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Dr. R.K. Sinha

Pathologist, Delhi

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Dr. R.K. Sinha Pathologist, Delhi
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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. R.K. Sinha
Dr. R.K. Sinha is a renowned Pathologist in Preet Vihar, Delhi. You can visit him at Metro Hospital & Cancer Institute in Preet Vihar, Delhi. Book an appointment online with Dr. R.K. Sinha on Lybrate.com.

Lybrate.com has top trusted Pathologists from across India. You will find Pathologists with more than 42 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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Hindi
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Indian Medical Association (IMA)

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#21, Community Centre, Preet Vihar. Landmark: Behind CBSE building, DelhiDelhi Get Directions
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Heel Pain

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist
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Generally occur in two major cause of heel pain -
Planter fasciitis and Achilles tendonitis.

If the pain is under heel bone its planter fasciitis due to inflammation of thick tissue, repetitive stresses and strain and microtear of planter fascia.

If the pain found at the back side of heel that's Achilles tendonitis its attached your calf muscle or heel bone. It happens due to continuous running, sports injury physical activity and may also contribute to risk of RA

Common causes are -

Pain,
Swelling,
Repetitive injury,
Tight calf muscle,
Limited range of movement,
Improper footwear,

Five helpful tips for heel Pain.

Do stretching exercise of calf muscle,
Ice pack therapy,
Avoid prolonged standing,
Proper footwear,
Physiotherapy,
Heel Pain

He is having some throat problem. His saliva getting blood color. Body paining. What is the disease?

MDS - Oral & Maxillofacial Surgery
Dentist
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He is having some throat problem. His saliva getting blood color. Body paining. What is the disease?
Kindly consult an ent& a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning. You may consult me in person too. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

Is taking pain killer regularly is good for health for the pains when got injured during a accident.

MBBS
General Physician
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Is taking pain killer regularly is good for health for the pains when got injured during a accident.
no pain killers are good for health. but if required for injury or any pain, you can take..tab dolo 1tab sos.

Hot Therapy

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist
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Electric pads, hot water bottles, and gel packs or moist such as damp clay packs are the common hot agents used for hot therapy.
Hot Therapy

I have a history of chronic migraine and chiari malformation type one and have had a non stop head for the past 11 years. May of 2012 I had chiari decompression surgery, which did not help the headaches but was a successful surgery. I am currently experiencing a different kind of pain in addition to my normal daily pain.

cc USG, MBBS
General Physician
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I have a history of chronic migraine and chiari malformation type one and have had a non stop head for the past 11 ye...
You need complete evaluation Tell me 1.Do you have eye pain/ strain 2. Any ENT problem like cough/ cold/ blocked nose? 3.Stress/ anxiety 4.Are you taking sleep properly? Follow advise given below Adequate sleep 6-8 hr in a day Get check eyes for refractive error Get BP checked Regular physical exercise and meditation and yoga Consult Neurosurgeon for further management

I m getting whole body pain after coming back from school and I m feeling like fever n till morning I m fine n then same thing repeat.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist
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I m getting whole body pain after coming back from school and I m feeling like fever n till morning I m fine n then s...
Hi there, Many times you get fever in the night, while you are hale and hearty during the day. This makes you have a restless night and then, you are really tired in the morning. This way you don’t get a good sleep or rest that your body demands, and you have a real irritable self. What causes high fever only at night is a matter of big concern. In case you are suffering from fever at night, you need to check on the symptoms first. In case the symptoms match, you need to visit the doctor at the earliest. There are obvious causes that you can avoid to get rid of fever that visits in the night. What causes high fever only at the night, let’s know. REMEDIES FOR HEAD COLD External Pyrogens Pyrogens that travel from outside and try to penetrate your body are what causes high fever only at the night. You will see that these pyrogens tend to produce toxins that can be harmful to your health. Within the body, these pyrogens are produced as a result of monocytes and macrophages. When external pyrogens enter the body, they induce the body to produce its own pyrogens and thus resulting in feverish conditions. This is one of major causes of fever at night. Upper Respiratory Tract Infections Cold and other respiratory tract infections are probable causes of fever in the night. Sometimes, it is just a common cold that affects your body to cause fever in the night. Sometimes, it can also be infection of the larynx, bronchi or the trachea that can cause major respiratory tract infections and in effect, it can cause fever that occurs in the night. Common cold lasts for a few days while other infection depends on the patient's immunity and general time period. Urinary Tract Infections You may also experience fever only in the night when you have urinary tract infections. A very sharp pain in the urinary tract along with presence of toxins can lead to fever. You would need to consult a doctor in this case. In case you have urinary tract infection, it can be cured with some medication and proper checkup. Skin Infection In many cases, fever at night is due to the presence of skin infections. If there are major infections present on your skin that have been persistently bothering you, you will need to get it checked. This could be one of the major reasons for fever at night. Inflammations In case there is inflammation in your body due to allergic reactions to the drugs, you will get fever in the night. It could be a plain allergy that can cause major reactions. Make sure you get it checked as soon as possible. I hope this helps. Take care and have a lovely day.

