When you visit the  Neuro Hospital in Ludhiana, there’s neuroendoscopy surgery. The procedure gained attention in terms of skull base or complex area treatment with different openings in terms of nerves, spinal cord, and blood vessels.

Did you know?

The neuro endoscope is an important part of Spine Surgery in Ludhiana, and it’s categorized as MISS (Minimally invasive spine surgery). The procedure is for several conditions. Your medical health expert suggests what to do for spinal health.

Neuroendoscopy: How does the procedure work?

The neuro endoscope is a slim tube that provides high-resolution images of the present time. That means when the surgeon performs the surgery; he gets all present images of the organ. Additionally, in minimally invasive surgery, there’s no need for a large incision in the skull or face.

The instruments are inserted through the opening: The mouth or Nose. Depending on your present condition, the surgeon can give you the possible right care. Being careful is essential. And that’s why a personalized approach is a key factor in improving everything.

What makes neuroendoscopic a better approach?

Endoscopic surgery with its minimally invasive approach means less trauma, better precision, and higher accuracy. It’s not just about effective results but having utmost comfort throughout the surgery and ease at every possible step. That’s not all the neuro endoscopy procedure means:

  • Shorter hospital stay
  • Quick recovery time

Due to its minimally invasive approach, there’s no such effect on skull and face structure. And that’s the biggest factor for increasing demand and preference for neuroendoscopy for skull base surgery.

Choose a neurologist with expertise

Dr. Sukhdeep Singh Jhawar, having more than 15 years of expertise, will provide treatment based on advanced technology and approach. It’s all about achieving optimal outcomes and getting the surgery based on the present skull base condition. With an experienced neurologist, you can make a wise decision and be informed at every step. So, be prompt to seek medical care at all costs.

Final word

So, no matter your concern, always talk to our neurologist about the same. Feel free to talk about any question and take the necessary steps as told by our neurologist.

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Advanced and technically sound treatment for brain and neurological problems

Are you diagnosed with a tumor?

Indeed! It’s heartbreaking to get this news. Most tumor patients are concerned about finding the treatment that allows them to live a tumor-free life. In the search for the same, you must look for one of the Best Neurologist in Ludhiana and let the situation get correctly under control.

Neurologist provide both operative and nonoperative care

As no two individuals are the same, the neurologist will first check the entire condition. Proper medical evaluation is the primary step to finding whether your condition requires operative or nonoperative care. Although, thanks to modern technology, it’s easier to find inventive and advanced care at the top-rated Neuro Hospital.

With the diagnosis, it’s easier to understand which treatment works best for which age group. All in all, the right care is given with the medical professional’s expertise. If there’s any doubt in your mind, then it’s important to know the exact reason behind the same.

Neurologist treats both spine and brain-related problems

The assistance of the brain and Spine Doctors in Punjab plays paramount importance in checking the specific concern. The experienced and board-certified neurologist has the expertise to address the health concerns related to the following:

  • Spinal cord injury
  • Age group
  • Cervical neck
  • Low back disorder
  • And many other concerns

The neurologist’s expertise helps rectify the disorders of the brain, spinal cord, muscle, pain, and nerves. The neurologist can easily check what’s the concern and through the inventive modern treatment approach, the focus is made to correct any of the problems linked to health concerns like:

  • Headache
  • Epilepsy
  • Sleep Disorders
  • Pain
  • Tremor
  • Brain and spinal cord injury
  • Multiple sclerosis
  • Stroke
  • Parkinson’s disease
  • Much more

So, the neurologist checks the entire state and accordingly tells which sort of treatment would make the difference.

Brain tumor treatment with an advanced approach

The brain is one of the delicate organs in the body that requires inventive and safer treatment plans. The brain tumor is located in the central spinal canal or human skull. The problem of abnormal cell division in an uncontrolled manner needs extremely effective care. Moreover, the tumor can affect the different parts of the brain like:

  • Blood vessels
  • Skull
  • Pituitary gland
  • Pineal gland
  • Brain envelopes
  • Cranial nerves

There are high chances the tumor spreads easily from cancer to other body parts or organs.

