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Dr. Nikita Khimashiya

Physiotherapist, Mumbai

300 at clinic
Dr. Nikita Khimashiya Physiotherapist, Mumbai
300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nikita Khimashiya
Dr. Nikita Khimashiya is one of the best Physiotherapists in Mumbai, Mumbai. She is currently associated with Apollo Clinic in Mumbai, Mumbai. Book an appointment online with Dr. Nikita Khimashiya on Lybrate.com.

Lybrate.com has an excellent community of Physiotherapists in India. You will find Physiotherapists with more than 43 years of experience on Lybrate.com. You can find Physiotherapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Apollo Clinic

shop no.12/13, Luschgreen health care pvt apollo .ltd., swapna shilping housing society, tilak nagar, chembur. Landmark : Opp lokmanya tilak school & Near shakhar cinema, MumbaiMumbai Get Directions
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I am 25 year old and suffering from pain in my right leg for last 5 days. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually pain at calf/leg region can be due to many reasons, commonly it is muscular in nature but it can also be due to tendons, nerves, blood vessels etc or it can be a radiating pain from your lower back region. My advise to you for initial 2-3 weeks will be: - ice packs application intensively with elevation of your limbs at night - take a short course of anti-inflammatory medication as per your body's suitability - stop your physical activity till pain completely subsides - intensive physical therapy, training and proper muscle conditioning once pain has subsided - slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance. Do not hesitate to contact me if you need any further assistance or if your pain does not resolve by then. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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Lot inflamation is felt in my both legs from foot to knee and as well in some parts of my upper body under arm pits, don't know why?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I will have to understand why you are having these pains in multiple joints of the body. You need to get some blood tests done and send me the results so that I can see them and advise accordingly: cbc, esr, crp, serum electrolytes, serum vitamin d levels. The reports of these tests can give us a clue to whether there is any inflammation going on, also if there is any deficiency, that can be corrected as well. Do not hesitate to contact me if you need any further assistance.
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I have back pain problem in a month so I can't move up down and sleeping time extraordinary pain in back. Pls suggest what can I do?

BHMS
Homeopath, Faridabad
I have back pain problem in a month so I can't move up down and sleeping time extraordinary pain in back. Pls suggest...
Hello. Maintain a right standing and sitting posture, keep your back always straight, avoid carrying weight on back. Hold or carry weight divided equally in both the hands or shoulders (to avoid over straining on one particular hand or shoulder). Lie down on bed on your back without pillow. Exercise: Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Medication: Take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Get back to me thereafter.
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I am 35 years male. I don't smoke but why my joints are paining for last 2-3 month. Please advise.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 35 years male. I don't smoke but why my joints are paining for last 2-3 month. Please advise.
Kindly show me a photograph & digital X RAYS of affected part. Rule out diabetes & vit.D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.
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I am 25 years old. My back problem continuing since 2 months. I am using a medicine but does not relief. What can I do?

D.P.T
Physiotherapist, Hyderabad
I am 25 years old. My back problem continuing since 2 months. I am using a medicine but does not relief. What can I do?
dear user, only medicines wont help in reeucing back pain. you need some xtra care for your back. apply heat fermentation with any pain relief ointment twice a day for 15 days. if still you feel pain after this you need to take inferential and ultrasonic therapy for complete care.
1 person found this helpful
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Nerve Pain - 7 Ways You Can Control it

MD, FIPP
Pain Management Specialist, Kolkata
Nerve Pain - 7 Ways You Can Control it

How To Control Nerve Pain?

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 above mentioned 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. If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.

4630 people found this helpful

I am getting legs pain frequently. If I do long walk or any stress I will get legs pain. I am not getting , is it anything about me?

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am getting legs pain frequently. If I do long walk or any stress I will get legs pain. I am not getting , is it any...
For leg pain, please follow the below advise: 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.
2 people found this helpful
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Doctor my ankle was injured. I go to sleep then ankle was very paine. I used medicine but could not useful. How can I doo doctor? Please help.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Apply ice pack for 20 minutes and pain relief ointment before sleep and avoid long standing if it work then ok otherwise take physiotherapy treatment for 1 week.
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I am having neckache +some upper back pain and I cant even speep at night with pillow under head. Also all my veins are like they are stretched. Please guide me some tips.

BPTh/BPT
Physiotherapist, Gurgaon
U must b having cervical problem. In this condition pain radiates in your shoulder, arm and forearm region. But depends patient to patient. Secondly, pain radiates in shoulder blade region too. So see a good physiotherapist. Thank you.
1 person found this helpful
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I am 25 years old I am suffering from severe back ache from last 1 year what shall I do.

MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
I am 25 years old I am suffering from severe back ache from last 1 year what shall I do.
Avoid prolong sitting, take a move or rest in every half n hour, and do hot fermentation and most important back n neck strengthening exs.
1 person found this helpful
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I have a leg ache. I have tried many medicines prescribed by physician. But I don't feel any relief. Please suggest any prescription.

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
I have a leg ache. I have tried many medicines prescribed by physician. But I don't feel any relief. Please suggest a...
Hello, medication like methylcobalamine with l carnitine and analgesic will reduce pain; you can take them. I will advise to check your vit b12 and vit d3 level. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
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He is 80 years old. He is suffering from pain in his left knee. Is there any natural remedy for it?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
He is 80 years old. He is suffering from pain in his left knee. Is there any natural remedy for it?
He is most probably suffering from oa of knee. Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands.Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery. Do not ignore. It could be beginning of a serious problem. Kindly show me x rays before a final decision can be taken. You will be thoroughly investigated before surgery is under taken. Risk in surgery is less than the risk in crossing road.
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I'am having severe left leg pain is dat due to sleeping posture or spine problem my age is 20.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I'am having severe left leg pain is dat due to sleeping posture or spine problem my age is 20.
Avoid bending in front. Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Bhujang asana. Core strengthening exercises. Back stretching. Do the cat/cow stretch.
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I am getting headache and backpain in the morning when I wake up. I am getting relief when i piss. I pass small amount of urine only at that time. I am good in the rest of the day. actually when we store large amount of urine then we get back pain.

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Please get your 1st sample urine for routine examination + take plenty of oral fluids +ultra sound abdomen test, consult with reports.

Hello sir, I am 24 year old I am suffering from arthritis from last 10 years Some of my tests are C reactive protein 21 mg/l Ra factor 17.8 iu/ml Uric acid 5.6 mg/dl Anti CCP <0.5 u/ml HLA b27 negative SGPT (ALT ) 19 iu/l RA factor 17.8 iu/ml ESR 15 mm/hr I tried allopathy ayurvedic and homeopathic treatment . But still suffering from disease And now my ankle hips and knees fusion. From last two month I am taking these tablets Sazo 1g twice a day Calten d 500 twice a day Retoz 90. Once a day Folitrax 7.5. Twice a week Folvite 5 twice a week Uprise - d3 60 k once a week Depo -medrol once a week And now my condition is very very chronic . Very high pain in right hip And high pain in ankle, knee, wrist, shoulder and neck. Now I am unable to stand so laying on bed and crying all the day and night. Do note one thing when I take these medicine I feel better for 1 month but after one month pain increased very high level . Before 2 years I took these medicines and then I felt better for one month after that pain increased. So I stopped these medicine and got ayurveda treatment for 2 years but didn't get relief. So I again consulted to rheumatologist and he prescribed me again to take these medicine and now again 1 month relief and after that pain is very very high. Sir why these tablets give me relief only for one month. Is any medicine not suits me. Or I should reduce dose of tablets. Or tablets are not right choice for me.

D.P.T
Physiotherapist, Hyderabad
Hello sir, 
I am 24 year old
I am suffering from arthritis from last 10 years
Some of my tests are C reactive protein...
dear user. after seeing detailed condition of yours. i simply suggest you to take physiotherapy treatment for 2 months. which will be enough for you to become normal and getting rid of pains in the body
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Hello I am 22 years male. I'm having back pain problem so please tell me how to reduce that pain.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Hello I am 22 years male. I'm having back pain problem so please tell me how to reduce that pain.
It needs to be investigated. Investigations advised - hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3 urine r/e x ray of the affected part. Anyway you may try- sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomentation. Paracetamol 250 mg od & sos x 5 days. Caldikind plus 1 tab od x 10. Do neck back knee & general exercises. It may have to be further investigated. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5 days, inform
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia:&amp;nbsp;if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event:&amp;nbsp;if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

I have a pain in my right shoulder whenever I play volleyball and smash the ball. Why is it so.

BHMS
Homeopath, Delhi
I have a pain in my right shoulder whenever I play volleyball and smash the ball. Why is it so.
Hello,take homoeopathic medicines 1.Arnica 30 (4 drops in little water) thrice a day for a week. 2.Rhus Tox 30 (4 drops in little water) thrice a day for a week and update. Make a gap of 15-20 minutes in both the medicines.
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I am 47+ male started having acute pain in right elbow since 5-6 months. To share with you more during the day I don't feel much. But when I get up in the morning I feel acute pain. Please advise.

MBBS
General Physician, Mumbai
I am 47+ male started having acute pain in right elbow since 5-6 months. To share with you more during the day I don'...
Get your blood checked for cbc and uric acid levels and revert back with reports and avoid pickles and papads in your diet
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