Q What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

Q Had anal warts which i got removed, now it has develop near penis, what is the reason?

Warts in genital area are caused due to infection with human papilloma virus infection. The virus is spread through skin to skin contact. Having sexual intercourse with multiple partners or with unknown person increases the risk of developing infection.

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 What is juvenile diabetes?

Type-I diabetes in children is called as juvenile diabetes. Here pancrease fails to produce insulin needed for digesting sugar and thus insulin replacement is required.

Q Why is one pupil bigger than the other in a 2 month old baby boy?

1 in 5 babies can born with different sized pupils without any underlying disorder. If other family members also have similar pupils, then the pupil size difference is possibly genetic and nothing to worry about. However, certain underlying conditions such as Homers disease, aneurysm, tumor, increased intracranial pressure, meningitis can cause a difference in pupillary size. If your baby does not have any other sign and symptom and he is healthy otherwise, then there is nothing to worry about. But our advise will be to get him examined once to rule out any underlying disease.

Q How can I tell when Im ovulating?

Ovulation usually occurs 12-15 days before your period starts. So if your periods are regular, you can easily determine your ovulation period by subtracting 14 days from the expected date of the next menstrual cycle. One in 5 women experience mild abdominal cramps when they are ovulating. You can also use a basal body thermometer to check your basal body temperature which shows the lowest reading followed by a sudden rise when you ovulate. During ovulation, your cervix becomes softer and gives out more discharge (mucus) than normal. You can also buy ovulation kit available in chemist to determine your ovulation.

Q My hair is very curly. I want to straighten it. What should I do?

Temporary straightening can be obtain by using straightening irons. However if you wish to permanently straighten your hair then you need to consult a hair stylist. Even though it may make your hair look great, straightening brings with it a host of other problems such as breakage, thinning, dryness, split ends etc. Make a final decision after considering all the pros and cons.

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 What types of tests are used to evaluate patients with pelvic and abdominal pain?

To find out the cause of pelvic and abdominal pain your doctor will do physical examination to determine the location of the pain. Based upon that your doctor may order investigation. Investigations will include blood tests and imaging studies like x-ray, CT scan, MRI scan, ultrasound study. In female a pap smear may be ordered.rnrn 

Q How often should I have an eye test?

Adults and children are normally advised to have a sight test every two years. However, in some circumstances, your ophthalmic practitioner may recommend more frequent sight tests. Such conditions include- n1) If you are wearing glassesn2) If you have diabetesn3) If are aged 40 or over and have a family history of glaucoman4) If you are aged 70 or over