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Dr. Bharti Ramnani

MD - Pathology

Pathologist, Mumbai

6 Years Experience
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Dr. Bharti Ramnani MD - Pathology Pathologist, Mumbai
6 Years Experience
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Personal Statement

I specialise in histopathology (providing patients, physicians and surgeons with diagnosis of cancer and various disorders that facilitates correct surgical and clinical decisions) and wa......more
I specialise in histopathology (providing patients, physicians and surgeons with diagnosis of cancer and various disorders that facilitates correct surgical and clinical decisions) and was trained at Tata Memorial Hospital, Mumbai. I want all my patients to be informed and knowledgeable about their health and am always available for counselling and advise.
More about Dr. Bharti Ramnani
Dr. Bharti Ramnani is one of the best Pathologists in Powai, Mumbai. She has been a successful Pathologist for the last 6 years. She studied and completed MD - Pathology . She is currently associated with Hiranandani hospital in Powai, Mumbai. Book an appointment online with Dr. Bharti Ramnani and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Pathologists in India. You will find Pathologists with more than 36 years of experience on Lybrate.com. Find the best Pathologists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MD - Pathology - B J Medical College, Ahmedabad - 2011
Languages spoken
English
Hindi

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I want to ask. My wife needs a remedy for pain in calf muscle in the legs. Body pain. Back pain. It pains a lot in nights. And specially before periods. What should she do?

MBBS
General Physician, Faridabad
I want to ask. My wife needs a remedy for pain in calf muscle in the legs. Body pain. Back pain. It pains a lot in ni...
take cap becozinc z 1cap od, cap evion 400 1 cap od empty stomache daily, tab shelcal with d5 od, drink 3-4 litre of water daily, it will help. thanks
2 people found this helpful
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I have no sleep in seven days. And I feel so tired and my head and my full body are paining so badly what I do.

BAMS
Ayurveda, Bangalore
I have no sleep in seven days. And I feel so tired and my head and my full body are paining so badly what I do.
Hi, Please follow these tips: Don't get too worried and anxious. Relax well. Avoid drinking coffee or tea after 7 PM, Take hot water bath before going to bed. Have light food and drink a glass of warm milk at night. Listen to soothing music or read some magazines while you are on bed. Keep your mobile in silent mode at night. Do not work on your laptop on the bed or watch TV till late night. Sleep in a dark and silent room.
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I am 26 years old. I have a problem when I wake up in the morning. There is a pain on whole body and Feeling a great weakness and after 1 hour I became comfortable. Please help me sir.

MBBS
General Physician, Chandigarh
I am 26 years old. I have a problem when I wake up in the morning. There is a pain on whole body and Feeling a great ...
You need yo improve on your diet and daily activity routine make it more active by adding sufficient activities and exercises and take a good 6 to 8 hrs sleep in the night exercises will solve your problems.
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I am 20 year old. Play football daily. Few weeks back I have pain in my joints of my legs to the stomach part. Whenever I stretch my body I feel extreme pain. Even when running I cant run faster as before I can. Due to this pain I play 2 days in a weak. But still having that pain while running and stretching. I want to know what should I do.

DNB ORTHO, MNAMS (Membership of the National Academy) (General Surgery) , MS ORTHO, MBBS
Orthopedist,
I am 20 year old. Play football daily. Few weeks back I have pain in my joints of my legs to the stomach part. Whenev...
Have you ever felt pain in your great toe or may be ankle/foot/knee/heel/wrist/elbow which was intially in one joint and over the time involved other joints too. Then you might be having increased uric acid levels. Diet is important in such patients. Consume food less in purine content like cornflakes, white bread, pasta, flour, milk and its products, eggs, lettuce, tomatoes, green veggies and fruit juices. Strict no to all high purine foods like meats, seafood, beas, peas, lentils, spinach, cauliflower, mushrooms, beer and other alcoholic beverages.
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Iam so un healthy. Full body pains. Can you tel me how can I grow my body. I want to fat. Can you please tel me. Wich food can I eat. speedily grow the fat.

BAMS
Aesthetic Medicine Specialist, Chandigarh
Iam so un healthy. Full body pains. Can you tel me how can I grow my body. I want to fat. Can you please tel me. Wich...
Investigations are must . If every thing is ok , you can eat all vegetables , fruits , dairy products . Take 1/2 tsp of Ashawgandha with milk daily
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My body is always in painful condition, my all body part are very pain. please help me.

MBBS, cc USG
General Physician, Gurgaon
My body is always in painful condition, my all body part are very pain. please help me.
This problem may be due to Any medical disease like Anaemia/ Hypoproteinemia/ Thyroid problem/Vit D deficiency Multi mineral and vitamin Deficiency Stress/ anxiety Over exertion (physical and mental) kindly follow advises given below: 1. Take adequate rest 2. Proper diet 3. I recommend you to take Tablet Daily(Nutrilite) after personal consultation this supplement has shown wonderful result Consult me for further management
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I am just 15 years old From last 14 days, l am suffering from severe body pains Please help me doctor.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
I am just 15 years old
From last 14 days, l am suffering from severe body pains Please help me doctor.
Take bed rest, plenty of liquids, proper food and paracetamol tablets for 2- 3 days. If no relieve you should see a physician for proper examinations, investigations if necessary and advice.
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My friend is suffering from severe body pains due to over exercise. How to reduce those pains?

