Q Hi, I sometimes get a "twinge" in my left chest, sort of in the crease of my breast. It doesnt happen after exertion but at any time, even at night in bed - Im scared theres something wrong with my heart.

Twinge or sudden sharp pain is very common presentation of chest pain and most of the times it is not related to heart. Very rarely this pain indicate coronary artery disease. Moreover since the pain is not related to exertion and comes anytime, it is less likely related to heart conditions. One probable cause for your pain could be indigestion. However it is advisable that you get yourself examined by your family physician once to rule out anything serious.

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 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 My underarms have become dark. I wax regularly and don~t use any hair removal creams. Can you please suggest something?

Excessive sweating is the main cause of dark underarms. Make sure not to keep the underarm hair too long. Wax your underarms every 15 days. Tight clothes may cause excess sweating and affect the area. Friction can darken the underarm skin too. So, avoid wearing tight clothes as far as possible.n Gently exfoliate the underarm skin every week to remove the top layer of dead skin cells, which can cause darkening. To reduce darkening, scrub underarms daily with pumice stone while taking shower. Waxing removes hair from the roots and dead cells from armpits. Thus usually it does not darken underarms.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

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 Does vaginal cream cause breast growth in men?

What exactly do you mean by vaginal cream? In any case, gynaecomastia (breast growth in men) is genetic and has no co relation with any cream.

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 I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q Medicine for circinate balanitis (reactive arthritis)

The cardinal symptoms of reactive arthritis are arthritis, urethritis and conjunctivitis. Balanitis is also a frequently noted symptom. It is advisable to get examined by a physician and then start the required medication. In the meanwhile, do not use any soaps, shower gels, condom, lubricant, etc on your penis; so as to avoid further irritation.