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Dr. Sumeet Inder Singh


Psychiatrist, CHANDIGARH

24 Years Experience
Dr. Sumeet Inder Singh MD PSYCHIATRY Psychiatrist, CHANDIGARH
24 Years Experience
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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. Sumeet Inder Singh
Dr. Sumeet Inder Singh is a popular Psychiatrist in Sector 44, Chandigarh. He has had many happy patients in his 24 years of journey as a Psychiatrist. He has completed MD PSYCHIATRY . You can meet Dr. Sumeet Inder Singh personally at DR SUMEET INDER'S PSYCHIATRY CLINIC in Sector 44, Chandigarh. You can book an instant appointment online with Dr. Sumeet Inder Singh on has a number of highly qualified Psychiatrists in India. You will find Psychiatrists with more than 34 years of experience on Find the best Psychiatrists online in Chandigarh. View the profile of medical specialists and their reviews from other patients to make an informed decision.


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Hello! I'm a 20yo guy. I'm having some serious memory problems. I just can't remember a thing. This is affecting my studies very badly. Please help me. Also I lack concentration.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear lybrate user. I can understand. At your age, memory problems like amnesia, dementia etc are not possible. Still if you insist on memory problems, we can conduct memory test. Concentration needs interest and dedication. Set a goal, dedicate yourself to the preparation towards that goal. Concentration will come automatically. Take care.
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Hi, I am female 31 year old and wanting to quit smoking is there any medication which help me stop and hate the smoke taste ? I have Been smoking for about 12 years.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Yes, there is medication to ease quitting smoking. Please consult a doctor for the same. To hate smoking here is a suggestion: keep cigarette butts in an ashtray with a little water and cover it. Whenever you feel like smoking just lift the cover and smell it. The stink is so repulsive that you will not feel like taking a cigarette for some time. When the impulse surfaces again, do the same. You have been smoking for a long time now but you can reverse almost all the damage from it by quitting now. Just keep at it till you succeed. Your willingness and desire to want to stop is a huge plus point in your favor for overcoming this malaise. Quitting smoking is very difficult but not impossible due to the following reasons: smoking has certain conditions for the urge to be stimulated. These can vary throughout the day. You need to de-condition around the habit. There is a physical and psychological craving that has to be countered. There are some medicines that ease the craving, for which you will need to consult a doctor. Some measures you can take are: avoid people, activities, and places where the need to smoke is highest. There is also the time of day when the urge is greater; occupy yourself with planned, alternative, and interesting activities. During all these times do deep breathing exercises. Buy some chewing gum or nicotine gum or nicotine patches to tide over the urge. Replace the conditions or associations with new behaviors to affect the drive. Frequent ?no smoking zones? when in need. Tell the whole world that you have given up smoking, and ask for support from all of them. Your oral need may increase so ?pacify? it by indulging in eating, drinking health beverages, sucking on hard candy etc. Persevere in very difficult moments by sticking to your resolution because the impulse will disappear pretty fast. Get the support of an addiction counselor to process the resolution.
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Ever Wondered Why You Are Unable To Concentrate?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Ever Wondered Why You Are Unable To Concentrate?
"Wondering how will you ever clear that ever growing task list at work or the one at home? Wondering why you are unable to focus and get it all done ? Here are reasons why you might not be able to concentrate.

1) Multitasking: Multitasking is a myth. Everything that you want to do needs your extended focus to bring it to completion. While we might feel we can do many things and achieve a lot within a stipulated time, what we don't realize is that we lose time switching between tasks particularly when the tasks are new or complex. It takes a while to go back to where you left something off. Try avoiding it.

2) Getting bored: You tend to get easily distracted when you are on a dull task. It is difficult to focus if you are not interested in what you are doing.When you are bored, everything else is more appealing. There are two ways to beat it. One, you can bribe yourself into reaching a certain milestone by keeping a reward at the end of it. Two - schedule breaks. It will ensure that you will be refreshed.

3) Living in the past or future: We cannot focus on the present if we keep revisiting what somebody did in the past or do not stop worrying about an event that hasn't even occurred yet. These mental distractions cannot be pinned but take a lot of our bandwidth. They don't let us concentrate. Best way is to make conscious effort at dismissing such thoughts. Training yourself to meditate is also a way out.

