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Dr. Veena Singhal

MBBS, MD

Pathologist, Delhi

43 Years Experience
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Dr. Veena Singhal MBBS, MD Pathologist, Delhi
43 Years Experience
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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. Veena Singhal
Dr. Veena Singhal is one of the best Pathologists in Ashok Vihar, Delhi. She has been a successful Pathologist for the last 43 years. She has done MBBS, MD . She is currently associated with Veena Medical Laboratory in Ashok Vihar, Delhi. Book an appointment online with Dr. Veena Singhal and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Pathologists in India. You will find Pathologists with more than 34 years of experience on Lybrate.com. You can find Pathologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Maulana Azad Medical College, New Delhi, - 1975
MD - - 1978
Languages spoken
English
Hindi

Location

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Veena Medical Laboratory

#12, Central Market, Ashok Vihar. Landmark: Opp Punjab National Bank, DelhiDelhi Get Directions
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Hi, I am suffering from Typhoid for past one week. I am having severe body pain and my knees are paining a lot. This is the second time I have having Typhoid within a span of one year. Please advice how to avoid this in future also medication to relive from pain.

DIABETES EDUCATOR, PGDND, RMP -ALTERNATIVE MEDICINE, MEDICAL TRANSCRITPTINIST, M.SC, Msc nutrition
Dietitian/Nutritionist, Bangalore
Hi,
I am suffering from Typhoid for past one week. I am having severe body pain and my knees are paining a lot. This ...
Take bland semi solid diet like rice with yogurt, porridge, barley, fruit (avoid skin/seeds) custard, avoid spicy, oily and fatty food. Take light and easily digestible diet. Take meals at short interval to avoid nausa/vomiting. Take zeera decoction everyday and also do take a calcium rich diet. Avoid meat/poultry/egg for 2 months 4. Drink plenty of water/lime juice/ glucose and also sago sweets and sago items. Water/ coconut water, sugar cane/ fresh fruit (avoid citrus fruits) juice, milk 5. Take adequate rest and repeat vidal tests. Prevention typhoid is a bacterial infection affecting the gastrointestinal system and is due to fecal contamination of food, milk and water. It can be prevented by 1. Avoiding contaminated food and water/milk from out side sources like junk food etc 2 use purified drinking water and have warm home made food, 3. Avoid fly contamination of food, maintain food hygiene 4, properlyl wash your hands before taking food 5. Wash vegetable, fruit before consuming. Do consult me for a detailed diet chart.
2 people found this helpful

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

DHMS (Hons.)
Homeopath, Patna
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.

I had pain in my lower right abdomen in lower side. The pain is not constant. I feel pain when I bend towards front side. My height is 5.11 weight 93. Ultrasound show fatty liver. What should I do now>

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I had pain in my lower right abdomen in lower side. The pain is not constant. I feel pain when I bend towards front s...
Mild fatty change is normal in most people and avoid fatty food. Pain may be due to sprain on bending.

I am prabhas. I am suffering from back pain and often full body pain even leg also. What is the problem I drink daily 3 lt water But my urine will atleat one time yellow and there is some kind of burning after urine.

MPT, BPT
Physiotherapist, Noida
I am prabhas. I am suffering from back pain and often full body pain even leg also. What is the problem I drink daily...
Do the cat/cow avoid bending in front. Postural correction- sit tall, walk tall. Apply hot fomentation twice daily. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretchingstretch.

Getting pain in head and total body and back bone also what should I do sir please help me.

MBBS
General Physician, Mumbai
Getting pain in head and total body and back bone also what should I do sir please help me.
For pain take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest

What is Leprosy - Types, Symptoms, Treatment and more!

MBBS
Internal Medicine Specialist, Delhi

Leprosy:

Leprosy is a chronic contagious disease induced by Mycobacterium leprae bacterium. The disease primarily affects the skin, the exterior nerves, the nasal lining, the upper respiratory tract and the eyes. Leprosy damages the nerves, weakens the muscles and leads to skin sores in the body. It can lead to severe deformities and disabilities if not treated on time. This disease can trigger in early infancy and may even develop in adulthood.

