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Dr. Gandhi N

Pathologist, Bangalore

at clinic
Dr. Gandhi N Pathologist, Bangalore
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Gandhi N
Dr. Gandhi N is one of the best Pathologists in Jayanagar, Bangalore. You can meet Dr. Gandhi N personally at Naveen Blood Bank And Clinival Laboratory in Jayanagar, Bangalore. Book an appointment online with Dr. Gandhi N on Lybrate.com.

Find numerous Pathologists in India from the comfort of your home on Lybrate.com. You will find Pathologists with more than 43 years of experience on Lybrate.com. You can find Pathologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Chronic pain is a Disease and not a symptom

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist
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People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

The Experience of Chronic Pain

Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

The situation in which the pain occurs
Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others
The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.

The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

Chronic Pain

There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

Chronic pain with no identifiable pain generator
This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

Neuropathic Pain

Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

When Acute Pain Becomes Chronic Pain

It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

Chronic Pain Development

Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.
Chronic pain is a Disease and not a symptom

Feeling low energy and reaches in hand or legs headache mood swing can curable?

MBBS, MD - Psychiatry, (MRCPSYCH-UK)
Psychiatrist
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Feeling low energy and reaches in hand or legs headache mood swing can curable?
These are symptoms of depressive illness. Depressive illness is a medical/psychiatric illness that can be treated effectively by antidepressants and cognitive behavior therapy. So one has to see a psychiatrist. Kindly ask your psychiatrist to change the medications and do cbt or change the psychiatrist at the earliest. Psychiatrist after assessment and evaluation will decide on the best antidepressant medication that is suitable to you. These antidepressant medications are not sedatives or addictive in a nature. The course may last for 4-6 months depending upon the severity of the illness.

He is suffering in high fever since 3 days ago. Also he has pain all over his body. What should we shall do?

BHMS
Homeopath
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He is suffering in high fever since 3 days ago. Also he has pain all over his body. What should we shall do?
First of all you should take rest for 1-2 days so that your body can fight with underlying infection with its full immunity and start the below medication:- Take gelesemium 200, twice daily . Take Eupatrium perf 200, 5 drops thrice daily. Take Antifebrinum 3x, 2 tabs , thrice daily. Take Alfavena malt, 1 tsf, thrice daily. Drink lots of water and take light homemade food like dalia and khichdi, avoid oily, spicy, fried, junk and cold drinks. In case of high uncontrollable fever, don't panic you should do cold sponging to lower down the temperature.If fever does not goes then go for a set of blood tests. Revert me with feedback. Take care of your health.GOOD DAY.Take care.

I am a 17 years old boy and I am preparing for nda so I use to run for 1 km daily and after 100m my legs starts pain so what should I do to reduce legs pain.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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I am a 17 years old boy and I am preparing for nda so I use to run for 1 km daily and after 100m my legs starts pain ...
You have growing pain. Do breathing exercise and yoga. Warm up before running slowly. Eat a balanced diet. Sleep well. Relax in your mind. Never say you cant do it. Learn under a physical trainer.

I am suffering from fever and body pains. What I have to do now? Can you give suggestions to me please.

BHMS
Homeopath
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I am suffering from fever and body pains. What I have to do now? Can you give suggestions to me please.
Please take rhus tox 200 - thrice daily for next 3-4 days. Also -- soak a washcloth in cool tap water wring out the excess water and then sponge areas like your armpits, feet, hands and groin to reduce the temperature. Also, you can place cold, damp washcloths on your forehead and the back of your neck. The cloth pieces should be changed regularly after a few minutes. This remedy is beneficial when dealing with a high fever as it helps keep temperature under control. You can also take a bath in lukewarm water to relax your body. Taking a shower, however, may not be a good idea. Plus, needless to say, take as much rest as possible as it helps the body fight the illness. Note: do not use very cold water as it may cause the internal body temperature to increase.

MPTh/MPT
Physiotherapist
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Don't ignore the early signs of strain injury like weakness of the grip, numbness, and pain or discomfort in the arms, hands, wrists or shoulders.