I have over head ache and body pains from past 4 days. What should I do? please help me.

cc USG, MBBS
General Physician
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I have over head ache and body pains from past 4 days. What should I do? please help me.
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine Headache kindly follow advises given below: you can take(If No drug allergy) : 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.

My problem wert big please solutions a soon as possible body pain contents Planet reply.

DHMS (Hons.)
Homeopath
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My problem wert big please solutions a soon as possible body pain contents
Planet reply.
Hi, dear lybrate user, *certain queries needed-u feel pain in rest or when you are mobile, how do you feel in d night in bed? till your reports r received, take *, homoeo-medicine* @ arnica mont 1000-6 pills, wkly. @ macrotinum 30-6 pills, thrice a day. Reportwithin a wk, your reports, may modify your medication, further.

Why You Can Get a Slipped Disc Problem?

FPM, DNB, DA, MBBS
Pain Management Specialist
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Are you prone to slipped disc problem? + the ideal way to treat it

A slipped disc, also known as a prolapsed disc or herniated disc, is the term given to the phenomenon that occurs when a cartilaginous disc found between the vertebrae in the spine becomes slightly displaced or protrudes, thereby pressing on the nerves in the adjacent areas and causing back pain.
This happens when the soft inner part of the disc, known as nucleus pulposus, bulges out through a weakness in the exterior part of the disc. A prolapsed disc usually occurs in the lower region of the spine and can be of varying sizes. There might even be the development of inflammation around the disc in some cases.

Who is likely to get affected?
Most cases of herniated disc occur in patients between the ages of 30 and 50. The number of men affected is twice as many as the number of women.
Although the root cause of this problem is not yet known, there are a number of factors that may trigger it. These factors include working at a job that requires a lot of lifting, an occupation that involves remaining in a seated position for a long time, weight-bearing sports, obesity, smoking habits and increasing age.

Effective ways of treating the problem
The different methods that are commonly used to treat the problem are:
Medications
There are many different kinds of medicines that are effective in providing relief. These include painkillers, muscles relaxants, anti-inflammatory pills, etc.

Spinal injections
A number of spinal injections are used to treat slipped discs. The injection is done at the opening where the inflamed nerve roots are found and reduces pain, swelling and irritation in the area.

Radiofrequency ablation
This procedure makes use of an electrical current produced by radio waves to reduced pain and sensitivity in the affected area.

Ozone discectomy
As opposed to the surgical removal of the prolapsed disc, this new process makes use of an ozone-oxygen mixture that is injected into the spine to treat the problem. Many international studies have proved its superiority to traditional methods and surgeries.

Those affected by this problem are advised to keep exercising and continuing with their everyday activities as best as possible.

Why You Can Get a Slipped Disc Problem?

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
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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.

I have fever and pain in my whole body as well as vomiting with food for 3 days. Why sir? Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I have fever and pain in my whole body as well as vomiting with food for 3 days. Why sir? Please help me.
Do tests cbc,blood sugar,lft,kft,urine r/m,mp,widal. take ors liquid, take tab. dolo-650 mg twcie a day.tab. emeset -4mg twice a day. ulgel-A 15 ml before meal. Start with easily digested foods such as gelatin, crackers and toast. When you can keep these down, try cereal, rice, fruit, and salty or high-protein, high-carbohydrate foods. Avoid fatty or spicy foods. Wait to eat solid foods until about six hours after the last time you vomited

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
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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.
Chronic pain is a Disease and not a symptom

My lower part is paining over 3 days what can I do ?