Leprosy is among the primogenital diseases in history. References to this disease have been found from 600 B.C (as per the source from World Health Organization (WHO)).

Leprosy is also known by the name of Hansen’s disease. Leprosy is prevalent in various countries, mostly which have tropical or subtropical temperatures.

Types of Leprosy:

There are three different systems of classification of leprosy. According to the first system, leprosy is of two types: tuberculoid and lepromatous. Here, the immune response of a person to the disease defines what type of leprosy he/she has.

For example, in tuberculoid leprosy, a person exhibits good immune response with only a few skin sores on the body. This type of leprosy is considered mild and less contagious.

However, in lepromatous leprosy, the immune response is low and it causes extensive lesions and nodules on skin and also affects the nerves and other vital organs of the body. This form of leprosy is severe and highly contagious.

WHO classifies leprosy based on the kind and number of affected skin regions. According to them, the first type of leprosy is paucibacillary. In this category, there are five or lesser sores without any bacteria found in the skin sample. In the second type of leprosy, which is called multibacillary, there are greater than five sores with bacteria found in the skin sample.

There is another system called Ridley-Jopling system used by Clinical studies to classify leprosy depending on the type of symptoms. According to this system, there are six types of leprosy:

- intermediate leprosy: is that form of the disease where only some lesions appear that may heal by themselves or turn into a more severe form.

- tuberculoid leprosy: is a category in which few flat sores, some big and numb, with few lesions involving nerves are found; this form of leprosy may heal by itself, continue, or increase to a greater degree of severity.

- borderline tuberculoid leprosy: in this from wounds are like tuberculoid though smaller in size and more in number; with less nerve involvement; this form may continue, change to tuberculoid, or progress to other forms of the disease.

- mid-borderline leprosy: symptoms of this form are swollen lymph glands, rosy lesions with some numbness, which may reduce, continue, or advance to severe forms.

- borderline lepromatous leprosy: numerous lesions, some of which are flat, raised wounds, plaques, and lumps, with numbness; symptoms may continue, retrogress, or progress.

- lepromatous leprosy: in this form, numerous lesions develop with the presence of bacteria; patient has hair loss, nerve impairment, limb numbness, disabilities, and the symptoms do not retreat.

Transmission of Leprosy:

The exact method of spread of leprosy is unknown. However, the common belief is that the disease is transmitted by human contact with an infected person.  Recent studies point out to the respiratory tract as a possible route of transmission. There could be possibilities of the spread of the disease through insects too.

Leprosy is a highly contagious disease that spreads through the mucus of an infected person, usually when he/she sneezes or coughs. The bacterium that transmits the disease multiplies at a very slow rate. The incubation period i.e. the time between transmission and the onset of the first symptoms is like five years. The infected person may have the symptoms for as long as 20 years.

Signs/Symptoms

The cardinal signs of leprosy include:

- weakness in body muscles

- numb feeling in the hands, arms, legs, and feet

- skin abrasions

- thickened nerves causing nerve injuries

- painless ulcers

- eye damage

- hair loss (eyebrows)

- other deformities or disabilities of body organs

The skin sores become less sensitive to touch, pain or temperature variations. They persist till many weeks and become lighter as compared to the normal skin tone.

Diagnosis

Clinical diagnosis is through signs and symptoms like Hypopigmented patches of skin or red patches of skin with sensory loss or nerve damage or both.

Mostly, a skin biopsy or scraping is performed by a specialist. A small part of skin is removed and sent it to a lab for testing.

A lepromin skin test may also be performed to define the type of leprosy. For this, the doctor injects a small dose of leprosy-causing bacterium into the skin, usually in the upper arms. Patients with tuberculoid or borderline tuberculoid leprosy experience irritation with this injection.

There are other tests like CBC (complete blood count), creatinine test, LFT (liver function test), or a nerve biopsy that are conducted to see whether other body organs have been impacted.

