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Dr. Gurani Seema Bhishan

Pathologist, Mumbai

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Dr. Gurani Seema Bhishan Pathologist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Gurani Seema Bhishan
Dr. Gurani Seema Bhishan is one of the best Pathologists in Mumbai, Mumbai. She is currently associated with India House Path Lab in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Gurani Seema Bhishan on Lybrate.com.

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India House Path Lab

India house No 1, 1st Floor, Kemps Corner, MumbaiMumbai Get Directions
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I am having body ache and shoulder pain due to gas, and also flatus not passing and coming upward through the mouth then I am feeling very weak, so what should I do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I am having body ache and shoulder pain due to gas, and also flatus not passing and coming upward through the mouth t...
I think you have constipation, remove it. Drink at least 3 litter fresh water Avoid bakery and spicy food. Take fresh leafy vegetables in your diet.
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What is the symptoms of dengue and I have fever for over last 4 days and what should I do if I have pain in my full body.

MBBS, cc USG
General Physician, Gurgaon
What is the symptoms of dengue and I have fever  for over last 4 days and what should I do if I have pain in my full ...
Measure your temperature and tell me reading tell me if you are having other symptoms like cough/ throat pain/ burning urine/ stomach pain so that we can confirm cause of fever the most common symptoms of dengue fever are: 1. High fever 2. Severe headache 3. Pain behind the eyes 4. Nausea and vomiting 5. Swollen lymph node 6. Muscle and joint pain 7. Exhaustion 8. Skin rash further treatment can be done after physical examination.
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I am suffering from cold since last week and body pains please suggest me what I have to do.

MBBS
General Physician, Cuttack
I am suffering from cold since last week and body pains please suggest me what I have to do.
1.Do steam inhalation by steam inhaler 2-3 times daily with Karvol plus inhalant capsule. 2.Put otrivin nasal drop 1 drop thrice daily 3. Take one tablet of sinarest 2-3 times daily after food 4.Drink plenty of water 5. Take rest 6.If no relief, consult me for further advice
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I am a 26 yrs old girl. In my right upper arm there is one swelling. I having this around 1 year. But now I feeling pain there. And itching too. what should i do ?

MBBS
General Physician, Cuttack
I am a 26 yrs old girl. In my right upper arm there is one swelling. I having this around 1 year. But now I feeling p...
Swelling in your arm has to be examined by a doctor to find out the cause and treatment can be advised
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Is it good to take steroid injection for heel pain? Does it have any side effects on body? Does it will relief pain? steroid injection is painkiller of it will heel the pain.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Is it good to take steroid injection for heel pain? Does it have any side effects on body?
Does it will relief pain?
...
Hi lybrate-user, I appreciate you seeking help. Well steroid injections, locally, shall definitely relieve plantar heel pain, if any, and the effect would last for a couple of weeks to months. However, an overuse does potentially present with complications involving thinning of the fat pad and rupture of the fascia in the long term. As an alternative, one may try the following natural steps to manage the plantar heel pain suitably - (a) regular stretching of the feet. (b) extra-corporeal shock wave therapy. For this you will require to take help from a physiotherapist. (c) ensure that you do not undertake any kind of hard exercises including jumping, jogging, running etc all. (d) use soft/ cushioned shoes to support the heels comfortably while at home and also outside. (e) apply ice cold treatment (use an ice bag preferably) topically on the heal for 5 to 10 minutes, 2 times daily. (f) apply homeopathic'traumeel' cream topically, two to three times daily. (g) take rest and avoid repetitive strains so as to arrest any further injures to the heel (s). (h) take'enzomac' enzyme, 1 tab twice daily after food, for 7 days. Hope this helps alleviate your health issues. Do take care and all the very best.
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Please suggest me the test for the pain on the left side of the body tingling effect on hands and toe pain on shoulder and neck restlessness palpitation and laziness all the time.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Please suggest me the test for the pain on the left side of the body tingling effect on hands and toe pain on shoulde...
Good afternoon, There are unfortunately NO tests for assessing the pain or the tingling sensation in your body. However, ​if you would like you may undergo a nerve conduction study and find out the way in which your nerves function. With regards to your condition regarding restlessness and palpitation, if your cardiac evaluation is normal, you should need a thorough neuropsychiatric evaluation which will also help in your tingling and pain sensations​. I hope you see the point.
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Hello sir I have heavy body pains how to control the pains n how to relief from it.

