Q I want to know about fistula.

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. often occur in the area around the genitals and anus (known as the perineum). It is connection between two body cavities eg. rectum and vagina. The symptom vary with the location of fistula.

Q Are condoms 100% effective?

No condom can be effective in preventing pregnancy or sexually transmitted diseases (STDs) 100% of the times.n Condoms fail to provide protection sometimes from infections spreading from sores on the skin uncovered by a condom, for eg. at the base of the penis or scrotum. But a properly used condom can protect against STDs better than anything else. Some factors to consider in order to ensure the efficacy of condom are: check date of expiry, use latex, keep them away from heat, use water-based condoms, open carefully to avoid tearing, remove holding at the base of penis, choose condom with reservoir tip to hold semen after ejaculation. Consult a doctor if the condom breaks or slips off. Although not 100 % perfect, condoms are the best way of protection if one is going to have sex.

Q I am having chest pains every day multiple times. Should I be worried? I am 17 years old. They hurt a lot and last from 20 to 45 seconds. I cant move or do anything or it ll hurt.

Having chest pain multiple times may be something you should take it seriously, whatever is the cause. It is advised to consult the physician as early as you can, to rule out the cause. Some of the causes for repeated chest pain include- muscular pain, any injury or trauma, heart burn etc. It is less common to have any underlying heart disease at this age but, the probability is there.

Q What about soy and thyroid health?

The available research suggests that soy may not affect thyroid function, especially in those who have a normal thyroid. Those who have an existing thyroid problem and take medications for their thyroid must avoid it or consume after an interval. The reason being, soy may affects the absorption rate of the medicine is the GI tract.

Q Hairfall after delivery is it common how can i deal with it?

A hair cycle consists of 3 phases: anagen (growing), catogen (stoppage of growth and blood supply) and telogen(resting) phases. Normally upto 90% of hair are in the growing phase, 10-14% in the resting phase and 1-2% in the falling phase. Pregnancy and childbirth are stressful events for the body which pushes a lot of hair prematurely in the resting phase (telogen effluvium). This results in a large quantity of sudden hairfall. However, dont worry, this condition is temporary. In six months, the hair reverts back to its normal growth cycle. In the meanwhile, make sure you eat a healthy, well-balanced diet and remain stress free.

Q How do drugs affect driving?

Driving requires skills, such as information processing and psychomotor skills, which may be impaired by the use of drugs. The effect of drugs vary according to the individual, drug type, dosage, the length of time the drugs stays in your body, or if the drug has been taken with other drugs or alcohol. Drugs affect your ability to drive in different ways like - poor concentration and coordination, blurred vision, nausea, hallucinations, decrease the reaction time etc. A driver who is impaired through any drug is at risk of having an accident which may be life threatening in rare cases. And note that, driving under the influence of a drug is illegal.

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 Psychological Factors Contribute to Mental Illness?

The reasons which cause mental illness- Significant interpersonal loss and family instability, such as death of loved one, misfortune, poor relationship with family, domestic partner violence, separation, and divorce, emotional detachment have all been identified as risk factors. Financial stress, unemployment, and a drop in socioeconomic status can also be triggers for mental illness. This is also the case for a range of acute and chronic health problems, such as pain syndromes, or diagnoses of conditions like HIV or cancer. Some mental illnesses have been linked to an abnormal balance of brain chemicals called neurotransmitters. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are out of balance or are not working properly, messages may not make it through the brain correctly, leading to symptoms of mental illness. In addition, defects in or injury to certain areas of the brain also have been linked to some mental conditions.

Q What is an Earworm?

A ear worm is a catchy piece of music that continues to play in a persons mind after the music is no longer playing. it is also called as musical imagery repetition, involuntary musical imagery, and stuck song syndrome.

Q is epilepsy treatable?

Rather to say curable, epilepsy is very well treatable with medication (anti-epileptic drugs). Epilepsy is the disorder of the brain and central nervous system where abnormal electrical impulse leads to uncontrolled, involuntary movement of the body. The balance between the factors that begin electrical activity and factors that restrict it is lost, resulting in the body jerking. Several reasons are cited for the cause of the disease like neurocysticercosis (worms from intestine reach brain), tuberculosis of brain, brain tumour, brain stroke and even genetic. In most of the cases, the cause of the fits remains unknown. Neurologist would be able to select the best medication depending on the type of epilepsy and also age and sex of patient. The medicines are required to be taken for long-term without any discontinuation. Avoid driving, swimming and hazardous activities, as occurrence of seizures during these activities can be dangerous. With all above simple management you can live normal life with Epilepsy.