Q what is sadomasochism ?

Sadomachochism referes to giving and/or receving pleasure usually sexual by acts invovling infliction or reception of pain or humiliation. The person seeks out sexual gratification from these acts.

Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

Q Suffering from fibromyalgia since last 12 years fade up of that now please suggest solution

We can understand your despair about your condition. Fibromyalgia syndrome is characterized by generalised pain, hypersensitive and painful response to pressure, joint stiffness, chronic fatigue and sleep disturbances. Also it is commonly associated with psychological disorders like depression. As it is a complex syndrome and has no specific cause, it is one of medically not fully understood syndromes, as a result there is no universally accepted permenant cure for this condition. The aim in management of it is to alleviate the pain and other associated symptoms of this condition. This include various methods that collectively will give relief from symptoms. The methods include cognitive behaviopural therapy, prescribed medicines, exercise(specially aerobic). FM is not a fatal condition and is not prograssive. So, if you maintain healthy lifestyle including exercise, eat healthy and balanced diet, get an adequate sleep, and stay away from stress and depression, it can get better over a time. Trying complemetary or alternative therapies is definitely a thing to consider. You can choose any from a variety, like Ayurveda, Homoeopathic, Accupressure or accupuncture, massage therapies, physiotherapy, herbs etc. These are proved to be effective in many such patients.

Q My hair is very curly. I want to straighten it. What should I do?

Temporary straightening can be obtain by using straightening irons. However if you wish to permanently straighten your hair then you need to consult a hair stylist. Even though it may make your hair look great, straightening brings with it a host of other problems such as breakage, thinning, dryness, split ends etc. Make a final decision after considering all the pros and cons.

Q What is "Selective Mutism"?

Selective mutism is a condition in which a person who is normally capable of speech is unable to speak in given situations or to specific people. Selective mutism usually begins in childhood. It usually co-exists with shyness or social anxiety. Its important to understand that when the mutism happens, the child is not voluntarily refusing to speak but is literally unable to speak, feeling frozen. In time, they learn to anticipate the situations that provoke mutism and do all they can to avoid them. Example: selective mutism while interacting with the opposite sex. Other attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive. Behavioral therapy forms the mainstay of treatment with medications used in a few older patients. Most children will work their way through SM with sympathetic support, although they may remain reserved and anxious in social situations.

Q Though it takes lots of courage to commit suicide why suicidal people are called coward?

Committing suicide is considered wrong and unjustifiable. Suicide gives up all your future, everything you could have done, because you cant put up with the past or the present. People usually commit suicide when they lack the courage to go on. Its like giving up on the hope that things will ever get better. Under the influence of emotional despair, a suicidal person kills himself in total disregard for those who care for him, those who would have helped him. However at the same time, it is not right to call suicidal people cowards. In fact, they need maximum help and support from those around them. One should lend them a helping hand until they start feeling better about themselves and the situations in their life. There is light at the end of the tunnel. It is important for suicidal people to remember, "this too, shall pass."

Q What is a panic attack?

A panic attack is a sudden onset of intense fear or apprehension without any known cause. A panic attack comes suddenly lasts for few minutes and may disappear of its own without any medicine. Sometimes, panic attacks can be very frightening. Some of the symptoms you may experience during the panic attack include - palpitations, sweating, trembling, shortness of breath, a choking sensation, chest pain and feeling sick etc. If the attack is recurrent, it is advised to consult the physician to get the best possible treatment.

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 How does aids kill cells in immune system?

The AIDS is caused by the virus HIV, which attacks the CD4 cell (T-cells) of the immune system. Because, CD4 cells have a specific protein for the HIV. The HIV also affects other cells like B cells and macrophages which are the main part of the immune system. Thus, limiting the action of the immunity of the affected individual. Due to decreased immunity, the individual is prone to any infection leading to further decline in the health status of the individual. In most of the cases, the individual dies due to some other infection to the AIDS patient.

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?