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Dr. Gautam Das  - Pain Management Specialist, Kolkata

Dr. Gautam Das

92 (2056 ratings)
MD, FIPP

Pain Management Specialist, Kolkata

32 Years Experience  ·  1000 at clinic  ·  ₹300 online
Dr. Gautam Das 92% (2056 ratings) MD, FIPP Pain Management Specialist, Kolkata
32 Years Experience  ·  1000 at clinic  ·  ₹300 online
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Personal Statement

I want all my patients to live a pain free life....more
I want all my patients to live a pain free life.
More about Dr. Gautam Das
Editor-in-chief of Journal on Recent Advances in Pain, Dr. Gautum Das is one of the internationally reputed pain management specialists from India. An MD from RG Kar Medical College, he specializes in pain management, spinal pain management, and interventional pain management. In 2007, he passed FIPP from World Institute of Pain, a coveted achievement. He is not only a member of several professional bodies in the field, he was chairman of India, Pakistan, Iran & Sri Lanka section of World Institute of Pain. He was chief editor of Indian Journal of Pain. He is an examiner of Pain Fellowship examination at USA & Netherlands. Dr. Gautum Das has regularly been invited to several international conferences and summits on pain management outside India. In fact, he is the visiting faculty at Padjadjaran University, Indonesia, where he delivers lectures on pain management. He also runs several courses in the field that are taken by more than 1100 doctors across the world, including developed nations like Australia, US, and the UK. A first ranker in his MD education, he comes with three decades of experience in the field. He helps patients with back pain management, headache management, knee pain management, cancer pain management, treatment of slip disk, ozone nucleolysis, and arthiritis pain management, among other chronic conditions. He is an expert in algology, the new branch of medicine that deals with pain management. You can book an appointment online with Dr. Gautum Das for effective and customized pain management.

Info

Education
MD - RG Kar Medical College - 1986
FIPP - World Institute of Pain - 2007
Awards and Recognitions
Chairman of World Institute of Pain, India, Pakistan, SriLanka & Pakistan
Examiner of Pain Fellowship at USA & Netherlands
...more
Excellence in Pain Practice by WIP
Best Pain Clinic by ISSP
Chief Editor- Indian Journal of Pain
Professional Memberships
International Association for study of Pain
World Institute of Pain
Indian Society for Study of Pain
...more
Daradia Pain Foundation

Location

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DARADIA: The Pain Clinic

92/2A Bidhan Nagar Road , 2nd Floor , Concord Tower, Ultadanga , Besides Coal India, Sreekrishana Colony, BRS 3, Ghose BaganKolkata Get Directions
  4.5  (2060 ratings)
1000 at clinic
...more
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Know The Procedure Of Epidurals!

MD, FIPP
Pain Management Specialist, Kolkata
Know The Procedure Of Epidurals!

Are you worried about the labour pain? It is perhaps the most difficult phase of a woman's life. But today, there is no reason to worry for. Thanks to epidurals, you can give birth to your baby without experiencing the pain involved.

Epidural is the new age anaesthesia. It is used to block pain in a specific region of the body. A patient is not made unconscious fully at the time of any surgery. He or she is given epidural for regional anaesthesia. Its use has become popular during childbirth. A pregnant woman is given epidural at the time of labour or c-section. It provides relief from the pain rather than cutting off the patient's feelings or senses.

Although it has become a widely accepted technique, women worry about the safety of epidurals. They are concerned about the safety of the baby and their health. But it is absolutely safe.

  • How do these work?: There are nerves in our body, which carry the pain signals to the brain. These nerves pass through epidural spaces. Therefore, anaesthesia is injected into these spaces to stop the pain signal from reaching the brain. This blocks the pain. If you are pregnant and thinking whether to go for epidural or not, you will have a lot of questions in mind. Here's all that you need to know about epidurals:
  • Effect on baby's and mother's health: Use of epidurals tends to increase the time of labour by 20 minutes approximately. The mother may develop fever. However, it blocks the pain. This is some relief to the mother. As there is no pain, stress hormones are not released. Thus, blood will not be diverted from uterus and placenta. Baby's supply of nutrients and oxygen will remain intact.
  • How painful it is?: Women mostly worry about the painful insertion of the epidural needle. However, this will not hurt you. A small needle is first inserted to make the area numb. Thereafter the bigger needle is inserted. You may feel the discomfort for five seconds. The epidural medicine starts functioning just after 5 minutes of insertion.
  • Procedure: First the patient is made to take the suitable position. While some may be asked to lie sideways, others may be asked to sit straight. The area is cleaned with a solution. The small needle is first inserted to create numbness in the area. Once the area is numb, the bigger needle is inserted. You might feel a pinching sensation. Thereafter, a catheter is threaded to the epidural space, where the nerve carrying signal of pain passes through. Epidural medicines are pushed into the region via the catheter. Epidurals don't affect your nerve endings or spinal cord. They are pushed into the epidural space.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6514 people found this helpful

