Q I am patient of Kidney stone for last 10 years yearly one to two stones pass through my urine system Stone analysis test carried out and there is presence of calcium and oxalates and traces of uric acid pls give some dietary advise Thanks

Following are some tips to prevent kidney stones : 1. Water! Typically, kidney stones are caused by dehydration (not getting enough water). If you live in an area with hot, humid weather or where clean water is rare, your odds of getting kidney stones are tripled. Therefore, you must begin your natural treatment with drinking at least 10 tall glasses of water a day. 2. Distilled! If you live in a country with the option of distilled water, buy it! Distilled water is pure from any and everything including minerals that could aid in the formation of kidney stones. Distilled water is almost perfect for flushing your system and passing stones. 3. Citric acid present in lemons have been known to dissolve hard materials, even stones. Add a lemon to your drinking water to spruce things up. 4. Play again! Get outside or in the gym and do a little exercise. There are thousands of reasons to exercise but besides feeling better about yourself, you can actually give your body a boast of overall health. And overall health includes flushing the kidneys. 5. Cranberry juice from concentrate! By drinking cranberry juice, you can maintain your urinary tract which will help prevent kidney stone formation. 6. Citrates! Citrates reduce the build up of uric acid and eliminate the build-up of calcium salts which cause the formation of kidney stones. To get an adequate amount of citrates, drink plenty of fruit and vegetable juices such as carrot, grape and orange juices.

Q What can trigger headache in children?

Headache in children can be caused due to several factors. Day to day cold and flu, viral infection, infection in the ear or of the sinus are common causes. Trauma or injury to the head can also cause headache. If the child is predispose to migraine than even that can cause headache. Some child may complain of headache from food items such as ice cream, cold drink, preservative and additives used in the food. Disorders like meningitis, abscess or tumor in the head can present with headache.rnrn 

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 After my break-up with my girlfriend, i started losing my hair and i am becoming bald day by day is this the reason or some other major problem with me. Please guide me & suggest me some remedy or therapy.

There are many factors that can cause hair loss. Stress, anxiety, and depression are surprisingly common causes of thinning scalp hair, and can be especially difficult to recognize and treat. But apart from these there can be several other causes like hereditary, infection, nutritional deficiency, thyroid imbalance etc.. Once you have noticed that you are losing your hair, the first step is to get a medical evaluation to determine the cause. Either your primary care or a dermatologist is a good place to start. Treatment can then be directed to any of the above underlying causes that are present. But meanwhile you can follow these advices: eat plenty of salads including green leafy vegetables like spinach lettuce, plateful of fruits, buttermilk, milk, curd, fish,egg, increase intake of peanuts and almond and walnut, have proper and sound sleep daily. Concentrating on future rather than dwelling on past can work.

Q Body too thin...some diet tips

Weight gain depends upon your diet and exercise pattern. Include calorie and protein rich foods in your diet such as eggs, chicken, fish, milk and milk products, nuts, pulses etc. Every morning have a glass of milk with honey and 2 bananas. Consume handful of mixed nuts everyday. Weight gain should be healthy and hence you should limit your intake of junk food. Instead of 3 large meals have 5-7 small meals. Join a gym and practice weight training under supervision.

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 If I have urinary incontinence will I need to have cystoscopy?

The cystoscopy is one of the methods to diagnose the urinary incontinence. The test is done to find out and if possible remove any abnormality in the urinary tract. Whether you will require this test or not will be decided by your physician.

Q Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

Q Do childhood earaches cause hearing loss later in life?

The ear ache in childhood has different causes either related to ear or some other parts like teeth, head, mouth etc. In most of the cases, it is related with the hearing loss in later life. But, the deafness has many other serious conditions in adult life which are not related with the childhood earache.

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.