Personalized brain tumor treatment

The adult and child brain and spinal cord tumors vary from one another. Additionally, the tumor location is different in every case. Therefore, the cell types may develop from one another. You need to be extremely careful in getting the right and most effective treatment plan. In some cases, the tumor can develop from the cells. In medical terms, it’s called gliomas which are of 3 different types, and these are:

  • Astrocytes
  • Oligodendrocytes
  • Ependymal cells

Therefore, it’s important to properly check the condition and see what works best for which patients.

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Enlist the most common neurological problems and their treatment

Neurological care plays an essential role in overall well-being

Neuro problems are common and affect the nervous system of the body. It’s important to address any kind of neurology problem on time. Otherwise, the chances of severe complications and health issues are higher. So, if you suspect any problem related to the brain and spinal cord, you should consult one of the Best Neurologist in Punjab to manage the situation and know which treatment plan would improve the condition.

Time and early treatment are huge factors in keeping the entire nervous system on track. If you have an excess headache or back pain problem, you need an on-time diagnosis and proper medical evaluation from the best Spine Doctor in Ludhiana.

Most common Neurological problems and their treatment

Problem 1: Acute spinal cord injury

SCI happens for different reasons like playing sports, falling, or having motor vehicle accidents. The chances of severe SCI injury trigger permanent disability or death in adults and children. The problem can impact various spinal parts, and if you keep delaying the problem, your condition will only worsen.

Like the upper part, spinal cord damage has chances of paralysis, respiratory muscle failure, inability to breathe properly, and severe cases can lead to death. Although there are no ways to reverse the spine damage, you need to get treatment at the earliest. Make sure you take all the necessary medications on time, as the doctor suggests.

Problem 2: Alzheimer’s disease

Patients with Alzheimer’s need prompt medical attention at the Neuro Hospital in Ludhiana. The problem directly affects the brain health and, most commonly elderly. With this condition, there’s a possibility of nerve damage in the brain, and it can even die. The right care and treatment are essential as the person easily forgets things. It’s the change in a mental state that affects the overall quality of life. Here are some of the early signs of Alzheimer’s disease that should not be ignored are:

  • Problems with language
  • Mood and behavior changes are frequent
  • Difficulty performing regular tasks
  • Disorientation regarding time and date
  • Loss of memory especially remembering people

Although the problem cannot be treated, there are possible options like:

  • Medications
  • Physical exercise
  • Socialization

It’s essential to take proper care of your mental health, or if someone around you has a problem, you need to be extra careful. If you notice any of the given symptoms, then make sure to get the right care on time to make the situation get under control.

Get on-time medical assistance

If you are looking for a neurologist who offers the most inventive and right care, then schedule an initial consultation with Dr Sukhdeep Singh Jhawar to make the situation most appropriate. In case, there’s any doubt on your mind then talk about the same with our neurologist to better plan everything.

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Concussion: What are the signs of concussion and post-concussion syndrome?

Concussion Awareness Day: 21st September

No doubt, it’s time to celebrate and talk more about the concussion problem. In case of serious head injuries, concussions syndrome trigger suddenly. Make sure to check the symptoms so that problem get’s detected on time. So, if you have been involved with a head injury, then make sure you visit one of the Best Brain Hospital in Punjab to manage everything.

Awareness of the symptoms gives you an upper hand to effectively manage the situation. The medical assistance helps to make the situation under control on time. Get the problem on treatment otherwise the chances of brain and spine health can get affected. If there has been an adverse impact on the spine, you have to consult one of the best Neuro Spine Surgeon in Ludhiana to ensure the situation becomes manageable.

What are the signs of a concussion?

Here are some of the major signs and symptoms you should look for in concussion and be effectively mindful of the situation:

  • Confused and feeling dazed
  • Dizziness
  • Feeling nausea and vomiting
  • Fatigue
  • Memory loss
  • Feeling pressure or headache
  • Ears ringing
  • Slurred speech
  • Loss of consciousness

Make sure to be aware of the situation so it gets managed and treatment can begin on time. The Neurosurgeon will help better to understand the situation.

Did you know?

Don’t leave the symptoms untreated, otherwise there are increased chances of having symptoms:

  • Balance issue
  • Vision problem
  • Behavior change
  • Migraine
  • Headache or migraine
  • Depression and mood swings

Please be mindful that the symptoms won’t get noticed right away. At times, concussion symptoms occur for few hours, days, or weeks following injury. So, make sure to consult the medical expert without delay so that it does not get any worse.

