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 I am 14 and I get chest pains whats wrong with me ?

To evaluate whats wrong with you, we need further details about nature of your pain, your gender and lifestyle. Some of the common causes of chest pain at your age could be due to acidity, stress, anxiety, prolonged cough, trauma to the chest region, etc. Chest pain due to heart disease is less likely at your age. If it is recurrent and very sever, get yourself examined.

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.

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 What is a kleptomaniac?

Kleptomania is a complex disorder characterized by repeated attempts of stealing (especially invaluable things). It is often seen in patients who are chemically dependent or who have a swings in mood, anxiety, or eating disorder. Other coexisting mental disorders may include major depression, panic attacks, social phobia, anorexia nervosa and obsessive compulsive disorder. People with this disorder have an overwhelming urge to steal and get a thrill from doing so. The recurrent act of stealing may be restricted to specific objects and settings,

Q How do you get rid of age spots on face?

Age spots are the result of several years of exposure to suns rays. There are several treatment options available. Such a use of bleaching cream or cosmetic procedures like dermabrasion, chemical peel, laser therapy and cryotherpay. Consult a registered cosmetologist to know what treatment option will suit you best.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q What is stomach flu?

Stomach flu is another name for gastroenteritis. In this disorder there is inflammation of the stomach as well as small intestine. Patient suffering from stomach flu has symptoms like pain in abdomen, diarrhea, fever, muscle ache, vomiting, etc. It is a kind of viral infection which is caused due to consuming contaminated food or drink. Treatment includes adequate rest, hydration, freshly home cooked food and medication to manage fever and diarrhea.rnrn 

Q Should my child drink alcohol?

Absolutely not. No person under the age of 18 should be allowed to drink alcohol.

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.