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 Should my child drink alcohol?

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

Q Why do my vagina pain when penis is inserted ?

Pain during sex is called as dyspareunia. Most women experience some degree of pain when they have sex for first few times. The main reason for it is fear of sex. This pain subsides with the number of acts. However if the complaint remains even after repeated number of sex then one needs to find the specific cause behind it. The causes can be an infection, lack of proper lubrication before intercourse, due to dryness of vagina, allergy to latex condom, etc. In such cases it is necessary that you consult a gynaecologist for proper treatment.

Q I leak urine when I sneeze, cough, lift heavy objects, exercise. Can this be helped or cured?

What you describe is called as stress incontinence in medical terms. It can be either due to weakness in pelvic muscle or due to disorder related with nerves. Exact cause needs to be find out in order to plan the treatment. Initially you can make following changes: cut down your fluid intake, if you are on the overweight side, try and lose some weight. Avoid alcohol and caffeine rich drinks. Practice kegel exercise to tone your pelvic muscles. If all these dont help than consult a gynecologist for the medication. Surgery will be required if everything else fails.

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 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 Can I take two packets of the pill back to back?

It is safe to do so when you want to avoid the period. You may notice a brown discharge also called as breakthrough bleeding. It is of no importance and does not affect the contraception effect in any way.

Q what steps should I take if I think Ive got an STI?

If you think you may have a sexually transmitted infection (STI), go to your GP or local Sexual Health or GUM (genitourinary medicine) clinic. Most STIs can be treated, but its important to get any symptoms checked as soon as possible. The indications of when you should go for checking include pain when passing urine,itching, burning or tingling around your genitals, blisters, sores, spots or lumps around your genitals or anus, black powder or tiny white dots in your underwear (this could be droppings or eggs from pubic lice). Unprotected sexual intercourse with unknown person should also get a checking.

Q Hi, I am suffering from itching at vaginal area. kindly advice me some medicine or ointments

There are many reasons for vaginal itching. The most common cause is fungal infection. Other causes include vaginal irritation, inflammation, allergy. Physical examination by a doctor is important to know the exact cause of vaginal itching without which medicine cannot be prescribed.

Q What kind of diet is not advisable for when you have pain in neck and shoulder?

Unhealthy diet and lifestyle are on second rank when it come to pain in body like neck and shoulder pains. Modern food habits are actually producing harmful effect on body by promoting accumulation of toxins in body. These type of food include: chocolates, ice-creams, food containing caffeine, highly processed food, canned or preserved food specifically with MSG, junk food or fast food, food high in sodium and sugar, high fat dairy products, meat, cigarette, wine, beer or any other alcoholic drink etc. These type of food in diet put your body under constant metabolic stress and promote production and accumulation of unhealthy chemicals or toxins in your body. This combined stresses, irritate and spasms nerves and skeletal muscles resulting in pain. So, healthy way to avoid or reduce neck and shoulder pain is to eat healthy, well cooked, preferably home made and fresh food including lots of veges and fruits.