4) Gadget addiction: You guessed it right. The biggest distraction of our times is your mobile phone, with all the apps and the blessed 'social media' which was conceived to distract. The urge to respond to that text, post, tweet or email never lets you stay focused. You can beat the electronic interruptions by being strict with yourself. Discipline yourself to check the updates every couple of hours or so.

5) Tiredness: Long hours of work or lack of sleep impairs attention and ability to focus. You start dragging yourself through the day without accomplishing much. Getting at least seven hours of sleep will go a long way toward improving your focus during the day.

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I am 19 years old boy I can't text any girls if I text I feel like having sex with them so I am worried I do not want this to be in my brain I should see them like friends and I did yoga also to get rid of it but not helped so any thing you doctors know please advise.

Psychologist, Delhi
I am 19 years old boy I can't text any girls if I text I feel like having sex with them so I am worried I do not want...
At your age, you are hooked to wrong habit. You do pranayaam as taught by baba ramdev on astha channel 5.30 to 7 am. Very very effective- esp anulom-vilom if you like or bramri and udgit are a must. You will get miraculous results that will change the direction of your thoughts from useless ones to highly constructive ones.
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Sir, I am 47 year old Mechanical engineer serving for Indian Railway. For mental refreshment, I Play Badminton in evening and get refreshes. But, then I feels physically tired next day and slightly pain continue in leg and whole body specially in bone. Should I take some medicine supplement on daily basis? Please advice.

Sexologist, Aligarh
Sir, I am 47 year old Mechanical engineer serving for Indian Railway. For mental refreshment, I Play Badminton in eve...
You can take the following for best performace in future and remain fit fat dear. 1. Rasayan vati 2 bd with milk daily 2. Shabab e azam majoon b. D
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I can not just get rid of my insecurities. And I can not stop over thinking and caring of people talking on my back or not and its affecting my studies I can not conc. Evrytime I started to do my studies my mind get filled with such insecurities and miseries and instantly I start thinking about they should be talking behind my back n laughing n my exams are nearing so I need to conc. What to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
I can not just get rid of my insecurities. And I can not stop over thinking and caring of people talking on my back o...
For change in thinking insecurities you need satwik home food avoid outside food take long deep breathings for improvement in mind functions thoughts and thinking is neccessary for our day to day life avoid non veg basi food two time heated food drink cow milk eat cow ghee along with food for more details consult privetly few Ayurved medication will help you.
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Hii . My father is suffering from bipolar disorder from 2 years. Please recommend best possible treatment.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
Hii . My father is suffering from bipolar disorder from 2 years. Please recommend best possible treatment.
Without wasting time do take the person to a doctor and to a counselor for diagnosis and treatment immediately. You must make sure that the person cooperates because many times they do not believe that there is something wrong and would love to quit the medication. Complying with all the medical prescriptions and working in tandem with a counselor for a long time and learning coping skills and techniques to handle the daily challenges the person will face is very important. There are certain adaptations that will suit him during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime, he can do certain things that will give him benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. He needs to particularly look at his levels of anger both for its reasonableness and to express it in an appropriate manner. I suspect that much of this anger may have origins in early childhood that he may never be aware of it now. Let him talk to his parents and explore that angle. This information will help the counselor too. Also, he will need to check whether there is any genetic factor involved. He must exercise regularly, eat healthily and sleep normally too. If his motivation and cooperation are good much can be achieved. He must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times he will be inclined to have grandiose notions and confidently believe that he can do without the medication. This will set him back many months in the treatment and delay and sabotage the recovery: forewarned he is forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. Bipolar is characterized by two extreme poles i.e. feeling very high (mania) and suddenly feeling very low (depression). You can ask the doctor for the symptoms he noticed in him for a personal understanding.
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Dear sir. I am a teacher. I want to know this. What are the symptoms of Dyslexia and dysgraphia?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear in the earlier childhood stages, diagnosis of dyslexia may be a little difficult. In older children or adults with dyslexia, these other signs may appear: trouble with reading, writing, and spelling. Ongoing trouble with schoolwork. Difficulty learning a foreign language. Poor handwriting. Difficulty remembering numbers. Trouble following a sequence of directions and telling left from right. The symptoms to dysgraphia are often overlooked or attributed to the student being lazy, unmotivated, not caring, or having delayed visual-motor processing. To diagnose dysgraphia, one must have more than one of the following symptoms: cramping of fingers while writing short entries odd wrist, arm, body, or paper orientations such as creating an l-shape with your arm excessive erasures mixed upper case and lower case letters inconsistent form and size of letters, or unfinished letters misuse of lines and margins inefficient speed of copying inattentiveness over details when writing frequent need of verbal cues referring heavily on vision to write poor legibility handwriting abilities that may interfere with spelling and written composition having a hard time translating ideas to writing, sometimes using the wrong words altogether may feel pain while writing.
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I am taking tryptomer 10 mg for a month for reduction of exam. Stress prescribed by a neurologist for one tab in a day for a month. One month is going to be completed tomorrow. Can I stop it after this course?