What are post-concussion syndromes?

Post-concussion syndrome is all about the after-effects. The signs and symptoms won’t happen even 7 days after injury. In most cases, the symptoms come and go for three months, and it’s essential to understand exactly the problem. Some of the possible symptoms that you can notice are:

  • Dizziness
  • Fatigue
  • Ringing sound occurs in the ears
  • Slurred speech
  • Pressure like feeling a headache or head
  • Confusion and dazed feeling

On-time concussion diagnosis and treatment

That said, it’s crucial to analyze what’s important and what’s not. The brain doctor checks the extent of the injury to understand the necessary way for its management. Those who play high-contact sports should be mindful about getting a concussion diagnosis on time and understand the most appropriate way of its management. Taking prompt actions is much easier and more effective in counterbalancing the situation.

Schedule initial consultation with a Neurosurgeon

The brain doctor tells about the necessary approach to make everything better. If there’s any doubt on your mind, do talk about the same with the medical expert.

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Different Types Of Brain Surgery In A Neurology Hospital In Ludhiana

he doctor conducts brain surgery to treat various types of condition, which includes blood clots, tumors, epilepsy, aneurysms, and Parkinson’s disease. A neurologist in the Best Neurology Hospital In Ludhiana performs the whole brain surgery. They prescribe their patient anesthesia, monitor the entire ordeal, and also give some instructions for post-operative care for some sensitive operations.

Getting professional help is necessary in order to treat a specific brain neurological condition. Our renowned doctor performs various surgeries, including Open Vascular Surgery in Ludhiana, to treat the neurological condition.

What Are Some Types Of Brain Surgery?

We have listed down some of the most common types of operations involving the brain’s areas and surrounding them.

  • Craniotomy

The doctor removed a piece of the skull so that they could get access to the brain to remove the tumor, blood, abnormal tissues, or blood clots. It then later relieves pressure after a stroke or an injury. Apart from that, it also helps in repairing the brain aneurysm or skull fractures or even treating some other conditions surrounding the brain. So do keep in mind that the doctor puts back the piece of skull in place after the surgery.

  • Biopsy

The doctor performs the biopsy after the imagining has detected some potential abnormality in the brain. The surgeon in the Brain Hospital In Punjab creates an incision in the skull or, in some cases, inserts a needle to eliminate the tissue or brain cell for examination by a pathologist.

  • Deep brain stimulation (DBS)

It is basically a battery-operated medical device which experts also call an implantable pulse generator. They implant it to deliver electrical stimulation to particular areas in the brain. The doctor mainly uses DBS for movement disorders such as Parkinson’s disease.

  • Neuroendoscopy

It is a minimally invasive technique that involves threading a thin tube which is also known as endoscopy via the mouth, small incisions in the skull, or the nose. The doctor performs this technique to get access to and remove the brain tissues. With the help of the light and the camera on the end of the endoscope, the doctor is able to perform the surgery with tools placed through the endoscope. Endoscopic transsphenoidal surgery is also known as endoscopic pituitary surgery. It is a type of Neuroendoscopy. In this technique, the doctor threads the endoscope through the nose to get rid of the lesions and brain tumors near the pituitary gland, which is just behind the bridge of the nose.

  • Posterior Fossa decompression

It is a treatment that involves some parts of the brain, which are also known as the cerebellum and brainstem. Let us take an example to treat the cognition of Chiari malformation. The surgeon creates an incision at the patient’s back of the head. The reason for conducting this method is to remove a tiny portion of the bone, which is at the bottom of the skull. With the help of this removal, there is more space for the cerebellum, which also relieves the pressure on the spinal cord.

For further details kindly contact:

Call Us

+91-9872940237

24 X 7 online

supportdrssjhawar@gmail.com

Address

Arora Neuro Centre 120, The Mall Rd, Civil Lines, Ludhiana, Punjab 141001

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Stroke or Brain Attack: What measures should I take to prevent it?