Treatment

Leprosy can be cured with a multidrug therapy (MDT). Multidrugs are used because treatment with just a single antileprosy drug also called monotherapy can lead to a person becoming resistant to that drug. Treatment of Leprosy can last for six months or up to a year. The kind of drugs combined to develop the MDT is largely dependent on the category or form the disease has taken. Rifampicin is the key antileprosy drug used in the treatment of both the kinds of leprosy. For patients with multibacillary leprosy, it is recommended to use a combination of rifampicin, clofazimine and dapsone (as per WHO rules); for those with paucibacillary leprosy, a mix of rifampicin and dapsone is used to make the MDT.

Doctors even prescribe more than one antibiotic at a time. They may also give you an anti-inflammatory medicine such as aspirin, prednisone, or orthalidomide. Thalidomide is not recommended in pregnancy cases as it can lead to various birth defects.

Multidrug therapy (MDT) was first brought to notice by WHO in 1984. Soon it became the standard remedy for treating leprosy and WHO started supplying it free of cost to all countries prone to the disease. 

Complications

Leprosy is a disease that grows very slowly and the symptoms may appear for 20 years. If detected in the early phase, there are minor complications. But if treatment is delayed or the disease is diagnosed late, the complications can become severe. Some of the major complications witnesses are:

- loss of sensation in extremities

- nervous impairment 

- weakened muscles

- continued disfigurement (such as loss of eyebrows, disfigurement of the toes, fingers, and nose)

Risk Factors

People living in endemic areas are at a higher risk of contracting the disease. The disease is widespread in various parts of India, Nepal, Japan, Egypt, China and other areas across the world.

Those people who are in regular contact with infected persons for a sustained period of time have greater chances of getting the infection.

Some studies even provided evidence of the fact that genetic defects like region q25 on chromosome 6 may lead some people to have more possibilities of contracting the disease. Moreover, certain animals are known to carry the bacteria (such as sooty mangabey, armadillos, African chimpanzee, and cynomolgus macaque). People in contact with these animals are also at risk of being transmitted with the bacteria causing leprosy.

Myths

Myth #1: Leprosy does not exist anymore

Every two minutes, a person is diagnosed with leprosy. There are millions with the disease that are left undiagnosed every year. About two million people across the world have been already disabled by leprosy. The social stigma linked to the disease keeps people away from getting the right treatment, thus leading to life-term deformities in their body organs. Therefore, it is very important to do away with this prejudice associated if we want to end leprosy forever.

Myth #2: Leprosy cannot be cured

Leprosy is 100% curable through a multi-drug treatment, which involves a combination of two or more drugs.  Once treatment is started in an infected person, chances of spread of the infection become very less or is completely ruled out.

Myth #3: Leprosy may lead to loss of fingers, toes, and limbs

Leprosy does not lead to loss of body organs. However, it can cause deformities or disabilities in the body organs due to nerve damage, especially in the areas like face, hands and feet. The nerve damage leads to sensory loss in these areas and sometimes, motor function or movement of limbs is compromised. A person may not be able to blink, move their hands and fingers or get hold of objects.  

Small lesions may lead to ulcers and infection. This causes shortening of digits not falling off or completes loss.  With severe forms of leprosy, walking and moving abilities may also be crippled. When facial nerves are affected, it might lead to eye damage or blindness.

Myth #4: Leprosy affects the elder population

Since leprosy has a long incubation period, symptoms appear very late in life causing people to think so. Whereas the fact is that leprosy has no relation to age and recent cases that have come to light consist of 10% children.

Myth #5: Leprosy is the consequence of sins of past life or immoral character

This is just a superstition. Leprosy is caused by bacterium Myobacterium leprae.

Myth #6: A person infected with leprosy should be isolated

Not really. A person undergoing treatment will not transmit the disease as the bacterium is killed with antibiotic drugs and the infection is no longer contagious. Thus, the infected person under treatment does not need to be isolated from the rest.

Important Facts of Leprosy:

- Leprosy is a contagious disease that develops slowly and damages the skin and the nerves.

- Leprosy is caused by bacterium Mycobacterium leprae.

- Early signs appear in skin extremities with loss of sensation.

- Symptoms of leprosy are painless ulcers, skin sores, muscle weakness, and eye damage.

