Q Do I need a tetanus jab (vaccine) after an accident or injury?

Yes. It is necessary to get an injection of TT after an accident or injury. Because the bacteria of tetanus are present in the soil which can infect you if not vaccinated.

Q My granny is suffering from uncontrolled motion , she can not control her evacuation and poos everywhere how to deal with it?

Damage to muscles or nerves surrounding the anal area associated with aging can cause fecal incontinence. Other cause can be diarrhea, post surgery, rectal prolapse. Products like absorbent pads/ adult diaper and disposable underwear can help you manage the problem. You should also consult a gastroenterologist to find out the cause and get treatment accordingly.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q I want to do ivf and I am hiv ptv is it possble for me

If you are a male, you can go for IVF in which the sperms are washed using medical solution to remove the infected material. And, a single sperm from that pool is picked up for the fertilization. Still, you can not deny the chances of infection. But, if you are a female, then it is not possible for you to prevent the child from the infection as your blood contains the virus.

Q What kind of diet is not advisable for when you have pain in neck and shoulder?

Unhealthy diet and lifestyle are on second rank when it come to pain in body like neck and shoulder pains. Modern food habits are actually producing harmful effect on body by promoting accumulation of toxins in body. These type of food include: chocolates, ice-creams, food containing caffeine, highly processed food, canned or preserved food specifically with MSG, junk food or fast food, food high in sodium and sugar, high fat dairy products, meat, cigarette, wine, beer or any other alcoholic drink etc. These type of food in diet put your body under constant metabolic stress and promote production and accumulation of unhealthy chemicals or toxins in your body. This combined stresses, irritate and spasms nerves and skeletal muscles resulting in pain. So, healthy way to avoid or reduce neck and shoulder pain is to eat healthy, well cooked, preferably home made and fresh food including lots of veges and fruits.

Q What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

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 Is there any reliable tips to reduce weight as I am working woman and do not find time for exercise but yes if you can suggest diet I can follow

When it comes to losing weight, good eating plan and regular exercise schedule go hand in hand. It is not possible to achieve permanent result by substituting one for another. Along with healthy eating a minimum of 150 mins of exercise in a week can make huge difference. As far as eating healthy is concerned you can make following changes in your routine. Instead of three large meals, have 5-7 small meals. Replace refined foods with whole grain foods. For example replacing white bread with brown bread. Include plenty of fresh fruits and green veggies in your meal. Avoid intake of processed foods, junk foods and sugary drink. Make sure your there is some amount of protein rich food in your breakfast, lunch and dinner. Foods such as eggs, chicken, fish, milk, cheese, curd, paneer are good source of proteins.

Q How can I tell when Im ovulating?

Ovulation usually occurs 12-15 days before your period starts. So if your periods are regular, you can easily determine your ovulation period by subtracting 14 days from the expected date of the next menstrual cycle. One in 5 women experience mild abdominal cramps when they are ovulating. You can also use a basal body thermometer to check your basal body temperature which shows the lowest reading followed by a sudden rise when you ovulate. During ovulation, your cervix becomes softer and gives out more discharge (mucus) than normal. You can also buy ovulation kit available in chemist to determine your ovulation.

Q How to decrease fat over stomach?

Concentrate on loosing overall weight which in turn will help you reduce excess fat from your belly region also. You can do certain exercise like leg raises, crunches which will help you in losing fat over lower abdomen. Avoid outside food, junk food and deep fried foods. Increase your intake of green leafy vegetables. Drink a glass of warm water with 1tsp lemon juice and honey in it every morning on empty stomach. Healthy diet and regular exercise go hand in hand as far as weight loss is considered. Consult a dietitian to formulate a diet plan which is healthy for you.