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Dr. Ms. Shruti Bhide

Occupational Therapist, Bangalore

Dr. Ms. Shruti Bhide Occupational Therapist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ms. Shruti Bhide
Dr. Ms. Shruti Bhide is a trusted Occupational Therapist in HAL, Bangalore. You can meet Dr. Ms. Shruti Bhide personally at Perception Services in HAL, Bangalore. Save your time and book an appointment online with Dr. Ms. Shruti Bhide on Lybrate.com.

Lybrate.com has a number of highly qualified Occupational Therapists in India. You will find Occupational Therapists with more than 33 years of experience on Lybrate.com. You can find Occupational Therapists 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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#2613, 3rd Cross, 18th Main, HAL Second Stage, Indiranagar, Bangalore 560038Bangalore Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am 28 yrs old. I am suffering from bad ache in spinal cord. Which is not guiding me to sit properly.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hello . Your backache can be due to many reasons. It can be a disc related also. Can you pls tell me where actually you get pain in back? are you also getting tingling in your arms or legs?
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I am 20 years old and I have leg pain since 1 month and I am having a severe headache tried multiple home remedies, but didn't work, please help me.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Headache a check up must by physician and for leg pain muscle relaxant and stretching exercise for you.
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I am 40 age. Suffering a joint pain in my thigh joining. Applied volini, Ark sprays but continuing the pain when sit and stand times. What is this sir? Remedy?

BHMS
Homeopath, Delhi
Hello,you can take homoeopathic medicine Rhus Tox 30 (4 drops in little water) thrice a day for a week and revert.
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Mere pairon mein raat ko bahut Dard hota hai isliye Kuchh medicine bataye ya Kuch ilaj bataiye Please.

BHMS
Homeopath, Faridabad
hello,Hi, take Five phos 6x, 5 tabs twice daily. Take no. 19 , 5 tabs thrice daily.Alpha tonic, 2 tsp, twice daily. Revert me after 10 days.Thanks.
1 person found this helpful
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For the past three days, without any injury, I have developed pain on my left hand's wrist and I am feeling numbness and weaknesses in my said hand. I apprehending is that a sign of arthritis.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
You should take acupressure treatment and take biochemic kali phos 12x + mag phos12x..4 tab each thrice a day with warm water and take it 5 days and inform u private online.
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I am 54 years old. My index finger is paining. What to do to reduce my pain? mention. Some physiotherapy exercises ?

DNB, MBBS
Orthopedist, Delhi
Get an x ray of the finger to see if there is any bony problem. Is the finger getting locked/ stuck? then it could be a trigger finger. See an orthopedic surgeon for the same.
1 person found this helpful
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I am 20 years old male, I have pain in legs from last five days. I have used pain relief cream but not get complete relief from pain. So, now what should I do?

MS - Orthopaedics, MBBS
Orthopedist, Pune
Hello lybrate user, leg pain after running is common due to spasm in the leg muscles known as tibialis anterior which functions to pull the foot towards your body during walking, running. When a person runs or exerts an unaccustomed stress there occurs production of lactic acid in the muscle which is quite painful. Relief by: rest ice application stretching exercises will help a lot god bless you.
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Wrist Fracture Procedure - Facts You Should Know About

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Wrist Fracture Procedure - Facts You Should Know About

A broken wrist is known as a wrist fracture and it may occur due to a variety of causes starting from undue pressure on the wrist which can result in an injury as well as debilitating conditions like arthritis, which makes the bones and joints prone to fractures. There are also non displaced breaks, which are stable kinds of fractures and in which, the wrist remains in its place. Let us find out more about the kinds of fractures and the procedures for treatment of the same.

Type of Fracture: The wrist is basically made up of eight small bones that connect the two long arm bones, which are known as the radius and ulna and create the forearm. The broken wrist can take place in any of these bones. A hand surgeon will generally take a look at this kind of fracture and determine whether it is displaced, stable or open. As discussed earlier, a wrist fracture can be of various types. While a non displaced wrist fracture is a more stable kind that does not really require much more than rest or medication, a displaced wrist fracture is a non stable kind where dislocation happens.

