Dr. Paresh Mathur

Avoid outside food. Walk about 3-5 kms daily. There should be gap of 2hrs after dinner and sleep. Small and frequent meals is of help. Keep your blood sugar controlled. Raise your bed about 4" from headend side. Get your gastroendoscopy done. Tab nexpro-l 1 tab empty stomach.

Hi thanks for your query. Shoulder pain at this age can be due to shoulder pathology or can come from degenerative discs in neck. You also have a restricted shoulder movement, can be due to adhesive capsulitis or frozen shoulder, degenerative rotator cuff etc. My advice, start intensive physical therapy in presence of a physiotherapist and see if there is any improvement, if not then we will have to look at getting some investigations done for you. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

Check your movement if movement is possible then no trigger finger tk physiotherapy treatment other wise tendon repair best.

Its due to weakness of muscle rake vit b12. Do strength exercise like quadriceps and squatting in regular rhythm for future for pain take muscle relaxant and stretching exercise also use hot pack if it work then ok otherwise for pain take physiotherapy treatment.

Most leg pain results from wear and tear, overuse, or injuries in joints or bones or in muscles, ligaments, tendons or other soft tissues. Leg pain can also be caused by blood clots, varicose veins or poor circulation. To relieve mild pain: stay off your leg as much as possible apply an ice pack or bag of frozen peas to the affected area for 15 to 20 minutes three times a day elevate your leg whenever you sit or lie down please go to a physiotherapist if: you have pain during or after walking you have swelling in both legs your pain gets worse your symptoms don't improve after a few days of home treatment you have painful varicose veins if you feel the pain is from muscle cramp then you need to drink a lot of water because poor fluid intake (dehydration) may predispose to cramps also low blood levels of either calcium or magnesium directly cause cramps.

Keep your leg raised while sitting or lying quadriceps strengthening exercises- quad clenches: lie flat on your back or sit upright on a chair with leg kept horizontally on another surface. Now, tighten the muscle on the front of the thigh by pushing your knee down. You should feel your thigh muscles clench, hold for 3 secs. Repeat 10 times twice a day. Short arcs: lie flat on your back or sit upright with your leg placed horizontally on a flat surface like a chair or bed. Place a rolled up towel under the knee. Pull your toes towards you and clench you thigh muscles. Slowly lift your foot up off the bed until your knee is straight (keep your knee resting on the towel). Hold for 3 secs and slowly lower them on the chair. Repeat 10 times twice a day. Straight leg raise: lie flat on your back. One leg and knee will be straight and other leg should be bent. Pull your toes towards you and tighten/clench the muscle on the front of the thigh, locking your knee straight. Lift your foot up in the air, about 6 inches off the bed. Hold for 3 secs and slowly lower the leg. The knee must remain straight the whole time you are doing this exercise.

My answer to the first part of your question is, your daughter has to consult a general physician in order to rule out typhoid fever, malarial infection, jaundice, anemia or even dengue fever, because all the symptoms you mentioned here are few of the symptoms of such conditions. My answer to the second part of your question is, it is very very common in our country, adjustment problems with in-laws and husband's ignorance in such things. Almost every newly married woman has to face these kind of problems. The problem may be your daughter's incompetence to manage that emotionally. There is a chance for her pain behaviors arising from her unconscious mind crying for help to escape from this stressful situation. Ask her to be positive in her approach towards the in-laws, looking into and praising the positive aspects of them. And it is good her husband remains neutral without torturing her to obey his family members like many others do. Her stress tolerance will develop once she gets children and be busy with child-rearing practices and other future plannings with her husband. If she does not complain about her problems with in-laws, her husband may turn positive towards her in course of time. Until then, you can help her as a patient listener to her problems without giving any judgments or negative comments on anybody, which can give her ventilate her bottled-up emotions leading to relaxation to some extent.

Quadriceps exercises-lie straight ,make a towel role and put it under the knee ,pressthe knee against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against repeat 10 times, twice a day.

•Do stretching exercises:- •Forearm Rotation •Begin with your elbow at your side and bent to 90 degrees (figure 2). Turn your palm up and down as far as possible pain-free. Repeat 10 – 20 times. •Elbow Extension •Place your elbow on the edge of a bench or table (figure 3). Straighten your elbow using your other hand until you feel a mild to moderate stretch pain-free. Repeat 10 – 20 times.

You need to give complete rest to the part effected and take tab lyser D twice a day for a few days you can also apply volini gel on that part and apply a crepe bandage on it