Q Dermatologist?? I think i m suffering from butterfly melasma

Melasma is hyper pigmentation seen most commonly over cheeks and bridge of nose. The hyper pigmentation is of brown to grey in color. Other common region are forehead, chin, back, etc. Without an examination it is not possible to say what you are suffering from. Hence it is necessary that you get yourself examined by a dermatologist.rnrn 

Q My lips are very dry and occasionally bleeds what to do?

Lips have a thin coating of oil which prevents them from drying. However in some people this moisture is lost resulting in excessive drying. The main reasons behind this is defective hydration, excessive licking habit, in winters due to dry winds, side effect of medications. In most cases self care measures helps to resolve the issue. Self care measures include: Improving daily water intake because it is important to remain well hydrated to prevent drying of lips. Use a lip balm whenever you are outdoors. Rubbing a slice of cucumber or a milk cream on lips at night. Keep it for few minutes and then wash it of with plain water. This will help in healing of cracked lips. However a condition called as chelitis which is cracked skin at corner of lips needs medical care, as the cause is infection. In that case consultation with dermatologist is required.

Q Hi, I only have left ovary, can I have a chance to get pregnant?

As long as your other ovary is normal and intact with its fallopian tube, you can become pregnant.

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 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.

Q How can I help my child avoid and manage stress? and tension headache?

Following measures can help your child to manage stress and tension headache: Identifying and avoiding the known triggers. Taking well balanced diet. Enroll your child in any physical activity like his/her favorite sport. This will help to de-stress. Make sure your child gets good quality 7-9 hours of sleep on regular basis. Try and talk to your child if anything at school or at home is bothering him/her. Lastly ask him/her not to skip medicines prescribed for the headache.

Q What is stomach flu?

Stomach flu is another name for gastroenteritis. In this disorder there is inflammation of the stomach as well as small intestine. Patient suffering from stomach flu has symptoms like pain in abdomen, diarrhea, fever, muscle ache, vomiting, etc. It is a kind of viral infection which is caused due to consuming contaminated food or drink. Treatment includes adequate rest, hydration, freshly home cooked food and medication to manage fever and diarrhea.rnrn 

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 Sir, I am tested HIV positive, for almost 3 years i was in a relationship with a boy, but now we broke up and hes getting married to someoneelse. He wants to be sure that hes not HIV positive.... I have asked him to do the CDcount, but is there any other test which can give accurate result... Pls advice.... Also is it possible that after being in relationship with an HIV person one can still result as Negative???

Sexual relationship between HIV positive and HIV negative partners is called as "mixed status" relationship. For mixed-status couples, the possibility of HIV infection is a constant reality. There is always a risk, but it can be minimized. Antiretroviral therapy can lower the viral load and may decrease chance of HIV positive partner transmitting it to the HIV negative partner, but does not prevent it. Safe sex practices and use of condom may lower the risk of transmission. Do not share syringes, water, drug preparation equipment with others. In your case, the boy needs to do HIV test ( it is diagnosed by presence of antibodies to the HIV virus in blood) and also visit a good HIV consultant to get investigated and counseled thoroughly. HIV testing is carried out on voluntary basis with appropriate pre-test and post-test counseling.

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.