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 What are the symptoms of HIV and when do they appear?

Most people who are infected with HIV experience a short, flu-like illness that occurs two to six weeks after infection. After this, HIV often causes no symptoms for several years. Its seen that most of people who are infected with HIV experience this illness. The most common symptoms are fever (raised temperature), sore throat, body rash. Other symptoms can include tiredness, joint pain, muscle pain, swollen glands (nodes).

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 what is the home treatment to cure diarrhea?

You can lose a lot of liquid in diarrhea, but you also lose electrolytes, minerals such as sodium and potassium. For this you have to stay hydrated through water mixed with sugar and salt. Yogurt helps to maintain friendly bacterias in your gut. Avoid milk, cheese, and other dairy products. Get enough rest. Chamomile is good for treating intestinal inflammation, and it has antispasmodic properties as well, so taking chamomile tea is healthy in diarrhea. Starchy foods, such as precooked rice or tapioca cereals, can help ease your tummy. Blueberries are rich in anthocyanosides, which have antioxidant and antibacterial properties, as well as tannins, which combat diarrhea. Orange peel tea is a folk remedy that is believed to aid in digestion.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q Any side effects from lip reduction

Any kind of surgical procedure will have some side effects. Common side effects related to lip reduction are difficulty in chewing and speech, swelling, development of scar or lumps, etc.

Q Can yoga help relieve the symptoms of ibs?

Yes. Yoga helps in relieving the symptoms of the IBS. Yoga focuses on deep breathing, de-stressing and restoring balance to entire body. You can do forward bending which helps soothe a hyperactive bowel. You can also have Knee-to-Chest Pose and the Twists to feel better and get rid of the IBS.

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 can I help my child avoid triggering migraine headache?

Following measures can help you to avoid migraine triggers in your child: Avoid known triggering factors. Give your child well balanced diet. Avoid too long gaps between meals. Make sure your child is well hydrated. See to it that your child gets 7-9 hours of quality sleep on regular basis. Cut down on your childs intake of junk foods and excessive sugary drinks. Talk to your child if something is bother him/her.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.