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Dr. Chand Mouli

Pathologist, Hyderabad

Dr. Chand Mouli Pathologist, Hyderabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Chand Mouli
Dr. Chand Mouli is a trusted Pathologist in Kukatpally, Hyderabad. You can visit him at Tapadia Polyclinic And Diagnostic in Kukatpally, Hyderabad. Book an appointment online with Dr. Chand Mouli on Lybrate.com.

Lybrate.com has a nexus of the most experienced Pathologists in India. You will find Pathologists with more than 37 years of experience on Lybrate.com. Find the best Pathologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Near Sapthagiri Theater, RTC X Cross Road, HyderabadHyderabad Get Directions
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I have lot of pain in my whole body what should I do?

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician,
I have lot of pain in my whole body what should I do?
Having bodyache is sign of overwork, lack of sleep, vitamin and iron deficiency or sometimes rarely certain musculoskeletal disorder.
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Chronic pain is a Disease and not a symptom

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

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

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

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

The Experience of Chronic Pain

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

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

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

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

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

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

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

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

-Acute Pain
-Chronic Pain
-Neuropathic Pain

Acute Pain

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

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


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

Chronic Pain

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

Chronic pain due to an identifiable pain generator

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

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

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

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

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

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

Neuropathic Pain

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

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

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

When Acute Pain Becomes Chronic Pain

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

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

Chronic Pain Development

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

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

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

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

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I feel lazy always in all day and my bodies always pain in leg and head so, My fat increase in bodies. What should i do to cure?

Vaidya Visharad
Ayurveda, Narnaul
I feel lazy always in all day and my bodies always pain in leg and head so, My fat increase in bodies. What should i ...
It is ideal for you to eat small quantities of nutritious food regularly to reduce your weight. It is ideal for you to include at least 30 to 45 minutes of exercise every day to see visible differences in weight. •Have a breakfast by 8: 30 am in the morning and limit it to 250 to 300 calories. •Have a handful of nuts as a mid morning snack at 10: 30 am.
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I have blood clot over by body . Someone pain when I touch or press them . I have got these after recovering from typhoid in 2008. Kindly help me in this.

MD - Alternate Medicine
Acupuncturist, Chennai
I have blood clot over by body . Someone pain when I touch or press them . I have got these after recovering from typ...
Scalp and Body Acupuncture treatment can be possible to remove the blood clot without any side effect within two weeks.
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I'm 25 year old male and I haven't been able to sit upright for long time. It always starts paining after 15-20 min. Please help me!

MBBS
General Physician,
I'm 25 year old male and I haven't been able to sit upright for long time. It always starts paining after 15-20 min. ...
You are having pain on position you may be having muscular spasm may be due to overwork and exhaustion and less water intake required for the body. Go for morning walk followed by free hand exercises regular early.
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I am 21 years old, I get pain on my lower spinal part its been from abt 6 months, I have tried pain relief spray and creams but none of them work so plzzz help me.

BHMS
Homeopath, Delhi
I am 21 years old, I get pain on my lower spinal part its been from abt 6 months, I have tried pain relief spray and ...
Hello, you can take homoeopathic medicines 1. Ruta 30 (4 drops in little amount of water) thrice a day for a week. 2. Rhus tox 30 (4 drops in little water) thrice a day for a week and update. Keep a gap of 15 - 20 minutes in both the medicines.
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I am 24 year old. I have body pain regularly. My bones are always paining without any reason.

MBBS
General Physician, Cuttack
I am 24 year old. I have body pain regularly. My bones are always paining without any reason.
1. If you have body pain regularly, it could be due to deficiency of vitamin d. 2. Get your blood tested for vitamin d and consult physician with report for advice and treatment 3. Expose yourself to sunlight for 15-20 minutes regularly in the morning.
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Sir mere sarir mein bahut dard rehta hai. Bahut doctor se dikhaya par aaram nahi hai. Ye samasya bahut dino se mere sath hai, Karib 5 salo se. please sir mujhe koi upaya bataye jis se meri ye paresani dur ho jaye. Thank you.

MBBS
General Physician, Mumbai
Sir mere sarir mein bahut dard rehta hai. Bahut doctor se dikhaya par aaram nahi hai. Ye samasya bahut dino se mere s...
Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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I am shashi rekha aged 40. My problem is frequently I'm getting body pains. I use balm and tablets but I'm not getting complete relief. Please tel me. What is the solution.

MBBS, cc USG
General Physician, Noida
I am shashi rekha aged 40. My problem is frequently I'm getting body pains. I use balm and tablets but I'm not gettin...
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He is having some throat problem. His saliva getting blood color. Body paining. What is the disease?

