Q 22 year girl have white discharge continuously. How we can prevent it? In last 3 months, she has lost more than 10 kg weight.

Some amount of vaginal discharge is normal and is seen in most females. It is the response of body to maintain internal hygiene. However if the discharge is constant, foul smelling, causes itching, is blood stained then it is a matter to worry. Bacterial, fungal and parasitic infection of the vaginal area are common causes. It is necessary that you get yourself examined by a gynecologist. Try and maintain hygiene in the genital area. Wear loose cotton under garments. Stay well hydrated. Avoid douching and using deodorant pads and tampons.

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.

Q How to make artificial vagina?

Hello. There are n number of techniques to make fake vagina at home. You can use any soft but firm material for this, like a glove inside towel roll, or two pillows on each other, or toilet paper roll and condom etc. Remember that you should use soft and non-hurtig material to make it at home. Though none of this home made techniques make you feel the actual goodness of having sexual intercourse with a female, but you can feel some closer to it. More better option we can suggest is to buy an artificial vagina from the shop of sex toy. The feel with these kind of sex toys is more realistic and more easier than making it at home. Hope this finds helpful for you.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q What is the golden hour in treatment of heart attack?

The available oppurtunity (first 60 minutes to 120 minutes) after the onset of a heart attack is considered as the golden hour. In this time period, maximum fatality and damage to the heart muscles occur. Thus, an available oppurtunity in offering a logical treatment reduces the after-effects and impact of heart attack, increases the survival rate and lessens complications to an individual. Thrombolysis with clot buster " medications" during this hour when the patient is able to recieve emergency care give excellent results. Nowadays it has been substitued with PAMI i.e., Primary Angioplasty Myocardial Infaction after heart attack in a cardiac care centre. Thus immediate hospitalisation of the patient in a cardiac health care centre is important for his chances of recovery are very high.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

Q Is there any reliable tips to reduce weight as I am working woman and do not find time for exercise but yes if you can suggest diet I can follow

When it comes to losing weight, good eating plan and regular exercise schedule go hand in hand. It is not possible to achieve permanent result by substituting one for another. Along with healthy eating a minimum of 150 mins of exercise in a week can make huge difference. As far as eating healthy is concerned you can make following changes in your routine. Instead of three large meals, have 5-7 small meals. Replace refined foods with whole grain foods. For example replacing white bread with brown bread. Include plenty of fresh fruits and green veggies in your meal. Avoid intake of processed foods, junk foods and sugary drink. Make sure your there is some amount of protein rich food in your breakfast, lunch and dinner. Foods such as eggs, chicken, fish, milk, cheese, curd, paneer are good source of proteins.

Q Are condoms 100% effective?

No condom can be effective in preventing pregnancy or sexually transmitted diseases (STDs) 100% of the times.n Condoms fail to provide protection sometimes from infections spreading from sores on the skin uncovered by a condom, for eg. at the base of the penis or scrotum. But a properly used condom can protect against STDs better than anything else. Some factors to consider in order to ensure the efficacy of condom are: check date of expiry, use latex, keep them away from heat, use water-based condoms, open carefully to avoid tearing, remove holding at the base of penis, choose condom with reservoir tip to hold semen after ejaculation. Consult a doctor if the condom breaks or slips off. Although not 100 % perfect, condoms are the best way of protection if one is going to have sex.

Q I am feeling weekness from past 2-3 days

Excessive physical exertion, excessive mental stress, prolonged lack of sleep, viral infection are some of the probable causes of weakness. Take adequate rest, follow well balanced diet, stay well hydrated, if you are overly stressed, try and find the cause and work towards improving it. Consultation with your physician will be necessary if the weakness is not relieved in few days or you develop any other symptoms.

Q Can delusional disorder be cured?

A delusional disorder usually goes along with another illness,eg schizophrenia,psychosis. Delusions can be managed with medication. Seek psychiatric help, they will be able to help & find underlying causes and treat it. Psychotherapy is usually the most effective help in person suffering from delusional disorder. People who have emotional struggles and abuse drugs or are under significant stress might more likely develop delusional disorder than those who dont experience those situations.