MBBS
General Physician, Cuttack
Hello sir I have heavy body pains how to control the pains n how to relief from it.
1.Take paracetamol 500mg,1 tablet sos after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest
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I am 30 years old. And have too much body pains. I am a carpenter. So please tell us what is my problem and its solution?

PDDM, MHA, MBBS
General Physician, Nashik
I am 30 years old. And have too much body pains. I am a carpenter. So please tell us what is my problem and its solut...
1. Where is the pain exactly? 2. Is it localised? 3. Does it start at a point and goes to another point? 4. Any history of fall or injury?
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Hello I am 23 year male I feel so much weakness and I do not have enough stamina to do anything and my body pains what should I do.

BHMS
Homeopath,
Hello
I am 23 year male I feel so much weakness and I do not have enough stamina to do anything and my body pains wha...
Dear lybrate user, take homoeopathic mother tincture acid phos q, 30 drops, thrice daily, after meals in a cup of water. Try to get a un-interrupted sleep of 8 hours daily. Drink a lots of water daily. If you have a habit of masturbation then you should not masturbate for more than twice in a week. Abstain from any type of addiction if you have any.
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I am 35 year old lady, I m not able to understand the reason of continuous body aches (all the bones), lethargy and weakness all the time. What can be the problem?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 35 year old lady, I m not able to understand the reason of continuous body aches (all the bones), lethargy and w...
Any serious illness, especially painful ones, can make you tired along with bodyaches. But some quite minor illnesses can also leave you feeling washed out. Here are 10 health conditions that are known to cause fatigue. 1. Coeliac disease This is a type of food intolerance, where your body reacts badly when you eat gluten – a substance found in bread, cakes and cereals. 90% of us don’t know we have the condition, Other symptoms of coeliac disease, apart from tiredness, are diarrhoea, anaemia and weight loss. Your Doctor can check if you have coeliac disease through a blood test. 2. Anaemia One of the most common medical reasons for feeling constantly run down is iron deficiency anaemia. It affects around one in 20 men and post-menopausal women, but may be even more common in women who are still having periods. Typically, you’ll feel you can’t be bothered to do anything, your muscles will feel heavy and you’ll get tired very quickly. Women with heavy periods and pregnant women are especially prone to anaemia. 3. Chronic fatigue syndrome Chronic fatigue syndrome (also called myalgic encephalomyelitis or ME) is a severe and disabling tiredness that goes on for at least six months. There are usually other symptoms, such as a sore throat, muscle or joint pain and headache. 4. Sleep apnoea Sleep apnoea is a condition where your throat narrows or closes during sleep and repeatedly interrupts your breathing. This results in bad snoring and a drop in your blood's oxygen levels. The difficulty in breathing means that you wake up often in the night, and feel exhausted the next day. It’s most common in overweight, middle-aged men. Drinking alcohol and smoking makes it wor 5. Underactive thyroid An underactive thyroid gland means that you have too little thyroid hormone (thyroxine) in your body. This makes you feel tired. You’re also likely to put on weight and have aching muscles. It’s most common in women, and it happens more often as you get older. Your Doctor can diagnose an underactive thyroid by taking blood test 6. Diabetes One of the main symptoms of diabetes, a long-term condition caused by too much sugar in the blood, is feeling very tired. The other key symptoms are feeling very thirsty, going to the toilet a lot and weight loss. Your Doctor can diagnose diabetes with a blood test. 7. Glandular fever Glandular fever is a common viral infection that causes fatigue, along with fever, sore throat and swollen glands. Most cases happen in teenagers and young adults. Symptoms usually clear up within four to six weeks, but the fatigue can linger for several more months. 8. Depression As well as making you feel very sad, depression can also make you feel drained of energy. It can stop you falling asleep or cause you to wake up early in the morning, which makes you feel more tired during the day. 9. Restless legs This is when you get uncomfortable sensations in your legs, which keep you awake at night. You might have an overwhelming urge to keep moving your legs, a deep ache in your legs, or your legs might jerk spontaneously through the night. Whatever your symptoms, your sleep will be disrupted and of poor quality, so you’ll feel very tired throughout the day. 10. Anxiety Feeling anxious is sometimes perfectly normal. However, some people have constant, uncontrollable feelings of anxiety, which are so strong they affect their daily life. We call this generalised anxiety disorder (GAD). It is becoming more frequent in India. As well as feeling worried and irritable, people with GAD often feel tired. So either consult me with your present and past complaints.Menstrual history.,Family history or consult your doctor.
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I Have Many Body Pain. Reagurally I have Body pain So How Can I Remove Pain Give some health Tip please.

