Q Im a 30 yr old male, i been travelling a lot of late and this caused me severe pain in the back and numbness in the leg.I consulted a neurologist who suggested an MRI scan.The report is 1.L3-L4 mild circumferential disc bulge with mild indentation over thecal sac with moderate sparing of CSF column with sparing or bilateral lateral recess & neural foramina. 2.L4-L5 mild circumferential disc bulge with moderate indentation over thecal sac with mild sparing of CSF column with sparing or bilateral lateral recess &neural foramina. 3.L5-S1 diffuse disc dessication changes with broad based posterior disc extrusion causing thecal sac indentation & loss of CSF column with narrowing of bilateral neural foramina(left>right). My height is 6.2 and weight is 80. Please help me with the answer soon. Is it something serious and what treatment would be done and how long would it take for the recovery and what are the things that i need to be careful from here on. Thank you.

Based on your MRI report the condition is mild to moderate at this stage. But if ignored can turn into something serious. Your symptoms are due to the pressure on the nerves due to disc bulges form L3-L5 and disc dessication at L5-S1. Treatment options for such condition includes use of pain killer to manage pain, physiotherapy to strengthen your back muscle and surgery as last resort. Avoid lifting any weight, sitting in abnormal posture or anything that can put pressure over your back. Use of lumbar belts. The changes that has taken place in your spinal column can not be reversed but with proper care they can be prevented from progressing further.

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 to make artificial vagina?

Hello. There are n number of techniques to make fake vagina at home. You can use any soft but firm material for this, like a glove inside towel roll, or two pillows on each other, or toilet paper roll and condom etc. Remember that you should use soft and non-hurtig material to make it at home. Though none of this home made techniques make you feel the actual goodness of having sexual intercourse with a female, but you can feel some closer to it. More better option we can suggest is to buy an artificial vagina from the shop of sex toy. The feel with these kind of sex toys is more realistic and more easier than making it at home. Hope this finds helpful for you.

Q When do most girls start shaving their underarms?

It is completely a matter of personal choice and clothing preferences. You may start as soon as you notice a lot of hair growth. Most girls start doing around the onset of their first menstrual period.

Q For Depression, Phone Therapy May be an Answer?

Depression is a mental disorder in which the person may feel to be alone and dont want to see anyone around him. In this case, phone therapy can play a important role to consult with the patient without going to disturb him. No third person come to know about the disease and the treatment. The patient can feel comfortable at home and feel free to discuss the problem in private. The patient may feel comfortable by avoiding the dressing to go to the clinic, travelling and waiting for consultation etc. But, it should not be considered as a complete treatment. And one has to limit the time period during the call.

Q What is the difference between schizophrenia and multiple personality disorder?

Many people believe that schizophrenia and multiple personality disorder are one and the same. However they are distinctly different. In schizophrenia the person has hallucination and delusion of something that is not present in reality., In multiple personality disorder the person has two distinct personality that controls a persons behaviour. It is associated by memory impairment. They do not have hallucinations. Many people with schizophrenia often have a more difficult time functioning in normal society. People with multiple personality disorder, can often lead successful, normal lives with healthy, happy relationships with others.

Q What is the golden hour in treatment of heart attack?

The available oppurtunity (first 60 minutes to 120 minutes) after the onset of a heart attack is considered as the golden hour. In this time period, maximum fatality and damage to the heart muscles occur. Thus, an available oppurtunity in offering a logical treatment reduces the after-effects and impact of heart attack, increases the survival rate and lessens complications to an individual. Thrombolysis with clot buster " medications" during this hour when the patient is able to recieve emergency care give excellent results. Nowadays it has been substitued with PAMI i.e., Primary Angioplasty Myocardial Infaction after heart attack in a cardiac care centre. Thus immediate hospitalisation of the patient in a cardiac health care centre is important for his chances of recovery are very high.

Q Hairfall after delivery is it common how can i deal with it?

A hair cycle consists of 3 phases: anagen (growing), catogen (stoppage of growth and blood supply) and telogen(resting) phases. Normally upto 90% of hair are in the growing phase, 10-14% in the resting phase and 1-2% in the falling phase. Pregnancy and childbirth are stressful events for the body which pushes a lot of hair prematurely in the resting phase (telogen effluvium). This results in a large quantity of sudden hairfall. However, dont worry, this condition is temporary. In six months, the hair reverts back to its normal growth cycle. In the meanwhile, make sure you eat a healthy, well-balanced diet and remain stress free.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q Can HIV spread from kissing?

In most cases HIV virus is not transmitted through saliva. The saliva of an infected person does contain HIV, but the virus is only present there in very small quantities making it next to impossible for the disease or virus to be passed on to another in that way. For instance in the case of two people kissing, if both partners were to have large open sores in their mouths, or if they had severely damaged or bleeding gums then they might transmit the virus through the act of mouth to mouth kissing.