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Dr. H.n. Ravikumar

Pathologist, Bangalore

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Dr. H.n. Ravikumar Pathologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. H.n. Ravikumar
Dr. H.n. Ravikumar is a popular Pathologist in Malleshwaram, Bangalore. You can visit him at R V Metropolis Diagnostic in Malleshwaram, Bangalore. Book an appointment online with Dr. H.n. Ravikumar on Lybrate.com.

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R V Metropolis Diagnostic

#7 & 21, 10th Cross, Yellappa Garden, Malleswaram. Landmark: Behind Food CampBangalore Get Directions
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Physiotherapy - How it Helps in Relieving Pain?

BPTh/BPT, Diploma in Acupuncture, Fellowship of Indian Acupuncture Association, Post Graduate Diploma in Mentamove Therapy, Clinical & Technical Training For The Gloreha Pro Device & Gloreaha Pro Device Maintenance
Physiotherapist, Mumbai
Physiotherapy - How it Helps in Relieving Pain?

Physiotherapy or physical therapy focuses on enhancing mobility and treating disabilities. Physiotherapy is used commonly in case of sports injuries, partial or complete paralysis, arthritis, neurological disorders, etc. along with helping the patient regain movement and improving flexibility, physiotherapy also helps deals with back pain, arthritis, fibromyalgia, chronic headaches and injury related pain. This pain may make you want to simply curl up and stay immobile but this could be detrimental to your progress. Through physical therapy, a patient can learn how to function and move safely and thus becomes stronger.

Here are a few ways physiotherapy is beneficial for pain management.

  1. It teaches breathing techniques: Physiotherapy doesn’t only address the joints and muscles of the body, but also addresses the autonomic nervous system and involuntary movements that control the functioning of the organs. By teaching a patient how to breathe correctly through opening up the chest and neck muscles, physiotherapy helps improve blood circulation that further helps relieve pain.
  2. It helps with weight management: When it comes to rheumatoid arthritis and knee joint pain, being overweight is one of the key factors triggering the pain. This is because of the more your weight, the more the pressure on your joints and hence the more the pain. Physiotherapy helps increase a patient’s mobility and thus aids in weight loss. This, in turn, reduces the pressure on joints and pain associated with it.
  3. It strengthens muscles: Physiotherapy deals with both the muscles affected by an injury as well as the unaffected muscles. While it helps regain control over the injured muscles, ligament and tendons it also helps strengthen the unaffected muscles. This helps them compensate for the limited functioning of the affected muscles. By strengthening the muscles, physiotherapy also makes movement easier and helps reduce pain.
  4. It helps improve posture: For people with back problems, the way you sit and stand can make a big difference to the pain experienced. Physiotherapy teaches a person how to sit and stand straight so as to support the back muscles properly.
  5. It helps determine the right equipment: Having the right shoes can play a big role in alleviating pain associated with walking. Similarly, physiotherapy can equip a person with the right equipment to make movement easier and less painful. This could be as simple as a walking stick for arthritic patients or a robotic glove for patients who have paralysed hand muscles. Furniture such as supportive mattresses and office chairs can also help alleviate back pain. If you wish to discuss any specific problem, you can consult a physiotherapist.
4678 people found this helpful

From the past few days my body is paining whenever I try to run my body starts paining and I can not run for even 1minute. My weight is 75kgs and my height is 174cm.

MBBS, cc USG
General Physician, Gurgaon
From the past few days my body is paining whenever I try to run my body starts paining and I can not run for even 1mi...
I advice you Proper diet and, recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Daily is a multivitamin and multimineral tablet completely natural, provides 13 essential vitamins & 11 minerals Also contains organically grown exclusive NUTRILITE plant concentrate which provide additional advantage of phytonutrients Consult me for further management
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I have body ache problem. I can not sleep at night. It keeps paining bad. Please help me with this.

MBBS
General Physician, Cuttack
I have body ache problem. I can not sleep at night. It keeps paining bad. Please help me with this.
1.If you are having chronic body ache, it could be due to deficiency of vitamin D3 2..Get your blood examined for viatamin d3 and consult physician with report for advice and treatment
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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, Delhi
Chronic pain is a Disease and not a symptom

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.

1 person found this helpful

I am 17 year old and I am not getting sleep during night and I also suffer from body pain I used so many tablets like combiflam etc I hope you can help me with this.