6 Best Ways To Deal With Sports Injuries!

MD, FIPP
Pain Management Specialist, Kolkata
6 Best Ways To Deal With Sports Injuries!

Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.

The most common types of injuries caused due to sports are as follows:

Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.

Accordingly, the most common ways of approaching the pain caused by sports injuries are:

  1. Immediate remedies: Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.
  2. Medication: Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.
  3. Physical therapy: A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.
  4. Injections: Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduce inflammation and relieve pain.
  5. Surgical procedures: This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.
  6. Interventional Pain relieving procedures: These include regenerative or stem cell therapy, and neuromodulation techniques using radio frequency current. They may result in best results without any tissue cutting or damage. A pain specialist may be able to help you best in that case.

Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

7848 people found this helpful

Ongoing Pain: How to Use Heat and Cold Therapy to Treat It?

MD, FIPP
Pain Management Specialist, Kolkata
Ongoing Pain: How to Use Heat and Cold Therapy to Treat It?

Most diseases, small or big, acute or chronic, accident or infection, have one common factor - pain. In most cases, in addition to reducing the severity of the infection or the impact to various structures from the trauma, managing pain assumes a bigger role. It is only when the pain is controlled can the bigger picture of disease management be done, as the patient would be inconsolable.

To this effect, in addition to pain killers, the most inexpensive and easily available modes of pain management are heat and cold. Though all are not aware, there are specific instances where heat and cold should be used as listed below.

Heat: Some of the common modes to heat therapy include heat pads, warm baths, paraffin wax system, hot water bottles, air-activated heat pack, or warm oils. Heat acts by improving blood circulation and nutritional supply to the body parts and is best suited for stiff joints and muscle soreness. 

Some common ways to heat therapy include:

  1. A warm shower or bath in the morning - this will ease morning stiffness and get you ready for exercise.
  2. Apply a heating pad on the sore/stiff areas for up to 20 minutes - Use optimal, bearable temperature to avoid skin burns.
  3. Wrap the affected area for 15 to 20 minutes with a moist heat pad. A wet towel can be put in the freezer and then warmed up in the microwave. Moist heat pads are also available with local pharmacies.
  4. Warm mineral oils can be applied to the stiff joints of hands and legs. Leave it in place for 15 to 20 minutes before washing it off.
  5. For sore hand and foot joints, warm paraffin wax can be applied using the equipment available at drug stores. This will help ease the pain and soreness. Soak in a warm whirlpool.

Contrary to heat therapy, cold therapy acts by reducing blood flow to the affected area and numbing the nerve endings, thereby reducing the perception of pain. It works well for acute pain cases like fresh injuries and post-exercise inflammation.

  1. A cold wrap with ice cubes can be applied to the painful area for about 15 to 20 minutes. This can be repeated if required after a break.
  2. Alternately, a wet towel can be put in a plastic bag and kept in the freezer for 15 minutes and then used as a cold pack.
  3. The affected joint can be submerged in a container of ice and water.
  4. Cold gel packs are available at stores - these won't leak, will stay cold longer and can be easily wrapped around a joint.

Cryotherapy, as cold therapy is also called, is not as effective as heat therapy, though it does provide immediate relief.

6226 people found this helpful

Nerve Pain - 7 Ways To Manage It!

MD, FIPP
Pain Management Specialist, Kolkata
Nerve Pain - 7 Ways To Manage It!

Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.

What are the common causes?

Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.

How can you control nerve pain?

Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:

  1. Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.

  2. Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.

  3. Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.

  4. Acupuncture: This time-honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.

  5. Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.

