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.

Q My three-month-old baby has cradle cap. His head smells sour, is this normal? Does cradle cap have an odour?

It is very normal to have an odor to scalp of your baby. This is generally due to sweat glands and its secretions. This smell may become more intense due to use of cradle cap. There is nothing to worry about it.

Q What is Hyper Tension

Hypertension, also referred to as high blood pressure, is a condition in which the arteries have persistently elevated blood pressure. Every time the human heart beats, it pumps blood to the whole body through the arteries. Systolic pressure more than 140 and diastolic pressure more than 90 is usually considered as hypertension.

Q What is attention deficit hyperactivity disorder(adhd)?

ADHD is a common neurobehavioral disorders diagnosed in childhood and often lasts into adulthood. The primary cause behind ADHD is heredity. Symptoms include lack of attention, easy distraction, boredom, careless mistakes, daydreaming, non completion of tasks, forgetfullness, constant fidgeting, talking excessively, difficulty waiting for anything and physical restlesslessness- always moving about from 1 activity to another. There is no single test to diagnose ADHD. It is usually treated with a combination of medication and behavioral therapy.

Q Can stress cause weigh gain? How is stress related to weight gain? How to prevent it?

Yes stress is the major cause for weight gain! People turn to food for comfort whenever they feel stressed and tend to overeat. To make it worse, often we choose junk food. So, one, we eat unnecessarily without being hungry and two, junk food means much more added calories than needed.n Over a period, the caloric imbalance leads to weight gain and eventually elevates risk of diseases such as hypertension, diabetes, and heart disease.n Now that you know, choose healthy alternatives like an apple or roasted almonds next time you feel stressed and are tempted to eat!n Moreover, try alternate ways like going for a walk or dancing to the tunes of some soothing music. This will not only relieve stress but will give bonus benefit by burning excess calories.

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 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 Pericarditis develops after what?

In most the cases the cause of pericarditis is unkown. In some cases it may develop due to viral infection or after a major heart attack. Other causes include lupus, rheumatoid arthritis, kidney disease, trauma to heart region, side effect of medications such as blood thinning medicines, etc.

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.

Q My hair is very curly. I want to straighten it. What should I do?

Temporary straightening can be obtain by using straightening irons. However if you wish to permanently straighten your hair then you need to consult a hair stylist. Even though it may make your hair look great, straightening brings with it a host of other problems such as breakage, thinning, dryness, split ends etc. Make a final decision after considering all the pros and cons.