MBBS
General Physician, Cuttack
I am 17 year old and I am not getting sleep during night and I also suffer from body pain I used so many tablets like...
1. You may be having anxiety or stress. Avoid stress. 2. You need 7-8 hours of sound sleep to remain healthy. 3. Go for regular exercise, Take part in games and sports, 4. Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5. Adhere to a specific sleep time and regular schedule 6. Take light dinner. 7. Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time. 8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill
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My all Body part are Very Pain Doctor What Is the Best medicine for This Problem Doctor?

BAMS
Ayurveda, Pune
My all Body part are Very Pain Doctor What Is the Best medicine for This Problem Doctor?
U have all body pain first find out reason why this occur? Take proper consultation for that. Upto that take maharasnadi kadha 4 tbs 3 times with mahavatvinvas tab 3 times in day.
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Therapeutic Hot Agents for Injury in the Chronic Stage

BPTh/BPT
Physiotherapist, Delhi
Therapeutic Hot Agents for Injury in the Chronic Stage

Always make sure that you use the therapeutic hot agents when the injury is in the chronic stage. They can also be used prior to physiotherapy or exercise to decrease muscle tension and increase flexibility.

229 people found this helpful

I have a body pain especially at my back, shoulder, neck. Please suggest me any good drug Or can I take signoheal tab.

MBBS, cc USG
General Physician, Gurgaon
I have a body pain especially at my back, shoulder, neck. Please suggest me any good drug
Or can I take signoheal tab.
I advise you 1. Proper diet and, recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Daily is a multivitamin and multimineral tablet completely natural, provides 13 essential vitamins & 11 minerals Also contains organically grown exclusive NUTRILITE plant concentrate which provide additional advantage of phytonutrients 2. Meditation 3. regular physical activity Consult me for further management
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When I go for an evening brisk walk I get pain in my limbs. Whereas I see many people running and jogging effortlessly. I feel like walking but I get tired.

MD - Psychiatry
Psychiatrist, Chennai
When I go for an evening brisk walk I get pain in my limbs. Whereas I see many people running and jogging effortlessl...
you need to do this regularly to overcome the pain, and take good amount of water and electrolytes and healthy food. If needed vitmain & protein supplements. All the best
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I have body pain in every morning from many years. How can I solve it? I am sleeping late night. Please help.

MBBS, cc USG
General Physician, Gurgaon
I have body pain in every morning from many years. How can I solve it? I am sleeping late night. Please help.
Hello, Body pain may be due to 1. fever 2. abrupt start or stop of exercise 3. Any other medical disease like Anemia/ Hypoproteinemia/ Thyroid problem 4. Vit D deficiency 5. Multimineral and vitamin Deficiency 6.Stress/ anxiety 7. Over exertion (physical and mental) Kindly follow advises given below: 1. Measure your temperature and tell me reading 2. Avoid stress 3 Take adequate rest 4.Bathing also reduce body pain Kindly consult Physician for further management
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Sir I have body pains while sitting and working on computers I also have pains in sleeping please help me.

MBBS
General Physician, Cuttack
Sir I have body pains while sitting and working on computers I also have pains in sleeping please help me.
Body pain could be due to a) stress/depression, severe physical/mental exertion, b) anaemia, flu, low vitamin d/b12/calcium, c) diabete/hypothyroidism, peripheral neuropathy d, fibromyalgia, chronic fatigue syndrome 1. Test your blood for hemoglobin, vitamin d3, b12, calcium 2. Consult physician with report for advice and treatment.
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I am 52 old male. I am suffering cough cold with body pains since last two days. I am a heart patient and using regular medicines as prescribed by cardiologist.

DHMS (Hons.)
Homeopath, Patna
I am 52 old male. I am suffering cough cold with body pains since last two days.
I am a heart patient and using regul...
Hello, Lybrate user, You are going to be caught by viral fever. Viral fever, exposure to cold or rainy climate require certain associated symptoms to be taken into consideration e.g. Body pain Nausea, headache,chill, loss of appetite to begine homoeopathic medication ,however, Tk homoeo medicine: @ Eupetorium perf 200-6 pills, thrice. @ Gelsemium 200-6 pills, thrice. @ Bryonia alb 30-6 pills, thrice. *Gargle with hot saline water, twice. * drink Luke warm water. * inhale steam twice.* avoid, dust ,smoke, cold intake, exposure to cold, caffein ,nicotine, alcohol,exertion.* ensure sound sleep for 6/7 hrs. Report after 4 days, your feedback matters. Tk care.
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Hi I an 38 and I have unbearable body pain throughout the day. When I wake up from sleep, I am exhausted. Pain felt especially in the back, shoulders and now in the calves as well. It's just s difficult to do any task, even brushing my teeth seem like a hard task. Please help.

