Q I have a 14 year old girl who has fatty lumps either side of her cheeks near mouth that really stick out. I think they are called inverted dimples. Is this rare as she is very self conscious of them and we have never seen these on a child before. Or is there some other underlying problem

Difficult to predict what they can be without an examination. However if your daughter is not happy with it, then you should take an opinion of cosmetic surgeon regarding how to get rid of it.

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 When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

Q What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

Q Can high SGOT and SGPT levels affect pregnancy?

Raised SGOT and SGPT levels indicate that there is some disorder associated with the liver. However whether it will have any effect on the pregnancy or not will be determined by the underlying cause for raised SGOT and SGPT levels. So it is necessary that your wife consult her gynecologist.

Q What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

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 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 Very severe spasms in calf muscles every night. I am 35 year old woman always remain over worked

Excessive physical exertion, dehydration, deficiency of potassium, magnesium or calcium, poor blood circulation are some of the causes of cramps in calf region. However excessive physical exertion seems to be the probable cause in your case. Following tips may help: follow a well balanced diet, include foods like banana, coconut water regularly in your meals, stay well hydrated, include some stretching exercise in your routine, give hot fomentation over the calf muscle. If all these measures do not help consult your physician to prescribe you medications.rnrn 

Q What is natural family planning?

Natural Family Planning ( NFP) is the term for certain methods used to achieve and avoid pregnancies. These methods are based on observation of the naturally occurring signs and symptoms of the fertile and infertile phases of a womans menstrual cycle. Couples using NFP to avoid pregnancy abstain from intercourse and genital contact during the fertile phase of the womans cycle. No drugs, devices, or surgical procedures are used to avoid pregnancy.