Stroke or Brain Attack: Requires proper attention

Patients with stroke or brain attack require utmost attention and recognition. It’s all about acting the right way to ensure that the patient’s condition gets handled before it worsens. As per the view of a neuro doctor at one of the Best Brain Hospital in Punjab: Both stroke and heart attack have different scenarios. Because:

  • A stroke or brain attack leads to an unconscious state, occurring silently.
  • On the other hand, with a heart attack, several dramatic events occur, and the pain is the center stage of everything.

Did you know?

Brain and spine strokes are different from each other. Although, spinal stroke has a prevalence rate of around 2%. And it’s also known by the name hemorrhagic spinal stroke. To take the best care of yourself, you should seek assistance from one of the best Neuro Spine Doctor in Punjab to analyze better how conditions get managed and prevention tips.

Stroke awareness helps to prepare a long-term management plan

Studies have shown that most strokes get safely reversed when taken proper care of at the right time. The initial time is ‘The Golden Hours.’ To increase stroke awareness – The World Stroke Day is on 29th October. It’s all about having clarity over management and prevention tips.

What are the tips to prevent stroke occurrence?

Prevention is a critical factor in dealing with stroke. Present-day life makes everything stressful and hectic to deal with. And that is extra caution and care from your end. Instead of waiting for World Stroke Day, you should take a pledge today only to transform your well-being. And here are some of the essential tips that you should follow:

  • Excess smoking

Smoking does no good to the body. Instead, include physical exercise and an active lifestyle to keep yourself away from smoking.

  • Watch your diet

Most importantly, it would help if you watched your diet chart. It would be best if you ate only when you feel hungry. Don’t try to eat in excess. Strike a balance in everything.

Additionally, seek medical attention to manage & prevent hypertension, reduce stress levels, drink at least 8 to 12 glasses of water in a day, and manage your body weight.

Be mindful of stroke symptoms

Stroke Management and prevention are possible only when you know how it happens. So, when a person shows you the signs like:

  • Facial symmetry of mouth
  • Sudden onset of weak limbs
  • Trouble speaking
  • Loss of conscious
  • Fits (Seizures) – might occur or not

Follow the ‘BEFAST’ approach for Stroke or Brain Attack

  • Balance

Check if the person has a sudden loss of balance

  • Eyes

Loss of vision in one or both eyes

  • Face

Check the face symmetry

  • Arms

Legs or arms hanging down or get weak

  • Speech

Problem speaking or confusion

  • Time

Call the Emergency helpline number

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Neuro Guide: What are the most common causes of having a stroke?

The stroke patients and the factor of worry go hand in hand. But, yes, with the proper management and taking prevention tips, the problem can be managed. It’s also about knowing the correct manner of dealing with the same. To understand the right approach to managing it and taking care of yourself, you need to consult the most experienced Neurosurgeon In Punjab to manage everything efficiently. Undoubtedly, there are a few steps that an individual can take to handle the situation in an ideal manner.

What are the key causes of stroke and prevention tips?

A stroke happens when the blood supply is not proper to the brain. Moreover, there are several causes of stroke which are imperative to know about. If you are not familiar with what the signs mean or how to deal with the same, consult the Best Neurologist in Ludhiana. Some of them are mentioned below for your understanding:

Cause 1: Taking excess pressure

Hypertension or high blood pressure is the major reason behind the stroke. Undoubtedly, it’s one of those causes that is easy to treat dn too on time. As the blood pressure increases, the chances of stroke are higher. Hypertension is a silent killer, which means taking care of the same under this situation is exceptionally crucial.

Cause 2: High level of cholesterol level

Just like high blood pressure, you need to work on your cholesterol. With its increased level in the bloodstream, there are higher chances of forming a fat-like substance which creates the utmost problem. Over time plaque build-up is higher, and blood vessels are blocked. To understand whether you have good or bad cholesterol, you need to get it checked.

Cause 3: Unhealthy and improper dietary pattern

The food you eat can make a lot of difference in your brain health and might increase the risk of having a stroke. Following a well-balanced and nutritious diet requires you to follow it every day. Even if you want to include fat, make sure to have healthy ones.

Cause 4: Not active at all

If you don’t exercise at all or stay active, your risk of having a stroke is higher. Every week at least take out 150 minutes to take care of yourself. Additionally, two days a week should be dedicated to muscle-strengthening. Initially, be slow with your exercise regime and slowly increase the intensity.

