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Dr. R.G.Dhingra

MBBS

Pathologist, New Delhi

13 Years Experience
Dr. R.G.Dhingra MBBS Pathologist, New Delhi
13 Years Experience
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Personal Statement

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. R.G.Dhingra
Dr. R.G.Dhingra is one of the best Pathologists in Khanpur, Delhi. Doctor has helped numerous patients in his/her 13 years of experience as a Pathologist. Doctor has completed MBBS . Doctor is currently associated with Southend Diagnostic Point in Khanpur, Delhi. Book an appointment online with Dr. R.G.Dhingra and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pathologists in India. You will find Pathologists with more than 33 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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Education
MBBS - Karnataka Medical College - 2004
Languages spoken
English
Hindi

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A-54 Opp Old Petrol Pump M B Rd Khanpur New Delhi - 110062New Delhi Get Directions
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I am have pain in my whole right body. Mainly in my jaw ear right hand. This sometimes continues the whole day and it some move to heads, ankles, knees, elbow, jaw, ear all eight side of the body. I am not able to understand the exact reason. Please help me to find a reason.

MBBS
General Physician, Faridabad
I am have pain in my whole right body. Mainly in my jaw ear right hand. This sometimes continues the whole day and it...
in my opinion, it is due to harmonol imbalance and you are near menopause, it seems you are under depression also. please avoid lonelyness, go out of house and talk with some lady, drink a glass of water or consult a doctor.
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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 24 year old men I have pain on left lungs for past few month it never come daily. But come in 2 week after when it come I fill unrest.

MBBS
General Physician, Cuttack
I am 24 year old men I have pain on left lungs for past few month it never come daily. But come in 2 week after when ...
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5.Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain .6. Drink plenty of water and take rest. 7.if you have recurrent attack of chest pain take ECG and consult cardiologist
2 people found this helpful
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I met with an accident fallen from my 2 wheeler having swelling n pain with scratches in my Foot what should I use to remove swelling and pain.

DNB (Orthopedics), M Ch. Ortho, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Delhi
I met with an accident fallen from my 2 wheeler having swelling n pain with scratches in my Foot what should I use to...
put a crepe bandage do cold packs take pain killers round the clock for 2 days if no relief, consult orthopaedic surgeon nearby
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I'm suffering from fever from one weak and I have also cough and full of body pains and full of headache. Please advise.

MBBS
General Physician, Mumbai
I'm suffering from fever from one weak and I have also cough and full of body pains and full of headache. Please advise.
For fever take tablet paracetamol 650 mg and For cough take syp ascoril-D 2.5 ml twice a day and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
3 people found this helpful
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Dr. Says my uncle has a large quantity of protein in their body than required and he also felt pain in their lower thighs pls recommend some cure for this.

BPTh/BPT
Physiotherapist, Bangalore
Dr. Says my uncle has a large quantity of protein in their body than required and he also felt pain in their lower th...
Dear lybrate user, * protein is an essential part of the diet because it is needed for every type of growth and repair of tissues that takes place in the body. * when you consume too much protein, the kidneys are responsible for getting rid of excess nutrients in the body, so over consumption of protein means over working the kidneys. Following steps should be taken to avoid excess protein: 1> drink water: drinking excess water will help your kidneys to flush out and remove excess proteins from your body. 2> eating more foods such as fruits and vegetables will help you feel full and lower your protein intake every day. 3> focus on eating plant-based proteins in place of animal protein. 4> consult a dietician for low protein diet. * excess protein leads to weight gain, joint pain, muscle cramps.
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I am suffering from a big body pain by 2 days. I have back pain more than any parts and I have little bit pain while passing urine. And the urine colour is very yellow. Is this any main disease? Give a suggestion on this.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am suffering from a big body pain by 2 days. I have back pain more than any parts and I have little bit pain while ...
Avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
1 person found this helpful
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I am 22 years old I feel tired and body pain all day whether I do some work or not. I feel faint when I standup after sitting.

MBBS
General Physician, Hyderabad
I am 22 years old I feel tired and  body pain all day whether I do some work or not. I feel faint when I standup afte...
Hi drink water plenty eat salads, drink juices take walk when free, take rest sleep more time every thing will be ok take supradyn cap daily one for a weak when pain in body take dolo 650 mg tab.
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I'm down with fever for past 2 days. It started 2 days back with body ache. There is too much heaviness and irritation in my stomach and I'm not able to eat anything and surviving on fruits. Taking crocin for fever. Kindly suggest.

BHMS, MD - Homeopathy
Homeopath, Vijayawada
I'm down with fever for past 2 days. It started 2 days back with body ache. There is too much heaviness and irritatio...
Hi, Take Homeopathic remedy - Arsenicum Album 200 6 pills two times a Day for two days and consult me for further assistance.
1 person found this helpful
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Just walked 5 km today in high sunlight without any umbrella and now body is paining a lot is a night sleep will recover this body pain.

