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Dr. Veena Malhotra

Pathologist, Delhi

Dr. Veena Malhotra Pathologist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Veena Malhotra
Dr. Veena Malhotra is a renowned Pathologist in Rajender Nagar, Delhi. You can visit her at Dr. Veena Malhotra@BLK Super Speciality Hospital in Rajender Nagar, Delhi. Book an appointment online with Dr. Veena Malhotra and consult privately on Lybrate.com.

Lybrate.com has an excellent community of 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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Hindi

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#5, Pusa Road. Landmark : Near Rajendra Palace Metro Station.Delhi Get Directions
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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
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I am experiencing severe body pains and headache since 4days. Is this flu of any kind or is it regular?

MBBS, MBA (Healthcare)
General Physician, Delhi
I am experiencing severe body pains and headache since 4days. Is this flu of any kind  or is it regular?
check your BP. Check your eye sight. take rest and proper sleep. take crocin pain relief one sos for severe headache.avoid stress. inform if not ok.
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Chronic pain is a Disease and not a symptom

Fellow of Endoscopic spine surgery (FENDS) , Fellow of Interventional spine & pain (FISP) , MD-Anaesthesiology & Pain Medicine, Fellow of Pain Management (FPM) , DA( Gold medal-Anaesthesiology & Pain Medicine) , MBBS
Pain Management Specialist, Delhi
Chronic pain is a Disease and not a symptom

People who suffer from severe, chronic back pain know how it can utterly disrupt and damage one's life. Chronic back pain can be cruel-making it hard to enjoy even the simplest daily activities, and certainly making it a challenge to carry out an exercise routine and other healthy activities. Moreover, chronic pain was not previously all that well understood. The medical profession used to believe that pain is always a manifestation of an underlying injury or disease. As such, doctors focused on treating the underlying cause of the pain, with the belief that once the injury or disease was cured the chronic pain would then disappear.

If no underlying cause could be found for the pain, then the patient was told that very few treatments are available, or worse, 'the pain must be in your head'. Unfortunately, some doctors still practice in this manner, having no appreciation for the unique problem of chronic pain, newer theories about chronic pain, and the many factors that influence a chronic pain problem.

The medical community is starting to understand that if pain is no longer a function of a healthy nervous system (signaling that there is a disease or underlying injury), then the chronic pain itself becomes the problem and needs to be treated as the primary pathology.

The Experience of Chronic Pain

Contrary to popular belief, all pain is real. This may seem like an obvious statement, but people with chronic pain are sometimes treated as if their chronic pain is either imaginary or exaggerated. In some cases, they feel like they have to prove their chronic pain to their friends, family, and doctors. Some patients are told by their doctor that there is no reason for the chronic pain and therefore 'it cannot be that bad'.

Chronic pain is a personal experience and cannot be measured like other problems in medicine, such as a broken leg or an infection. For instance, a broken leg can be confirmed by an X-ray and an infection by a blood test measuring white blood cell count. Unfortunately, there is no medical test to measure chronic pain levels.

To make matters more challenging for the patient, for many chronic pain problems, there is no objective evidence or physical findings to explain the pain. Thus, many chronic pain sufferers go from one doctor to the next searching for explanations. This process can lead to unnecessary evaluations and treatments, in addition to putting the patient at risk for actually being harmed or made worse by the healthcare profession.

Everyone experiences and expresses pain differently. Two people with the exact same injury will feel and show their pain in unique ways depending on a number of things such as:

  • The situation in which the pain occurs
  • Thoughts about the chronic pain, such as 'this is nothing serious' versus 'this pain could kill me'
  • Emotions associated with the chronic pain, such as depression and anxiety versus hopefulness and optimism
  • Cultural influences determining whether a person is to be more stoic or more dramatic in showing pain to others

The newest theories of chronic pain can now explain, on a physiological level, how and why people experience pain differently.

Types of Back Pain: Acute Pain, Chronic Pain, and Neuropathic Pain

Understanding how pain is defined is important in order to learn how to better control it. For the purposes of research and medical practice, pain can be separated into three categories:

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

One common type of pain is acute pain, currently defined as pain lasting less than 3 to 6 months, or pain that is directly related to tissue damage. This is the kind of pain that is experienced from a paper cut or needle prick. Other examples of acute pain include:

  • Touching a hot stove or iron. This pain will cause a fast, immediate, intense pain with an almost simultaneous withdrawal of the body part that is being burned. More of an aching pain might be experiencing a few seconds after the initial pain and withdrawal.
  • Smashing one's finger with a hammer. This pain is similar to that of touching a hot stove in that there is an immediate pain, withdrawal and then 'slower' aching pain.
  • Labor pains. The pain during childbirth is acute and the cause is certainly identifiable.


The longer pain goes on the more susceptible it is to other influences and developing into a chronic pain problem. These influences include such things as the ongoing pain signal input to the nervous system even without tissue damage, lack of exercise (physical deconditioning), a person's thoughts about the pain, as well as emotional states such as depression and anxiety.

