Q My 11 years old girl used to get sick 5-6 times a year, most probably its flu or cold or sore throat with a high fever although she is a swimmer, she swims 2-3 kilos daily, shall I think about reducing her swimming or how can I improve immunity?

I would recommend that she should continue swimming because it will help her to build immunity. Ask her to avoid swimming on the days when she is ill. Apart from this make sure she has a well balanced diet, adequate hydration and regular sleep for 7-9 hours. Also if the incidence of her falling ill has started after she started to swim than you should consider changing the place where she swims and see if there is any difference in her frequency of falling ill.

Q How common is pancreatitis in children?

Pancreatitis is less common in children. Even if it does occur most commonly it is acute pancreatitis. Trauma to the abdomen is the most common cause of pancreatitis. Other causes include viral infection, side effect of medication, etc. In around 25% of cases the cause is not known.rnrn 

Q Is depression common in children? If yes, how common it is?

Yes. Depression in children, though missed many times, is a common childhood condition. Teen age is the most affected age in children. Chances of depression increase as the child ages. It is most commonly found in girls. About 11% children can develop depression. Symptoms and signs of depression may vary in children and hence is commonly get misdiagnosed.

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 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 triggers hormonal migraines in women?

The hormonal migraines are also known as menstrual migraines in females. The cause of headache is due to sudden drop of estrogen levels. This may happen during menstrual period, in menopause, due to sudden stopping of oral contraceptive pills and in pregnancy during first few weeks.

Q Can asanas be performed after having morning tea or coffee?

Yoga asanas should preferably be done on an empty stomach. However, a cup of tea/coffee/milk is allowed before Yoga. You should not eat anything for about 30 minutes after performing Yoga.

Q Why do some people have no compassion?

Compassion is the understanding or empathy for others. Compassion is the emotion that we feel in response to the suffering of others that motivates a desire to help. Different people may be moved by different things. For e.g. a person may have no compassion for beggars but plenty of compassion for street animals. As long as one is able to feel compassion towards a few things, it is considered absolutely normal. However you may find that some people have absolutely no compassion for anything or anyone. This can be due to 2 reasons: genetics or upbringing. Some people may genetically have little or no compassion even though they have had a happy childhood. Whereas some people turn off their emotional response due to bitter experiences in the past. Lack of love and emotional support in childhood can also cause lack of empathy.

Q Hello doctor, my grandfather was diagnosed with an alzheimers dementia; could u give me more info about this disease? What is the cause? Is it hereditary? Any treatment for the same?

Alzheimers disease is the most common form of dementia, a serious brain disorder that impacts daily living through memory loss and cognitive changes. Alzheimers is a degenerative disease, progressing from mild forgetfulness to widespread neurological impairment and ultimately death. nAlthough a direct cause of Alzheimers is not known certain common factors are found in the clinical picture of sufferers. These include; prior personality organisation of the individual and stressfulness of their life situation. You are at higher risk, if family history of this disease is there.nAlthough there is no cure for Alzheimers, and various psychotherapies appear to be ineffective, there are ways to treat some of the symptoms of the disease: Use of medications to treat cognitive decline and memory loss. Also appropriate activities such as exercise, recreation, and adult day care services appear to assist in the management of the patient.

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.