Other Factors: There are a variety of other factors that will be taken into consideration in order to repair this kind of a fracture. To begin with, the Orthopaedic specialist will consider your age and the kind of job, hobbies and other kinds of activities that you indulge in. Also, the doctor will try to ascertain whether or not you are in good health on an overall basis. The presence of other injuries will also be taken into account for this kind of an injury in there has been a bike or car accident that has caused the fracture.

Treatment: The method of treatment will vary as per the considerations listed above. A padded splint may be installed in order to align and support the bones and wrist respectively, so that there is ample relief from the acute pain as well. Further, an unstable fracture will require a cast as to support the entire forearm and give proper rest to the region so that the bone can grow back together and get aligned again. Surgery may also be required for very severe cases, and pins, screws, metals and plates may also be used depending on the exact location and type of fracture.

Recovery: Remember to move your fingers as much as you can so as to prevent them from getting stiff while they are held up in a splint or a cast.
Hand therapy will be helpful in gaining back motion and function of the wrist.

4104 people found this helpful

My relative has diabetes some times his left leg pains a lot does it mean his diabetes has shot up what is the preventive measures he should take.

M.Sc - Dietitics / Nutrition, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mohali
Hello sir check your blood sugar, hba1c, lipid profile, urine test 24 hrs, uric acid, esr, creatinine,
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

I am male 18 years old there is pain in my left arm from last 2-3 months what to do any suggestions?

BPTh/BPT
Physiotherapist, Mumbai
Hi I can understand your problem. Apply cold pack for 20 min. Thrice a day for 5 days. I can teach you exercises to help stretch and strengthen the muscles of shoulders and arm. Do reply for specific treatment plan. Wishing you a good health.
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Sir. I have a problem of rheumitalogy (sandivaat) its on my back side shoulder & other area is pain. Can you suggest the best medicine or anr suggestions.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph & digital X RAYS of 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. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
1 person found this helpful
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Sir. What are the symptom of sciatica. I am feeling pain In my lower portion of Back and my right leg.

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Sciatica is nerve compression. Low back pain which goes in one leg. It's radiating pain. It may aggravate by bending forward.
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My health is good but my right hand paining why I am playing cricket that time my arm Will. Be slow down.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Your hand muscle is strain full so avoid strain and tk muscle relaxant medicine and hot pack and cold pack twice.
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Last few months my neck (back and right side of neck) is pain regularly, and same time my left leg from knee to foot also hues pain regularly. So please tell me sir what to do?

MS - Orthopaedics
Orthopedist, Jaipur
I think your giving too much sitting. 1. Avoid long sitting working on computer or such job. 2. Whenever free, take adequate rest. 3. Regular neck exercises. 4. Use cervical pillow. 5. Local heat application.
15 people found this helpful
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Sir I am a 35 year old men. Last 3 days back when I am playing a match at ground I slept down and my left leg wrinkle got pain still from 2days I am not able to walk. I taken x ray it is clear but still iam pain pls help me.

M.P.T-Ortho, Bachelor of physiotherapy
Physiotherapist,
Most probably it is sprain of ankle jt. Do not walk more. Take rest. Use crrep bandages. Do not move on uneven surfaces. Hot fermentation can be effective. Otherwise take physiotherapy must.
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I am 23 years old and I have legs hurts problem I bought some medicine but have not feeling well please give me some ingredients.

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins leg pain happens when your muscles are tired or dehydrated. Drink more water if you're prone to leg cramps. Also low blood levels of either calcium or magnesium directly cause cramps. Pleas check you calcium and magnesium levels.
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I have pain in my leg so what should I do now? Please tell me as early as possible.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Take calc phos 6x 3 pills 3 times in a day for 2 weeks. Sleep with your legs raised up at the height of 2 pillows overnight. You will be relaxed after that. And if possible, keep wearing knee soaks.
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