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 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 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 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 is spermicide?

Spermicide is a contraceptive substance that destroys sperm, inserted vaginally prior to intercourse to prevent pregnancy. The common active ingredient of spermicides is nonoxynol-9. This used in the form of jelly.

Q What is natural family planning?

Natural Family Planning ( NFP) is the term for certain methods used to achieve and avoid pregnancies. These methods are based on observation of the naturally occurring signs and symptoms of the fertile and infertile phases of a womans menstrual cycle. Couples using NFP to avoid pregnancy abstain from intercourse and genital contact during the fertile phase of the womans cycle. No drugs, devices, or surgical procedures are used to avoid pregnancy.

Q Why do my vagina pain when penis is inserted ?

Pain during sex is called as dyspareunia. Most women experience some degree of pain when they have sex for first few times. The main reason for it is fear of sex. This pain subsides with the number of acts. However if the complaint remains even after repeated number of sex then one needs to find the specific cause behind it. The causes can be an infection, lack of proper lubrication before intercourse, due to dryness of vagina, allergy to latex condom, etc. In such cases it is necessary that you consult a gynaecologist for proper treatment.

Q what is sex ?

Sex is an activity initiated with foreplay and ends with sexual intercourse inorder to satisfy sexual urge. The sexual relationship can be developed between two person of the opposite gender or of the same gender. There are different ways to have sex such as vaginal, anal and oral. Sex can include two phases first is foreplay and second intercourse. Foreplay involves kissing, cuddling, touching etc. While intercourse means penetration of mens erect penis into females vagina in case of vaginal sex.

Q Does drinking lots of water help to lose weight ?

Yes its true keeping body hydrated keep you healthy. Drinking 1.5liter(7-8 glass) per day is help you to burn extra calories, low sodium intake, eliminate toxic product from body and boost body metabolism; which ultimately result in reduce weight. But with this healthy balanced diet and regular exercise is essential to get faster result. Be cautious that excessive drinking of water can cause low sodium level in blood and put excessive load on kidney; so always stay in limit.nThank you.

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.