Cause 5: Smoking affects overall well-being

Cigarette smoke is not just linked to increased chances of cancer. Several studies show that if you smoke, you are at an increased risk of having a stroke. So, you need to stop doing these unwanted practices and take the best care of yourself.

Do you need any help?

Book your initial appointment with Dr. Sukhdeep Singh Jhawar to familiarize yourself with the right ways to prevent the problem. Additionally, taking care of your & your family’s health through advanced and modern technology. Discuss your doubts and concerns to be informed about what’s right for your health.

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How are Vitamin D Deficiency and neurological symptoms related?

Do you have bone pain?

Are you tired all the time?

Do you have headaches regularly?

You may have Vitamin D Deficiency. Under such a state, it’s not just about focusing on addressing Vitamin D deficiency but addressing neurological symptoms. If you don’t know, let me enlighten you that Vitamin D deficiency increases the risk of neurological symptoms. Vitamin D plays a linch pain in boosting immune function, cell growth, and overall metabolism. So, make sure to take all necessary measures and seek assistance from one of the known Best Neurologist in Ludhiana to take the best care of yourself.

Are you diagnosed with a low level of Vitamin D?

If so, you are at increased risk of getting dementia – One of the most common neurological problems. Do you notice something off with your brain health? Then it’s imperative to consult one of the renowned Neurosurgeon In Punjab to take ultimate care of yourself.

Can low levels of Vitamin D trigger neurological problems?

Vitamin D is crucial for brain health, and if it’s not up to the desired level, then there is an increased risk of dementia, and chances of cognitive decline are higher. Moreover, there is even an apparent risk of Parkinson’s disease. Other than that, the chances of having multiple sclerosis, migraine, depression, and anxiety problems are higher. If you notice any signs of neurological conditions, then consult the doctor at the earliest.

Why is Vitamin D deficiency known to trigger neurological issues?

At present, the studies done till now do not show a clear relationship between the 2. However, there are some factors pointing towards the fact that Vitamin D helps protect the nervous system. Additionally, inflammation and nerve cells are protected by all means.

How to get Vitamin D deficiency checked?

Through blood tests.

What are the ways to treat Vitamin D deficiency?

If your Vitamin D levels are too low, then increase sunlight exposure. Not just that, Vitamin D deficiency is even addressed through the supplements. Make sure to take the same by consulting a medical expert. As some of the supplements are known for triggering side effects, it’s imperative to know about the same and then start taking any of them by consulting the doctor.

Who is at increased risk of Vitamin D deficiency?

In most cases, people are able to get the desired level of Vitamin D, but those who don’t get it in enough amounts will have trouble with their Vitamin D deficiency level and ideally, taking supplements makes a lot of difference. Apart from these, the individuals are at higher risk if they are:

  • Dark skin
  • Don’t like spending too much time outside
  • Obese individuals
  • Older adults
  • Individuals diagnosed with medical conditions

Can excess levels of Vitamin D create any problem?

Just like Vitamin D deficiency affects the brain and neuro health. Similarly, excess levels of Vitamin D in the body create problems. The possible problems that can trigger in this case are:

  • Nausea
  • Vomiting
  • Diarrhea
  • Constipation
  • Stomach pain
  • Headache
  • Dizziness

If you have any of the above-mentioned symptoms, then better consult the medical expert at the earliest.

 

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Top 5 neurological diseases symptoms that you should not ignore

Neurological Diseases and Disorders

The human body is complex in all different ways, and it’s the body’s functioning that makes it all different. One of the essential parts of the system is the neurological system which comprises various neurons and cells. That is all true that the nervous system performs different functions, and its practical working makes it easier to carry out multiple tasks. In case the person is dealing with a neurological problem, then it’s evident to have difficulty in carrying out the everyday task like:

  • Moving
  • Speaking
  • Swallowing
  • Breathing
  • Learning

You have to consult one of the Best Neurologist in Ludhiana to better deal with the situation and understand what is wrong with your neuro health.

Please Note!

If it seems like your condition is getting worse with time or the severity of the symptoms is getting worse, your Neurosurgeon In Punjab will suggest to you the surgical plan that addresses your condition effectively in all the right ways.

Which are the neurological disorders and disease symptoms?

Given below are the symptoms of neurological disorders that are worth considering to get your condition addressed effectively in all the right ways.

