Q My grand dad is 86 years now, he had got a 2nd heart attack, and the doctor is telling he should undergo an angioplasty . Is it required ? or any other simple operation can he go trough as he is aged

Angioplasty is required when the vessels carrying blood to the heart are narrowed due to blockage. The amount of blockage will decide whether your grandfather requires an angioplasty or not. Angioplasty is a simple and safe procedure. Do not worry.

Q can inhale not exhale,cough only during night feeling lack of energy

The symptom you have descrirbed may be due to pathologies related with respiratory system and the organ involved is trachea, lung or diaphragm. It may be due to an infection with bacteria or virus and it may acute or chronic. You require physical examination by a consultant to rule out the cause. A diet lacking certain nutrients can also contribute to a chronic cough. If your body has deficiency of iron, swelling and irritation in the back of your throat could be a symptom, which can lead to coughing at night. The condition is also associated with weakness many times. An iron supplement may be all you need in this case.

Q Does stress really cause heart disease?

Stress is a normal part of life. But if left unmanaged, stress can lead to psychological and physical complaints. Stress by itself does not cause heart disease but it increases the risk of developing heart disease. Stress is known causative factor for hypertension, high cholesterol levels, binge eating, alcohol abuse, excessive smoking. All these in turn can lead to heart disease.

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 What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

Q sex for the first time !! always bleeding is expected??

Yes, some amount of bleeding is expected. This is due to breakage of the hymen which is a vascularized piece of tissue. When broken, the capillaries bleed for some time. However, the bleeding is minimal and the pain is mild, so you shouldnt be worrying. But in very less virgin cases where hymen is already brocken (due to vigorous exercise, hoarse riding, injury etc) bleeding will not experience.

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 What is lactational infertility? can I do unprotected intercourse with my wife if she is lactating?

Lactational amenorrhea is the temporary postnatal infertility that occurs when a woman is amenorrheic (not menstruating) and fully breastfeeding. If a woman is exclusively breastfeeding, then this period lasts for upto 14 months. This is a natural family planning method and you can have unprotected intercourse with your wife during the first 6 months after childbirth. After this, the risk of pregnancy increases and another contraception measure is preferable.

Q Hi, I only have left ovary, can I have a chance to get pregnant?

As long as your other ovary is normal and intact with its fallopian tube, you can become pregnant.

Q High lymphocytes means what.

An increase in lymphocyte concentration is usually a sign of a viral infection (in some rare case, leukemias are found through an abnormally raised lymphocyte count in an otherwise normal person).