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.

Q i am 23 virgin. in a park a lady having 7 yr old small boy asked me to have sexual relationship with her. i think she is not happy with married life . i think i should move further and have sex with her. What precaution to take during such sex?

Ideally speaking it is not advisable that you indulge in such activity. Going for a physical relation with an unknown person always carries the risk of getting an infection. However if you want to do it see to it that you use a condom while penetration as well as oral sex. Do bear the consequences of this relationship in mind before moving further; on her married life as well as your own.

Q My two year daughter fell from the slide this morning. In evening she passed white stool with bad smell.

Episode of fall and the white stool does not seem to be connected. But at the same time white coloured stool can not be ignored. Stool gets its normal yellow- brown colour due to bile. White colour stool indicate that either the bile is not produced or it is obstructed. Hence it should be evaluated by the doctor. Consult your family physician at the earliest.

Q What are the kidneys?

Kidneys are bean shaped organ located at the back of abdominal cavity on either side of the spine. They receive their blood supply form the renal arteries and drain the blood into the renal veins. The urine form kidneys is excreted into the ureter on each side and is carried to the urinary bladder. The function of kidney is homoeostasis. It is achieved by elimination of waste products formed due to metabolism like urea, ammonia; maintenance of electrolyte balance, maintenance of acid-base balance, regulation of blood pressure, production of hormone like calcitrol, erythropoetin and enzyme renin, reabsorbtion of water, glucose and amino acids.

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 Why is babys head dropping when crawling?

Crawling is seen at the age of 6-9 months of the baby. During this period, the baby tries to hold his head high and try push ups to move forwards. Developing head control varies from baby to baby. Some may develop quickly while other may take time. But, if your baby is unable to hold at all, then you must consult your paediatrician to rule out the cause.

Q My penis bleeding during sex and its hurts. my age 31

You seem to have injured yourself during the act. Please visit a physician to determine the cause and further management. Meantime maintain hygiene, avoid sexual intercourse to allow healing process, wear cotton underwear.

Q My 1 year old baby is passing greenish stool after every 2 hours. I am afraid, what exactly I should do?

Your baby is suffering from enteritis which is causing diarrhea. This is quite common during the teething phase. Dehydration can cause many complications especially in an infant. So make sure that you keep giving him fluids in the form of ORS solutions available at all chemists. Since the child is passing stools so frequently, it would be prudent to visit a physician as soon as possible.

Q Split ends in my hair !! Any treatment?

Splint ends are caused due to dryness and damage to hairs. Factors that can cause dryness and damage to hair are over exposure to sun rays, poor nutrition, excessive use of chemical based hair products, use of hair dryers, etc. Here we are also listing some general tips to improve your hair health: Warm oil massage, regular trimming of hair, minimizing use of hair dryers or styling products, following a balanced and nutritious diet, covering your hair properly while going out in sun and avoid combing hair when they are wet.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.