JOINT DISORDERS

BPTh/BPT
Physiotherapist
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Joint Disorders
A ‪#‎joint‬ is where two or more bones come together, like the ‪#‎knee‬, ‪#‎hip‬, ‪#‎elbow‬, or ‪#‎shoulder‬. Joints can be damaged by many types of injuries or ‪#‎diseases‬, including
1. ‪#‎Arthritis‬ - inflammation of a joint. It causes pain, stiffness, and swelling. Over time, the joint can become severely damaged.
2. ‪#‎Bursitis‬ - inflammation of a fluid-filled sac that cushions the joint.
3. ‪#‎Dislocations‬ - injuries that force the ends of the ‪#‎bones‬ out of position
Treatment of ‪#‎JointProblems‬ depends on the cause. If you have a ‪#‎SportsInjury‬, treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery. For arthritis, injuries, or other diseases, you may need joint replacement surgery to remove the damaged joint and put in a new one.
JOINT DISORDERS

I daily workout from 1 year 2-3 hours in gym. That is heavy workout. Sometimes my body pains alot. I want to ask you that is it normal or I have to stop going to gym.

MBBS
General Physician
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I daily workout from 1 year 2-3 hours in gym. That is heavy workout. Sometimes my body pains alot. I want to ask you ...
You don't have to stop going to gym at all in fact it is good to work out regularly. But in moderation otherwise the muscles will get fatigued easily I think you should do maximum a one and half an hour regularly. Have rest in between giving gap you must drink plenty of water by mouth. Otherwise you will develop cramps.

My full body is paining till 3 days. Because I played cricket after a long time. What should I do.

DHMS (Hons.)
Homeopath
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My full body is paining till 3 days. Because I played cricket after a long time. What should I do.
Hi, my dear lybrate-user, relax! take, homoeo medicine *@ arnica mont 200-6 pills, thrice a day. @ calendula 30-6 pills thrice a day. * do not break your activities. Report, fortnightly.

I have got severe times pain in my body.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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You need assessment for your height and weight at this age/? rule out Marfan's syndrome or growing pains. Try anti inflammatory medication for few days with food/

I am 37 years old. Height 6 feet. Weight 78 kg. I feel pain in my foot in the morning. It gets okay within 30 minutes or so. I also have a feeling that it pains more when I had intercourse at night. My sugar level and bp level are normal. What should I do?

General Physician (AM)
Alternative Medicine Specialist
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Your foot is made up of 26 bones, 33 joints, and more than 100 tendons. Foot pain has a number of causes that are typically associated with overuse of the bones. You can strain your foot by pounding it on hard surfaces, being overweight, or wearing shoes that do not fit properly. These strains can irritate the foot bones, muscles, or tendons. Rest as much as possible apply ice to the affected part for 10 to 15 minutes twice a day use over-the-counter pain medications. Wear shoes that fit properly wear night splints, a special device that stretches the foot while you sleep use heel cups or shoe inserts to reduce pain. Take an x-ray to determine the cause of your pain, requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

I am suffering from severe head ache and body pains since three days why it is happening like this pls suggest me quickly.

MBBS
General Physician
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I am suffering from severe head ache and body pains since three days why it is happening like this pls suggest me qui...
1.Take paracetamol 500mg,1 tablet as and when required after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take adequate rest 4.Avoid stress and anxiety

I am a football player. I play from school team and club. For three to four days, I fell very laziness. My hole body is paining and hope day I fell my tired. My legs are paining and its feel like I my body there is no energy to do work.Please tell.

MBBS
General Physician
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I am a football player. I play from school team and club. For three to four days, I fell very laziness. My hole body ...
1. Check your hemoglobin, bp. 2. Avoid stress, anxiety, severe physical and mental exertion 3. Take adequate rest and sleep for 7-8 hours daily to remain healthy 4. Have good nourishing diet, plenty of green leafy vegetables, fruits etc 5. Drink plenty of water (8-10 glass daily) 6. Take one capsule of revital daily after breakfast 7. Consult physician for further advice.

