Q I had few small rashes on back of my hand which has now spread to face, neck, chest. I thought it is sunburn. I am 55 year old man, having asthma and use inhalers I can not tolerate heat and take alcohol more than normal so please can you guide on my problem?

From your description, your symptoms are suggestive of a fungal infection or an allergic reaction. If the lesions are only on exposed body parts, chances of an allergic reaction are higher. However, its difficult to be sure without an examination. It is advisable to visit a dermatololgist for further diagnosis and treatment. In the meanwhile, use a sunscreen and try to keep your forearms covered whenever youre outside to see whether it changes anything.

Q Kid vaccination in Ireland. I have one kid whose age is 14 month now. I have given all vaccination as per Indian vaccination schedule . but I am moving to Ireland. How can I continue in Ireland?

Based upon the data provided by you, the only vaccination that is remaining as per the Ireland vaccination program is Meningococcal vaccine. The vaccine should be given at the age of 4 months, 6 months and at 13 months. Since your child is already 14 months old you can give the vaccine either before moving to Ireland or after reaching there.rnrn 

Q What is an essential amino acid?

An essential amino acid is one that cannot be syntesized inside the body and hence needs to be supplied form the food. There are nine essential amino acids. They are : Histidine, Isoleucine, Leucine, Lysin, Methionine, Phenylalanine, Theonine, Tryptophan and Valine.

Q How to reduce stress

To reduce stress, it is very important to rule out the cause behind it. This will take some time; but it will gives you permanent relief. Please dont go for some artificial and helpless ways like - smoking and drinking too much, watching for hours TV or computer, being alone, using pills or drugs to relax, sleeping too much, taking out your stress on others etc. Here are some of the tips for you get rid of the problem - The best ways to deal with stress are either you change the situation or you change your reaction. To change the situation you must learn to avoid the stressor or alter the stressor. And to change your reaction, you have to adapt to the stressor or accept the stressor. Healthy life style changes are very important to keep oneself stress free. Exercise regularly for about 30-45 min a day. Eat healthy diet and take complete sleep. Some things you can do to keep your mind away from stress are- Go for a walk. Spend time in nature. Call a good friend. Take a long bath. Light scented candles. Play with a pet. Work in your garden. Get a massage. Listen to music. Watch a comedy etc.

Q When can I have sex again after a heart attack?

It is natural to be concerned about being sexually active after a heart attack or other cardiovascular problem. Like any form of physical activity, having sex can make your heart work harder by increasing your heart rate and blood pressure. It is important to note that, if you do not experience cardiac symptoms such as chest pain, shortness of breath, and dizziness during exercise, you will not experience them during the sex. Most people can safely resume sexual activity a couple of weeks after a heart attack, if they have no serious complications. Like any form of physical activity, having sex can make your heart work harder by increasing your heart rate and blood pressure. You have to consult your physician about the fitness and the preventions during sex, to enjoy the moment.

Q What can trigger headache in children?

Headache in children can be caused due to several factors. Day to day cold and flu, viral infection, infection in the ear or of the sinus are common causes. Trauma or injury to the head can also cause headache. If the child is predispose to migraine than even that can cause headache. Some child may complain of headache from food items such as ice cream, cold drink, preservative and additives used in the food. Disorders like meningitis, abscess or tumor in the head can present with headache.rnrn 

Q I somehow scratched inside the right nostril. Now there is an infection and the adjacent face area has swollen. There is slight pain also in the stated area. Please tell me how I can reduce the swelling and infection.

A detailed examination will be required to understand the extent and type of injury based upon which treatment can be planned. Hence it is advisable that you consult an ENT specialist at the earliest.

Q My 1 year boy is now suffering from chicken pox. I gave him vaccine at 9 month, its possible that after vaccine he can still get chicken pox?

Vaccines are not 100% effective. Even after chickenpox vaccine, a child may develop chickenpox, but usually in a milder form.

Q Having dark circles how to reduce it?

Hello. There are severa reasons to develop dark circles around the eye. To reduce them effectively, it is advisable to explore the cause and to fix it first. Here is list of some common causes of dark circles around eye: excessive stress or worry is commonest cause, lack of sleep or improper sleep, eyestrain for long period, aging, homonal changes, nutritional deficiencies, seasonal allerigies or other type of allergy, excessive sun exposure, genetic desposition to have dark circles, etc. You should first find the cause and try to correct it. Apart from this, here are some simple measures to reduce the dark circles: 1. Well known home remedy cucumber is the best choice, along with potato. You can get a jiuce from each of them in equal quantities and apply 1 tablespoon of this mixture under the eyes. Gently massage, leave for 20 minutes, and wash it off with cold water. 2. Keeping ice packs or cold compress will reduce eyestrain or stress. Do it in the morning. You can apply ice cube wrapped in soft clothe and rub it gently against the area. You can also use frozen spoon to serve the purpose. 3. Massage your under eye skin with almond oil. Do it daily till you can see the result. Prefer the time before going to bed. 4. You can use under-eye cream containing vit K and retinol on daily basis. 5. Applying tomato juice will also lighten up the skin at that area. Apart from these home measures, it is necessary to adopt good lifestyle and diet for healthy skin. As uder eye skin can easily reflect poor nutrition, illness, internal disease and bad lifestyle.

Q Causes of erectile dysfunction?

Erection of penis involves a complex process in male body. There are neurological, psychological, vascular, and muscular factors involved in this process. Disturbance at the level of any of these factors will result in erectile dysfunction. Some of the major and common causes of erectile dysfunction are: Excessive emotional or physical stress, psychological disturbances like depression or poor emotional bonding between partners, diseases affecting arteries of penis like hypertension, atherosclerosis or local deformity of aterteries affecting blood supply to the penis, diseases like diabetes in which there is gradual loss of functioning of nerves and blood vessels, weakness of nerves of pelvic area, any local trauma or injury, any local deformity, smoking, obesity etc.