MBBS, cc USG
General Physician, Gurgaon
I Have Many Body Pain. Reagurally I have Body pain So How Can I Remove Pain Give some health Tip please.
Hi, 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 have headache bodyache and severe fever along with cough and chest pain. Please help me out Thanks.

BHMS
Homeopath, Raebareli
I have headache bodyache and severe fever along with cough and chest pain. Please help me out
Thanks.
Please take rhus tox 200 - 4 times daily for next 3 days take warm fluids/chicken soup. Take rest. If this does not helps then do a blood test for malaria/dengue/typhoid.
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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 am feeling like having something clumps like thing in the tips of the fingers. Something feeling like pinching or or its painful. Is these are the symptoms of corns?

MBBS
General Physician, Chandigarh
I am feeling like having something clumps like thing in the tips of the fingers. Something feeling like pinching or o...
It doesn't look like the symptoms of corns but neuritis type of problem take cap meganeurone once daily for two months and check the difference.
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After waking up my upper body aches a lot and especially shoulders and am tired all the time. This is happening since last 7-8 days.

PGDHHM, MBBS
General Physician, Delhi
After waking up my upper body aches a lot and especially shoulders and am tired all the time. This is happening since...
Common causes are- Fever, anxiety,inadequate sleep, anaemia, hypothyroidism etc. Get your temperature and bl pressure checked. Avoid heavy foods esp in night. Do yoga or deep breathin exercises. Hope this helps you.
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I am suffering from common cold and cough and severe body pains from last three days.

BHMS
Homeopath, Faridabad
I am suffering from common cold and cough and severe body pains from last three days.
Hello, Take Schwabe’s Alpha-CF and Biocombination-11, both after every 2 hourly for 4 days. Use Bakson's Nasal-Aid spray/ 1-2 sprays after every 4hours. Management: - Avoid cold drinks and fried food, take healthy food. -Avoid exposure to Air-conditioner or cold air (wrap a warm stole or mufflar around neck). -Avoid excessive or rough use of your voice/ shouting. -Gargle with warm water and salt 3 times a day and take steam-inhalation once before going to bed. -Take enough sleep and rest.
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I have slight fever and slight pain in d body frm 2 days, after I supervised a cleaning drive in my colg.

MBBS
General Physician, Mumbai
I have slight fever and slight pain in d body frm 2 days, after I supervised a cleaning drive in my colg.
For fever take tablet paracetamol 650 mg and Eat nutritious food and have adequate fluid intake and take physical rest
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Whenever I sit for long like on bike, bus seat, bed or anywhere however cushioned I develop an intense pain at the tail bone end. Even when I sleep and tend to switch sides it pains a lot. I haven't hurt that tail bone vicinity area, that is for sure. But how is this pain? PLEASE ADVISE?

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
Whenever I sit for long like on bike, bus seat, bed or anywhere however cushioned I develop an intense pain at the ta...
Dear lybrate user, tail bone pain while sitting is sign of coccydynia or back pain while sitting for longer period could be due to internal disc disruption (idd). Advise would be to consult interventional pain specialist for evaluation and treat it conservatively or by ganglion impar block with precaution such as using cushion under buttocks to avoid coccyx touching the floor. This should certainly help.
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SMy question is about the constant unbearable pain in her right hand with the constant pricking of needle (trying to find veing) by the nurse in one of the hospitals.

Diploma in Acupuncture, Pranic Healing, MD - Acupuncture
Acupuncturist, Bangalore
Please try thisgive pressure the dipping point on the portion between the thumb and the index finger on the back of the palm. Press and release for 15 times where the pain is more. This will solve the problem. Further do some wrist rotation exercise. Consult after 5 days. For further guidance and treatment.
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