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Dr. Sumedha Ahel Kotwal

MBBS

Pathologist, Delhi

500 at clinic
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Dr. Sumedha Ahel Kotwal MBBS Pathologist, Delhi
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Sumedha Ahel Kotwal
Dr. Sumedha Ahel Kotwal is a trusted Pathologist in Vasundhara Enclave, Delhi. She has completed MBBS . You can visit her at Dharamshila Hospital and Research Centre in Vasundhara Enclave, Delhi. Save your time and book an appointment online with Dr. Sumedha Ahel Kotwal on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 41 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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MBBS - - -

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Dharamshila Hospital and Research Centre

Vasundhara Enclave Near:New Ashok Nagar Metro Station, DelhiDelhi Get Directions
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Dharamshila Hospital

Dharamshila Marg, Vasundhara Enclave Landmark : New Ashok Nagar Metro StationDelhi Get Directions
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When I play my face is going to br red and after some time there is pain in my whole body.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
When I play my face is going to br red and after some time there is pain in my whole body.
Medicine german kali bi chrom 200 4-5 drops orally single dose morn mixed fruit juice daily evening.
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I'll get body pains and specially legs pains allot after completing my bathroom. What to do? Please advise.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I'll get body pains and specially legs pains allot after completing my bathroom. What to do? Please advise.
pain is complex phenomenon, so 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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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 had fever with body pain and leg, foot pain past 3 weeks back. But till today my foot is paining. Pain comes when I sit for long time and at the time of wake up from sleep. No fever now but only pain exists. What I need to do?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I had fever with body pain and leg, foot pain past 3 weeks back. But till today my foot is paining. Pain comes when I...
Simply massage some sesame oil on the foot and dip it in hot water. After that tie it well. The pain will be gone. Also try having 2 tsf cow ghee in 1 glass of hot milk. It will relax the pain.
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I have some pain in my body at morning time for last 4-5 days then what should I do.Please tell.

MBBS, cc USG
General Physician, Gurgaon
I have some pain in my body at morning time for last 4-5 days then what should I do.Please tell.
Body pain may be due to 1. Fever 2. Abrupt start or stop of exercise 3. Any other medical disease like anaemia/ hypoproteinemia/ thyroid problem 4. Vit d deficiency 5. Multimineral and vitamin deficiency 6. Stress/ anxiety 7. Over exertion (physical and mental follow advises given below: 1. Take adequate rest 2. Proper diet 3. Measure your temperature and tell me reading 4. Avoid stress consult again if symptom persist.
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My body get heat up even weather is cold. I can not sit at one place more than 1 hour my body start paining. In morning time I frequently go for toilet. Tell me reason?

MD - Psychiatry
Psychiatrist, Chennai
My body get heat up even weather is cold. I can not sit at one place more than 1 hour my body start paining. In morni...
You need to have blood tests, especially thyroid and other hormonal tests to find the reason. The symptoms you say is very common in hyperthyroidism.
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I am 19 year old boy .lately I have been witnessing excessive body pain lately .i do workout 3 times a week .But I think its some different issue .what is causing this?

MBBS, MD - General Medicine, FCCS,USA, DIPLOMA IN HOSPITAL MANAGEMENT, POST GRADUATE DIPLOMA IN JOURNALISM AND MASS COMMUNICATION
Sexologist, Jaipur
I am 19 year old boy .lately I have been witnessing excessive body pain lately .i do workout 3 times a week .But I th...
Dear if you are doing workout excessively then please stop doing this just concentrate on your diet increase amount of proteins in your diet like you can take paneer, soya bean and fruits and vegetables to increase fibre content in your diet and just do workout for only 20 to 30 minutes per day. Drink lot of fruits liquids.
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Its been three days I have a swelling on my butt, it is very painful. I have used Diclomol to reduce pain as per the local doctor prescribed but its not cured. I get relief from pain when I use the tablet. What should I do to become normal and why it has happened?

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
Its been three days I have a swelling on my butt, it is very painful. I have used Diclomol to reduce pain as per the ...
Dear lybrate-user, It could be infection of hair follicle, or any other boil. Only after examining the area we can be sure of it. If it turn out to be infection, you need to take antibiotics and painkillers. Only painkiller will not help you. Consult Physicians. I wish for your rapid recovery.
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I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surgery at this age. Bearable pain while walking.

