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Dr. Trilok Kumar Jha

Diploma in Orthopaedics, MBBS

Orthopedist, Ghaziabad

43 Years Experience  ·  300 - 500 at clinic
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Dr. Trilok Kumar Jha Diploma in Orthopaedics, MBBS Orthopedist, Ghaziabad
43 Years Experience  ·  300 - 500 at clinic
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Trilok Kumar Jha
Dr. Trilok Kumar Jha is an experienced Orthopedist in Indirapuram, Ghaziabad. Doctor has been a successful Orthopedist for the last 43 years. Doctor is a Diploma in Orthopaedics, MBBS . You can visit him/her at Dr. T.K.Jha in Indirapuram, Ghaziabad. Book an appointment online with Dr. Trilok Kumar Jha and consult privately on Lybrate.com.

Find numerous Orthopedists in India from the comfort of your home on Lybrate.com. You will find Orthopedists with more than 36 years of experience on Lybrate.com. Find the best Orthopedists online in Ghaziabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
Diploma in Orthopaedics - M.L.N.Medical College, Allahabad - 1981
MBBS - GSVM medical college Kanpur - 1975
Awards and Recognitions
Lion's club and Giant's club, Etawah
I M A award in 2014
Rotary club, Allahabad
Professional Memberships
Life Member of indian orthopedic association
Life Member of indian orthopedic association (U.P. Chapter)
Life Member of Central Zone of Indian Orthopedic Association

Location

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Dr. T.K.Jha

206, block 4, express garden, vaibhav khand, indirapuram, Landmark : oppsite to habitate center, GhaziabadGhaziabad Get Directions
500 at clinic
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Apollo Clinic, Indirapuram

#11, First Floor Gaur Gravity, Plot No.8, Vaibhav Khand, Indirapuram.Ghaziabad Get Directions
400 at clinic
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SJM Super Speciality Hospital

Plot No. 2, Village, Chhijarsi, NH 24, Noida, Landmark: Opposite Shani Mandir. Landmark : Opposite Shani MandirNoida Get Directions
300 at clinic
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Hi Sir or Mam, I am dieting from last 6 months but from last few days I am having some problems with my body. They are like all joint of my body are paining and the joint are making sound, having digestion problem and having headache daily specially on left side. So please guide me what to do?

BHMS
Homeopath, Noida
Hi Sir or Mam, I am dieting from last 6 months but from last few days I am having some problems with my body. They ar...
if u HV all joint pain go fr a urine analysis test fr uric acid in urine. proper treatment is good . drinks lot of water n tk lemon in water daily morning . get test results first.
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I have pain in my back to the left side it occurs occasionally can I please get some information y is it and if possible any medication.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
I have pain in my back to the left side it occurs occasionally can I please get some information y is it and if possi...
This pain could be due to multiple reasons like poor posture or working conditions. Other multiple causes like facet joint pain or disc problems can be there. You can try initially back exercises and modify your lifestyle that is do not lift weight, do not bend at work, if using computer or studying keep desk - chair at proper height.
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I am a Diabetic (Type 2) From last 10 Years I am having Galvusmet 50/500 1-0-0 Diamicron 60 Mg evening and My HbAc1 are 7.9 and I had mild knee pain and all joints in hand too pain so further what I to doIam 65 years old male 167 cm ht and 68 kg weight I suffers from Ed also.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
I am a Diabetic (Type 2) From last 10 Years I am having Galvusmet 50/500 1-0-0
Diamicron 60 Mg evening and My HbAc1 a...
Your hba1c is high looking at age it should be below 7. Only insulin can help you. Take vit d3 calcium knee exercise and for ed = control cholesterol and tab. Megalis. Discuss on line after paying fees please.
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I am 25 year old men Having pain always in my left hand muscles. Its increased in cold weather. Could you please help me please.

BPTh/BPT
Physiotherapist, Mumbai
I am 25 year old men Having pain always in my left hand muscles. Its increased in cold weather. Could you please help...
Hi for pain take hot water fomentation for 20 minutes thrice a day for 5 days. Do stretching and gentle massage of hand. If still you don't get relief and need further advice, consult me via lybrate.
1 person found this helpful
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I am suffering with Cervical spondylitis from last 3 years. Now started problem more getting hands and feet getting pain and slow blood activation I believe in night time. Do you have any suggestions on this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Peel two cloves of garlic and crush it. Add this to a glass of milk. Boil it on a mild flame till one-fourth glass remains. Filter and make two equal parts. Drink one part in the morning and the other in the evening. Warm mustard oil or sesame oil (1 teaspoon) with 3-4 cloves of crushed garlic and 1 tsp of ajwain (carom) seeds until it roasts to a reddish brown colour. Ensure that it does not get burned. Massage this oil on your affected areas. After that do hot fomentation with salt potli (bag). take 1 tsf triphala churna daily....n practice yoga daily twice..
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I rotate my neck and it clicks. I move it side to side it clicks. If I put my finger at the back of my neck I can feel some bones moving. Others can feel it to when I guide them to my cracking point. It does not hurt at all but it has been happening for over a year now. I concerns me deeply and bothers me all the time.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I rotate my neck and it clicks. I move it side to side it clicks. If I put my finger at the back of my neck I can fee...
You should take Acupressure therapy and take Biochemic Nat mur 200x +Nat phos 200x. 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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I hv back knee pain .my weight is 66 .whenever I climate the floors it pains me a lot.

MPT, BPT
Physiotherapist, Noida
I hv back knee pain .my weight is 66 .whenever I climate the floors it pains me a lot.
Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

15 people found this helpful

His weight is continuously decreasing and he had been through lungs infection that been already cured and now there is pain in the backbone upper part sometimes symptoms of BP high and low sugar level is seen in him.

Masters Of Science In Dietetics And Food Service Management Msc. (DFSM), Certified Diabetes Educator (CDE), Advanced Clinical Nutrition Program, Post Graduate Diploma In Clinical Nutrition And Dietetics PGD, Bachelors Degree In Applied Nutrition Bhsc
Dietitian/Nutritionist, Mumbai
His weight is continuously decreasing and he had been through lungs infection that been already cured and now there i...
Hello. He has suffered through an infection, thus the body will be in a great demand of nutrients. If not supplemented enough from food, the body will utilizes the stores, that is muscle, thus the weight loss. Because of which there are all the irregular complications that he faces. I would advise you to give him electrol water which will help him maintain his blood pressure. Have coconut water. Provide, high protein foods, like eggs, ,milk and milk products, other animal food sources. Try to keep him as calm as possible, which will help aid the fluctuation of bp and blood sugar levels. Try indulging in activities like yoga, breathing exercises, which will make his lung more stronger and relieve stress.
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My wife is 63years old. She has intermittent unbearable pain from left lip to face till left eye. This is for last more than six months. Despite allopathy and homeopathy treatment it is continuing. Sometimes eating becomes very painful.

MSPT (Master of Physical Therapy)
Physiotherapist, Indore
I think your wife is suffering from trigeminal neuralgia. Consult a neurologist. Or go for physiotherapy TENS application. Thanks and regards Dr. Ritesh kharnal
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