Q Hello I am 28 years newly married .i am sexually weak ,the time duration is not enough .what can i do??

What you face is called as performance anxiety. It is common among newly married mens. The reason behind it is nervousness in front of your partner or doing the act in hurry. For most couples the duration of sex is betwee 3-7 mins. So if you are in this category you need not worry. How ever you can follow these simple measures to improve your time. Pace slowly. Give more time to foreplay. Do not hurry. Try to do sex more often. Over a period of time it will improve. If not planning for pregnancy then use a thick condom. It will delay the sensation to your penis and will help you to last long. You can also practice stop-start method. Divert your mind to non sexual thought the moment to feel you are about to ejaculate and once you are relaxed restart again.

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 Does stress affect lutenizing hormone?

Stress such as excessive physical or metabolic stress causes release of corticotropin releasing hormone. This hormone inhibits the release of gonadotropin releasing hormone. Suppression of gondotropin releasing hormone causes reduce levels of leutenizing hormone and follicle stimulating hormone in women.

Q Can stress cause weigh gain? How is stress related to weight gain? How to prevent it?

Yes stress is the major cause for weight gain! People turn to food for comfort whenever they feel stressed and tend to overeat. To make it worse, often we choose junk food. So, one, we eat unnecessarily without being hungry and two, junk food means much more added calories than needed.n Over a period, the caloric imbalance leads to weight gain and eventually elevates risk of diseases such as hypertension, diabetes, and heart disease.n Now that you know, choose healthy alternatives like an apple or roasted almonds next time you feel stressed and are tempted to eat!n Moreover, try alternate ways like going for a walk or dancing to the tunes of some soothing music. This will not only relieve stress but will give bonus benefit by burning excess calories.

Q Shall I give my baby rotavirus vaccination?

Rotavirus vaccination is included in Indian Immunization schedule. So it is safe to give it to your child. The recommended age for the vaccination is 2 months, 4 months and 6 months. It is contraindicated in cases where the child has allergic reaction to rotavirus vaccine, has intussuception or sever combined immunodeficiency.

Q Should my child drink alcohol?

Absolutely not. No person under the age of 18 should be allowed to drink alcohol.

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 Who should I consult to help my child if I am concerned about their mental, behavioral, or emotional symptoms?

You should consult a pediatric psychologist or child counselor to solve problems related to your childs mental, behavioral and emotional symptoms.

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.