  6. Relaxation Techniques: In combination with the abovementioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.

  7. Lifestyle Modifications: This one’s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won’t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder. 

  8. Interventional pain management. When every other options has failed, interventional pain management, like neuro-modulations, nerve blocks, spinal cord stimulation can do miracle in relieving pain.

In case you have a concern or query you can always consult an expert & get answers to your questions!

8658 people found this helpful

6 Surprising Ways To Keep Body Pain At Bay!

MD, FIPP
Pain Management Specialist, Kolkata
6 Surprising Ways To Keep Body Pain At Bay!

Whether it is the dipping winter temperature, chilling effect of the air conditioning or a lower temperature caused due to rain, we complain about the body pain. It is quite normal when our body experiences lower temperature than it is comfortable with, various forms of aches crop up, esp. if you already have a condition or have been physically hurt.

Winters are typically associated with several types of body pains. Particularly, we’ve seen higher incidences of nerve – related pain, joint pains and vascular pains during the season.

Manage your pains by following these 6 tips:

1. Keep yourself warm: 
Needless to say, it’s extremely important to keep yourself warm when its gets uncomfortably cold. Clinical research has shown higher incidence of nerve – related, vascular pain and joint pains if your body is exposed to low temperatures for long periods. This is especially true if you are 60+ in age. So, dress appropriately with body warmers, sweaters and jackets

2. Keep yourself physically active: A colder weather reduces average activity levels. An average person walks up to 1,000 lesser steps when its cold. To avoid pain in knees and other joints, it’s especially important to keep up activity levels. Try and take out time for walking in the afternoons or evenings, even if it is inside your house or office.


3. Take care of your diet: It is important to ensure that your intake of Vitamin D, Calcium and Vitamin B complex is adequate. Make sure that your diet remains rich in dal, green leafy vegetables (Vitamin B complex), milk (Calcium) and cheese and egg yolk (Vitamin D).

4. Get enough exposure to sunlight: Lesser exposure to the sun causes Vitamin D deficiency during winters, which can result in fatigue, lethargy and general body pains. Make sure to get at least 15-20 minutes of sunlight exposure, ideally in the mornings around 9am to 10am.

5. Avoid the wrong foods: Actively manage your diseases like diabetes and hypertension to stay pain free. If you suffer from diabetes, make sure that you do not overeat foods with high glycemic index. If you suffer from hypertension, it is important to keep away from spicy and oily foods.

6. Get expert advice: Visit your pain specialist if your pains continue for more than 2 weeks. Be regular with your prescribed pain medications, but strictly avoid self-medication or overuse of painkillers.

6432 people found this helpful

Sports Injury: What Should You Know About It?

MD, FIPP
Pain Management Specialist, Kolkata
Sports Injury: What Should You Know About It?

How should you approach pain caused due to sports injuries?

Sports injuries can happen to any person who engages in sporting activities. These affect full-time athletes as well as those who partake in sports and exercising on an occasional basis. Most sports injuries are acute and affect the muscles and skeletal system. Usually, they are not chronic unless caused by a grave accident or left untreated.

The most common types of injuries caused due to sports are as follows:

Treatment of sports injuries depends on a number of factors such as the type of injury, part of the body affected, the intensity of the pain, and the patient's age and medical history.

Accordingly, the most common ways of approaching the pain caused by sports injuries are:

1. Immediate remedies


Several quick aid, home remedies are used to treat pain that is caused by minor injuries to muscles, such as sprains and strains. It involves alleviation of pain through rest, using ice packs and hot water bags, wearing supports and elastic compression bandages.

2. Medication


Many medicines such as painkillers and anti-inflammatory pills, creams and sprays effectively reduce pain caused by sports injuries. In extreme cases, morphine and codeine are also prescribed.

3. Physical therapy

A number of injuries can be treated and cured through certain exercise and workout routines. These aim at stretching and strengthening the affected area to provide pain relief through increased flexibility and muscle activity.

4. Injections

Various substances and chemical compounds can be injected into the injured area which works on the affected ligaments, tendons, and cartilage to reduced inflammation and relieves pain.

5. Surgical procedures

If the injury is too severe and the pain too intense, the best option for treatment is surgery. This is generally resorted to in case of damage to the skeleton in the form of broken bones and cracked ribs.

