Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q Why do babies spit up?

Spitting up tends to peak at age 4 months, and most babies stop spitting up by age 12 months.nThe reason for it is babies have esophageal valve still in developing phase that means its immature yet so it results in backward flow of food. Until this valve take time to mature, spitting up may be an issue — especially if your baby eats too much or too quickly. Having food too much or hurriedly cause air to get inside babys stomach along with food. While sucking milk from breast or bottle nipple, babies engulf much amount of air too. This is then come out along with some liquid in the form of spitting. Try these tips to help your baby keep his food down: 1. Hold your baby in a fairly upright position when you feed him. 2. Try smaller, more frequent feedings. 3. Frequent burps during and after each feeding can keep air from building up in your babys stomach. 4. Try to avoid distractions or noises while feeding him, which will reduce his air intake.

Q My first marriage broke up because of my snoring, Im in another relationship now and I dont want it to happen again.please guide me for treatment of my snoring habit

It must be quite frustrating when your snoring affect your relationship. But the good news is, snoring can be controlled or eliminated by various devices and lifestyle changes. Snoring sound occur when there is any problem in smooth passage of air through airway. This can happen due to several reasons like more throat and nasal tissue, being fatty or overweight causing more fat at throat, tongue blocking airway while asleep, wrongly adapted sleeping posture, etc. You can seek help of any snoring device that will minimize the sound or your snoring. It will be bit difficult and time consuming to find the best suitable for you as many of such devices in the market are not well proven. You can take help of your physician to find the best one and to find the cause behind your snoring. Also rule out any underlying medical problem making you snore, with your doctors help. We are suggesting here some general guidelines about how you can reduce your problem: 1. Loose those extra pounds if your are overweight. Loosing even little fat can prove helpful in great way to reduce snoring. 2. Exercise regularly. Specially working for abs, arms and legs muscles will increase the tome of muscles in throat and neck, reducing snoring. 3. Quit smoking if you smoke. It will further narrow your air passage making your problem worse. 4. Established well planned sleeping schedule. 5. Elevating your head few inches while sleeping can help keeping airways intact. You can use specially designed pillow that help to prevent snoring. 6. Avoid sleeping on your back. Prefer side way position. 7. You can do several throat exercises to strengthen your throat muscles. 8. If these things does not prove helpful, think of medical treatments like CPAP, oral or dental devices, surgery to clear the airway etc.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q What do you mean by Social Phobia? How it is expressed?

Social phobia is a strong fear of being judged by others, and of being embarrassed. This fear can be so strong that person start worrying about the things he is going to do in front of others weeks before, or it may restrict him from going into public places/school/work etc. Person will have overwhelmed fear that others will judge him wrongly or make fun of him. He might be afraid of eating or drinking in front of others, using public restrooms, going in social functions, performing anything in front of a crowd etc. This may end up with staying away from such situations or completely avoiding them. For some, it is a problem only in few situations, but some may have this fear constantly. This fear can express itself in the form of difficulty in getting acknowledged with others, talking with other people, high level of self-consciousness when in public, worries excessively before weeks or days of any upcoming social function, difficulties in making friends and becoming friendly with others, physical symptoms of fear may appear like sweating, trembling, blushing, palpitations, nausea, etc.

Q Is caffeine a headache treatment or a headache trigger?

Actually it is both. Caffeine can cure as well as cause headaches. It will depend upon individual body response whether it will acts as reliever or a trigger for headache.

Q Should my child drink alcohol?

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

Q Is stomach ace normal in fever in kids

Stomach pain is usually not present during fever in kids. However, the cause of fever will explain whether stomach pain will be present or not. Fever due to infection in stomach or other abdominal organs can cause stomach ache.

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 I feel my testicle bag contracting, no pain, but it will not stop contracting day or night. I have seen many doctors and underwent an operation but helpless cau you please suggest some thing?

In order to produce sperms optimally, testicles need to maintain a lower temperature compared to the rest of the body. Hence, in cold climates, it is normal to testicles to shrink and move closer to the body in order to maintain an optimum temperature. However in hot climates, the testicles usually hang lower to cool off. This contraction and relaxation takes place due to the cremaster muscle and dartos fascia. Changes in the intraabdominal pressure, contraction of the abdominal muscles and most commonly, spasm of the cremaster muscle can cause contraction of the testicles. Try to keep a warm atmosphere at your home and office. Prefer boxers to briefs. See a surgeon to find out the exact cause and treat accordingly.