Hi Dear !! Thanks for your query to HCM. I reviewed facts of your query in context to your health issues. There are many treatments in Mumbai also. My Opinion- In My opinion, in the given situation you should come down to Mumbai,where good treatments are available at all major hospitials in Mumbai. Treatment would depend on the extent of elephant leg and its complications caused from filarial lymphoedema. As your case is old for 24 yrs,elephant leg need would need surgical and medicinal options to be used.For this you need to Consult Surgeon in large hospitals of Mumbai. Heat therapy has questionable role and needs to be verified with Expert Surgeon in Mumbai. I would not advise, this non-heard of treatment,though some chennai centers might be practising. Do s Suggested- Keep elephant leg , clean with dettols sponging to control low grade bacterial/fungal infection. Cap Dafflon-300 mg x 2 per day for 3mths Tab DEC-100 mg x 2 times a day for 3mths time If no response -Ivermectin could be tried - in consults with Specialist attending. Only after using above medicines,if complications of leg filarial oedema is on rise, then ONLY, Surgical options need to be used at Expert hands. Next appointment- After 2 weeks to review treatment for existing stomach problem . If you update more information/ details upon these suggestions,I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear,if you don t have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS