Q Sir, I am 30 years old.i have made all my checkups for HIV, all reports are ok. I want consult for my lip and for my penis. I had a white tiny dots on my lips inner side and on the head of penis. white dots on penis are from last 3 years and on my lips they are from one month. i dont know how it happens. but sure it occured after intercourse with my wife, some oral sex. i had some neat alcohol on the previous day when white dots appear. kindly please let me know why are these dots are on my lips and penis.

With the description that you gave it feels the the tiny white bumps that you have are fordyce spots. These are visible sebaceous glands that are present on genitals and in mouth. They are harmless and are not due to any disease or illness or sexually transmitted infection. They are benign are do not require any treatment. However exact diagnosis can only be made after an examination.

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 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 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 Is it advisable to have sex during a period?

A period offers natural contraception while it lasts. If both partners do not mind the mess caused by blood loss, they can go ahead. However, its best to avoid intercourse for the first 2 days of the period because vaginal opening remains open due to blood discharge hence chances of getting infection increases.

Q What triggers hormonal migraines in women?

The hormonal migraines are also known as menstrual migraines in females. The cause of headache is due to sudden drop of estrogen levels. This may happen during menstrual period, in menopause, due to sudden stopping of oral contraceptive pills and in pregnancy during first few weeks.

Q My son fears animals a lot and continuously cries. What can I do?

The fear for large animals is obvious but if the child has got it for smaller pets you need to put some positive efforts. You can help your child to overcome the fear of animals by gradually introducing your child to small animals. Show your child pictures of animals in which they are playful. Take small steps at a time and do not rush things or it may back fire.

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 I am suffering from knee pain?wht to do?

Knee pain has many causes like any injury, trauma, arthritis, any muscle or ligament tear, age factor, obesity, calcium deficiency etc. To rule out the cause, it is advised to consult the physician, because it may require physical examination. If it is unbearable, then you must take some medicines prescribed by the physician. Along with it, some preventive measures to get relief are - Take complete rest and protect an injured or sore area. When resting, place a small pillow under your knee. You can apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Wear the lowest heel possible, because it may give pressure on the knee during walk. Maintain a healthy weight; it is one of the best things you can do for your knees. If the pain is very severe, you may need an surgical intervention depending on the cause and symptoms.

Q How do drugs affect driving?

Driving requires skills, such as information processing and psychomotor skills, which may be impaired by the use of drugs. The effect of drugs vary according to the individual, drug type, dosage, the length of time the drugs stays in your body, or if the drug has been taken with other drugs or alcohol. Drugs affect your ability to drive in different ways like - poor concentration and coordination, blurred vision, nausea, hallucinations, decrease the reaction time etc. A driver who is impaired through any drug is at risk of having an accident which may be life threatening in rare cases. And note that, driving under the influence of a drug is illegal.