Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

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.

Q My lips are very dry and occasionally bleeds what to do?

Lips have a thin coating of oil which prevents them from drying. However in some people this moisture is lost resulting in excessive drying. The main reasons behind this is defective hydration, excessive licking habit, in winters due to dry winds, side effect of medications. In most cases self care measures helps to resolve the issue. Self care measures include: Improving daily water intake because it is important to remain well hydrated to prevent drying of lips. Use a lip balm whenever you are outdoors. Rubbing a slice of cucumber or a milk cream on lips at night. Keep it for few minutes and then wash it of with plain water. This will help in healing of cracked lips. However a condition called as chelitis which is cracked skin at corner of lips needs medical care, as the cause is infection. In that case consultation with dermatologist is required.

Q Can stress cause weigh gain? How is stress related to weight gain? How to prevent it?

Yes stress is the major cause for weight gain! People turn to food for comfort whenever they feel stressed and tend to overeat. To make it worse, often we choose junk food. So, one, we eat unnecessarily without being hungry and two, junk food means much more added calories than needed.n Over a period, the caloric imbalance leads to weight gain and eventually elevates risk of diseases such as hypertension, diabetes, and heart disease.n Now that you know, choose healthy alternatives like an apple or roasted almonds next time you feel stressed and are tempted to eat!n Moreover, try alternate ways like going for a walk or dancing to the tunes of some soothing music. This will not only relieve stress but will give bonus benefit by burning excess calories.

Q Medicine for circinate balanitis (reactive arthritis)

The cardinal symptoms of reactive arthritis are arthritis, urethritis and conjunctivitis. Balanitis is also a frequently noted symptom. It is advisable to get examined by a physician and then start the required medication. In the meanwhile, do not use any soaps, shower gels, condom, lubricant, etc on your penis; so as to avoid further irritation.

Q How to apply xylocaine gel in her vagina

Before having intercourse apply it locally with the finger, wait for 15 mins and then wipe the excess.

Q I feel my testicle bag contracting, no pain, but it will not stop contracting day or night. I have seen many doctors and underwent an operation but helpless cau you please suggest some thing?

In order to produce sperms optimally, testicles need to maintain a lower temperature compared to the rest of the body. Hence, in cold climates, it is normal to testicles to shrink and move closer to the body in order to maintain an optimum temperature. However in hot climates, the testicles usually hang lower to cool off. This contraction and relaxation takes place due to the cremaster muscle and dartos fascia. Changes in the intraabdominal pressure, contraction of the abdominal muscles and most commonly, spasm of the cremaster muscle can cause contraction of the testicles. Try to keep a warm atmosphere at your home and office. Prefer boxers to briefs. See a surgeon to find out the exact cause and treat accordingly.

Q After my break-up with my girlfriend, i started losing my hair and i am becoming bald day by day is this the reason or some other major problem with me. Please guide me & suggest me some remedy or therapy.

There are many factors that can cause hair loss. Stress, anxiety, and depression are surprisingly common causes of thinning scalp hair, and can be especially difficult to recognize and treat. But apart from these there can be several other causes like hereditary, infection, nutritional deficiency, thyroid imbalance etc.. Once you have noticed that you are losing your hair, the first step is to get a medical evaluation to determine the cause. Either your primary care or a dermatologist is a good place to start. Treatment can then be directed to any of the above underlying causes that are present. But meanwhile you can follow these advices: eat plenty of salads including green leafy vegetables like spinach lettuce, plateful of fruits, buttermilk, milk, curd, fish,egg, increase intake of peanuts and almond and walnut, have proper and sound sleep daily. Concentrating on future rather than dwelling on past can work.

Q What are low-glycemic index foods?

Foods that are very slowly absorbed are said to have low glycemic index. These don~t affect blood sugar levels much.

Q What is histrionic disorder?

Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people arent focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocative behavior to draw attention to themselves.