Q Hi doctor, what is infertility? Is infertility just a womens problem?

Infertility is defined as not being able to get pregnant after at least one year of trying. Women who are able to get pregnant but then have repeat miscarriages are also said to be infertile. No, infertility is not always a Womens problem. In only about one-third of cases is infertility due to the woman. In another one third of cases, infertility is due to the man. The remaining cases are caused by a mixture of male and female factors or by unknown factors.

Q What are the risk factors for thyroid cancer?

The risk factor for thyroid cancer are - female gender, low iodine diet, exposure to radiation, family history, inherited genetic mutation.rnrn 

Q What are the key statistics about thyroid cancer?

Thyroid cancer are not the deadliest cancers. Thyroid cancer has a 5 year survival rate of about 97%. It is estimated that by the end of year 2015 there will be 62,450 new cases of thyroid cancer.

Q sex for the first time !! always bleeding is expected??

Yes, some amount of bleeding is expected. This is due to breakage of the hymen which is a vascularized piece of tissue. When broken, the capillaries bleed for some time. However, the bleeding is minimal and the pain is mild, so you shouldnt be worrying. But in very less virgin cases where hymen is already brocken (due to vigorous exercise, hoarse riding, injury etc) bleeding will not experience.

Q This is kataru prasanth aged 22 recently I have observed a white hair on my head and want to know the reason behind this? How to prevent this problem? tell me which vitamins or proteins deficiency causes and what to eat for improvement?

Exact causes for premature greying of hair is not known. Some studies suggest that it can be due to genetics. Also deficiency of vit B12 or thyroid disorder can cause early greying of hair. In such cases treating the cause will help preventing further greying of hair. As such there are no specific medicine to reverse or control greying of hair. You can use several hair colouring products to conceal white hair.

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 My mother is 69 years, last year we accidntally came to know that she has polycystic kidney disease. She never had any symptoms of this disease. When she went for an ultra sound scan for porlonged cough, doctor deteced PKD, then a nephrologist suggested to go in for continuous dialysis and we have been doing the same twice a week. She is normal now. Should we continue doing dialysis? She is not BP or Sugar patient

Whether to continue with dialysis or not will depend upon how well is the kidney functioning. Frequency of dialysis can be decided only by nephrologist considering her response to the treatment. Do regular consultation with your doctor and follow his advises.

Q What are the symptoms of HIV and when do they appear?

Most people who are infected with HIV experience a short, flu-like illness that occurs two to six weeks after infection. After this, HIV often causes no symptoms for several years. Its seen that most of people who are infected with HIV experience this illness. The most common symptoms are fever (raised temperature), sore throat, body rash. Other symptoms can include tiredness, joint pain, muscle pain, swollen glands (nodes).

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.