Dr. Tarek Ali Said Rajeh (Dr. Tarek Ali Said Rajeh)

Dr. Tarek Ali Said Rajeh

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Dr. Tarek Ali Said Rajeh

Dr. Tarek Ali Said Rajeh

Professor of Psychiatry and Neurology

Name: Dr. Tarek Ali Said Rajeh

Phone: 010084970669
Area:

Address

Luxor, Metro Station Street, in front of Ammon Cinema, , Luxor

Dr. Tarek Ali Said Rajeh

Professor of Psychiatry and Neurology - Assiut University

Specializations:

Neurological Disorders 🧠

Psychiatric Disorders for Adults 🧑‍⚕️

Location:

Clinic: Luxor, Metro Station Street, in front of Ammon Cinema 🎬

Phone Number: 010084970669 📞

Academic Qualifications and Experience:

Professor at the Department of Psychiatry and Neurology, Faculty of Medicine, Assiut University.

Specializing in psychiatric disorders and neurological disorders with experience in treating conditions like depression, anxiety, epilepsy, strokes, dementia, and mood disorders.

Provides comprehensive medical services for adults in the field of psychiatric and neurological disorders.

Medical Services Provided:

Consultations for neurological disorders: including epilepsy, strokes, chronic headaches.

Treatment for psychiatric disorders: such as depression, anxiety, mood disorders.

Continuous medical follow-up for chronic conditions and psychiatric-neurological disorders.

Why Choose Dr. Tarek?

University professor with a reputable career in psychiatry and neurology.

Extensive scientific and practical experience in diagnosing and treating psychiatric and neurological disorders.

Specialized clinic in Luxor offering high-quality medical consultations.

For Appointments and Inquiries:

📞 Call now at: 010084970669

📍 Location: Luxor, Metro Station Street, in front of Ammon Cinema.

You can now visit the clinic or contact Dr. Tarek Ali Said Rajeh to schedule an appointment and receive specialized care in the field of psychiatric and neurological disorders.

Services

Consultant in Neurology. Psychiatrists and addiction treatment specialists.

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FAQ

⚠️ Be cautious, as this is often due to trigeminal neuralgia. Its symptoms can be numerous and difficult to bear, such as: 👇

💢 Electric shock-like sensations lasting from seconds to minutes, and they may recur. 💢 Difficulty chewing. 💢 Loss of taste. 💢 Facial numbness. 💢 Headaches.

Treatment options include: 👇

Medication 💊

Radiofrequency therapy ⚡

Surgical intervention 🔪

⭕ Treatment varies depending on the patient's condition and needs.

Nerve compression in the spine occurs when something like a disc or bone puts pressure on a nerve in the back or neck.

Symptoms:
🔸 Pain in the back or neck.
🔸 Numbness or tingling in the arms or legs.
🔸 Muscle weakness or difficulty moving the hands or feet.
🔸 A sensation of tingling or warmth in the limbs.

Treatment:
💊 Medications: Such as pain relievers or anti-inflammatory drugs.
💪 Physical therapy: Exercises to relieve pressure on the nerves and improve movement.
🛌 Rest: Avoid activities that may increase pain.
🩺 Surgery: In rare cases, surgery may be needed to relieve pressure on the nerve.

If you experience these symptoms, it’s important to visit a doctor to determine the most appropriate treatment for your condition.

✅ Yes, it is possible to treat a pituitary tumor without surgery in certain cases.

🧪 If the tumor secretes prolactin hormone (📉 prolactinoma), treatment typically involves:

Using medications such as:

Cabergoline

Bromocriptine

➡️ These medications help to:

Reduce hormone production.

Shrink the tumor size.

Sometimes, they are sufficient to achieve complete recovery.

🔍 In other cases:

If the tumor:

Puts pressure on nearby nerves (e.g., the optic nerve).

Does not respond to medication.

The recommended options may include:

🩺 Endoscopic surgery.

☢️ Radiotherapy if surgery is not feasible.

🩻 Conclusion: The appropriate treatment plan is determined by the physician based on the tumor's type, size, and the patient's symptoms.

✅ Yes, surgery can be performed on the pituitary gland to remove tumors or treat conditions that affect it.

🩺 The most common surgery is endoscopic transsphenoidal surgery or pituitary gland endoscopic surgery. This procedure uses delicate endoscopes inserted through the nose to reach the pituitary gland, making it a minimally invasive alternative to traditional surgery.