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I am 49 years male. I am suffering from Knee Arthritis left leg. Doctors suggested me no to go for replacement surger...
Hello lybrate user, arthritis is a degenerative condition which progresses with aging. It goes through different stages like mild, moderate and severe arthritis. You might be suffering from arthritis at the age of 49 because of some pre-disposing condition but it usually presents in patients greater than 55 to 60 years. You have mentioned that you have bearable pain while walking. You might be in the early stages of arthritis. This can be managed by lifestyle modifications like light exercises, weight reduction, physiotherapy for the muscles of knee to maintain the mobility and strengthen the muscles. This might decrease your pain as well. If you have persistent pain, it might respond to painkillers. Surgery is advisable to only those who have unbearable pain and who are unable to do their daily routine activities because of the advanced arthritis. The other disadvantage of surgery at an early age is the limited life span of the prosthetic knee joint. Even in ideal cases has a life span of 15 to 20 years, after which you might need to undergo revision surgeries which are complex and are associated with a high rate of complications. So considering an average of 12 years of implant survival, by the age of 70 to 75 you might need a second revision surgery. Therefore, it is best to delay surgery as much as possible unless you have complications like decreasing movement at the knee joint or development of a severe deformity because of a severe grade of arthritis or unbearable pain not responding even to the highest doses of medications. Hope this helps.
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I have half headache all the time and I have also body pain what can I do please tell me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have half headache all the time and I have also body pain what can I do please tell me.
Hi take pranacharya no tens capsule 1_1 twice a day...1-1 drop of cow ghee in both nostrils at night time before sleep...take shirshooladi vajra ras twice a day with honey....avoid tea and coffee
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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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How To Get Rid Of Ache And Pain With Help Of Ayurveda?

Diploma in Hospital Administration, Post Graduate Diploma in Healthcare Management (P.G.D.H.M), Diploma in Herbal Beauty Therapy & Cosmotology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
How To Get Rid Of Ache And Pain With Help Of Ayurveda?

It’s not just painful but also very irritating to have that odd neck, back, knee or any other muscular pain. Just sitting and waiting for the pain to go is something that we just cannot do. We want instant relief! Some of us wonder how we even got this pain. Asking around we find answers such as an incorrect posture of the body, too much of physical stress on a particular muscle or staying still in one position for a long time. Right, long working hours sitting in front of a computer.

  • Ayurveda dives a bit deeper to find out the cause of muscular pain. According to Ayurveda, the muscle pain is caused by collection of harmful toxins in a particular area of the body which blocks the smooth transportation of essential nutrients, which leads to the aggravation of the “Vata” element in the body and causing muscular pain. There is no exception to any age group from this pain.
  • Once again, body, diet and health, are all inter- linked. Ayurveda says a prominent way to avoid muscular pain is our diet. Cheese, cakes, meat, processed food, caffeine are strictly to be avoided by Ayurveda. This is because these kinds of foods dry up the muscles making them stiff and causing pain.
  • If a person experiences muscular pain, Ayurveda has natural and chemical free methods to manage the pain. The main method is the practice of Abhyanga. It includes the application of oil all over the body, and massaging the areas where pain is experienced gently. This improves blood circulation with the nutrients needed all over the body. The heating properties of the oil stimulate the same.
  • At Dr. Vaidya’s, we have innovative products which help in prevention and management of muscular pain. One of them is the evergreen super popular, Rumox Balm. Rumox balm is a special Ayurvedic formulation that has an anti-inflammatory properties and an analgesic effect. Apart from treating swelling and muscular pain, it also provides relief from all types of arthritic pain.
  • Another product tried by thousands of our loyal customers is Sandhivati, which is a strong formulation for treatment of arthritis. Composed of Maharasnadi Quath Ghan powder and Mahayograj Guggul powder, this product is used for effective treatment of muscular, joint and arthritic pain.
  • We also have special herbal massage oil called Nirgundi Oil, a formulation of Til Oil, Castor Oil, Sarsav Oil and Nirgundi Extract. It is to be gently applied over the pain affected area.
  • We have a range over thirty products that include your daily use products such as Herbodanty, medicine for cold, cough, shampoo etc. Our in-house doctor, Dr. (Mrs.) Surya Bhagwati (BAMS, DHA, DHHCM, and DHBTC) can help you build your Ayurveda knowledge and help diagnose any medical issues you may be suffering from. Following our founder, Dr.Natoobhai Vaidya. Legacy we continue to offer free consultation to all our patients. We strive to be one of the best Ayurvedic Clinics in Mumbai while following his beliefs of providing high quality medicine, superior customer care and to be dedicated to our patients welfare.