MD - Psychiatry
Psychiatrist, Chennai
I am taking tryptomer 10 mg for a month for reduction of exam. Stress prescribed by a neurologist for one tab in a da...
1st neurologist is not the correct specialist to address stress. You should have consulted a psychiatrist. 2nd tryptomer is a tricyclic antidepressant which is not the 1st line of choice these days due to its side effect profile. SSRI s are considered better. Consult a psychiatrist and get properly treated. All the best.
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I am 28 year old female due to depression from last 3 years and taking medicine sezatalo ls and xet cr 12.5, if don't taking medicine 1 or 2 days felt very poblems in body. I want permanent refeif. Please Suggest me.

Psychiatrist, Amritsar
U should take only one drug at a time. Omit s-zetalo in 4to 5 days and increase dose of xet cr to 25mg daily. Report after 10 days.
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I am 20 years old boy and I am having pain on right side of my face over the cheeks beside the nose and also feeling a type of headache over right eye on forehead section. Please tell me what is happening and what are its home remedies?

General Physician, Gurgaon
I am 20 years old boy and I am having pain on right side of my face over the cheeks beside the nose and also feeling ...
Hello, Symptoms you are describing seems to be due to Maxillary Sinusitis Kindly do Steam inhalation carefully by steam inhaler twice a day for 2-3 days You can do Breathing exercises/ Brisk walking as this will ventilate sinus As CT scan PNS is advised to diagnose maxillary sinusitis but first you consult ENT doctor for evaluation and kindly tell me what Doctor has diagnosed
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Hello I am 21 years old male, I used to smoke cigarettes and marijuana for past 1 year and I lost a lot of weight, I am 50 kgs now and I couldn't stop smoking and I don't eat food on time, also I couldn't stop smoking. Please suggest me the diet plan for gaining weight.

General Physician, Mumbai
Hello I am 21 years old male, I used to smoke cigarettes and marijuana for past 1 year and I lost a lot of weight, I ...
Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong, chana,Dal, rice etc And to apply ghee over chappati and don't apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit and I will suggest you to take injection vitcofol 2 cc intramuscularly every alternate days for five pricks over the buttocks through a health professional.
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My wife aged 58 years is suffering from severe pain at the bottom of ring finger of right palm since I month. She cannot properly make fist presently or hold /rinse any thing. Please Suggest any homoeopath medicine. If not suggest allopath treat5ment for her. Thank u.

Homeopath, Chennai
My wife aged 58 years is suffering from severe pain at the bottom of ring finger of right palm since I month. She can...
Dear lybrate user homoeopathic medicines act best when given based on symptom totality, following medicines can be given 1 rhus tox 30 single dose now 2. Staphysagria 1 m single dose tomorrow morning empty stomach follow up in 3 days.
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How to avoid smoking. I used to smoke about 1.5 packets of cigarettes. To avoid smoking what I must do. please Suggest some solution.

MD - Psychiatry, Diploma in Child & Adolescent Psychology , MBBS
Psychiatrist, Pune
Try to reduce it gradually like 1cig reduction in a week try nicorette chewing gum 2mg three times a day.
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How to reduce my body fat and to remove stress from me which disturbing my mind every time?

