Q Can you have a normal ECG but an abnormal chest X-ray ?

Yes. This can happen. As both the investigations serve different purposes. ECG is restricted to evaluate and diagnose heart conditions. It does not give an idea about other structures in your chest cavity. But a chest X-ray is more elaborated and preliminary examination to detect any problems inside thoracic cage. Most commonly chest X-ray is advised to see lung condition, but its scope does not limit there. A normally functioning heart with problems to other organs and spaces inside chest cavity can give normal ECG with an abnormal chest X-ray.

Q How can I help my child avoid triggering migraine headache?

Following measures can help you to avoid migraine triggers in your child: Avoid known triggering factors. Give your child well balanced diet. Avoid too long gaps between meals. Make sure your child is well hydrated. See to it that your child gets 7-9 hours of quality sleep on regular basis. Cut down on your childs intake of junk foods and excessive sugary drinks. Talk to your child if something is bother him/her.rnrn 

Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q Where can I get help to stop smoking?

It is appreciated that you want to quit smoking. The best person to help you to quit any bad habit is YOURSELF. The inner voice is very important to do something which you think impossible. Nothing is impossible when YOU have decided to do it, rather someone else keeps you poking. If you think you need help, you can consult with your physician, friend, family member or any one to whom you believe the most. Dont quit suddenly because it may lead to some adverse effects; keep gradual decrease in the frequency and the number of smoke.

Q what is oral sex? wat precaution shoud take during oral sex?

Oral sex is where mouth of the one partner and genital of the other partner is involved. It includes aspects like licking. It is safe if you know that your partner is free from any STD otherwise there is a risk of getting an infection.

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.

Q When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

Q Can I take two packets of the pill back to back?

It is safe to do so when you want to avoid the period. You may notice a brown discharge also called as breakthrough bleeding. It is of no importance and does not affect the contraception effect in any way.

Q What do you mean by Social Phobia? How it is expressed?

Social phobia is a strong fear of being judged by others, and of being embarrassed. This fear can be so strong that person start worrying about the things he is going to do in front of others weeks before, or it may restrict him from going into public places/school/work etc. Person will have overwhelmed fear that others will judge him wrongly or make fun of him. He might be afraid of eating or drinking in front of others, using public restrooms, going in social functions, performing anything in front of a crowd etc. This may end up with staying away from such situations or completely avoiding them. For some, it is a problem only in few situations, but some may have this fear constantly. This fear can express itself in the form of difficulty in getting acknowledged with others, talking with other people, high level of self-consciousness when in public, worries excessively before weeks or days of any upcoming social function, difficulties in making friends and becoming friendly with others, physical symptoms of fear may appear like sweating, trembling, blushing, palpitations, nausea, etc.

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.