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Dr. Ajay Bansal

Hematologist, Kashipur

Dr. Ajay Bansal Hematologist, Kashipur
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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Hi I am 28 years old female. I am having a pain in right leg in middle since a week. What should I do ? Reason for this so that I can take care in future.

MD - Homeopathy, BHMS
Homeopath, Delhi
Hi I am 28 years old female. I am having a pain in right leg in middle since a week. What should I do ? Reason for th...
Plz take calcium homeopathy supplements along with some muscle relaxant Rhux tox 200 for beginner. U Enquire further
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Myself I am 21 years old. I am sports player. Most recently I have got a pain in my biceps because of that I am not able to bowl. Can you help me with that.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Myself I am 21 years old. I am sports player. Most recently I have got a pain in my biceps because of that I am not a...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. I think you may be having a strain or a tendinitis if there is no associated injury. Can you tell me whether you have any swelling, or any other s/s of inflammation etc? my advise will be initially to restrict your sporting activities, give adequate rest to limb till pain subsides, ice packs for local application, physical therapy and gentle anti inflammatory medications. Most of the patients will recover within 2-3 weeks with these measures but if your symptoms increase or do not subside, kindly contact me as we might have to investigate you and get some investigations done do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & regards
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I am not able to sleep properly due to the pain in legs. I tried hot water bag and some Ayurvedic oil balding, but of no use. Day time, there is no problem, but before going to sleep, pain starts. I have crossed 70 now. No sugar, but I am taking medicine for pressure (25 mg atenanol). Kindly advise, Krishnampoori.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
I am not able to sleep properly due to the pain in legs. I tried hot water bag and some Ayurvedic oil balding, but of...
Pain in legs at your age could be due to various reasons including varicose veins, b12 or calcium deficiency, peripheral neuropathy or just a restless leg syndrome. Get yourself investigated before you go for any remedy. I hope once the pain gets controlled you may sleep properly.
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I have pain in heels from last 2 3 months especially while I wake up in the morning and if something hit there it pains very badly.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
I have pain in heels from last 2 3 months especially while I wake up in the morning and if something hit there it pai...
You should take Acupressure therapy and take Biochemic Calc phos 200x 4 tab thrice a day with warm water and take it 5 days than consult private online.
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My name is Prabhakar dixit, age 26 year. Dr. When I start sleeping I start dreaming also. And some time dreaming start before sleep (trying to sleep also aware what's happening nearby me). And my problem is week concentration, feeling drowsiness. Low confidence level Please guide me what to do. Prabhakar dixit 9696163399 prabhakarkrdixit@gmail.com.

L L. B..,, M.Sc psychy,, N L P, P.G.D.G.C, M.S psychotherapy,, M.A child care, M A, clinical psy, M.A,social psychiatry,, M.Phil., psychology., Ph.D .,psychology
Psychologist, Vijayawada
My name is Prabhakar dixit, age 26 year. Dr. When I start sleeping I start dreaming also. And some time dreaming star...
you are preparing you mind is like that. if we have also dreams. but we dont care. dont recollect dreams. dont give suggestion to mind that i get dreams. if you give suggestions like that mind is also working like that. when you feel relaxed you are not thinking about any dream. no dream comes to you. if you feel i am not sleep well. then mind also gives suggestion to you. mind is a super computer it depends on what we give suggestion to it. it works like that. suppose if we give positive suggestions it will work on positive aspects. if we think negative aspects it works on negative manner. so think and feel always in a positive manner. read good inspirational books. feel always comfortable. develop good strong work on studies. meditation and yoga helps to you very much. better to share your internal thoughts and feelings with your closed friends and family members. be happy all the time. be sociable all the time. ok all the best.
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Hi my self pritam when I am go to bed in night I cant fell sleepy I am so worry about it please help me.

MBBS
General Physician, Mumbai
Hi my self pritam when I am go to bed in night I cant fell sleepy I am so worry about it please help me.
Dear lybrate-user, relax, it may be due to stress or thoughts. Fill your mind with a nice talks or read a good book. Hope this helps, sunil.
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My daughter is 9 1/2 yrs. Old, not very thin. Few days back she went for swimming and came back with pain in right leg toe finger joint. Now the pain is unbearable and she can not walk. The toe has swelled up a bit also. I applied heat compress. What to do, please advise.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Coimbatore
Do not apply heat apply ice and give rest for 2 days for further queries consult privately to have a detailed discussion to solve your problem.
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Due to long hrs working in front computer getting left shoulder muscular pain, like pinching something severely, stretching, icing all done but the pain still on.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Due to long hrs working in front computer getting left shoulder muscular pain, like pinching something severely, stre...
You must sit in front of computer in right posture. You may take for shoulder pain Zorodol MR twice a day for two days. Call back.
1 person found this helpful
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I am feeling tired for last 3 days, but when I close my eyes, I can't be able to sleep, what can I do?

MBBS, cc USG
General Physician, Noida
I am feeling tired for last 3 days, but when I close my eyes, I can't be able to sleep, what can I do?
Hello, I am giving you some tips for sound sleep and early awaking in morning kindly follow advises given below: 1. Strict to sleep time schedule 2. Do regular physical activity 3. Regular meditation/ yoga 4. Avoid tea coffee after 7 pm 5. You can take bath at bed time 6. Avoid day time sleep 7. You can use alarm and gradually reduce your waking time by 15 minutes consult physician if symptoms persist of worsen.
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I'm 24 years old, I couldn't sleep at night due to severe headache, and while reading books water keeps flowing from my eyes, my eyes become watery, I have tried several home remedies taken medicine but nothing helped me out. What to do please suggest me?