Pain Management Specialist, Chennai
Just walked 5 km today in high sunlight without any umbrella and now body is paining a lot is a night sleep will reco...
Dehydration is the cause of your weakness .kindly hydrate your self adequately and take good rest.
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I m taking full diet with proper consulted medicines, still hv long lasting pain in my lower diaphragm. I m 5 months pregnets. N pain normally starts at night whn go to bed. Consult ny medicine or etc. Please direct.

MD - Psychiatry, MBBS
Psychiatrist, Patna
I m taking full diet with proper consulted medicines, still hv long lasting pain in my lower diaphragm. I m 5 months ...
In second trimester of pregnancy due to increase in foetal size, abdominal respiration is affected and now the respiration is mainly thoracic. As a result thorax moves more to fulfil the requirement of respiration. On laying down abdominal content further presses the thorax causing more laboured breathing and pain. It is common. Avoid exertion, sleep in propped up position. If pain is unbearable you may get your ultrasound done to rule out any lung effusion.
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Sir i'm going to gym it's almost 4 to 5 months on but when I am giving gap to gym means like 2 to 3 days then after I continue the gym at least 2 day my body starts paining.

MBBS, MD Psychiatry
Psychiatrist, Kolkata
Sir i'm going to gym it's almost 4 to 5 months on but when I am giving gap to gym means like 2 to 3 days then after I...
This happens to everyone. It is due to the build up of lactic acid. If you don't go to gym for 2-3 days, during that time too, you must do basic stretching exercises at home. Also take ample fluids and rest.
1 person found this helpful
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I felt muscle pain aftr doing plank exercises to shape up my body, Weight: 50 kg, BMI 22.2 (i never did exercise before, IS THAT PAIN IS NORMAL?

M. sc Psychology, BHMS
Homeopath, Hyderabad
I felt muscle pain aftr doing plank exercises to shape up my body, Weight: 50 kg, BMI 22.2 (i never did exercise befo...
In initial practicing of Yoga or any spcfc exervcises, the body pains, muscular pains are commn..for that u need not to take any pain killers unless if its very sever. Try to take more water, replace with minerals.. coconut water, spcfc electrolyte water[available in medical shops.. as sachets.. u can mix it with water &drink to compensate the deficiency or loss of minerals due to exercises]
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I hve red eyes and having pain in whole body fever come at day and night advise me what to do now.

MS - Ophthalmology, DNB (Ophthalmology), MBBS
Ophthalmologist, Delhi
I hve red eyes and having pain in whole body fever come at day and night advise me what to do now.
It appears that you have some viral infection and associated eye involbement. My advise is that you consult a physician and eye specialist. Take care of your health good wishes.
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I am suffering from fever, headache, cold as well as body pain. Please suggest me what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am suffering from fever, headache, cold as well as body pain. Please suggest me what should I do?
You take homoeo medicine belladonna 30 (6 to 8 pills) --3 times (hourly) in the morning and arsenicum iode 30---3 times (hourly) in the evening for 4 days. Take complete rest and have easily digestible light food.
2 people found this helpful
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She is a sugar patient. She is suffering with heavy pains. How to reduce dem. Nd she is weak. She can't hear properly.

MBBS
General Physician, Delhi
She is a sugar patient. She is suffering with heavy pains. How to reduce dem. Nd she is weak. She can't hear properly.
Welcome consult your family doctor. You may need vitamin d, calcium, iron, multi vitamins. Take care.

Sir, I am suffering from fever and my body temperature is 103 degree Celsius. I'm feeling pain in my body. Suggest me what should I need to do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Sir, I am suffering from fever and my body temperature is 103 degree Celsius. I'm feeling pain in my body. Suggest me...
hi its a high fever you should go to your family doctor immediately...... drink hot water only have light diet like mung dal and rice......
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I am 27 years old my left side part of the body is paining from head to toe what is the problem. Can anyone help me out ?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
This is all stress and worries of life. May be issues of married life/future marriage, you may be having insecurities and fear. Just relax. Ask yourself what bothers you? have a positive self-talk, and learn what are those things you don't like. You need to accept your self and move on. You need to take care of your lifestyle and learn to be happy. If you cant do it yourself, meet a life coach/ stress management super-specialist like me. Once you open your heart out, you will feel free and begin to fly in life. I assure you that I can manage this and help u.
1 person found this helpful
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My body paining from few days is that cause of weather changing effect or other reason?

MBBS, cc USG
General Physician, Gurgaon
My body paining from few days is that cause of weather changing effect or other reason?
Hi, 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 wonderful result Consult me for further management
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