Devising the exact treatment method requires a thorough examination of the injury. Diagnosis can only be provided after taking into consideration the many factors that affect treatment. The method of treatment varies from case to case and consequently, the recovery time also differs. In case you have a concern or query you can always consult an expert & get answers to your questions!

7978 people found this helpful

Arthritis - What Type of Arthritis Do You Have?

MD, FIPP
Pain Management Specialist, Kolkata
Arthritis - What Type of Arthritis Do You Have?

What are the Different Kinds of Arthritis and How to Treat Them?

Arthritis is a very common medical condition that affects a lot of adults as they age. It occurs due to inflammation of the joints, which can be caused by a number of factors such as aging, injury or infection.

There are over a hundred different kinds of arthritis that cause various sorts of problems to those affected. However this condition can be broadly classified into two major types, which include the following:

1.OsteoarthritisAlso known as degenerative joint disease, osteoarthritis is the most common kind of chronic condition to affect the joints. This occurs when the cartilage that surrounds the joint wears away and allows the ends of bones to rub against each other causing immense pain and is often accompanied by inflammation and swelling. The primary cause of osteoarthritis is aging and occurs mainly due to pressure on the joints from lifting heavy weights.

2.Rheumatoid ArthritisThis is the most common type of arthritis that occurs due to joint inflammation. It is an autoimmune condition, which means that it is caused by a dysfunction of the immune system that leads to inflammation of the joints. Chronic inflammation causes joint deformities and even the development of rheumatoid nodules on the skin around the joint. Two-thirds of patients affected by rheumatoid arthritis are women.


Depending on the nature of the condition and the age and medical history of the patient, diagnosis, and treatment of arthritis varies. Although there is no permanent cure for arthritis, especially the type caused by aging, a number of remedies exist that provide relief from pain.

Some of the common methods of treatment for arthritis are:

  • Medication - Some medicines provide relief from the pain of arthritis if it is not too severe. These include painkillers, anti-inflammatory pills, sprays, and ointments, etc. In case of high-intensity pain, codeine is often prescribed.
  • Stem Cell TherapyThis method involves drawing platelets from the patient's own blood and injecting it into the inflamed parts of the joint in order to repair damaged muscles and alleviate pain.
  • Injections - A number of anti-inflammatory substances and lubricants can be injected into the affected joints to decrease pain. Ozone gas injections are an example of this.
  • SurgeryIn extreme cases, surgical procedures are resorted to for treating arthritis. However, successful surgery cannot always be guaranteed and it comes with its own set of risks.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6364 people found this helpful

Fibromyalgia - Can Extensive Pain Be A Sign?

MD, FIPP
Pain Management Specialist, Kolkata
Fibromyalgia - Can Extensive Pain Be A Sign?

Fibromyalgia is a disorder that causes widespread body pain along with sleep deficits, memory loss, mood problems and fatigue. Symptoms may be triggered after a surgery, physical trauma, infection, or stress. Women are much more vulnerable to this disease than men. Many people affected with fibromyalgia may have suffered from headaches, backaches, depression, anxiety, tension, temporomandibular joint disorders and irritable bowel syndrome.

Most of these patients have undergone multiple consultation with various doctors and undergone many tests, but no diagnosis could be made. These patients are often ignored by doctors and family members as always "complaining of pain".

Symptoms of Fibromyalgia

  1. Extensive Pain: Pain related to fibromyalgia is often depicted as a dull pain that lasts for at least three months. Pain can involve any body part like back,neck, chest, arms, legs. Patients have pain in multiple areas of body and painful areas change over time.
  2. Fatigue: Patients afflicted with this disorder feel tired even after sleep. Such people are reported to sleep for longer hours than normal people, but their sleep often gets disrupted due to sleep apnoea and restless leg syndrome.
  3. Cognitive Difficulties: These patients find it difficult to concentrate at work and also suffer from memory deficits in daily activities.

Other Symptoms These patients may also have symptoms like burning urination, urgency of urination, numbness,loss of appetite, tingling sensation,diarrhoea, constipation, tinnitus, depression etc.

Diagnosis of fibromyalgia There are no specific test to diagnose fibromyalgia. Diagnosis is made by a doctor specialised in Pain Medicine using clinical methods based on symptoms and examination. Blood tests like Haemogram, Thyroid function test, RA Factor, ESR are done to rule out other diseases which can cause similar symptoms.

Treatment of fibromyalgia

  1. First step in treating these patients is to accept their problem and discuss with patient and family members regarding the presence of such disease entity.
  2. Lifestyle changes like active involvement in cardiovascular exercises, swimming, yoga, meditation are important to control symptoms.
  3. Conventional painkillers do not work in these patients. They requires special medications prescribed by a pain specialist for control of symptoms.
  4. Counselling of patient is beneficial for associated depression. Sometimes these patients need interventions/injections.

In case you have a concern or query you can always consult an expert & get answers to your questions!

7938 people found this helpful

How To Cope With Shoulder Pain?

MD, FIPP
Pain Management Specialist, Kolkata
How To Cope With Shoulder Pain?

The shoulders are the strongest and the most often used areas of the body as they are connected to the neck, chest, hands and elbows. Therefore, it should not come as a surprise that shoulder pain and wear and tear of this area, including the rotor cuff and bursa, is also quite common. The shoulders may face plenty of wear and tear when it comes to the ligaments, tissue and other such elements. The shoulder joint may also get injured with repetitive actions that are involved in the life of a sportsperson, a carpenter, a painter and other such professionals.

There are a number of ways in which one can deal with shoulder pain. Here are the best measures that you can take in order to deal with the same.

  1. Increase the range of motion: One should increase the range and variety of motions so that the stiffness and soreness that primarily comes from repetitive actions, may be avoided. If you are only lifting materials, then you may also want to swing the arm at regular intervals to increase the blood flow and exercise the various nerves. Also, this will help in giving rest to the affected region of the shoulder. Rehabilitation therapy can help in introducing one to a range of motions that will give rest to the affected area and bring in new positions.
  2. Perform strengthening exercises: One of the best ways to keep pain and stiffness at bay is to create plenty of core strength in the muscles and joints of the area. You can try out various exercises as per the physiotherapist and the physical therapy exercises so that you can build strength. This will also help in keeping the pressure off of the affected area. You can add some weights to the exercise routine so that there is extra strength built up in the process.
  3. Do aerobic exercises: Aerobic exercises are known to increase the blood circulation to the area. The tendon and the bursa in particular benefit substantially from this kind of exercise. This will also bring the soreness down so that the pain and stiffness do not affect you.
  4. Try heat and ice therapy: You can use ice packs to soothe the inflammation in the affected area. This is usually recommended for acute pain and new injuries. Similarly, you can use heat packs and hot showers to soothe chronic pain as and when the same returns. However, you should be careful so that the scalding temperature does not leave burns and marks.
  5. Medication: You can also have painkillers as well as gels and ointments that can be used for topical relief. These must be taken with a doctor’s prescription. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

 

5855 people found this helpful

5 Causes Of Sciatica Pain And Its Treatment!

MD, FIPP
Pain Management Specialist, Kolkata
5 Causes Of Sciatica Pain And Its Treatment!

The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your back of leg from buttock area. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness. 

Sitting, standing up, coughing, sneezing, lifting, or straining for a very long time, might aggravate pain. Now and then, individuals experience numbness or shivering in the leg, too. 

Some of the most regular symptoms of sciatic pain include: 

  1. Pain in the buttock and/or back of leg when sitting or walking 
  2. Hip pain 
  3. Burning sensation in the leg 
  4. Numbness or trouble moving the leg or foot 
  5. Shooting pain that makes it hard to stand up properly 

The most common causes of sciatic pain include: 

  1. Lumbar spinal stenosis (narrowing of the spinal channel in the lower back) 
  2. Degenerative disk disease (breakdown of discs, which go about as pads between the vertebrae) 
  3. Spondylolisthesis (a condition in which one vertebra slips over another) 
  4. Piriformis syndrome
  5. Muscle spasms 

How to treat: 

Visit doctor early, have a proper diagnosis. As you can see that several diseases can cause sciatica, diagnosis is very important before starting treatment. Outline of treatment: 

  1. No exercises during acute painful condition. No absolute rest is also needed. Do normal daily activities. 
  2. Medications to relieve nerve pain, like pregabalin etc. 
  3. Interventional pain management is the best way to confirm the diagnosis, relieve pain, and cure the condition.
  4. Surgery is rarely needed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6947 people found this helpful
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