Chronic Pain

There are at least two different types of chronic pain problems - chronic pain due to an identifiable pain generator (e.g. an injury), and chronic pain with no identifiable pain generator (e.g. the injury has healed).

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly identifiable cause. Certain structural spine conditions (for example, degenerative disc disease,spinal stenosis and spondylolisthesis can cause ongoing pain until successfully treated. These conditions are due to a diagnosable anatomical problem.

If the pain caused by these types of conditions has not subsided after a few weeks or months of conservative (nonoperative) treatments, then spine surgery may usually be considered as a treatment option.

Chronic pain with no identifiable pain generator
This type of pain continues beyond the point of tissue healing and there is no clearly identifiable pain generator that explains the pain. It is often termed 'chronic benign pain'.

It appears that pain can set up a pathway in the nervous system and, in some cases, this becomes the problem in and of itself. In chronic pain, the nervous system may be sending a pain signal even though there is no ongoing tissue damage. The nervous system itself misfires and creates the pain. In such cases, the pain is the disease rather than a symptom of an injury.

The term 'chronic pain' is generally used to describe the pain that lasts more than three to six months, or beyond the point of tissue healing. Chronic pain is usually less directly related to identifiable tissue damage and structural problems. Examples of chronic pain are: chronic back pain without a clearly determined cause, failed back surgery syndrome (continued pain after the surgery has completed healed), and fibromyalgia.

Chronic pain is influenced by many factors, such as ongoing pain signal input to the nervous system even without tissue damage, physical deconditioning due to lack of exercise, a person's thoughts about the pain, as well as emotional states such as depression and anxiety. Chronic pain is much less well understood than acute pain.

Neuropathic Pain

Neuropathic pain has only been investigated relatively recently. In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage.

Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category but it has a different feel then the chronic pain of a musculoskeletal nature.

The neuropathic pain feels different than musculoskeletal pain and is often described with the following terms: severe, sharp, lancinating, lightning-like, stabbing, burning, cold, and/or ongoing numbness, tingling or weakness. It may be felt traveling along the nerve path from the spine down to the arms/hands or legs/feet. It's important to understand neuropathic pain because it has very different treatment options from other types of back pain. For example, opioids (such as morphine) and NSAID (such as ibuprofen, COX-2 inhibitors) are usually not effective in relieving neuropathic pain. Treatments for neuropathic pain include certain medications, nerve 'block' injections, and a variety of interventions generally used for chronic pain.

When Acute Pain Becomes Chronic Pain

It is critical for a doctor and a patient to have an understanding of the difference between acute pain and chronic pain. With acute pain, the pain is a symptom of injured or diseased tissue. When the injury has finished healing, the correlating pain will subside. For example, with a herniated disc, once the pressure on the nerve is alleviated the acute pain stops. For this reason, medical treatment for acute pain focuses on healing the underlying cause of the pain.

Additionally, with acute pain, the severity of pain directly correlates to the level of tissue damage. This provides us with a protective reflex, such as to stop an activity when it causes pain. However, chronic pain does not serve a protective or other biological function. Treatments will be different depending on the underlying cause of the pain.

Chronic Pain Development

Not all pain that persists will turn into chronic pain. Different people experience chronic pain very differently. Likewise, the effectiveness of a particular treatment for chronic pain will often differ from person to person. For example, a particular medication or injection for a herniated disc may provide effective pain relief for some people but not for others.

One problem is that not all patients with similar conditions develop chronic pain, and it is not understood why some people will develop chronic pain. Also, a condition that appears relatively minor can lead to severe chronic pain, and a serious condition can be barely painful at all.

As pain moves from the acute phase to the chronic stage, influences of factors other than tissue damage and injury come more into play and influences other than tissue input become more important as the pain becomes more chronic.

Pain medicine and pain management as a medical specialty is relatively new. However, now that chronic pain is becoming recognized as a primary problem, rather than always being a symptom of a disease, the specialty of pain management is starting to grow.

1 person found this helpful

I am suffering in cold at last 45 day. And my hole body is paining. So what should I do?

MBBS
General Physician, Cuttack
I am suffering in cold at last 45 day. And my hole body is paining. So what should I do?
1. Do steam inhalation by steam inhaler 2-3 times daily with karvol plus inhalant capsule 2. Put otrivin nasal drop 1 drop thrice daily. 3. Take one tablet of levocetrizine (5mg) at bed time. 4. Drink lukewarm water/hot soup/herbal tea etc 5. If you have recurrent attack of cold you may be having sinusitis/allergic rhinitis 6. Take plain xray pns/ct scan of pns after consulting ent specialist to exclude sinusitis and take treatment accordingly 7. If sinusitis is excluded, it I could be due to allergic rhinitis, do an allergy test after consulting allergy specialist/immunologist to find out the cause of allergy and follow the treatment and advice accordingly.
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Mere pairo me askar dard rhta h jb dwa kha leta hu tb thik bt uske bad fir waisa ho jata hai.

