Q I am married and I still dont have baby

Difficult in conceiving is called as infertility. Causes of primary infertility in females are: irregular menses, hormonal imbalance, being obese, thyroid disorder, PCOD, diabetes, birth defects, etc. In males the cause of infertility are: hormonal imbalance, poor quality and quantity of sperms, birth defects, impotence, retrograde ejaculation, etc. If it is been more than one year since you are trying for pregnancy then you should consult a gynecologist. Preliminary test like sonography for female partner and semen analysis for male partner will help to identify the probable cause.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

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 can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q Please guide me proper veg diet chart for gain weight

In order to make a proper vegetarian diet chart more details are required such as your age, gender, height, current weight and physical activity level. Following is a general vegetarian diet chart to gain weight: Meal 1-8 am: Whole wheat bread and paneer sandwich and 1 cup milk. Meal 2-11 am: 1 Banana. Meal 3-2 pm: Roti, sabji and curd. Meal 4- 5 pm: Handful of roasted nuts and 1 cup milk. Meal 5- 8 pm: Roti, Sabji and dal or Rice, Sabji and dal.

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 I have rashes near my leg fold (Pubic region) it pains a lot. I cant even walk properly

You seems to have a fungal infection. Apply over the counter antifungal powder. Use 100% cotton under garments and keep the area clean and dry. If these measures do not help then visit a physician for exact diagnosis and medication.

Q My two year daughter fell from the slide this morning. In evening she passed white stool with bad smell.

Episode of fall and the white stool does not seem to be connected. But at the same time white coloured stool can not be ignored. Stool gets its normal yellow- brown colour due to bile. White colour stool indicate that either the bile is not produced or it is obstructed. Hence it should be evaluated by the doctor. Consult your family physician at the earliest.

Q This is kataru prasanth aged 22 recently I have observed a white hair on my head and want to know the reason behind this? How to prevent this problem? tell me which vitamins or proteins deficiency causes and what to eat for improvement?

Exact causes for premature greying of hair is not known. Some studies suggest that it can be due to genetics. Also deficiency of vit B12 or thyroid disorder can cause early greying of hair. In such cases treating the cause will help preventing further greying of hair. As such there are no specific medicine to reverse or control greying of hair. You can use several hair colouring products to conceal white hair.

Q What are low-glycemic index foods?

Foods that are very slowly absorbed are said to have low glycemic index. These don~t affect blood sugar levels much.