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 left testicle divided into two parts this is a problem or not

Since how much time does the testicle appear like this? Is it by birth? Is there pain or swelling? Is there difficulty in urination too? Are there any other symptoms? It may be the swelling known as Orchitis. If the swelling is painful, it could be due to an infection. Injury may sometimes cause swelling giving such an appearance. Kindly consult a surgeon or a physician for proper diagnosis & treatment.

Q What triggers hormonal migraines in women?

The hormonal migraines are also known as menstrual migraines in females. The cause of headache is due to sudden drop of estrogen levels. This may happen during menstrual period, in menopause, due to sudden stopping of oral contraceptive pills and in pregnancy during first few weeks.

Q Is it possible that you catch any disease from this minimally invasive surgery - I assume all tools used - needles, scalpels etc are clean/new - should I be worried? I had 2 very small hair transplants and both surgeries were completely clean and very modern - just am concerned over the cleanliness of tools used - should I worry?

Almost all the standard institute for hair transplant follow all the necessary aseptic precautions while doing any kind of procedure. Hence you should not worry.

Q When can we go for home pregnancy test

You can take  home pregnancy test one week after the missed period date. If the test result is negative and you havent got your periods than you may repeat it again after another week.

Q Are growing pains real?

Growing pains are seen in children of the age group 5 to 12 years. Thses always concentrate in the muscles, rather than the joints. Most kids have pains in the front of their thighs, in the calves, or behind the knees. The children with growing pains can be helped by massaging the area, stretching or by placing a heating pad on the area.

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 How to treat an oat allergy?

In an acute episode use of over the counter antihistamines are beneficial. As far as prevention is considered the best way is to avoid eating oats. Cereals, cereal bars, cookies and other similar foods are main sources of oats and hence should be avoided. Rice, potatoes, fruits contain many of the same health benefits as oats and can be substituted for oats.

Q What Psychological Factors Contribute to Mental Illness?

The reasons which cause mental illness- Significant interpersonal loss and family instability, such as death of loved one, misfortune, poor relationship with family, domestic partner violence, separation, and divorce, emotional detachment have all been identified as risk factors. Financial stress, unemployment, and a drop in socioeconomic status can also be triggers for mental illness. This is also the case for a range of acute and chronic health problems, such as pain syndromes, or diagnoses of conditions like HIV or cancer. Some mental illnesses have been linked to an abnormal balance of brain chemicals called neurotransmitters. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are out of balance or are not working properly, messages may not make it through the brain correctly, leading to symptoms of mental illness. In addition, defects in or injury to certain areas of the brain also have been linked to some mental conditions.

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.