MBBS
General Physician, Mumbai
Mere pairo me askar dard rhta h jb dwa kha leta hu tb thik bt uske bad fir waisa ho jata hai.
Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and vitamin D3 60000iu once a week for six months
1 person found this helpful
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I am suffering from body pains. And how can I relief from pains? At the age of 35 I was good healthy and now am waking then how get rescue from it?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am suffering from body pains. And how can I relief from pains? At the age of 35 I was good healthy and now am wakin...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 20 minutes regularly Best Wishes
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I am female age 24 unmarried. everyday I feeling tiredness and body pain at night and in my periods heavy bleeding and severe stomach pain. Can you suggest remedy for this.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am  female age 24 unmarried. everyday I feeling tiredness and body pain at night and in my periods heavy bleeding a...
Homoeopathy has good treatment for your problem, without causing adverse effects. Take homoeopathic medicine cimicifuga 30 daily in the morning and in the evening and give feedback after 6 days.
2 people found this helpful
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My full body pain and eyes pain and what rules of fever save life. Please advise.

MBBS
General Physician, Mumbai
My full body pain and eyes pain and what rules of fever save life. Please advise.
For fever take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest
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Meri half body me pain rehta h piche 5 saal se thik hi ni hota maine bohot dwaiya khali please help.

MBBS
General Physician,
Meri half body me pain rehta h piche 5 saal se thik hi ni hota maine bohot dwaiya khali please help.
You are having only bodyache no other sign and symptom pain is muscular or otherwise best thing would be to consolt a doctor near your locality. To find out the actual cause for this.

I have put on wait day by day and pain in body. So how can I loose wait and removed pain?

MBBS
General Physician, Cuttack
I have put on wait day by day and pain in body. So how can I loose wait and removed pain?
1. Do regular aerobic exercise like brisk walking/jogging/running/cycling/swimming for 1 hour daily 2. Reduce weight 3control diet 4. Avoid sweets, sugar, oily, fatty, excess calorie/cholesterol, saturated fat and carbohydrate rich diet. Take green leafy vegetables/fruits/salads. Drink plenty of water. Avoid junk food, bakery items like pizza/burger/cookies, soft drink, alcohol etc 5. Do yoga, pranayama, deep breathing exercise.
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I have suffering from heavy body pains form last two days. what to do please help me?

MBBS
General Physician, Mumbai
I have suffering from heavy body pains form last two days. what to do please help me?
Its a sign of fever and can take tablet paracetamol and Eat nutritious food and have adequate fluid intake and take physical rest
1 person found this helpful
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There is a pain in the ligaments of right feet. Thats why unable to move Wht I l hav to do.

MD - Homeopathy, BHMS
Homeopath, Ghaziabad
There is a pain in the ligaments of right feet.
Thats why unable to move Wht I l hav to do.
There seems to be a ligament injury in your case. It requires follows: 1. X-ray to rule out fracture. 2. Immobilisation, meaning bed rest for 7-10 days 3. If immobilisation is not possible then a cast is to be used. 4. Anti-inflammatory medicines, allopathic or homoeopathic. 5. Dip your affected foot in hot water (hot as much you can bear) for 10-15 min, dry your foot and use some ointment like volini gel and wrap it with a bandage and rest. Wish you a speedy recovery.
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I am 20 years old boy I am not to sleep last two nights and feeling cold and my body paining regular sir suggest me something what should I do?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 20 years old boy I am not to sleep last two nights and feeling cold and my body paining regular sir suggest me s...
Take pranacharya jukamonil syrup 1-1 tsf twice a day with warm water...and laxmi vilas ras 1-1 tab twice a day...take pranacharya allergin capsule 1-1 twice a day..1-1 drop of cow ghee in both nostrils at night time before sleep...avoid milk...cold drinks....take hot water steam....
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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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Dear Sir/madam, I am suffering with cough from two days onwards. While coughing time chest past giving more pain. And body pains also more. Kindly give the remedy.

MBBS
General Physician, Cuttack
Dear Sir/madam,
I am suffering with cough from two days onwards. While coughing time chest past giving more pain. And...
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily if it is a dry cough or viscodyne syrup if cough is associated with sputum 3. You may have to take antibiotic along with it after consulting physician, if no relief4. Avoid smoking if you smoke.
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I am 25 year old. I have suffered from bone ache for last 3 year. I have consulted the doctor bt I did not getreliefas I want. please recommend me how can I overcome with this problem. Thanking you.

MBBS, Diploma in Psychological Medicine, M.D Psychiatry
Psychiatrist, Kolkata
I am 25 year old. I have suffered from bone ache for last 3 year. I have consulted the doctor bt I did not getreliefa...
Probably you r suffering from somatoform pain disorder. Check your serum vitamin d3 level. Consult a good psychiatrist. Hopefully he/she can help u.
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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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