Am always be headache in my sir. And pain my body. And always weakness in my body. And pain.

MBBS
General Physician
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Am always be headache in my sir. And pain my body. And always weakness in my body. And pain.
If you have recurrent attack of headache 1.It could be a tension headache due to anxiety/stress, inadequate sleep , Low BP/High BP,migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error,chronic sinusitis, organic brain lesion 2.Avoid stress, physical and mental exertion, ,have adequate sound sleep for 7-8 hours daily in the night 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Avoid prolonged use of cell phone/computer 7.Consult Neurologist to rule out other causes of headache , if required take a CT scan of head to exclude any brain lesion 8. consult me for further advice

I have back pain since 2 years along with generalized body pain. Please advise.

MS - Orthopaedics, MBBS
Orthopedist
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I have back pain since 2 years along with generalized body pain. Please advise.
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

I have red eyes for 4 days doctor please help me and I have body pain so please help me doctor.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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I have red eyes for 4 days doctor please help me and I have body pain so please help me doctor.
Eye redness is most often due to swollen or dilated blood vessels. This makes the surface of the eye look red .There are many causes of a red eye or eyes like infection, allergy. foreign body in eyes. Some are medical emergencies and some are a cause for concern, but not an emergency. Others are nothing to worry about.Consult ur local eye specilist to see what is the cause

My full body is painful I am drinking always cool water. Please advise.

MD - Acupuncture, Pranic Healing, Diploma in Acupuncture
Acupuncturist
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My full body is painful  I am drinking always cool water. Please advise.
The temperature in the stomach should not be altered by taking too hot or too cold food or drinks. If altered too much it will upset the digestive system leading to disorders. Hence do not drink cool water especially after taking food. It will be better to drink warm water always.

Hello Sir / Madam, Good Afternoon. My Name is Litan Deb, age 32.5 months, I have suffering from body pain along 10 year above. In the year 2000 I got fiver.

BHMS
Homeopath
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Hello Sir / Madam, Good Afternoon. My Name is Litan Deb, age 32.5 months, I have suffering from body pain along 10 ye...
Please check your hb% first and do test for crp and get back to me. In the mean time take rhus tox 200 - twice daily for next 7 days.

I am using combiflam with zinetac tab for body pains daily morning and restyle 0.5 mg three tabs at 10.00 PM for sleeping are there any side effects if so what kind of side effects pl. Let me know without side effect medicine for the above problems.

MD - Psychiatry
Psychiatrist
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I am using combiflam with zinetac tab for body pains daily morning and restyle 0.5 mg three tabs at 10.00 PM for slee...
yes daily combiflam will destroy your kidney and restyl will shrink your brain (produce early dementia, worsen mood, disinhibited behavior, withdrawal seizures,..etc), and daily zintac will make ur stomach without normal acid needed for food digestion. You need a psychiatric consultation to oversome these problems

Dear Sir, Mam, I was just wondering that after the body ache I won't able to stand myself straight n all my muscles are seems like loose, energy less. How do you advice me on this, or shall I join gym? Thank you.

BAMS, MD Ayurveda
Ayurveda
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Dear Sir,  Mam, 
I was just wondering that after the body ache I won't able to stand myself straight n all my muscles...
You can go for following remedy it will help you • Ashwagandha is a commonly available ayurvedic herb. It helps stimulate the immune system an counteracts the effects of stress. 1. Take 1 glass lukewarm milk 2. Add 1 tbsp ashwagandha powder 3. Mix well 4. Drink once daily Causes: • Stress • Unhealthy lifestyle • Lack of sufficient nutrients in diet • Ageing • Surgeries • It may also be a result of medical conditions like: o Cancer o AIDS o Inflammatory bowel disease o Low white blood cell count • Children and pregnant women have naturally low immunity it will surely help you.
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