I am 20 year old and I have a pain in my whole body as I wake up in morning. Feel like to sleep and legs and other body parts become tightened. May you please tell me what type of diet should I take to keep my body always active and fit.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 20 year old and I have a pain in my whole body as I wake up in morning.
Feel like to sleep and legs and other bo...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity strengthening and stretching and breathing exercises for about 30 minutes regularly Best Wishes
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Hi. Body ache sometimes A lot so I am using diclofenac plus tablet. Could you suggest me another medicine.

MBBS
General Physician, Jalgaon
Hi.
Body ache sometimes A lot so I am using diclofenac plus tablet. Could you suggest me another medicine.
Please Avoid rice, brinjals, fish, besan, chana Go for morning and evening walk daily Take Cap arnopen by phyto pharma 20 2 2 for 5 days Tab aamvatari by dabur 20 2 2 for 5 days Cap cytoneck E R 5 1 Reconsult after 5 days for further advice.
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Sir I have pain in diaphragm after bike accident Pain by weight lifting and pain by coughing in diaphragmatic region please help me sir.

MD - Psychiatry
Psychiatrist, Chennai
Sir I have pain in diaphragm after bike accident Pain by weight lifting and pain by coughing in diaphragmatic region ...
If pain during coughing it means, lung/ Pleura are affected. You need to do a CT scan of Chest and consult a chest physician.
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I am a 48 year old male always suffering from terrible body ache especially on legs and back what should I do? suffered from slip disc 7 yrs ago. I drive bike daily 30 kms to work is this the reason? please advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your persistent back pain could be due to you driving a 2 wheeler since a long time. Can you tell me whether your leg pain you feel is radiating from your lower back region or is it an independent entity? also do you feel any numbness, weakness, paresthesias in legs as well? have you got some investigations like x rays of your back and blood tests like vitamin d tests for leg pain etc? do not hesitate to contact me if you need any further assistance.
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I am 36 year male suffering from regular leg pain above ankle and also numbness in feet while walking. The condition goes away when I stop for few minutes and again resurfaces when I start walking again. What should I do?

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I am 36 year male suffering from regular leg pain above ankle and also numbness in feet while walking. The condition ...
Hello lybrate user, the symptoms you are describing are similar to what we call claudication. In common language, it is development of symptoms of pain etc in the lower limbs after one does some previously accustomed activity ie one was able to do those activities easily but are causing symptoms now. It occurs due two causes. Firstly, vascular problem causing decreased blood supply to the muscles of the lower limb which is now inadequate to maintain the demands of the muscle while doing activity. Secondly, neurological problem in which there is stenosis in the spinal canal which transmit the nerves from brain to the lower limbs. This stenosis causes decreased space for the nerves and their vessels causing pain in the lower limbs. With the details you have provided, and your profile, it looks more like a spinal canal stenosis. I would suggest you to see a spine surgeon or an orthopaedician for a detailed assessment. I would also suggest you forward bending exercises and exercises to strengthen your abdominal muscles. Hope this helps.
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Why do body pain come after we recover from. High fever and cold, is that a symptom of any other flu.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Why do body pain come after we recover from. High fever and cold, is that a symptom of any other flu.
no ..fever is ;like stress to body and much of body's energy has been spent in dealing with that fever .. hence body feels weak and body pains take lots of fluids and sprouts in diet then
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I am having severe throat pain, head ache and my whole body is paining suggest me some medicines and some useful home tips to reduce throat infection.

MS - ENT
ENT Specialist, Gandhinagar
I am having severe throat pain, head ache and my whole body is paining suggest me some medicines and some useful home...
Tonsillitis: for tonsillitis, antibiotics added to it anti allegic and analgesics and antiseptic gargle helps, if you are having tonsillitis off and on you may require to go for tonsillectomy operation.
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I have minor body pain from about 5 days. Is this due to work or something else? what should I do?

Diploma In Dermatology And Venerology And Leprosy (DDVL), MBBS
Dermatologist, Ranchi
I have minor body pain from about 5 days. Is this due to work or something else? what should I do?
Short duration body ache & fever is mainly due to exertion, or some stress or viral infections, malaria, dengue. Take tab diclogesic one tab twice daily for 2 days,& please consult with full detail. So we can help u.
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