Q What kind of diet is not advisable for when you have pain in neck and shoulder?

Unhealthy diet and lifestyle are on second rank when it come to pain in body like neck and shoulder pains. Modern food habits are actually producing harmful effect on body by promoting accumulation of toxins in body. These type of food include: chocolates, ice-creams, food containing caffeine, highly processed food, canned or preserved food specifically with MSG, junk food or fast food, food high in sodium and sugar, high fat dairy products, meat, cigarette, wine, beer or any other alcoholic drink etc. These type of food in diet put your body under constant metabolic stress and promote production and accumulation of unhealthy chemicals or toxins in your body. This combined stresses, irritate and spasms nerves and skeletal muscles resulting in pain. So, healthy way to avoid or reduce neck and shoulder pain is to eat healthy, well cooked, preferably home made and fresh food including lots of veges and fruits.

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 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 I want to know about fistula.

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. often occur in the area around the genitals and anus (known as the perineum). It is connection between two body cavities eg. rectum and vagina. The symptom vary with the location of fistula.

Q Can stress and anxiety cause rash?

Yes. Corelation between the mind and the skin has long been established. Stress and anxiety can cause skin rashes (urticaria/hives) in some people. Additionally, stress can also worsen certain skin conditions such as eczema and psoriasis.

Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q I leak urine when I sneeze, cough, lift heavy objects, exercise. Can this be helped or cured?

What you describe is called as stress incontinence in medical terms. It can be either due to weakness in pelvic muscle or due to disorder related with nerves. Exact cause needs to be find out in order to plan the treatment. Initially you can make following changes: cut down your fluid intake, if you are on the overweight side, try and lose some weight. Avoid alcohol and caffeine rich drinks. Practice kegel exercise to tone your pelvic muscles. If all these dont help than consult a gynecologist for the medication. Surgery will be required if everything else fails.

Q Can a girl get pregnant from semen on her buttocks?

No. But if the semen rolls down to the vagina then there is a chance of getting pregnant.

Q Dermatologist?? I think i m suffering from butterfly melasma

Melasma is hyper pigmentation seen most commonly over cheeks and bridge of nose. The hyper pigmentation is of brown to grey in color. Other common region are forehead, chin, back, etc. Without an examination it is not possible to say what you are suffering from. Hence it is necessary that you get yourself examined by a dermatologist.rnrn 

Q Can yoga help relieve the symptoms of ibs?

Yes. Yoga helps in relieving the symptoms of the IBS. Yoga focuses on deep breathing, de-stressing and restoring balance to entire body. You can do forward bending which helps soothe a hyperactive bowel. You can also have Knee-to-Chest Pose and the Twists to feel better and get rid of the IBS.