➡️ Benefits of endoscopic surgery include:
📉 Less pain for the patient.
⏱️ Shorter recovery time.
🎯 High precision in tumor removal.

🔍 When is surgery performed?
It is recommended if the tumor:

Compresses surrounding nerves, such as the optic nerve.
Significantly affects hormone production.
Does not respond to medication.

☢️ Surgical alternatives:
If surgery is not possible, options include:

Radiotherapy.
Medications (depending on the type of tumor).

🩻 Conclusion: Endoscopic pituitary surgery is considered the best option for treating large or complex tumors due to its safety and effectiveness in most cases

✅ Pituitary adenomas are common tumors, accounting for about 10% to 15% of all brain tumor cases. These tumors are most frequently seen in individuals in their thirties or forties and are rarely found in children.

🩺 Treatment for a pituitary tumor depends on several factors:

The type and size of the tumor.

The symptoms it causes.

The impact on glands and hormones.

1. Medication Treatment

📅 Duration:

In cases where the tumor secretes hormones like prolactin (prolactinoma), medications such as Cabergoline or Bromocriptine can show significant improvement in a short period. Medication treatment may continue for extended periods, ranging from several months to years, depending on the patient's response.

2. Surgery

📅 Duration:

If surgery is required to remove the tumor (especially if it’s pressing on nerves or causing hormonal issues), the procedure typically takes several hours.

Recovery Time:

Recovery is generally short, with most patients returning to normal activities within 2-4 weeks after surgery.

3. Radiotherapy

📅 Duration:

Radiotherapy may take several weeks or months, depending on the tumor’s response to treatment. It is usually complementary to surgery or medication when the tumor does not respond to either of the first two treatments.

4. Future Outlook

🔮 Prognosis is excellent in most cases:

Since most pituitary tumors are benign, the prognosis is very good after treatment.

Complete recovery may take several months to years, depending on the type of treatment the patient receives.

🩻 Conclusion: The duration of treatment depends on the tumor type and the treatment method used. Medication may take longer, while surgery provides faster improvements.

✅ Recovery time depends on several factors, such as the type of surgery and the patient’s overall health. In general, recovery can be divided into the following:

Returning to work:

🧑‍💻 Office jobs: You can return after 2-4 weeks.

🛠️ Active jobs: It is recommended to take 6 weeks off before returning to work.

Daily activities:

🏃‍♂️ Physical activities: Wait 6 weeks before resuming sports or intense exercise.

🛏️ Sexual activity: It can be resumed after 6 weeks.

Self-care and follow-up:

💊 Medications: Patients may need hormonal medications or pain relievers.

🩺 Medical follow-up: Regular check-ups are needed to monitor hormone levels and pituitary health.

Life after surgery:

🌱 Healthy lifestyle: A balanced diet and sufficient sleep are essential.

🩻 Conclusion:
The recovery time after pituitary gland surgery ranges from 2-6 weeks, with the importance of proper self-care and follow-up with the doctor for an effective recovery.

✅ Pituitary gland tumor removal surgery is a sensitive procedure due to the gland's proximity to critical nerves and tissues. While the surgery is generally safe, it does carry some potential risks:

1. Potential Risks:

⚠️ Damage to the pituitary gland: This can affect hormone production, leading to health issues such as diabetes insipidus.
⚠️ Vision problems: The nearby optic nerves may be affected during surgery.

2. Post-Surgery Follow-up:

🌱 Hormone monitoring: Hormone levels will be closely monitored after surgery.
🩺 Medical care: Regular follow-up is essential to ensure proper recovery of the pituitary gland.

🩻 Conclusion:
The surgery may pose risks if it causes damage to the gland or hormonal issues. However, with proper care and monitoring, complications can be minimized.

Symptoms of a herniated disc may include:
1️⃣ Severe pain in the back or neck
2️⃣ Numbness or weakness in the limbs (hands or legs)
3️⃣ Difficulty with movement or balance
4️⃣ Pain that worsens with movement or coughing

Treatment for migraines caused by spine problems includes:
1️⃣ Physical therapy to strengthen the neck and back muscles.
2️⃣ Medication to relieve pain and inflammation.
3️⃣ Localized injections (such as steroid injections) to reduce inflammation in the spine area.
4️⃣ Chiropractic adjustments to relieve pressure on the nerves.

