Q I have had a ganglion on the wrist for five years. This disappears and reappears but each time it gets larger. It is on the top side of my wrist where the wrist bends and is about 2 cm in diameter. It is very painful and i cannot bend my wrist fully. Please could you advise me on treatment and whether i can have it removed. I write with my left hand and my job involves moving a lot of stock about. Im seeing the doctor soon but feel that i should get some ideas first about what can be done. I am fed up with having this pain in the wrist which restricts the movement.

The main forms of treatment for a wrist ganglion remain excision of the cyst or aspiration of the fluid within the cyst. Several times, cysts can also disappear spontaneously as you have already experienced. Excision is better than aspiration since chances of recurrence are lower. You can also try alternative therapies.

Q Effects of smoking on heart ?

The chemicals in tobacco smoke harm your blood cells. They also can damage the function of your heart and the structure and function of your blood vessels. This damage increases your risk of atherosclerosis. This is a condition when blood vessels contain fats deposited inside them. The deposition of fats causes hardening of blood vessels loosing the elasticity, and obstruction to the blood supply of heart muscles. This may cause Coronary heart disease. When combined with other risk factors—such as unhealthy blood cholesterol levels, high blood pressure, and overweight or obesity—smoking further raises the risk of heart disease. It also causes raised blood pressure, low HDL levels and heart tissue damage to passive smokers.

Q How to become fit & fine & look beautiful?

To remain fit, fine and look beautiful take care of following things: Eat healthy food like whole grains, green leafy vegetables, pulses, cereals, eggs, fish. Take atleast 2 servings of fruits daily. Fruits are rich in anti oxidants especially citrus fruits. Antioxidants reduces the damage done by sun to your skin, makes skin firm, reduces wrinkles and thereby make you look beautiful and young. Avoid high calorie food and junk food as as they are packed with unwanted fats. Avoid excessive use of carbonated drinks and high caffeine containing drinks. Never do smoking or consume alcohol. Drink 2-3 liters of water daily. This will keep you well hydrated and will prevent your skin from looking dull and thereby add glow to your skin. Do regular exercise like running, swimming, skipping and weight training to remain in good shape. In order to remain healthy it is necessary that you take regular 7-8 hours sleep.

Q Where do cancerous lumps usually form?

The cancerous lump can be formed anywhere in the body. The commonly affected organs are- breasts, thyroid, testis, lymph nodes etc.

Q Can you please explain about binge eating disorder?

It is a type of eating disorder. It is also called as compulsive over eating. It is a psycological disorder. Causes can be anxiety, stress, depression, etc. A person with a binge eating disorder feels compelled to eat too much. Individuals will consume enormous quantities of food, even when they are not hungry. Binge eaters believe they have absolutely no control over their eating. After a bout of binge eating the person feels disgust and guilt. This feeling of failed self may form part of an underlying problem.

Q Feeling weakness all the time from 6 year, the problem is increasing day by day,

The reason for weakness can be many, such as a anemia, lack of sleep, stress, any chronic disease, defective nutrition level, chronic aches and pains, etc. It is necessary that you show it to a physician who after a detailed examination can suggest you the exact cause and treatment. In the mean time follow these general measures: Take well balanced nutritious diet. Stay well hydrated. Take 7-9 hours of regular sleep. Try and manage your day to day stress effectively. Involve some form of physical activity in your daily routine.

Q I have 99 fasting blood sugar, after meals it was 107. My HbA1c was 5.8. Am I non diabetic?

As per your readings, yes, you are non diabetic. In diabetics, fasting sugar is >100, after meal is>140 and HbA1c is >7.

Q I am 26 years old. 4 days back I passed motion with bright red blood form my anal path. I have taken veltam 0.4 and neurobin forte occasionally when I get urination problem. Previously also when I had tablets it resulted in constipation problem. At the time when blood comes, my motion is very hard. I thought it was because of harder stools. But yesterday night I masturbated and today morning also I had harder bowel movement with the same bright red blood. What may be the problem? Do I need any investigation?

Neurobion can cause digestive problem as its side effects. Hard stool can cause cracks around the anal region which can bleed while passing motion. Another cause for your symptoms can be haemorrhoids or piles, especially if there is no pain and only bleeding while passing stools. You should increase the intake of fiber rich foods in your diet. You will require rectal examination to find out the exact cause. Consulting a proctologist will be helpful. Masturbation has nothing to do with it.rnrn 

Q What is treatment of asthanospermia ? I am taking cap addyzoa with milk and also antioxidant. Will it increase motility

The condition refers to immotility of the sperms. The research is going on for the treatment of this condition. IVF or ICSI is done in the patients suffering from this condition with more probability of the pregnancy, now a days.

Q Doc I am 27 year old I hav positive with torch specially CMV and Herper may be rubella also. I hav beeen misscarrreid twice. Third time I hav been injected with hcg and baby was normal but I got high fever and his growth stoped. I have a history of high ever at time of miscarriage. So which test I do and what kind of treatment should I take please guide because one doctor suggested me karyotype

Karyotype test will help you to rule out any chromosomal abnormality that is causing recurrent miscarriages. As far as treatment is concerned it is necessary that you consult your treating gynecologist.