Can help you, kindly consult and provide detailed history for proper diagnosis and further management

No need.

Connect please

Practically it is of no use to take Anti-Rabies vaccine 20 years after the dog bite. If the virus was so weak that it couldn't cause a disease in 20 years then it is acting like a vaccine (attenuated virus)

No need.you are safe if so many years have gone by

According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment of rabies. Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

no need

Need few more details Kindly consult

Vaccine isn't needed post 5 years of exposure, you may take a pre exposure one though 3 doses. Go to your nearest government one for it. 20 years back bite doesn't need anything, the longest duration is 12 years median is 5