MBBS
General Physician, Cuttack
My friend is suffering from severe body pains due to over exercise.
How to reduce those pains?
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest.
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Hello doctor I am 20 year old man sir my memory is low and all body weakness and paining my body please help me.

BHMS
Homeopath, Delhi
Hello doctor  I am 20 year old man sir my memory is low and all body weakness and paining my body please help me.
Hello, you can take homoeopathic medicines 1.Kali Phos 6X ( 3 tabs) twice a day for 15 days. 2.Five Phos (3 tabs) twice a day for 15 days and revert. Keep a gap of 15 - 20 minutes in both the medicines.
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I am 38 year old male. Full vegetarian, no smoking no alcohol have aching problem in my feet, hand and whole body specially in winter its acute. Taken many homeopathy medicine as well allopathic medicine but not permanent solution. When I use cytrigine it is ok for 2 days. But again it starts. Sometime reddishness on skin over and above skin. Consulted skin specialist, physician as well used moisturising cream but no permanent solution. When I apply olive or mustard oil it relaxes but for one night. This problem is acute specially in night when I came home. This problem is for 10-11 years.

MSC Human Development , Hypnotherapy , Special Educator , ms- counselling and physiotherapy, Applied psychology Hons
Psychologist, Faridabad
I am 38 year old male. Full vegetarian, no smoking no alcohol have aching problem in my feet, hand and whole body spe...
May be you have not get an accurate medicine & solution for your problem. You have to go for a test of allergies in your body. It helps you & your doctor to diagnose your problem. Then you can start a proper course of medicine. If you feel that you are stressed about it & you want our help to come out of it, you can contact us.
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After doing exercises and returning back I found pain on the left side of my body and after some time I found my testicle on the left side had swollen. I wanted to know if the situation is permanent or I can get rid of the swelling using medicines?

BHMS
Homeopath, Sindhudurg
After doing exercises and returning back I found pain on the left side of my body and after some time I found my test...
No its temporary. Apply ice pack if not reduced l. Consult me for homoepathic treatment for cure don't worry its not major problem..
3 people found this helpful
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I was recovered from typhoid two months back. Now I am suffering from sever muscle pain in both my legs above and below knee.

MBBS
General Physician, Cuttack
I was recovered from typhoid two months back. Now I am suffering from sever muscle pain in both my legs above and bel...
Take crocin 500 one tablet thrice daily after food,sufficient water and take one tablet of multivitamin daily. Check your Hemoglobin
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I have too much body pain and my eyes are getting smaller and dark circles are also increasing. Whats the reason?

MBBS
General Physician, Mumbai
I have too much body pain and my eyes are getting smaller and dark circles are also increasing. Whats the reason?
Get your blood checked for cbc and revert back with reports and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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In winter our body fell so more coll and some also pain. What we do for save this.

MBBS
General Physician, Cuttack
In winter our body fell so more coll and some also pain. What we do for save this.
1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.Drink plenty of water 3.Take rest
1 person found this helpful
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I am 20 yrs old. Am regular for gym. Now recently I left gym for two years. My body is paining now. Hlp me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 20 yrs old.
Am regular for gym. Now recently I left gym for two years. My body is paining now. Hlp me.
it may be due to your life style ..pl. rejoin zym or go for morning walk. take meditation. juice,protein diet. also you can analgesic tab. sos. but avoid mostly.
1 person found this helpful
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Hello sir, I am 20 years old and I suffer with body pains what can i do? Please tell me.

MBBS
General Physician, Cuttack
Hello sir, I am 20 years old and I suffer with body pains what can i do? Please tell me.
Take paracetamol 500mg one tablet sos, drink plenty of water, avoid physical and mental exhaustion. Check your hemoglobin. Get yourself examined by doctor
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My father has been having urine problem since many days. After taking paracetamol, he is fine for few days. But then later it started again. He has slight burning sensation and frequent urination. Sometimes he ts slight body pains and feverish feeling. Can we get frequent urination due to gastric problem? Or what are the possible causes for these symptoms?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My father has been having urine problem since many days. After taking paracetamol, he is fine for few days. But then ...
Hello I think he is suffering from urinary tract infection. So its better you sould get his complete blood count done to know the exact cause.
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Hallo Doctor I am ask a question my head is very pain someday. Doctor ask madicen pain killer And our body is very pain.

PGDHHM, MBBS
General Physician, Delhi
Hallo
Doctor I am ask a question my head is very pain someday.
Doctor ask madicen pain killer And our body is very pain.
Common causes of headache are -- Fever, migraine, stress, cold, sinusitis, anxiety, tensions ,vision problem, high BP ,inadequate sleep. Avoid stress and tensions. Drink plenty of liquids to maintain hydration. Take over-the-counter painkiller if intolerable pain. Hope this helps u .if required, consult.
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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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