Homeopath, Faridabad
How to reduce my body fat and to remove stress from me which disturbing my mind every time?
Hello, Homoeopathy has the best answer for your can lose weight with the help of homoeopathic medicines, without any side effects. This involves correction your metabolism. 1. Take phytolacca berry tablets (wsi), 2 tablets with warm water, three times a day, half an hour before meals. 2. fatoline drops from Haslab, 15 drops + 1/2 cup of warm water, twice a day. 3. Take 1 glass of luke warm water with lemon juice and honey in the morning for 15 days in a month. 4.Take 1 cup of green tea in the eveninng daily. 5. Do Surya Namaskar , yoga asans like Bhujangasana (Cobra Pose), Sarvangasana (Shoulder Stand Pose),Vajrasana (Diamond Pose), Pavanamuktasana (Wind-Relieving Pose), Matsyasana (Fish Pose) 6. avoid sweets, oily, spicy, junk food, chocolates. 7. drink plenty of water daily. 8.Eat good quantity of green vegetables, salad and fruits. *** please take Kali Phos 6X , 5 tablets thrice a day to relief your stress***
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I have a slight problem in follicular study. Rupture is getting late. So periodical date is often late. If it's 4 to 5 days late I am getting some physical problem. Got the delivery in 2013. So what I should take in food or not?

PG in Assisted Reproductive Technology, MD - Obstetrics & Gynaecology, DGO, MBBS
Gynaecologist, Mumbai
I have a slight problem in follicular study. Rupture is getting late. So periodical date is often late. If it's 4 to ...
Avoid fats and reduce carbohydrates eat a balanced diet do some yoga. Or walking. Feel happy it will help
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I'm a 21 years old guy, studying in college. I have difficulty in maintaining my concentration on the work. I loose my interest very soon and then find it difficult to regain. Please Help.

C.S.C, D.C.H, M.B.B.S
General Physician,
CONCENTRATION TIPS Here’s some tips to get into a state of deep concentration where work / or studies flow easily so that you can do well in examinations/ and or do your work well. 1) Cut Off the Noise Getting into a state of concentration can take at least fifteen minutes. If you are getting distracted every five, you can’t possibly focus entirely on your work. Request that people don’t interrupt you when working on a big project. If you are required to answer phones and drop-in’s immediately, schedule work when the office is less busy. 2) Structure Your Environment The place you work can have an impact on your ability to focus. Try to locate yourself so you are facing potential distractions such as doors, phones or windows. This way you can take a glance to assess sounds that would otherwise break your focus. 3) Clarify Objectives Know what your goal is clearly before you start. If you aren’t sure what the end result is, the confusion will make it impossible to focus. 4) Divide Blobs . If you have a large project that needs work, clearly identify a path that you will use to get started working on it. If the sequence of actions isn’t obvious, it will be difficult to concentrate. Taking a few minutes to plan not only your end result, but the order you will complete any steps, can save hours in wasted thinking. 5) Know the Rules Get clear on what the guidelines are for the task ahead. What level of quality do you need? What standards do you need to follow? What constraints are there? If the rules aren’t clear from the outset, you will slip out of concentration as you ponder them later. 6) Set a Deadline Deadlines have both advantages and disadvantages when trying to force concentration. A deadline can make it easier to forget the non-essential and speed up your working time. If you give yourself only an hour to design a logo, you will keep it simple and avoid fiddling with extravagant designs. Time limits have disadvantages when they cause you to worry about the time you have left instead of the task itself. 7) Break down Roadblocks Roadblocks occur whenever you hit a tricky problem in your work. This can happen when you run out of ideas or your focus wavers. Break down roadblocks by brainstorming or planning on a piece of paper. Writing out your thought processes can keep you focused even if you might become frustrated. 8) Isolate Yourself Become a hermit and stay away from other people if you want to get work done. Unless your work is based on other people they will only break your focus. Create a private space and refuse to talk to anyone until your work is finished. Put a sign on your door to steer away drop-ins and don’t answer your phone. 9) Healthy Body, Sharper Mind What you put into your body affects the way you concentrate. Nobody would expect peak performance if they showed up drunk to work. But if you allow yourself to get chronic sleep deprivation, overuse stimulants like caffeine or eat dense, fatty foods your concentration will suffer. Try to cut out one of your unhealthy habits for just thirty days to see if there is a difference in your energy levels. I’ve found even small steps can create dramatic changes in my ability to focus. 10) Be Patient Before I write an article, I often sit at my desk for a fifteen or twenty minutes before I put finger on the keyboard. During this time I feel a strong urge to leave or do something else. But I know that if I am patient, I’ll stumble upon an idea to write about and enter a state of flow. Without a little patience, you can’t take advantage of flow when it rushed through you. If you need strong concentration I recommend periods of 90-120 minutes. Any less than that and you will waste too much time getting started before the flow can continue. More than this is possible to sustain focus, but you will probably benefit from a quick break. These are the general guidelines for concentration, studying well or doing your job. Regards.
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I am 22 years old. M vi am habitual of smoking. And I am overweight also. How to get rid of this problem.

