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Dr. Ramesh Dawar

Pathologist, Delhi

Dr. Ramesh Dawar Pathologist, Delhi
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ramesh Dawar
Dr. Ramesh Dawar is a trusted Pathologist in Vasundhara Enclave, Delhi. You can visit him at Dharamshila Hospital and Research Centre in Vasundhara Enclave, Delhi. Save your time and book an appointment online with Dr. Ramesh Dawar on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 43 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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Vasundhara Enclave Near:New Ashok Nagar Metro Station, DelhiDelhi Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I am a student and in last 2 months I have body pain what medicine should I take?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am a student and in last 2 months I have body pain what medicine should I take?
Do take balanced diet and hyderated avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 15 minutes duration each time regularly best wishes.
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I am suffering from heavy body pain and a headache can it be a symptom of any disease such as chicken pox.

MD - Medicine, MBBS
General Physician, Kangra
I am suffering from heavy body pain and a headache can it be a symptom of any disease such as chicken pox.
headache and body pains can be symptom of any viral fever not necessorily chicken pox...if vesicular rash appear with fever...then probably
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Whole body pain especially nees and shoulders feels like having slightly chillies and tonsils as well is taking salt water goggles will help or should I consult a doctor please advise.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Whole body pain especially nees and shoulders feels like having slightly chillies and tonsils as well is taking salt ...
Dear lybrate user, According to your details mentioned it seems that it is all due to throat infection. Avoid spicy coldoily food first . Do gargles thrice a day after every meal. Drink boiled milk by adding turmeric powder sugar and ghee daily at night for three days. Take fruits light meal in a day. Take Belladona 30 thrice a day five drops in water.
1 person found this helpful
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I am 20 years old male have been suffering from severe body pains, tried home remedies but no use what to do now please help me.

MBBS, cc USG
General Physician, Gurgaon
I am 20 years old male have been suffering from severe body pains, tried home remedies but no use what to do now plea...
i advise you 1. Proper diet and, recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Daily is a multivitamin and multimineral tablet completely natural, provides 13 essential vitamins & 11 minerals Also contains organically grown exclusive NUTRILITE plant concentrate which provide additional advantage of phytonutrients 2. Meditation 3. regular physical activity Consult me for further management
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I feel pain in legs,hend fingers,high hunger,thirst and there are some white thing in my urine.i also feel weakness and low stamina. Plese dr. Tell me that what can i do for my treatment ?

MD - Psychiatry
Psychiatrist, Indore
If you are suspecting that you are passing 'dhat'. Let me know.this is not an illness unless you believe so.if you think you are suffering from some ' gupt' or secret illness do write again, because it is not.
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What is the Best way to rid out of the stone pain? Operation or any other treatment?

PGDHHM, MBBS
General Physician, Delhi
What is the Best way to rid out of the stone pain? Operation or any other treatment?
Thx for the query. It's not clear you want to know abt gall bladder stone or stone of urinary tract. For gall bladder stone, you need surgery. Gall bladder removal. For urinary tract stones. The treatment depends on the size of the stone and the location. It might need surgery if stone is big in size. If small, only medications and plenty of liquids orally may be required. Hope this answer helps you.
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Know your Pain

FIPP, MD, MBBS
Pain Management Specialist, Ahmedabad
Know your Pain

Our pain is the second-most-common problem which makes people seek medical advice. Injuries and illnesses are typical triggers of pain.

Another reason is age-related degeneration, and most cases seen by pain specialists fall in this category. Everyone experiences some degree of pain in day to day life.

And it is a human tendency to ignore the pain, till it takes some serious dimension and begins to interfere with one's daily routine like work or socializing with family and friends or when it doesn't let you sleep peacefully.

Experts say, this tendency of ignoring pain should be avoided as negligence at initial levels can make the pain chronic and more harmful. In fact, in many cases, the damage due to pain becomes irrevocable if it is ignored for too long.

Currently, millions of people worldwide suffer from chronic pain of varying degrees. Increasing aging population worldwide, growing number of surgical procedures being performed, changing lifestyles, increasing the incidence of cancer are some of the factors causes increasing number of patients.

Hello sir, I have fever and cold for so many days and body pain also. What to do please tell me?

MBBS
General Physician, Faridabad
Hello sir, I have fever and cold for so many days and body pain also. What to do please tell me?
take 1 tab sinarest at night , steam inhalation. saline garggles, it will help you. welcome for further help
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Treatment of frozen shoulder

BPTh/BPT
Physiotherapist, Pune
Treatment of frozen shoulder
Treatment of frozen shoulder varies depending on the stage it is at, and how severe is the pain and stiffness. There is no outright cure and the aim of treatment is to keep the joint as mobile as possible. The most effective treatment is that which maintains a good range of movement until the shoulder starts to heal.