- In later stages, ulcers grow large, fingers and toes are clawed, and facial disfigurement is seen.

- The infection is transmitted via human mucus or nasal droplets.

- Leprosy is rarely spread through animals like chimpanzees, armadillos, mangabey monkeys.

- Some genetic abnormalities may also lead to leprosy in a person.

- Antibiotics and Multi-drug Therapy are used to treat leprosy.

FAQS

1. Leprosy is an old disease, does it still exist?

Ans: Yes – about 200,000 plus new people are diagnosed with leprosy every year across the world. And there are 3 million people living with permanent disabilities due to leprosy.

2. Does leprosy cause claw hand and can it be treated?

Ans: Yes, leprosy may cause claw hands or toes. Since leprosy first damages the small nerves in the skin's extremities, it spreads to other areas with large nerves like in the knee, elbow, wrist, and ankle when anti-leprotic drugs are not given on time. This further leads sensory loss in the hands and feet. Muscles are paralyzed, causing clawed hands and toes.

It can be treated by reconstructive surgery that corrects the deformities in the hands and feet. Motor function can be restored through a muscle transfer technique. Physiotherapy also helps to strengthen the muscles.

3. Do fingers and toes disassociate from the body due to leprosy?

Ans: No. Due to nerve damage, there is sensory loss in a person’s areas like hands and feet. Many a times, people injure themselves due to loos of sensation in their body parts leading to loss or shrinkage of tissues. Bones of fingers and toes become shortened, thus making them appear lost or removed.

4. How does leprosy spread?

Ans: Leprosy is mainly spread through contact with the nasal mucus of an infected person, either while sneezing or coughing. A person with close and persistent contact with an infected person who is not being treated with MDT can acquire the disease. 

5. Is leprosy highly infectious?

Ans: Around 95% of the world population is naturally immune to the disease. The chances and rate of infection is very less due to the same fact.

6. What if a pregnant women catches leprosy?

Ans: It has been observed that women with leprosy deliver normal babies and the disease is not found to be transmitted from the mother to the baby. Pregnant mothers with leprosy are given MDT thereby nulling any chances of transferring the disease to their babies.

I feel sleepy and lazy whole day and also suffering from body pain, what should I do? Please suggest.

MBBS, MBA (Healthcare)
General Physician, Delhi
I feel sleepy and lazy whole day and also suffering from body pain, what should I do? Please suggest.
avoid day time sleep, avoid tea, coffee, cola in late evening and after, avoid stress. take balanced diet. 8 hour of sleep is ok, 10 pm to 6 am is perfect timing.

Cubital Tunnel Syndrome - How Physiotherapy Can Help You?

MSPT (Master of Physical Therapy), Bachelor of physiotherapy
Physiotherapist, Chennai
Cubital Tunnel Syndrome - How Physiotherapy Can Help You?

Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression

Symptoms
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:

  • Numbness in little and ring finger as the fingers fall asleep
  • A tingling sensation, usually like the pinch of pins and needles in ring and little finger
  • Pain in forearm
  • Weakness in the hand
  • Some of the severe symptoms include:
  • Reduction in overall hand grip
  • A claw like deformity in hand
  • Wasting of muscles of the hand

Bending elbow over a long period of time like while using cell phone or during sleep can cause ulnar nerve compression. Resting the elbow for a long period over a hard surface can also cause an irritation of the nerve, leading to such symptoms. In some cases, the nerve snaps back and forth over a bony bump, resulting in an irritated nerve.People People who undertake intense physical activity, especially using their arms, are more likely to develop this problem. Eg. baseball pitchers. Apart from this, people who have suffered from a dislocated elbow or have arthritis are also at risk

Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time

How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.

I have cold from l week n have lite head pain also body is paining I cunselnd to doctor but no use please tell me the solution.

MBBS
General Physician, Mumbai
I have cold from l week n have lite head pain also body is paining I cunselnd to doctor but no use please tell me the...
For cold take tablet cetrizine at night and For pain take tablet paracetamol 650 mg and take a flow of steam over the forehead through a crescent steam inhaler
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