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Dr Karthiyayini

Dr Karthiyayini Mahadevan

General Physician 

696 Answers | 72 Followers

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more

Answered on Apr 23, 2024

Asked by Anonymous - Apr 11, 2024Hindi
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My grandmother has Parkinson's and got a tube in her nose that extends to her stomach that so we can inject liquids easily as she completely avoids eating food and doesn't even swallow a sip of water. She snatched the tube out of her nose completely and now it cannot be used again. We cannot keep a check on her for full 24 hours but we try our best. Please suggest anything to avoid the snatching as once a tube has been taken out it cannot be re-inserted. And please one more thing that she keeps wetting the bed despite of using diapers. The diaper always leaks out and then my mom has to clean grandmother, her clothes, the bed sheets etc. She gets tired by doing this twice a day as it is a lot of work. Pls suggest something about the bed wetting to how to minimise it. She is around 70 kgs and cannot even get up herself so my mom has to pull her out of the bed which requires a lot of strength. My mom feels pain in her back and shoulder a lot. All of this happening around the house is too much. I will be grateful if you reply.
Ans: To avoid bed wetting you need to make her wear the correct size diaper. Undersheets can be used as an added protection.
Normally soaking happens if we do not change the diaper adequately.
Please ask your Mom to do some upper body work outs through a physios, help.
With respect to the Ryle's tube, it is an irritant that one gets used to. If your Grandmom does not like it and non cooperative not much can be done. But you could check up with her Physician if now and then Parenteral nutrition can be given by hospitalising her
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Answered on Apr 23, 2024

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Hello doctor, my father had a mini heart attack in September. He was experiencing asthma and jhanjhanahat (I don't know what else can I call it) in shoulders and hands . His hands would get tight all of a sudden and it would pain a lot. Also, he is very physically active. He used to go to a pulmonologist for asthma but he overlooked all of these and suggested to put volini spray on it. So when he got the heartattack his left body got paralysed for a while and after that he was fine. The doctor said that there was blockage in artery so he got a surgery done where the stunt was placed near waist. We maintained a good diet after that but when he got back to his house my brother's wife would not care much about the diet and fed him oils and refined oil as much as she could. Now it has been 7 month now he has been experiencing tightness in hands and legs again. Please suggest doctor. I fear that he might get heart attack once again. And sir please suggest on one more thing that he used to be a very strict and sophisticated person. But now he has completed changed. Now he is not as strict as before but some weird behaviour is something that I have been noticing over few months. He is highly forgetfully. Like he will ask you for something and then forget about it just after few minutes and then scold you for it. He keeps repeating what he says during a conversation. Sometimes he reacts violently without understanding the situation well which was not the case before. I fear he might have some psychological problems as my mother in law as severe dementia that she cannot even eat or walk. I fear the same.
Ans: May be you father is having vascular dementia
Please consult a Neurologist
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