Q My 22 months old boy still has anterior fontanelle open. Is it a concern

In most cases anterior fontanelle closes between the age of 7-19 months. Delay in closure can be due to causes like premature birth, intrauterine growth retardation, downs syndrome, etc. I would suggest that you get your child examined by a pediatrician to rule any abnormality.

Q Any side effects from lip reduction

Any kind of surgical procedure will have some side effects. Common side effects related to lip reduction are difficulty in chewing and speech, swelling, development of scar or lumps, etc.

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 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.

Q Why do people lie pathologically?

There are many reasons people lie pathologically. It could be from family abuse (covering up or lying so they arent beaten.) It can be immaturity (afraid of the world in general) or it can simply be the person doesnt think they rank high on the ladder of life and make up stories to make themselves look better to others, or because they want sympathy or attention that they are not getting. There are just too many reasons.

Q what is sadomasochism ?

Sadomachochism referes to giving and/or receving pleasure usually sexual by acts invovling infliction or reception of pain or humiliation. The person seeks out sexual gratification from these acts.

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 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 Hi, I am suffering from itching at vaginal area. kindly advice me some medicine or ointments

There are many reasons for vaginal itching. The most common cause is fungal infection. Other causes include vaginal irritation, inflammation, allergy. Physical examination by a doctor is important to know the exact cause of vaginal itching without which medicine cannot be prescribed.

Q Is it possible to raise your IQ?

Intelligence is mostly hereditary. Intellectual ability grows until about age 16, and after that changes very little. Practicing various skills which are tested on IQ tests will increase your IQ score some, but it is not likely to increase your intelligence. Intelligence is basically the abilities to learn, to reason, to remember, to think abstractly, to problem-solve, etc. These abilities are very difficult to improve once you are an adult, though you may improve specific skills. E.g. you can improve basic mathematical skills by practicing them often and learning certain mathematical shortcuts, or you can learn to read faster by pushing your reading speed and learning to scan for meaning. Generally, the best way to improve your performance in specific work tasks is to do those tasks a lot. When you do that, you gradually learn the best possible techniques to efficiently and accurately complete that work, in the minimum necessary amount of time.