BHMS
Homeopath, Faridabad
Hi I an 38 and I have unbearable body pain throughout the day. When I wake up from sleep, I am exhausted. Pain felt e...
Hello, please check whether you have body temperature or not .This might be because of weakness also , so take Biofungin , 2 tsp twice daily and BC no. 27 , 5 tabs thrice daily. Bellis per. Q, 10 drops with water twice daily. Revert me after 10 days.
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I have full body pain, headache and back pain. Since last one week so please give me free advise to treat my body pain.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have full body pain, headache and back pain. Since last one week so please give me free advise to treat my body pain.
This is a general low back ache and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try which will help you relax as well will reduce the pain. You can do hot water steaming for headache and for body pain you can take bath in hot water.
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I am 20 years old. I am suffering from periodical (abdomen) pain since it started in my age of 13. I did USG but the report was normal. I always take a pain killer named Drotin-M as the doctor said. Please give me some suggestions as soon as possible. I can't tolerate the pain.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 20 years old. I am suffering from periodical (abdomen) pain since it started in my age of 13. I did USG but the ...
Do have proper balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 15 minutes duration each time and gentle stretching exercises of the core muscles from gynae physiotherapist best wishes.
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Sir I am hard worker so I am suffering with body pains so please help me how to get rid of those pains?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir I am hard worker so I am suffering with body pains so please help me how to get rid of those pains?
Do take balanced diet avoid stress anxiety and anticipating the things do regular physical activity and stretching and strengthening exercises and breathing exercises for about 30 minutes regularly best wishes.
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Hi I am sunny age 22 . I am suffering from body pains from last one week . What I should do now .

MBBS
General Physician, Cuttack
Hi I am sunny age 22 . I am suffering from body pains from last one week . What I should do now .
1. Take one tablet of crocin pain relief sos after food up to a maximum of three tablets daily 2. Get your blood examined for vitamin d/b12, calcium hemoglobin and consult physician wth report for advice and treatment.
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Common Shoulder Injuries From Improper Lifting!

MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Orthopedist, Delhi
Common Shoulder Injuries From Improper Lifting!

Shoulder pain while lifting overhead objects might be a result of strenuous activity involving tendons impinging bones of the shoulder. Impingement syndrome is also called swimmer’s syndrome.

What causes it?
It is caused by activities involving tendons and bones of the shoulder, for example strenuous activities, such as swimming, tennis and gym activities involving muscles of the shoulder. Even reaching for overhead objects and painting might aggravate impingement syndrome. If not treated at the right time, the syndrome might become extremely painful as the tendons begin to tear.

Symptoms
General pain in the shoulder is one of the most common symptoms, especially while reaching for overhead objects or using shoulder and arm muscles in general. If it occurs for a prolonged period of time, then it might actually lead to a tendon tearing and leading to a rotator cuff tear. This would overtime lead to decreased ability to use the arm muscles and the bicep muscles might tear as a result of prolonged negligence, despite swimmers syndrome. A doctor would recommend a physical exam and x-ray to rule out possibilities for bone abnormalities and arthritis.

How to prevent and treat it? 
Those who have extreme shoulder pain and have been diagnosed with swimmer’s shoulder are referred to a physiotherapist with whom, regular sessions help restore mobility of the affected areas. The physiotherapist recommends the patient numerous stretching exercises to practise, preferably under a hot shower. In addition to physiotherapy, a doctor will prescribe powerful painkillers which have to be administered orally on a regular basis. 

These oral painkillers have to be taken under the guidance and prescription of a doctor as they will have a host of side effects such as acidity and should be taken post meals. In case of ineffectiveness of orally administered painkillers, cortisone based injections might be given, but it is a double-edged sword as the effectiveness of these injections decrease over time and it might make the muscles and tendons weak. If you wish to discuss about any specific problem, you can consult an Orthopedist.

3978 people found this helpful

My daughter was using mobile while charging. After 2 mins I saw her she just freeze with phone in her hand and her face tilted to the left and couldn't move. Her hand became stiff and she fell unconscious. White fluid started coming out of her mouth She did not wake up for 5 mins and then we poured water on her face then she woke up and she doesn't remember a thing what happened. She has body pain. The doctor says that it was electric shock. But I am worried. What can it be?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
My daughter was using mobile while charging. After 2 mins I saw her she just freeze with phone in her hand and her fa...
Hi lybrate-user, I appreciate you seeking help for your daughter. It may be due to an electric shock. However, it appears to be a seizure, possibly epileptic, which needs to be investigated further on. Advise connect with a neurologist for further clinical evaluation and recommendation as appropriate. Do take care, and all the very best. Sincerely,
1 person found this helpful
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