Q I got ulcer and swelling on inner cheek. I quit chewing tobacco few weeks before. I started eating 8 months before, it happened one time before as well when i quit before. please help?

Tobacco contains nicotine which is added in blood through chewing. It acts as a stimulant,so the person feels good under the effect. But the effect does not last for longer time. Hence it is consumed again. The mucosal area inside the cheek is sensitive; produces ulceration on continuous contact with harsh & dry substance like tobacco. The ulceration is not due to quitting but due to the chewed tobacco. Kindly consult a physician for further treatment.

Q What is the prognosis of a scar?

Once a scar is formed it is permanent. Over a period of time scars may fade to some extent and may become soft, smooth and pale.rnrn 

Q Is there any relation between obesity and headache?

There are studies which suggests that obese people are at increased risk of developing migraine. Hence it is advisable that you maintain a healthy weight.

Q What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

Q When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

Q Does chewing tobacco affect arteries the same way smoking does?

Yes. The tobacco contains nicotine. And it is going to be in the blood whether you smoke or chew it. The effects of nicotine are same in both situation.

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 Do I need a tetanus jab (vaccine) after an accident or injury?

Yes. It is necessary to get an injection of TT after an accident or injury. Because the bacteria of tetanus are present in the soil which can infect you if not vaccinated.

Q What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q My underarms have become dark. I wax regularly and don~t use any hair removal creams. Can you please suggest something?

Excessive sweating is the main cause of dark underarms. Make sure not to keep the underarm hair too long. Wax your underarms every 15 days. Tight clothes may cause excess sweating and affect the area. Friction can darken the underarm skin too. So, avoid wearing tight clothes as far as possible.n Gently exfoliate the underarm skin every week to remove the top layer of dead skin cells, which can cause darkening. To reduce darkening, scrub underarms daily with pumice stone while taking shower. Waxing removes hair from the roots and dead cells from armpits. Thus usually it does not darken underarms.