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Dr. B.D.Manoja

Pathologist, Delhi

Dr. B.D.Manoja Pathologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. B.D.Manoja
Dr. B.D.Manoja is a trusted Pathologist in Ashok Vihar, Delhi. Doctor is currently associated with Dr Manochas Diagnostic Centre in Ashok Vihar, Delhi. Book an appointment online with Dr. B.D.Manoja and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 26 years of experience on Lybrate.com. You can find Pathologists online in Delhi 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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Dr Manochas Diagnostic Centre

#21, Post Office, Central Market, Ashok Vihar. Landmark: Near Punjab Shoes, DelhiDelhi Get Directions
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From 2 days I am travelling my full bofy is panning so what should I do, please help me.

MBBS
General Physician,
From 2 days I am travelling my full bofy is panning so what should I do, please help me.
This could be due to exhausting travels or you could be having some viral infection take a tab paracetamol or calpol and have plenty of weater by month. It will be alright.

Central Pain Syndrome - All You Need To Know About It!

MD, FIPP
Pain Management Specialist, Kolkata
Central Pain Syndrome - All You Need To Know About It!

It is a form of neurological problem and is caused by the harm or injury of the vital nervous system. It consists of the brain, the brainstem, as well as the central spinal cord. This class of disease can happen by the stroke, the numerous scleroses, the tumors, epilepsy, the brain or Parkinson's disease. The nature of pain linked with this type of syndrome differs moderately because of the diversity of the potential causes. 

It may have an effect on a large part of the body or it may be more limited to the specific areas, like the part of the hands or the feet. Also, the degree of pain is normally related to the reason of the injury This pain is characteristically steady, it may create problems in severe way, as well as it is often created inferior while the touching or any kind of the movement, emotion, as well as the temperature changes, generally the chilly weather. People experience pain sensations; the most important of which is burning. 

The features are 

  1. Mixed with the burning 
  2. The pressing 
  3. The slashing 
  4. Throbbing painon an uncovered nerve 

Individuals might sense numbness in the areas inhabited by the pain. The blazing, as well as, the loss of touch sensation is normally most harsh on the few parts of the body. 

Different kinds of the treatment 
The type of the treatment offered may offer a number of the reductions of the pain, other than not the whole relief of the soreness, for those persons exaggerated by this problem. The medicines of this treatments are- 

  1. The tricyclic antidepressants 
  2. Anticonvulsants medicines can be helpful. 
  3. Intravenous medications 
  4. Lignocaine and Ketamine 
  5. Deep brain stimulation 
  6. Definitions of the prognosis 

It is not a type of deadly disease, but this kind of the syndrome makes a big part of chronic pain as well as the great suffering amongst the greater part of the persons who are going through this type of troubles. 

What kind of research is being done? 
A lot of the organizations dynamically follow a line of investigation program seeking the latest type of the treatments for the chronic pain as well as the damage of human nervous system. The main intentions of this form of examination are to enlarge the habits to more ingeniously treat as well as potentially repeal the debilitating conditions like this type of the syndrome. The pain medications frequently offer reduction of the pain, but not total relief from the pain, for those persons who are affected by this.

1 person found this helpful

Sir I m suffering from fever since two days. My whole body is getting too much pain. Please suggest me.

MBBS, MD - Community Medicine
General Physician, Jaipur
Sir I m suffering from fever since two days. My whole body is getting too much pain. Please suggest me.
Hi, Fever may be simple/ self-limiting viral infection, or it may a symptom some serious illness like typhoid/ malaria/ Dengue/ TB or many more like that. It is decided by symptoms provided by you, and a battery of investigations. But short term fever is most likely viral fever. Therefore, follow the advice and consult doctor with detail symptoms. 1. Take rest for 1-2 days. Wear light and cotton cloths, it helps in cooling of body. 2. Take Tablet Paracetamol 500 mg (as and when required; after food) for fever (more than 99 F) for 3 days. Maximum 3 tablets with gap of 8 hours can be taken in a day. 3. If fever persists, do cold sponging (with cold water even ice water if needed) to lower down temperature. 4. Drink plenty of fluids. 5. Take adequate rest and proper sleep. Going to work, working out may just make you feel worse as the extra action adds stress to your body. Inadequate sleep decreases immunity of body, which causes worsening of illness. 6. Take proper diet preferably homemade like dalia, khichdi, rice, dahl, chapatti, vegetable soups or steamed veggies. 7. This is season of dengue, therefore, if you have high grade fever, and body ache, then have Platlet Count from nearby Laboratory. Consult again if symptoms persist or worsen. ***Get Well Soon*** “Cold sponging is the best treatment if fever is uncontrolled.”
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Mostly I used to feel tiered without doing any physical work. And having severe body pain.

MBBS
General Physician, Cuttack
Mostly I used to feel tiered without doing any physical work. And having severe body pain.
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.
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Hi I got a cut on my hand near to the joints, I put supragent but it is not getting unto plain skin wot should I do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
The ointment is to be applied only on the injury. Why do you want to apply it on plain skin? even if you want to apply it on plain skin, any ointment can be applied anywhere. I do not get what problem you are having.
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Hi sir I have suffering from body pains. Then please help with. Suggested one good doctor for me. Please give your number or contact with me. Please help me sir.

MBBS, cc USG
General Physician, Gurgaon
Hi sir I have suffering from body pains. Then please help with. Suggested one good doctor for me. Please give your nu...
This problem may be due to Any medical disease like Anaemia/ Hypoproteinemia/ Thyroid problem/Vit D deficiency Multi mineral and vitamin Deficiency Stress/ anxiety Over exertion (physical and mental) kindly follow advises given below: 1. Take adequate rest 2. Proper diet 3. I recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonder ful result, personally i have also used this Consult me for further management
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I feels headache, body ache and pain and fever since 10-12 days. I already used medicines like paracetamol and antibiotics but not getting well. Please suggest me what should I do.