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
He is having some throat problem. His saliva getting blood color. Body paining. What is the disease?
Kindly consult an ent& a dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning. You may consult me in person too. Dental tips: - visit a dentist every six months. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.
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I am a 17 year old male. I have a sore throat from 3 days. What do I do now? I am also suffering from body pain in the last few days. From a long time I also have some cache pain in my chest area. I have been advised to take nexpro 40.

MBBS
General Physician, Mumbai
I am a 17 year old male. I have a sore throat from 3 days. What do I do now? I am also suffering from body pain in th...
Dear lybrateuser, -do salt water gargles 3-4 times in a day -avoid drinking cold water & other cold drinks, have more of warm fluids like tea , coffee, milk -take tab paracetamol, 1 tab three times a day -avoid spicy & sour foods -do hot fomentation on chest area where it pains.
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I am suffering from fever from 4 days with headache and body pains what should I do to.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I am suffering from fever from 4 days with headache and body pains what should I do to.
You can take atr. Bel. 200 / 5 drops in little water four times a day for two days. Revert back after two days with feedback.
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I have body pain for past 2 days. What should i do to relief?

BHMS
Homeopath,
I have body pain for past 2 days. What should i do to relief?
Homoeopathic treatment- mag phos 6x -4 pills 3 times calcivita syrup 2 spoonful 3 time. For 8 days and revert back.
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I am Suffering From Severe Fever 4 Last Three Days and Having Bad Throat Also. My Body Is Badly Aching As well.

BHMS
Homeopath, Delhi
I am Suffering From Severe Fever 4 Last Three Days and Having Bad Throat Also. My Body Is Badly Aching As well.
Hello,take homoeopathic medicines 1.Belladonna 200 (4 drops in little water) thrice a day for 2 days. 2.Ferrum Phos 6X (3 tabs) thrice a day for 2 days and revert.
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I am 19 years old. I am suffering from knee and body pain since a long time. I used to study on bed n always lied on bed while studying. Do you think that's the problem? Please help me I need your help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I am 19 years old. I am suffering from knee and body pain since a long time. I used to study on bed n always lied on ...
Posture correction must according your age tk nutrition and healthy diet do stretching exercise in daily routine and hot fermentation of knee.
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My son is as fever for four day? Due to that he have high body pain? Wat is the solution for that?

MD Paediatrics, MBBS
Pediatrician, Hyderabad
My son is as fever for four day? Due to that he have high body pain? Wat is the solution for that?
Give paracetamol tablet / syrup, it is an anti pyretic and pain killer as well, if fever still persisiting more than 4 - 5 days, get evaluatd by paediatrician to rule outany infection.
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In right hand there is sensation almost at every night & lot of pain dr says it is due to inflamation ,diabetic patient ,65 year age suggest medicine.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
You have Diabetic neuropathy. Control diabetes by controlling diet/exercise and medication you are taking. Control Blood sugar by checking HBA1C ,keep around 6.6 mmol/L. Take nutritional supplements like vitamin B complex and keep an eye on your Lipid level also and BP/CAD/ TIA?if any. Check for Chronic Disease management.
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The patient complains of pain in whole body from many days, remains in seclusion and lost appetite. Sometimes gets too angry and have no zeal to carry out day to day house work.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
The patient complains of pain in whole body from many days, remains in seclusion and lost appetite. Sometimes gets to...
If the above complaints have been persistent for more than 6 months then this certainly suggest a serious psychiatric problem. This may be due underlying depression with associated mood fluctuations and irritability. In case of a female patient this may well be due to disturbances in hormonal levels. The patient needs a complete evaluation, investigation and appropriate management. Consult me online or a psychiatrist in your vicinity for help and treatment.
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Hello I'm 21 years old. I have all body pain from two days. I have note my body temperature and that was 99.5, 99.3,98.9, 97.3, 99.1 But my head and hands very warm and hot. I feel very weakness also. Hot breath. So what I do. I have reaction from paracetamol. Thanks.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hello I'm 21 years old.
I have all body pain from two days. I have note my body temperature and that was 99.5, 99.3,9...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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Hello Dr. I am 68 years old nake and having radiating pain in my lumbar region as I am suffering from lumbar spondylosis. Pl advice me if I can walk during this condition or take rest. As I am also having spinal tb in D12 but the pain is not there anymore. But due to that I have loose weight n feel weak after a while. Pl suggest me what to do.

MBBS
General Physician, Jalgaon
Hello Dr. I am 68 years old nake and having radiating pain in my lumbar region as I am suffering from lumbar spondylo...
Please Go for morning and evening walk regularly If spinal tb is cleared, can do light exercises for back and lower limbs Take Cap prelica plus 15 1 at nt.
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