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 After my break-up with my girlfriend, i started losing my hair and i am becoming bald day by day is this the reason or some other major problem with me. Please guide me & suggest me some remedy or therapy.

There are many factors that can cause hair loss. Stress, anxiety, and depression are surprisingly common causes of thinning scalp hair, and can be especially difficult to recognize and treat. But apart from these there can be several other causes like hereditary, infection, nutritional deficiency, thyroid imbalance etc.. Once you have noticed that you are losing your hair, the first step is to get a medical evaluation to determine the cause. Either your primary care or a dermatologist is a good place to start. Treatment can then be directed to any of the above underlying causes that are present. But meanwhile you can follow these advices: eat plenty of salads including green leafy vegetables like spinach lettuce, plateful of fruits, buttermilk, milk, curd, fish,egg, increase intake of peanuts and almond and walnut, have proper and sound sleep daily. Concentrating on future rather than dwelling on past can work.

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 Tips for coping with family stress?

It is said "you can choose your friends but you can not choose your family". Children, elderly parents, relatives all can be a source of stress. Following are some tips to manage family stress: 1. Adjust your priorities. Dont take unnecessary duties and responsibilities. 2.Take advice from people whose opinion you trust, and get specific advice when issue arise. 3. Accept any help thats offered. 4. Use effective coping strategies and dont put impossible pressure on yourself. 5. Fit in some time for yourself, and explore your feelings. Be kind to yourself and build up your confidence if it has been damaged. 6.If you do get upset, go for a walk, have a nap, or find somewhere private to call a friend and get it off your chest. 7. Read a good book which lifts your spirits. 8. Lastly take care of yourself. Take time for relaxation. Use stress management techniques and be alert to any symptoms.

Q My mother is 69 years, last year we accidntally came to know that she has polycystic kidney disease. She never had any symptoms of this disease. When she went for an ultra sound scan for porlonged cough, doctor deteced PKD, then a nephrologist suggested to go in for continuous dialysis and we have been doing the same twice a week. She is normal now. Should we continue doing dialysis? She is not BP or Sugar patient

Whether to continue with dialysis or not will depend upon how well is the kidney functioning. Frequency of dialysis can be decided only by nephrologist considering her response to the treatment. Do regular consultation with your doctor and follow his advises.

Q My penis bleeding during sex and its hurts. my age 31

You seem to have injured yourself during the act. Please visit a physician to determine the cause and further management. Meantime maintain hygiene, avoid sexual intercourse to allow healing process, wear cotton underwear.

Q Shall I give my baby rotavirus vaccination?

Rotavirus vaccination is included in Indian Immunization schedule. So it is safe to give it to your child. The recommended age for the vaccination is 2 months, 4 months and 6 months. It is contraindicated in cases where the child has allergic reaction to rotavirus vaccine, has intussuception or sever combined immunodeficiency.

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 symptoms of an abscessed tooth?

An abscessed tooth is a painful infection at the root of a tooth or between the gum and a tooth. Its most commonly caused by severe tooth decay. Other causes of tooth abscess are trauma to the tooth, such as when it is broken or chipped, and gingivitis or gum disease. Sharp or shooting pain are common symptoms of an abscessed tooth. Symptoms include fever, pain when chewing, sensitivity of the teeth to hot or cold, bitter taste in the mouth, foul smell to the breath, swollen neck glands, general discomfort, uneasiness, or ill feeling, redness and swelling of the gums and swollen area of the upper or lower jaw.

Q Does dietary fiber reduce the risk of cancer?

A few studies have shown that a high intake of dietary fibre reduces the risk of colon cancer and breast cancer.