Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q What types of tests are used to evaluate patients with pelvic and abdominal pain?

To find out the cause of pelvic and abdominal pain your doctor will do physical examination to determine the location of the pain. Based upon that your doctor may order investigation. Investigations will include blood tests and imaging studies like x-ray, CT scan, MRI scan, ultrasound study. In female a pap smear may be ordered.rnrn 

Q What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

Q What are low-glycemic index foods?

Foods that are very slowly absorbed are said to have low glycemic index. These don~t affect blood sugar levels much.

Q I have been suffering from hyper-acidity as a result of antibiotics. Please advice.

Hyper-acidity is a common side effect of most antibiotics. Most physicians will prescribe an antacid or a H2 blocker along with antibiotics to circumvent this side-effect. If your physician hasnt done so, please visit him and ask him to prescribe the same. If you are on long term antibiotics, a multivitamin will help. As a home measure, include plenty of cold milk and yogurt in your diet to counteract hyper-acidity.

Q What is considered a serious mental illness?

Mental illnesses are serious medical illnesses. They cannot be overcome through "will power" and are not related to a persons "character" or intelligence. Serious mental illnesses include major depression, schizophrenia, bipolar disorder, obsessive compulsive disorder (OCD), panic disorder, post traumatic stress disorder (PTSD) and borderline personality disorder. The good news about mental illness is that recovery is possible. According SMI patient having 2-3 following mental symptoms persistent more than 1 year considered as serious mental illness- 1.Feeling, Mood, and Affect: Uncontrolled emotion. Marked change in mood. Depression and/or anxiety incapacitated person. Emotional responses are inappropriate to the situation. 2. Thinking: Severe impairment in concentration, persistence, and pace. Frequent or consistent interference with daily life due to impaired thinking. Presence of delusions and/or hallucinations. Frequent substitution of fantasy for reality. 3. Family: Disruption of family relationships. Family does not function as a unit and experiences frequent turbulence. 4. Interpersonal: Lacks close friends or group affiliations. Socially isolated. 5. Role Performance: Individual is unable to meet usual expectations. Unable to obtain or maintain employment and/or conduct daily living chores such as care of immediate living environment. 6. Socio-legal: Inability to maintain conduct within the limits prescribed by law, rules, and strong mores. Disregard for safety of others. Destructive to property. Involvement with law enforcement. 7. Self Care/Basic Needs: Disruption in the ability to provide for his/her own needs such as food, clothing, shelter, and transportation. Assistance required in obtaining housing, food and/or clothing. Unable to maintain hygiene, diet, clothing, and prepare food.

Q Having complain of white discharge and itching in vagina since 2 months my menstrual cycle is regular

The white discharge and itching in the vagina is suggestive of some infection in the area due to bacteria, virus or fungus. You have to take care of your hygiene. Wear cotton undergarments which increases air flow and decreases moisture. Wear loose-fitting clothing. Proper treatment of an infection is usually very effective. You must consult the physician to get the best possible treatment.

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 How does viagra work?

Viagra contains Seldenaphyl Citrate. This on consumption increases blood circulation. As the blood supply is increased to the penis area, it results in erection. It is usually used by people with erectile dysfunction.

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.