Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q Hi, I sometimes get a "twinge" in my left chest, sort of in the crease of my breast. It doesnt happen after exertion but at any time, even at night in bed - Im scared theres something wrong with my heart.

Twinge or sudden sharp pain is very common presentation of chest pain and most of the times it is not related to heart. Very rarely this pain indicate coronary artery disease. Moreover since the pain is not related to exertion and comes anytime, it is less likely related to heart conditions. One probable cause for your pain could be indigestion. However it is advisable that you get yourself examined by your family physician once to rule out anything serious.

Q I am married and I still dont have baby

Difficult in conceiving is called as infertility. Causes of primary infertility in females are: irregular menses, hormonal imbalance, being obese, thyroid disorder, PCOD, diabetes, birth defects, etc. In males the cause of infertility are: hormonal imbalance, poor quality and quantity of sperms, birth defects, impotence, retrograde ejaculation, etc. If it is been more than one year since you are trying for pregnancy then you should consult a gynecologist. Preliminary test like sonography for female partner and semen analysis for male partner will help to identify the probable cause.

Q I have a sweaty palms and feet plz tell me right cure for it thanks

Sweating on palms and feet can be due to several reasons like nervousness, anxiety, panic attacks, excitement, due to certain foods or as a result of some underlying disease. Identifying and treating the underlying cause is the best solution. Treatment options include use of antiperspirants, iontophoresis, medications and surgery. Consult a dermatologist to help you with this. Till then you can try these home remedies: Soaking your hands in a solution of water + baking soda or water + black tea will reducing sweating when done regularly. Avoid putting your hands in pockets in order to hide them. It will worsen your situation. For your feet sweat: wear well fitted shoes. Whenever possible remove your shoes and air your feet. Wash your feet after you come home. Try to avoid wearing same shoes every day so that they get enough time to dry up.

Q Can high SGOT and SGPT levels affect pregnancy?

Raised SGOT and SGPT levels indicate that there is some disorder associated with the liver. However whether it will have any effect on the pregnancy or not will be determined by the underlying cause for raised SGOT and SGPT levels. So it is necessary that your wife consult her gynecologist.

Q I have white stuff in my milk ducts and I want to know it its cancerous

Discharge of white material from breast can be normal as well as abnormal. An abnormal discharge would be from any one breast, it would be without any touching or squeezing. It may have a bad smell. A careful investigation and examination is required to comment anything. It is advisable that you consult a gynaecologist who based on your symptoms and breast examination can give you the correct diagnosis and treatment. Also if the discharge turns out to be abnormal there is no need to worry as most of them are easily treatable.

Q How to control thyroid in pregnency

Thyroid control will require intake of thyroid medication. Medication will depend upon the type of thyroid disorder such as hyperthyroidism or hypothyroidism. Hence you should consult your family physician at the earliest as uncontrolled thyroid disease can affect the fetus.

Q Want to remove facial hair which is the best method waxing, threading or bleaching?

You can go for the method suitable to your skin. Waxing is not recommended to remove the facial hair. The bleaching will not give you the complete relief. So, you can try threading. Now a days, the excess hair are removed by the Laser operation. But, it is quite costly.

Q How can I enlarge my breast

Regular exercise is the only natural option to get your breast size increased. Push ups and pectoral muscle exercise may help you to gain the breast muscles. Plunge bras, water bras, and push-up bras can be used and these usually add a cup size to what you already have. Silicone pads can be bought to be put inside a bra as well. Breast implant surgery is one option to help you in this regard.

Q Can my sleeplessness lead to headache?

Yes, sleeplessness can lead to headache. Migraine, cluster headache, tension headache are some of the types that are caused due to sleeplessness.rnrn