MBBS
General Physician
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My lower part is paining over 3 days what can I do ?
Hello, kindly specify you are having pain in which lower part of body so that I can guide you further

I have pain in my spinal cord. When I sit it gets increase. Most of pain is in area around spinal cord. It also increase in night so it is very tough pain so give me some exercises for the purpose.

BHMS
Homeopath
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I have pain in my spinal cord. When I sit it gets increase. Most of pain is in area around spinal cord. It also incre...
Hello , you should consult a physiotherapist for the proper exercises and take Bakson's Spondy aid , 20 drops with warm water twice daily.

How to get rid off knee pain permanently? How to get good sleep in the night by not waking around 2.30-3.00 AM in the morning and sleeping till 6.00 AM At least? How to get rid off body pain which is occurring throughout the body? How to avoid sleep during day time by not feeling tiredness?

BPTh/BPT, MPTh/MPT
Physiotherapist
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How to get rid off knee pain permanently? How to get good sleep in the night by not waking around 2.30-3.00 AM in the...
Knee Advice... Avoid sitting Cross legged. Avoid Squatting. Quadriceps Exercises. Core Strenthening Exercises. Hams Stretching. Sports Taping Hot Fomentation. Shoulder Advice... Regular Stretching of Shoulder Muscles. Warm up and cool down is a must. Hot fomentation.

I have a problem on my left leg, yesterday I met an accident where my leg was injured. But I did not see any fracture on leg. But I do have some little pain. What can I do now?

MBBS, Ph.D. Alternative medicine
Alternative Medicine Specialist
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I have a problem on my left leg, yesterday I met an accident where my leg was injured. But I did not see any fracture...
You must get your leg x-rayed to know whether there is a fracture or not. If not it could be some muscle tear or pull. For that apply some rubifacient cream like relaxyl, volini etc. And use some muscle relaxant tablets best wishes.

I am suffering from chronic urticaria since more than 2 years and it has reached level of auto immune disease. I am also suffering from knee joint pain in both the knees while climbing stairs and as per knee x-ray membrane is damaged. Though I am taking lupivastin and rosehip extract (Co-rosiflex C) but pain has not subsided completely. Since last 3 months I developed pain in upper right arm and shoulder. I took pain killers for few days 2 -3 times but the pain did not subside so my doctor suggested for USG of arm which showed muscle rupture (suprataneous) and fluid collection in upper arm and I am undergoing physiotherapy as advised. The pain increases while sleeping and I have pain in upper arm and shoulder on getting up as well. After some exercise the pain is relieved but it mild pain remains which aggravates by night or occasionally during day while driving or doing some particular activities. For last few weeks I have developed similar kind of pain in my left arm and shoulder. I want to know what could be the case of such pain, is it related to auto immune conditions or is it due to something else. What course of action is recommended for diagnosis and treatment.

MBBS
General Physician
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I am suffering from chronic urticaria since more than 2 years and it has reached level of auto immune disease. I am a...
Kindly do a blood test called as Allergy screening test and revert back with reports and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

Me feet aching very soon. Can not walk or stand even short. Can you please suggest.

MBBS
General Physician
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Me feet aching very soon. Can not walk or stand even short. Can you please suggest.
You may be on two conditions 1) vitamin b12 deficiency 2) increased serum uric acid level so you should go for further investigations.

I am 20 years old and my body pains everyday. What shall I do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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I am 20 years old and my body pains everyday. What shall I do?
what is the severity of pain? is the pain continous or intermittent? is it pulsating? since pain is a complex phenomenon, there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.

I am 20 years old men have some pain in my body.What can i do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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I am 20 years old men have some pain in my body.What can i do?
What is the severity of pain? is the pain continous or intermittent? is it pulsating? since pain is a complex phenomenon, there are many treatment options medications, therapies, and mind-body techniques. Apart from pain killers, there is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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