Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

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 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 What is a kleptomaniac?

Kleptomania is a complex disorder characterized by repeated attempts of stealing (especially invaluable things). It is often seen in patients who are chemically dependent or who have a swings in mood, anxiety, or eating disorder. Other coexisting mental disorders may include major depression, panic attacks, social phobia, anorexia nervosa and obsessive compulsive disorder. People with this disorder have an overwhelming urge to steal and get a thrill from doing so. The recurrent act of stealing may be restricted to specific objects and settings,

Q Is it advisable to go for cosmetic plastic surgery during pregnancy ?

Pregnancy usually brings in major alterations in overall body weight including the face which in turn changes the appearance of wrinkles. She should wait for at least 3 to 4 months after delivery in order to regain her pre pregnancy weight. Later on, she can opt for the plastic surgery.

Q What are the common sources of irritant contact dermatitis?

Irritant contact dermatitis is common type of contact dermatitis. It occurs when your skin is damaged by an irritant. Common sources are: chemical solvents like alcohol, turpentine, neat oils, cosmetics or skin products, deodorants, harsh soaps, detergents, cement.

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 Is vitamin C a stimulant?

No vitamin C is not a stimulant. It is a water soluble vitamin and an antioxidant. Functions of vitamin C is to boost immunity, increase absorption of iron, helps in collagen formation and fight free radical attack.

Q Is depression common in children? If yes, how common it is?

Yes. Depression in children, though missed many times, is a common childhood condition. Teen age is the most affected age in children. Chances of depression increase as the child ages. It is most commonly found in girls. About 11% children can develop depression. Symptoms and signs of depression may vary in children and hence is commonly get misdiagnosed.

Q How to make artificial vagina?

Hello. There are n number of techniques to make fake vagina at home. You can use any soft but firm material for this, like a glove inside towel roll, or two pillows on each other, or toilet paper roll and condom etc. Remember that you should use soft and non-hurtig material to make it at home. Though none of this home made techniques make you feel the actual goodness of having sexual intercourse with a female, but you can feel some closer to it. More better option we can suggest is to buy an artificial vagina from the shop of sex toy. The feel with these kind of sex toys is more realistic and more easier than making it at home. Hope this finds helpful for you.