Non-surgical treatment offers several benefits, such as:
1️⃣ Quick results in pain relief and improved mobility.
2️⃣ Avoiding the risks associated with surgery.
3️⃣ Restoring daily activity quickly with no long recovery period.
4️⃣ Providing long-term solutions for chronic pain relief.

Symptoms:

1. Recurrent distressing and obsessive thoughts, such as fear of contamination or making mistakes, leading to constant feelings of anger or anxiety.

2. Compulsive behaviors manifested in repetitive actions, such as excessive hand washing or repeatedly checking things like doors or appliances.

Causes:

1. Genetic Factors: Individuals with a family history of obsessive-compulsive disorder (OCD) may be more prone to developing the condition.

2. Chemical Imbalances in the Brain: A deficiency in serotonin levels in the brain is linked to the development of OCD.

3. Environmental Factors: Life stressors or ongoing tension may contribute to the onset of symptoms.

Treatment:

1. Cognitive Behavioral Therapy (CBT): This is the most effective treatment for OCD, helping patients identify and cope with distressing thoughts in a constructive manner.

2. Medications: Selective Serotonin Reuptake Inhibitors (SSRIs) are used to reduce symptoms, and dosage adjustments may be needed based on the patient’s response.

Does it last a lifetime?

OCD can persist throughout life if not treated properly. However, effective treatment can significantly help individuals manage symptoms and improve their quality of life, making the symptoms more manageable.

1. Listening to them: It's important to listen to their feelings without judgment or criticism.

2. Encouraging expression: Help them express their feelings and anxiety in a healthy way.

3. Teaching relaxation techniques: Such as deep breathing exercises or relaxation practices to calm them down.

4. Encouraging social activities: Interacting with friends or family can help improve their mood.

5. Psychotherapy: Such as Cognitive Behavioral Therapy (CBT), which helps them deal with anxiety more effectively.

6. Focusing on physical health: Exercise, getting enough sleep, and eating healthy foods all contribute to improving their mental well-being.

If the anxiety persists or has a significant impact, it’s advisable to consult a specialized mental health professional.

Obsessive-Compulsive Disorder (OCD) is a mental disorder that may persist for extended periods, but it does not necessarily remain as severe throughout life. Symptoms can vary in intensity over time, influenced by factors such as lifestyle changes, stress, and the treatment provided.

What to know:

Treatment can help significantly:

Psychotherapy: Cognitive Behavioral Therapy (CBT), especially the Exposure and Response Prevention (ERP) technique, is highly effective in reducing symptoms.

Medications: Selective Serotonin Reuptake Inhibitors (SSRIs) can alleviate symptoms.

Full recovery is possible:

Some individuals fully recover with appropriate treatment, while others may require long-term follow-up to manage symptoms.

Factors influencing the persistence of symptoms:

Patient's adherence to treatment.

Psychological and social support.

Presence of environmental stressors.

Role of prevention and follow-up:

Minimize excessive stress as much as possible.

Adhere to psychotherapy or medication even when feeling better.

Practice relaxation techniques and meditation.

Conclusion: OCD may last for life if not properly managed, but with proper care, it can be controlled, significantly reducing its impact on a person's life.

Behavior modification sessions for teenagers are therapeutic sessions designed to improve their behaviors by teaching them healthier and more positive responses to the situations they face. These sessions help in dealing with negative behaviors like excessive anger, aggression, poor focus, or social and psychological problems.

How Behavior Modification Sessions Work:

Assessment: The first step is to assess the teenager's behaviors and identify the behaviors that need to be changed.
Training: The teenager learns new techniques to manage their behaviors, such as identifying emotions and dealing with them in a healthy way.
Rewards and Punishments: A reward system is used to reinforce positive behaviors, and mild punishments are implemented to reduce negative behaviors.

Goals:

1. Strengthen positive behaviors.

2. Improve social and communication skills.

3. Reduce destructive or negative behaviors.

Conclusion: Behavior modification sessions are an effective tool to help teenagers modify their behaviors and cope better with daily challenges

1. Identify unwanted behaviors: Such as anger, stubbornness, laziness, or aggressive behavior.

2. Encourage positive behaviors: Like following rules, improving communication skills, and boosting self-confidence.

3. Teach new skills: Such as anger management, problem-solving, and time management.

4. Improve social relationships: With family, friends, and teachers.

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