MBBS, MBA (Healthcare)
General Physician, Delhi
I feels headache, body ache and pain and fever since 10-12 days. I already used medicines like paracetamol and antibi...
check your BP, check your eye sight. take crocin pain relief one sos for severe and unbearable headache. take rest and good sleep.avoid stress. inform if not ok.
2 people found this helpful
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My mother is suffering from fever from one and half month with sever pain in her complete body. What should she do?

MBBS
General Physician, Mumbai
My mother is suffering from fever from one and half month with sever pain in her complete body. What should she do?
For fever take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest and Get her blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
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What usvyhe symptoms 8f aids. I hv a pain in whole of my body. How can it be prevented. please h3lp me out. How can I get well.

MBBS
General Physician, Nalgonda
What usvyhe symptoms 8f aids. I hv a pain in whole of my body. How can it be prevented. please h3lp me out. How can I...
Dear freind aids is a syndrome of hiv infection symptoms are loss of weight more than 10 %body weight with in a month, loss of appetite, secondary infections, loose motions for more than one month, cough more than one month, fever, candidiasis, etc do not panic go to near art center or ictc and get check hiv1 and 2 tests.
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I want to ask. My wife needs a remedy for pain in calf muscle in the legs. Body pain. Back pain. It pains a lot in nights. And specially before periods. What should she do?

MBBS
General Physician, Faridabad
I want to ask. My wife needs a remedy for pain in calf muscle in the legs. Body pain. Back pain. It pains a lot in ni...
take cap becozinc z 1cap od, cap evion 400 1 cap od empty stomache daily, tab shelcal with d5 od, drink 3-4 litre of water daily, it will help. thanks
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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 suffering from fever in Two days, and pain in my body. Now what I can do for myself.

BHMS
Homeopath, Raebareli
I am suffering from fever in Two days, and pain in my body.
Now what I can do for myself.
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.
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I have lot of wounds in my head. Whenever I apply oil it gets itchy and irritated and also having bald head.

MBBS, MBA (Healthcare)
General Physician, Delhi
I have lot of wounds in my head.
Whenever I apply oil it gets itchy and irritated and also having bald head.
Need more information. like any history of diabetes or any other chronic disorder. Get your blood sugar checked. You can try with surfaz ointment on scalp.
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Head and limbs pain me so much pain that I do and sometimes the whole body is rigid, so all told me that treatment should be erased.

MBBS
General Physician, Cuttack
Head and limbs pain me so much pain that I do and sometimes the whole body is rigid, so all told me that treatment sh...
1. It could be due to deficiency of vitamin d3 2. Do blood test for vitamin d3, b12, calcium 3. Consult physician with report for advice and treatment.
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Hallo Doctor I am ask a question my head is very pain someday. Doctor ask madicen pain killer And our body is very pain.

PGDHHM, MBBS
General Physician, Delhi
Hallo
Doctor I am ask a question my head is very pain someday.
Doctor ask madicen pain killer And our body is very pain.
Common causes of headache are -- Fever, migraine, stress, cold, sinusitis, anxiety, tensions ,vision problem, high BP ,inadequate sleep. Avoid stress and tensions. Drink plenty of liquids to maintain hydration. Take over-the-counter painkiller if intolerable pain. Hope this helps u .if required, consult.
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I have body pain and head ache n fever past three days. I am taking dolo 650 tablet yet fever isn't gone completely.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I have body pain and head ache n fever past three days. I am taking dolo 650 tablet yet fever isn't gone completely.
Dear Lybrate user, Take sat giloi from a ayurvedic and 1,/2tso of sat giloi and honey thrice a day with water and call back after one or two days.
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Sir/ma'm I am 30 yrs and 68 kg. Please advise: 1. Tiredness without work 2. Intent to sleep or lie down always 3. Foot pain when standing for more than 10 minutes. Thank you.

MD - Psychiatry, MBBS
Psychiatrist, Delhi
Vit d level and vit b12 level along with thyroid function test. If all comes normal than u might be having chronic fatigue syndrome or neurasthenia
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I always feel heavy on the right side of my body from head to toe. Severe pain in my right shoulder and feet. Is it symptom for any disorder? also my husband is suffering from severe pain in his right arm. He is unable to lift his hand completely, he is not getting relief from any kind of medicine or massage.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
you need to check for Osteoarthritis and your husband for Frozen shoulder and cervical problem with Orthopaedician
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Sir mujhe leprosy h or main uska treatment le rha hoon, meri ek girlfriend hai jink sath maine kissing ki hai to ye krna safe hai or kya ye bimari mujhse meri girlfriend ko bhi ho sakti hai? Help sir,

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Thane
This will depend on the stage of leprosy you have. But if you are taking medicines regularly then the infection doesnot spread easily.
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I am male 49 years. Since last 1 months feeling burning sensation in buttocks (not anus) while sitting in office chair / bike specially more when bladder is full and goes after urination. USG done not found any abnormality, kidney, bladder, prostates normal. Urine routine normal only pus cells 3-4. The sensation is not appearing while sleeping or at home during holidays or while driving car. No constipation or piles problem. Request advise the probable cause for this problem and remedial measures.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am male 49 years. Since last 1 months feeling burning sensation in buttocks (not anus)  while sitting in office cha...
burning sensation in buttocks due to sitting long time on chair or bike. pl. take while a rest during sitting..stand and walk for few steps and sit on your place. nothing more problems .. do bath with hot water in winter season.
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