This is a case of a 45 year old female,resident of Nalgonda, technician by occupation came to the op with the chief complaints of HOPI AND PAST HISTORY 30 YEARS BACK(15 yrs of age)- Got married in 10th class (Non consanguinous marriage) Her partner was a jobless alcoholic AT 18 YEARS- She gave birth to a healthy baby boy through LSCS AT 20 YEARS- Gave birth to a healthy baby girl through LSCS 22 YEARS BACK - She was a homemaker then. Due to her husband’s aggressive behaviour, she ingested pesticide which was seen by her sister. She gave her saltwater,induced vomitings and shifted her to Osmania hospital where she was admitted for 2 days 20 YEARS BACK (JAN 2003)-She joined as a technician in this hospital and also worked as a tailor 17 YEARS BACK(2006)- C/o left ankle swelling and left leg edema which initially resolved overnight but later didn’t seem to resolve Later she c/o bilateral lower limb edema about which she neglected due to her work stress She also c/o pain in the