Q My grand dad is 86 years now, he had got a 2nd heart attack, and the doctor is telling he should undergo an angioplasty . Is it required ? or any other simple operation can he go trough as he is aged

Angioplasty is required when the vessels carrying blood to the heart are narrowed due to blockage. The amount of blockage will decide whether your grandfather requires an angioplasty or not. Angioplasty is a simple and safe procedure. Do not worry.

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attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive.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 Do women need Sildenafil/Viagra?

Sildenafil has been developed for men to deal with erectile dysfunction. It increases blood flow to penis thus helping erection. Its effectiveness in woman has not yielded any beneficial results.

Q I have been suffering from hyper-acidity as a result of antibiotics. Please advice.

Hyper-acidity is a common side effect of most antibiotics. Most physicians will prescribe an antacid or a H2 blocker along with antibiotics to circumvent this side-effect. If your physician hasnt done so, please visit him and ask him to prescribe the same. If you are on long term antibiotics, a multivitamin will help. As a home measure, include plenty of cold milk and yogurt in your diet to counteract hyper-acidity.

Q What is erectile dysfunction?

Erectile dysfunction is a medical disorder in which male has difficulty either in getting an erection or maintaining an erection till the completion of sexual act. It can be caused due to excessive smoking or alcohol consumption, excessive physical or mental stress, diabetes, high blood pressure, ageing, side effects of certain drugs, post surgery. Treatment will depend upon the cause and include oral medication, penis pump, surgery, implants.

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.

Q I am feeling weekness from past 2-3 days

Excessive physical exertion, excessive mental stress, prolonged lack of sleep, viral infection are some of the probable causes of weakness. Take adequate rest, follow well balanced diet, stay well hydrated, if you are overly stressed, try and find the cause and work towards improving it. Consultation with your physician will be necessary if the weakness is not relieved in few days or you develop any other symptoms.

Q Why do babies spit up?

Spitting up tends to peak at age 4 months, and most babies stop spitting up by age 12 months.nThe reason for it is babies have esophageal valve still in developing phase that means its immature yet so it results in backward flow of food. Until this valve take time to mature, spitting up may be an issue — especially if your baby eats too much or too quickly. Having food too much or hurriedly cause air to get inside babys stomach along with food. While sucking milk from breast or bottle nipple, babies engulf much amount of air too. This is then come out along with some liquid in the form of spitting. Try these tips to help your baby keep his food down: 1. Hold your baby in a fairly upright position when you feed him. 2. Try smaller, more frequent feedings. 3. Frequent burps during and after each feeding can keep air from building up in your babys stomach. 4. Try to avoid distractions or noises while feeding him, which will reduce his air intake.

Q I have an undefined scratches in my both under arms

This itching underarm is medically known as pruritus. The symptoms experienced due to itchy armpits vary according to the underlying condition. You may experience itching accompanied with redness, soreness, swelling and scarring. Scratching the itch may temporarily relieve the symptoms, although it can cause an infection through the lacerations caused by scratching. Unclean hygeine, candida infections, inverse psoriasis, dermatitis may cause this. The deoderants and antiperspirants may cause the pruritus as it is directly applied over skin. Itching under the armpits is not natural and should not be ignored. As it is treatable, if you are suffering from this condition, it is best that you seek medical treatment to prevent discomfort associated with this irritation.

Q Do childhood earaches cause hearing loss later in life?

The ear ache in childhood has different causes either related to ear or some other parts like teeth, head, mouth etc. In most of the cases, it is related with the hearing loss in later life. But, the deafness has many other serious conditions in adult life which are not related with the childhood earache.