Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q Whats causing my palpitations and how can I get rid of them?

The causes for palpitations are - strong emotions such as anxiety, fear, or stress; palpitations often occur during panic attacks; caffeine, nicotine, alcohol, or illegal street drugs such as cocaine; some medical conditions, including thyroid disease, a low blood sugar level, anemia, low blood pressure, fever, and dehydration; hormone changes associated with menstruation, pregnancy or menopause etc. In most cases, palpitations are found to be harmless and often go away on their own. Treatment depends on the cause of your palpitations. Some lifestyle changes like exercise and yoga and quitting smoking and alcohol help a lot.

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 is histrionic disorder?

Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people arent focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocative behavior to draw attention to themselves.

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 Do women need Sildenafil/Viagra?

Sildenafil has been developed for men to deal with erectile dysfunction. It increases blood flow to penis thus helping erection. Its effectiveness in woman has not yielded any beneficial results.

Q Will doing swimming during winter days harm kids? and what about clorinated water exposure?

During winter, due to cold environment, children may get flu, cold and cough etc. Children are more sensitive and their immunity is also weak as compared to adults. So, it is advised not to go for swimming during winter. And remember, some children are allergic to chlorinated water. You must keep an eye on your childs health, to identify any symptoms if they do appear.

Q My Grandmother slipped in our bathroom last week. After the incident she is facing some problem while walking, when asked she said her thigh is giving some amount of pain. I tried to arrange a massager but she did not like and nor did she allowed to continue it further. Now its been 2 weeks she is suffering from this issue? Please assist me further as soon as possible.?

Please get x-rays as soon as possible if you havent. It will tell you the cause of the pain. In old age fractures are very common even with mild injuries. Do not massage until the x-rays are said to be normal by a doctor. Mean while you can give her pain medicines and cold fomentation at the affected site.

Q My mother has recently develop big abscess in her axilla left side she is not able to even move her arm doctor says to put a cut but she is very much afraid how can I help her with home remedies

Whenever an abscess occurs, it has to be drained in order to get relief faster and in complete form. Home remedies will subside the pain, but the pus will not be completely dried with the help of home remedies. Hence it is necessary that your mother listens to her doctor.

Q How can I improve my chances of becoming a father?

You must follow a regular exercise and diet plan in order to be fit and fine, and to increase the chances of being a father. It is necessary to have the intercourse during the ovulation phase of the female. Normally, ovulation takes place at 14th day after the last menses counting from the starting of the bleeding as Day 1. In irregular cycle, one can use the ovulation kit to get the ovulation period. If you are quite young and unmarried, avoid excessive masturbation and other things which make you feel arousal. Because, it may lead to less erection and early ejaculation which will affect your sexual life and some other problems related with general physical and mental health. Avoid multi-partner sex which may gives you any sexually transmitted disease.