Q My 11 years old girl used to get sick 5-6 times a year, most probably its flu or cold or sore throat with a high fever although she is a swimmer, she swims 2-3 kilos daily, shall I think about reducing her swimming or how can I improve immunity?

I would recommend that she should continue swimming because it will help her to build immunity. Ask her to avoid swimming on the days when she is ill. Apart from this make sure she has a well balanced diet, adequate hydration and regular sleep for 7-9 hours. Also if the incidence of her falling ill has started after she started to swim than you should consider changing the place where she swims and see if there is any difference in her frequency of falling ill.

Q What is "Selective Mutism"?

Selective mutism is a condition in which a person who is normally capable of speech is unable to speak in given situations or to specific people. Selective mutism usually begins in childhood. It usually co-exists with shyness or social anxiety. Its important to understand that when the mutism happens, the child is not voluntarily refusing to speak but is literally unable to speak, feeling frozen. In time, they learn to anticipate the situations that provoke mutism and do all they can to avoid them. Example: selective mutism while interacting with the opposite sex. Other attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive. Behavioral therapy forms the mainstay of treatment with medications used in a few older patients. Most children will work their way through SM with sympathetic support, although they may remain reserved and anxious in social situations.

Q What is an ECG?

An electrocardiogram (ECG) is a record of the electrical activity of the heart. It is recorded by means of an instrument known as the electrocardiograph. It is recorded in the form of waves on a graphic thermal paper. Interpretations are done to diagnose various heart conditions with the help of ECG.

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 What is the prognosis of a scar?

Once a scar is formed it is permanent. Over a period of time scars may fade to some extent and may become soft, smooth and pale.rnrn 

Q What is dry patchy skin around eyes?

Dry patchy skin around eyes indicates that skin in that area is devoid of its water content or moisture. Several factors can cause dry patches around eyes such as extremes of temperature, strong facial cleansers, soap, acne products. Skin conditions such as eczema and psoriasis can also cause dry patchy skin.

Q Who should I consult to help my child if I am concerned about their mental, behavioral, or emotional symptoms?

You should consult a pediatric psychologist or child counselor to solve problems related to your childs mental, behavioral and emotional symptoms.

Q How to treat an oat allergy?

In an acute episode use of over the counter antihistamines are beneficial. As far as prevention is considered the best way is to avoid eating oats. Cereals, cereal bars, cookies and other similar foods are main sources of oats and hence should be avoided. Rice, potatoes, fruits contain many of the same health benefits as oats and can be substituted for oats.

Q What is a panic attack?

A panic attack is a sudden onset of intense fear or apprehension without any known cause. A panic attack comes suddenly lasts for few minutes and may disappear of its own without any medicine. Sometimes, panic attacks can be very frightening. Some of the symptoms you may experience during the panic attack include - palpitations, sweating, trembling, shortness of breath, a choking sensation, chest pain and feeling sick etc. If the attack is recurrent, it is advised to consult the physician to get the best possible treatment.

Q Please guide me proper veg diet chart for gain weight

In order to make a proper vegetarian diet chart more details are required such as your age, gender, height, current weight and physical activity level. Following is a general vegetarian diet chart to gain weight: Meal 1-8 am: Whole wheat bread and paneer sandwich and 1 cup milk. Meal 2-11 am: 1 Banana. Meal 3-2 pm: Roti, sabji and curd. Meal 4- 5 pm: Handful of roasted nuts and 1 cup milk. Meal 5- 8 pm: Roti, Sabji and dal or Rice, Sabji and dal.