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
I'm 24 years old, I couldn't sleep at night due to severe headache, and while reading books water keeps flowing from ...
Hello, A headache is nature’s warning that something is wrong somewhere in the body or health .taking any pain killer provide a temporary relief but it does not remove the causes , moreover the excess use of pain killer causes nervous debility , weakness a heart and bring other side effects. The common cause of headache are allergy, emotional reasons, eyestrain, HBP, LBP, infection, nutrition n vitamin deficiency, anemia, chronic constipation , ENT n Sexual problem , Sleeplessness , Menses problem in female etc… First step to prevent headache to build up physical resistance through proper nutrition, exercise, yogic asana, Pranayama, prayer, meditation and constructive thinking. Juice Therapy Carrot, coconut water, orange n pineapple juice n mix vegetable soup are best for headache illness Home Remedy TULSI LEAVES BOILED WITH WATER N DRINK 4 TIMES A DAY OR MIX WITH COW MILK CHEW TULSI LEAVES 15-20 WITH JAGGERY /LEAF JUICE WITH GINGER AND HONEY Stay Healthy-Naturally.
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I am 21 year old and have pain in my shoulder because I was fall down.

MS - Orthopaedics, MBBS
Orthopedist,
I am 21 year old and have pain in my shoulder because I was fall down.
Requires detailed investigation and examination hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d xray 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 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, inform.
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My aunt often faces fractures. Can we get to know the reason for it by bone density scan?

BPTh/BPT
Physiotherapist, Hyderabad
Dear Mr Avilash, it is imperative you get the scan done, for repeated fractures indicate that your bones are weak viz, depletated in bone rebuilding & sustaining minerals. Please do get the scan done & consult your Ortho doctor.
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I am 20 years old and always feel sleepy when I start studying. Please help to avoid my sleep.

MBBS
General Physician, Hyderabad
I am 20 years old and always feel sleepy when I start studying. Please help to avoid my sleep.
Hi drink water whenever you get sleep concentrate on studies eat in time sleep in time over studies make stress up ok take care.
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I am not able to sleep since 2 days and my eyes becomes yellow and wet. Please help.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am not able to sleep since 2 days and my eyes becomes yellow and wet. Please help.
hello. get relax from or during work. at night forget all stress.avoid it. bath at night before bed. take dinner on time.take salaad in dinner,fiber meal, low fatty/oily foods. green veg.,take low diet at dinner. massage you head and body. it reduced stress of whole day. take 1 glass of water before bed. you can watch T.V. PROGRAMME. THESE acitvity may be reduced stress and you can sleep proper way.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

MBBS
General Physician, Cuttack
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
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 4. Avoid stress and anxiety.
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I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't work, what to do? Please help me!

DHMS (Hons.)
Homeopath, Patna
I haven't been able to sleep since 2 days and I am having a severe headache, tried multiple home remedies, but didn't...
Hello, take,** homoeo-medicine** @ coffea cruda 30-6 pills, thrice a day. @ nux vom 30-6 pills, thrice a day. Correct your life style, take, care.
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Delayed Onset Muscle Soreness (DOMS)

Physiotherapy In Cerebral Palsy and Leprosy, MPT Neurology
Physiotherapist,
Delayed Onset Muscle Soreness (DOMS)

Delayed onset muscle soreness (doms), also called muscle fever, is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.

The soreness is felt most strongly 24 to 72 hours after the exercise. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.

Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.

Characteristics

The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.

Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.

Cause

The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.

Mechanism

The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.

Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units.[6] this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.

Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.[7][9]

An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later

Relation to other effects

Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.

Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.

Possible function as a warning sign

Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.

Repeated-bout effect

After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.

As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.

The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.

The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.

The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).

Prevention

Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.

Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.

Static stretching or warming up the muscles does not prevent soreness.[12][13][needs update] overstretching can by itself cause soreness.

The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness.[15][16] consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.

Treatment

The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.

Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.

Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.

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I have severe back pain since 3days, due to these I could not sleep properly. I have tried to do some meditation but it became worse. Please help me to get out of my back pain!

BHMS
Homeopath, Delhi
I have severe back pain since 3days, due to these I could not sleep properly. I have tried to do some meditation but ...
Hello, you can take homoeopathic medicine rhus tox 30 (4 drops in little water) thrice a day for 3 days and update.
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Respected Dr. Please advice me I want good sleep, as I have hard work daily, and get tired, but not able to sleep, my sleep is restless, and I think too much while sleep I.g.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmedabad
Respected Dr. Please advice me I want good sleep, as I have hard work daily, and get tired, but not able to sleep, my...
Hiii lybrate-user thanks for asking your query *maintaining regular time for going to bed. *avoid seeing excited pictures at night. *avoid smoking, tea, coffee or alcohol at night before going to sleep. *not indulge in any type of work or reading till late night. *should devoid of thoughts tensions before going to bed. *hearing soft music or favorite songs also induces sleep. *5-10 minutes mediation before going for sleep *offering prayer before sleep. *washing of hand, feet and face before goes to sleep *avoid of day sleep *proper evacuation of stool and urine *avoid mosquito bites *maintain privacy *drink buffalo milk + khas khas thanks.
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I am 20 years old my left hand paining a lot from two months plzzzz help me sirrrr.

Merrithew Stott Pilates, Bachelor of Physiotherapy
Physiotherapist, Bangalore
I am 20 years old my left hand paining a lot from two months plzzzz help me sirrrr.
Goodmorning sir I feel you should get a session of physio. A session of 10 days of tens treatment will help you. After which you can do as few stretching exercises.
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