Homeopath, Faridabad
Hi. Take homoeopathic medicine which will help you to get rid of your habit of smoking and it’s side-effects. Schwabe's Daphne Indica/ thrice daily for 3 months. After a month, report back to me. For weight reduction: It's good to reduce weight at right time as many problems are directly related to overweight! Remember, there's no magic bullet for weight loss. The key to losing weight is burning more calories than you consume. Choose a variety of healthy foods — such as fruits, vegetables, whole grains and lean sources of protein — and include physical activity in your daily routine. Go through the following guidelines and implement them in your routine: Management: 1: Drink plenty of water (at least 2-3 l/d) or other calorie-free beverages. 2: Be choosy about nighttime snacks. 3: Enjoy your favorite foods. 4: Have 6 meals per day - 3 main courses and 3 snack meals (snack meals should be healthy). 5: Do regular exercises daily (start with light and later may be little vigorous). Exercise decreases the stress hormone in your body, burns calories and also increases the blood circulation. Preferably brisk walking, swimming, cycling, skipping. 6: Eat seasonal fruits. Fruit helps to satisfy your sweet tooth thanks to its natural sugars, while fresh vegetables help you fill up more quickly. Fruits and vegetables contain fiber to help you feel full quickly. 7: Eat more whole grains and cut simple carbs. Whole wheat bread, oatmeal, whole wheat pasta, sweet potato, and brown rice are all excellent sources of energy and sources of nutrition. 8: Choose lean proteins instead of fatty ones. 9: Cut the salt from your diet. Eating more sodium causes your body to retain water, which can cause you to feel bloated and gain more weight. 10: Don't skip meals. When you skip meals, your body stops breaking down fat and starts breaking down muscle tissue. Muscle tissue burns more calories at rest than other tissues, so you're actually working against your goals 11: Eat at home. Going out to eat makes it too easy to cheat. Food sold at restaurants is commonly much higher in fat, sodium, and other weight-loss killers. 12: Give yourself a treat now and then. If you're attending a party or going out for a special occasion, allow yourself an indulgence. Just make sure that these indulgences don't become daily habits. 13: Go for a health walk. Gear up yourself daily for a health walk which not only shed off your extra calorie, but also reduces the stress levels. 14: Take small frequent breaks for a quick walk in between as sitting for long hours together encourages the accumulation of fat in the body! Medication: Take homoeopathic medicine - Schwabe's Phytolacca Berry tablets/ thrice daily 1/2 an hr before the meals for 3 months. Thereafter revert me back for further guidance. (Slow and steady weight loss is good. As we all know when you lose weight fast, it seems to jump right back on, whereas when you lose weight steadily over time because of changes to your diet and balancing your hormones out it tends to stay off.) All the best!
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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.

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Hi I am 24 years old past two years I use to to do gym six pack all these things. Without any proper diet, now i am suffering from gastric problem taking treatment from two years almost 10k used for my medics tests etc. Doctors said u have hiatus hernia gave some tab all those stuff, I wanted to die with this problem my parents cant afford for my operation, this is the age everyone is doing job & earnig money, and I just comp my graduate unable to do study and concentrate I am loosing my confidence, more than two hours cant sit and also gas problem from mouth and also from down part, when i am having lunch are breakfast vomit sensation is coming, please give suggestion what kind of medicines what kind of food and diet should be taken I will follow strictly please some one help me, already I have attempted to die bu I have to tc of my parents

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, I feel sympatetic to you. You are educated. You should know the real world of problems. Your doctors tell you that you have certain problems and they prescribe medicines. You cannot stop them at your wish. In my vies, your problem is hypochondriasis (extreme fear that you may have some big disease) and anxiety. You may need psychiatric treatment. I suggest you to post a private question to me with all the details. Let me analyze your problem and I shall suggest the suitable treatment method. Take care.
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