Treatment may Include the following:

1. Shoulder exercises: Regular, gentle exercise can help to keep the shoulder joint mobile. If your shoulder is very stiff, exercise may hurt, and it should only be carried out with the guidance of your doctor or physiotherapist. If you are able to, continue using your shoulder as normal saving' the shoulder can cause the muscle to waste and may make stiffness worse.
2. Painkillers: Over-the-counter painkillers such as paracetamol or prescription-only drugs such as codeine may be taken to ease pain and you should discuss this with your general physician or pharmacist.
3. Anti-inflammatory painkillers: Such as ibuprofen and diclofenac, are often prescribed to ease pain and inflammation. Any medication that you take should be discussed with your general physician or pharmacist.
4. Steroid injections into or near the shoulder joint may be effective at relieving pain and inflammation for a few weeks. However, injections are not a cure, and symptoms may return.
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I am 30 years old and having body ache, resistance power is decreased, get tired soon. Get pain in lower and upper abdomen.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Send me complete details in private. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically.
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I was travelling for the last two days in train now my body is paining what to do now.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I was travelling for the last two days in train now my body is paining what to do now.
Do have little stretches to the body and by small walk inside the train to and fro for about 15 minutes three times a day Best Wishes
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I've been suffering from body pain from almost 6 months and it is now un bearable specially at the shoulder and the upper joint of my leg. What should I do?

M.D,Psychiatry
Psychiatrist, Amritsar
Go for blood for serum uric acid and rhumatoid factor. Take tab etoroxib 90mg daily. Report after test.
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I met an accident and after check up found out that I am having a hairline fracture on my right feet. I am facing severe pain and swelling. What should I do now? Please help.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I met an accident and after check up found out that I am having a hairline fracture on my right feet. I am facing sev...
1. Avoid weight bearing on fracture limb. 2. Take over the counter available anti inflammatory drugs like ibuprofen round the clock for decreasing pain and swelling. 3. Keep limb elevated while sleeping, by keeping it on a pillow. 4. Consult your local orthopaedician for detailed evaluation and management.
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Hello Doctor! I am feeling too much of heaviness in my chest and it keeps shifting left, right and centre. I have full body pain also. Please suggest.

DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Jaipur
Hello Doctor! I am feeling too much of heaviness in my chest and it keeps shifting left, right and centre. I have ful...
No need to worry. It does not look like near attack symptoms. Please do yoga and other stress relieving exercises.
3 people found this helpful
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I have body pains over more than from a week and which I can not bear them now anymore.

BHMS
Homeopath, Faridabad
I have body pains over more than from a week and which I can not bear them now anymore.
Hello, please check if you have fever. Now take alpha mp, 15 drops with water twice daily. Rhus tox 200, 5 drops once daily.
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I am having tiredness all the day and feeling body pain and all when I woke up in the morning I feel tired not fresh.

MD
Psychiatrist, Delhi
I am having tiredness all the day and feeling body pain and all when I woke up in the morning I feel tired not fresh.
Do your routine investiagtions like CBC, BSL, URINE, THYROID,LFT. After that get back to us again. It will be easy to analyse your problem.
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I have body pain and also headache with little bit cold and my eyes is also like burning what should I do for this?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I have body pain and also headache with little bit cold and my eyes is also like burning what should I do for this?
There are several things you can do to prevent a cold. they are all easy. -Always wash your hands after coughing or sneezing into your hands, blowing your nose, after touching someone who is sick, or when using public restrooms or telephones. -Cover your mouth and nose when you sneeze or cough. -Get plenty of rest/sleep.staying at home will keep you from spreading germs.Avoid people who have a cold or cold symptoms. -Drink plenty of fluids(veg/tomato soups,dal water/coconut water/herbal tea etc), and eat nutritious food(like sprouts/boiled eggs without yolk with milk). Avoid foods or drinks with caffeine which can impair your sleep -Treatment:A cold usually lasts for a week or two. Unless you develop complications, you shouldn't need medical treatment. -Complications like infections of the ears, throat, sinuses or lungs must be treated with antibiotics. -Gargle to keep from getting a sore throat. -Use saline nasal sprays or nasal irrigation. -Tablet nasorest-p once/twice daily may ease breathing. -Do steam inhalation once or twice daily
3 people found this helpful
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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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I'm 22 years old and I'm gaining lot of weight and I'm not getting sleep at nights and I have thyroid and I'm using medication thyronorm 100 MCG but still gaining weight and after taking 100mcg I'm suffering from lots of body pains can you suggest me what should I do even what should I take for getting my thyroid normal.

Vaidya Visharad
Ayurveda, Narnaul
I'm 22 years old and I'm gaining lot of weight and I'm not getting sleep at nights and I have thyroid and I'm using m...
It is very important for you to remove fried foods from your diet if you have any intentions of losing weight. • Make sure that you do not include fried chicken, fried meat, fried rice or any other fried snacks in your daily diet. • If you completely eliminate fried foods you can see remarkable changes in your weight in a month or two.
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