Q What is "Selective Mutism"?

Selective mutism is a condition in which a person who is normally capable of speech is unable to speak in given situations or to specific people. Selective mutism usually begins in childhood. It usually co-exists with shyness or social anxiety. Its important to understand that when the mutism happens, the child is not voluntarily refusing to speak but is literally unable to speak, feeling frozen. In time, they learn to anticipate the situations that provoke mutism and do all they can to avoid them. Example: selective mutism while interacting with the opposite sex. Other attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive. Behavioral therapy forms the mainstay of treatment with medications used in a few older patients. Most children will work their way through SM with sympathetic support, although they may remain reserved and anxious in social situations.

Q Do women need Sildenafil/Viagra?

Sildenafil has been developed for men to deal with erectile dysfunction. It increases blood flow to penis thus helping erection. Its effectiveness in woman has not yielded any beneficial results.

Q my right testicle became loose and is hanging......with dis my right side body is becoming fat than left side body.......what should i do...?

There is absolutely no problem with you. It is normal for one testes to hang lower than the normal. The position of the testes has no effect on the fat accumulation on the body. It is also normal for the dominant side of the body to be slightly different in proportion. For eg: if you are right hand person your right hand biceps measurement may slightly vary form left hand.

Q My nails are brittle and de-shaped especially toe how can I deal with it?

Most common causes for the condition are- hypothyroidism, iron and vitamin deficiencies, inadequate protein intake, dehydration, etc. Here are some of the tips for you- Take well balanced nutritious diet. Include protein rich foods like lean meats, eggs, chicken, fish, legumes, pulses, milk and milk products in your meals. Keep your nails short. Get your blood tested for thyroid function.

Q What triggers hormonal migraines in women?

The hormonal migraines are also known as menstrual migraines in females. The cause of headache is due to sudden drop of estrogen levels. This may happen during menstrual period, in menopause, due to sudden stopping of oral contraceptive pills and in pregnancy during first few weeks.

Q My left testicle divided into two parts this is a problem or not

Since how much time does the testicle appear like this? Is it by birth? Is there pain or swelling? Is there difficulty in urination too? Are there any other symptoms? It may be the swelling known as Orchitis. If the swelling is painful, it could be due to an infection. Injury may sometimes cause swelling giving such an appearance. Kindly consult a surgeon or a physician for proper diagnosis & treatment.

Q hi, My husband underwent piles surgery on last tuesday and was there in hospital for 2 more days. He got discharged yesterday(thursday). but he is having great problem in passing the stools. He almost faints and become soo weak after going to bathroom. He is havings sitz bath, applying cream and taking tablets also. But still the problem exists. Please help and tell us how can he reduce pain while passing the stool.

He will have the pain and difficulty for more 3-4 days. You have to give him more liquid diet and water which will ease the stool formation and relieve the pain. Give him more fibre containing food to prevent the constipation. Take the medicines regularly as prescribed. Give him a glass of buttermilk or a small bowl of yogurt everyday proper digestion of the food. Let him do some exercise for about 30 min a day regularly like walking, cycling or swimming etc after the recovery. Avoid the alcohol and smoking. If the problem persists longer, then consult the surgeon.

Q Does sperm die when it touches water?

Yes. The sperm will die in the water after sometime and not instantly as it touches it. This is due to change in the environment of the sperm in the body and outside the body like change in the temperature, pH etc.

Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q What is Bulimia? What are the causes of the same?

It is a type of eating disorder. A person with bulimia eats a lot of food in a short amount of time and then tries to prevent weight gain by getting rid of the food either by vomiting or with the help of laxatives. The causes for the disease include - family history, any mental illness or stress, cultural factor etc.