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 whar is the meaning of ESR

The erythrocyte sedimentation rate (ESR), also called a sedimentation rate or Westergren ESR, is the rate at which red blood cells sediment in a period of one hour. The ESR is increased by any cause or focus of inflammation. The ESR is increased in pregnancy, inflammation, anemia or rheumatoid arthritis, and decreased in polycythemia, sickle cell anemia, hereditary spherocytosis, and congestive heart failure.

Q What is a Narcissistic Personality Disorder? Describe a narcissist in detail.

Narcissistic personality disorder is characterized by dramatic, emotional behavior, which is in the same category as antisocial and borderline personality disorders. Narcissistic personality disorder symptoms may include: Believing that youre better than others. Fantasizing about power, success and attractiveness. Exaggerating your achievements or talents. Expecting constant praise and admiration. Believing that youre special and acting accordingly. Failing to recognize other peoples emotions and feelings. Expecting others to go along with your ideas and plans. Taking advantage of others. Being jealous of others. Believing that others are jealous of you. Trouble keeping healthy relationships. Setting unrealistic goals. Being easily hurt and rejected. Appearing as tough-minded or unemotional. Although some features of narcissistic personality disorder may seem like having confidence or strong self-esteem, its not the same. But underneath all this behavior often lies a fragile self-esteem. Narcissistic personality disorder crosses the border of healthy confidence and self-esteem into thinking so highly of yourself. In contrast, people who have healthy confidence and self-esteem dont value themselves more than they value others. While here you may be generally unhappy and confused by a mix of seemingly contradictory emotions. Others may not enjoy being around you, and you may find your relationships unfulfilling.If you notice any of these problems in your life, consider reaching out to a trusted doctor or Mental Health provider. Getting the right treatment can help make your life more rewarding and enjoyable.

Q What is a panic attack?

A panic attack is a sudden onset of intense fear or apprehension without any known cause. A panic attack comes suddenly lasts for few minutes and may disappear of its own without any medicine. Sometimes, panic attacks can be very frightening. Some of the symptoms you may experience during the panic attack include - palpitations, sweating, trembling, shortness of breath, a choking sensation, chest pain and feeling sick etc. If the attack is recurrent, it is advised to consult the physician to get the best possible treatment.

Q I am having chest pains every day multiple times. Should I be worried? I am 17 years old. They hurt a lot and last from 20 to 45 seconds. I cant move or do anything or it ll hurt.

Having chest pain multiple times may be something you should take it seriously, whatever is the cause. It is advised to consult the physician as early as you can, to rule out the cause. Some of the causes for repeated chest pain include- muscular pain, any injury or trauma, heart burn etc. It is less common to have any underlying heart disease at this age but, the probability is there.

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 What are the symptoms of HIV and when do they appear?

Most people who are infected with HIV experience a short, flu-like illness that occurs two to six weeks after infection. After this, HIV often causes no symptoms for several years. Its seen that most of people who are infected with HIV experience this illness. The most common symptoms are fever (raised temperature), sore throat, body rash. Other symptoms can include tiredness, joint pain, muscle pain, swollen glands (nodes).

Q What can trigger headache in children?

Headache in children can be caused due to several factors. Day to day cold and flu, viral infection, infection in the ear or of the sinus are common causes. Trauma or injury to the head can also cause headache. If the child is predispose to migraine than even that can cause headache. Some child may complain of headache from food items such as ice cream, cold drink, preservative and additives used in the food. Disorders like meningitis, abscess or tumor in the head can present with headache.rnrn 

Q Body too thin...some diet tips

Weight gain depends upon your diet and exercise pattern. Include calorie and protein rich foods in your diet such as eggs, chicken, fish, milk and milk products, nuts, pulses etc. Every morning have a glass of milk with honey and 2 bananas. Consume handful of mixed nuts everyday. Weight gain should be healthy and hence you should limit your intake of junk food. Instead of 3 large meals have 5-7 small meals. Join a gym and practice weight training under supervision.

Q How do I grow height? Im 14 from Canada and my height is 4 10"

Growth of height is determined by following factors : your genetic background , your overall nutrition level, tendency to fall repeatedly ill, etc. In males maximum height can be achieved by the age of 18-20 and in females up-to the age of 15-16. So you have a good scope of improving your height. Take care of following things to boost your height : Increase dietary intake of proteins like groundnut, soya beans, milk and milk products, eggs, chicken and fish ( if you are non vegetarian ). Have calcium rich foods like milk, spinach, yogurt, cheese, green leafy vegetables. Do some kind of physical activity. Cycling and swimming are best to increase height. Take enough rest, Stay well hydrated.