Q My underarms have become dark. I wax regularly and don~t use any hair removal creams. Can you please suggest something?

Excessive sweating is the main cause of dark underarms. Make sure not to keep the underarm hair too long. Wax your underarms every 15 days. Tight clothes may cause excess sweating and affect the area. Friction can darken the underarm skin too. So, avoid wearing tight clothes as far as possible.n Gently exfoliate the underarm skin every week to remove the top layer of dead skin cells, which can cause darkening. To reduce darkening, scrub underarms daily with pumice stone while taking shower. Waxing removes hair from the roots and dead cells from armpits. Thus usually it does not darken underarms.

Q My mother in law is suffering from TB and not able to take any medicine for that. What should be done ?

TB is a curable disease only if the treatment course of 6-9 months is completed. There is no other way to cure it. Why exactly is your mother in law not able to take medicines?

Q What kind of diet is not advisable for when you have pain in neck and shoulder?

Unhealthy diet and lifestyle are on second rank when it come to pain in body like neck and shoulder pains. Modern food habits are actually producing harmful effect on body by promoting accumulation of toxins in body. These type of food include: chocolates, ice-creams, food containing caffeine, highly processed food, canned or preserved food specifically with MSG, junk food or fast food, food high in sodium and sugar, high fat dairy products, meat, cigarette, wine, beer or any other alcoholic drink etc. These type of food in diet put your body under constant metabolic stress and promote production and accumulation of unhealthy chemicals or toxins in your body. This combined stresses, irritate and spasms nerves and skeletal muscles resulting in pain. So, healthy way to avoid or reduce neck and shoulder pain is to eat healthy, well cooked, preferably home made and fresh food including lots of veges and fruits.

Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q Symptoms of high cholesterol

High cholesterol levels usually remain silent and produce no symptoms for several years. They can only be detected by routine blood tests such as lipid profile or when when they cause complications such as heart disease and stroke.

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 Is it normal for a 12-year-old boy to play and fondle with his penis?

Its normal for kids of of all age groups to play with genitals out of curiosity about their growing body. This is seen in both boys and girls. Younger kids do it because they feel good about the way it feels. It is not harmful or abnormal in anyway. Do not get angry or reprimand your child. Try and educate them that it might lead to infection sometimes. Some kids even do it to seek attention but this is rare.

Q hi, My husband underwent piles surgery on last tuesday and was there in hospital for 2 more days. He got discharged yesterday(thursday). but he is having great problem in passing the stools. He almost faints and become soo weak after going to bathroom. He is havings sitz bath, applying cream and taking tablets also. But still the problem exists. Please help and tell us how can he reduce pain while passing the stool.

He will have the pain and difficulty for more 3-4 days. You have to give him more liquid diet and water which will ease the stool formation and relieve the pain. Give him more fibre containing food to prevent the constipation. Take the medicines regularly as prescribed. Give him a glass of buttermilk or a small bowl of yogurt everyday proper digestion of the food. Let him do some exercise for about 30 min a day regularly like walking, cycling or swimming etc after the recovery. Avoid the alcohol and smoking. If the problem persists longer, then consult the surgeon.

Q Is there any reliable tips to reduce weight as I am working woman and do not find time for exercise but yes if you can suggest diet I can follow

When it comes to losing weight, good eating plan and regular exercise schedule go hand in hand. It is not possible to achieve permanent result by substituting one for another. Along with healthy eating a minimum of 150 mins of exercise in a week can make huge difference. As far as eating healthy is concerned you can make following changes in your routine. Instead of three large meals, have 5-7 small meals. Replace refined foods with whole grain foods. For example replacing white bread with brown bread. Include plenty of fresh fruits and green veggies in your meal. Avoid intake of processed foods, junk foods and sugary drink. Make sure your there is some amount of protein rich food in your breakfast, lunch and dinner. Foods such as eggs, chicken, fish, milk, cheese, curd, paneer are good source of proteins.

Q hi i having a white substance formation in my penis. my age is 26

You are probably referring to smegma- which are normal secretions of the penis, which when not cleaned accumulate as a white substance under the foreskin. The solution is very simple- everyday ehile bathing or otherwise, retract your foreskin and gently clean the penis underneath. It should disappear in a few days.