  • Pain occurs in different forms

Pain is one of the common symptoms of neurological diseases, and such pain is different from back pain, neck pain, and any other pain that occurs in the joints and muscles. Additionally, chronic headache does occur with neurological symptoms. Such symptoms must be ignored, and you have to consult a medical expert at the earliest.

  • Problem memorizing or remembering things

Do you often have difficulty remembering or memorizing things? Or Do you have problems concentrating on something? Under this state, it’s referred to as a neurological disease, and it’s pretty essential to get it addressed on time. Under this state, the person’s short-term or long-term memory is affected.

  • Numbness in the body

Do you have numbness in your body? Under this state, can there be a partial or complete loss of sensation? The person will feel that there is no sensation in the body when it’s touched, feeling of pain, vibration in the body, or temperature in the body increases. Under this state, the person has difficulty maintaining coordination in the body, and physical movement is affected. If the numbness lasts for a long time, it’s essential to consult the doctor.

  • Sleep problem

If you have a sleep problem or cannot sleep for a long time, then it’s essential to consult a medical expert. Don’t wait for the situation to worsen, as it might be a sign of something serious.

  • Vision problem: Complete or partial

Vision problems are another sign of having vision-related issues. If you are struggling through the same, then make sure to consult the neurologist at the earliest to understand how to effectively make the condition better.

Are you noticing any of the symptoms mentioned above?

Don’t delay and seek medical assistance at the earliest to know better how to deal with the situation and what treatment is proper for your overall health. Schedule your initial consultation with Dr. Jhawar to better understand your entire situation.

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Medical advancement prodigious and promising treatment for brain tumor

The surgical option for brain tumor

One of the best neurologist: Dr. Jhawar in Ludhiana, is of the view that ‘Brain tumor patients are ultimately benefited with surgery.’ Surgical treatment is the right approach in all ways and especially depending on the extent of the condition our neurosurgeon (Dr. Jhawar) will plan the right treatment plan, but only after you have scheduled your initial consultation in Punjab whether it is in-person or through teleconsultation. Let’s know about some important steps for surgical treatment.

    • The surgical approach to the open skull is referred to as craniotomy. During the surgery, most of them or all brain tumors are taken. To ensure the imperative brain parts are in their place & nothing is touched you are asked to do the count, say the alphabet, move the leg, or tell a story.
    • After the surgery, your body does not have the energy to do work and you will feel lazy. Better you get as much rest as possible.
    • Infection after the surgery is a common concern and to prevent the same you will be asked to take the necessary antibiotics.
    • Due to brain surgery, the healthy tissues are at higher chances of getting affected. This condition is likely to impact your ability to see, speak, or think. There are higher chances of having seizures or personality changes. If this is the case, then you are asked to get speech therapy, rehabilitation, or physical therapy.

Radiation therapy kills brain tumors with high-energy

Dr. Jhawar being the Best Neurologist is well aware that the latest radiation therapy has to be performed and through his expertise he has treated many patients in Ludhiana & from around the globe. The radiation therapy approach is different for every patient as you can observe it mentioned below:

    • External radiation therapy
    • Internal radiation therapy

Important questions to ask the doctor before starting radiation treatment

It is obvious to have some concern before your treatment plan begins with the neurosurgeon and keeping that in mind, here we have mentioned some questions you should ask during your initial consultation with the neuro doctor in Punjab:

    • What is the need for the treatment?
    • When will the treatment start and end?
    • How will I feel during therapy? Will it leave any side effects?
    • What should I do to take care of my health?
    • How do I know the therapy is working?
    • Can I do my normal activities?

Do I need to follow my diet plan if I have a brain tumor?

Indeed! You have to take the best care of yourself. Your body needs the right amount of calories at this point so that you have the ideal body weight. Additionally, there should be enough protein so that the body strength is top-notch. Just make sure that you follow the diet daily so that you have the energy to deal with the entire process.

Make sure to schedule the follow-ups from time to time

Dr. Jhawar said that ‘Patients diagnosed with brain tumors need to visit the follow-ups from time to time. Only this way your health will get stable and the situation be prevented from getting worse. At any point, if you feel there is any doubt or question, then don’t hesitate and discuss everything you want to be aware of.’

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