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 am a 24 yr old female who is always tired and "out of it". No matter how much sleep I get, energy drinks/vitamins I take I am always exhausted, have no motivation, distracted, cranky and not myself. I am limited in the foods I can eat because of food allergies and have been feeling these effects since the 2 years since I was diagnosed with allergies. Can you suggest anything to help? I want to feel like a normal human being again.

The cause of your condition may be due to excess intake of caffeine or alcohol, excess physical activities etc. Irregular food habits, some medical conditions related with liver, lungs, anaemia, diabetes are associated with these. Psychological conditions as anxiety, stress may cause your symptoms many times. As you have got food allergy try to cope up with your diet first. May be due to the allergy you are unable to take sufficient and proper diet. Consultation with a dietitian may be helpful. Regular exercise may help you better. If sleeping is not causing comfort for you learn better ways to relax. Try yoga or meditation. Maintain a reasonable work and personal schedule.

Q What are low-glycemic index foods?

Foods that are very slowly absorbed are said to have low glycemic index. These don~t affect blood sugar levels much.

Q Should older people eat more than teenagers?

The amount of calorie a person should consume is dependent upon his/her physical activity level. So if an elderly person has an highly active lifestyle than he/she may require more calorie per day as compared to a teenager who has a sedentary lifestyle and vice-versa.rnrn 

Q What is undifferentiated schizophrenia?

Undifferentiated-type schizophrenia is characterized by some symptoms seen in other types but not enough of any one of them to define it as a particular type of schizophrenia. It can be described as a mixed clinical syndrome.

Q what steps should I take if I think Ive got an STI?

If you think you may have a sexually transmitted infection (STI), go to your GP or local Sexual Health or GUM (genitourinary medicine) clinic. Most STIs can be treated, but its important to get any symptoms checked as soon as possible. The indications of when you should go for checking include pain when passing urine,itching, burning or tingling around your genitals, blisters, sores, spots or lumps around your genitals or anus, black powder or tiny white dots in your underwear (this could be droppings or eggs from pubic lice). Unprotected sexual intercourse with unknown person should also get a checking.

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 Having complaint of recurrent stye, occasionally painful what to do?

Bacterial infection of the eye lid causes stye. It is very common for stye to recur. Poor hygiene, blepharitis and acne rosacea increases your risk of developing stye. To prevent recurrence maintain adequate personal hygiene, take adequate treatment for underlying disorders like blepharitis or acne rosacea, if you use contact lenses make sure they are clean.

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 Schizophrenia?

Schizophrenia is a brain disorder that affects the way a person acts, thinks, and sees the world. People with schizophrenia have an altered perception of reality, often a significant loss of contact with reality. They may see or hear things that dont exist, speak in strange or confusing ways, believe that others are trying to harm them, or feel like theyre being constantly watched. With such a blurred line between the real and the imaginary, schizophrenia makes it difficult even frightening to negotiate the activities of daily life. In response, people with schizophrenia may withdraw from the outside world or act out in confusion and fear.