Q Do men suffer from menopause like women?

The phase of life similar to menopause is called as andropause in men. It is marked by lethargy, sadness, weariness, lack of drive, irritability, poor concentration and sometimes loss of sexual desire in middle-aged men. This leads to boredom, lack of fitness, heavy drinking and lack of self-esteem.n Though, male menopause is controversial, as there isn~t any calculable fall in the levels of male hormones in middle age like females have fall in sex hormones drastically, yet it is advised that men experiencing the symptoms should exercise regularly and eat healthy, nurture a hobby, and have a peaceful mind and renew interest in life.

Q Entamoeba histolytica infection

Entamoeba histolytica is a parasite and you must start anti parasitic drugs under care of a physician. Here are a few guidelines to avoid reinfection as well as to avoid spraeding infection to others. 1. Wash your hands before eating and after using the washroom. 2.Wash fresh vegetables carefully. Many people get E. histolytica by eating contaminated raw fruit and vegetables. 3.Wear gloves when gardening or working with soil or sand, because it is contaminated with the eggs of the parasites. 4.If you have pet, deworm him regularly.

Q I leak urine when I sneeze, cough, lift heavy objects, exercise. Can this be helped or cured?

What you describe is called as stress incontinence in medical terms. It can be either due to weakness in pelvic muscle or due to disorder related with nerves. Exact cause needs to be find out in order to plan the treatment. Initially you can make following changes: cut down your fluid intake, if you are on the overweight side, try and lose some weight. Avoid alcohol and caffeine rich drinks. Practice kegel exercise to tone your pelvic muscles. If all these dont help than consult a gynecologist for the medication. Surgery will be required if everything else fails.

Q I am feeling weekness from past 2-3 days

Excessive physical exertion, excessive mental stress, prolonged lack of sleep, viral infection are some of the probable causes of weakness. Take adequate rest, follow well balanced diet, stay well hydrated, if you are overly stressed, try and find the cause and work towards improving it. Consultation with your physician will be necessary if the weakness is not relieved in few days or you develop any other symptoms.

Q what are the symptoms of dyspesia and how it is diagnosed?

Dyspepsia is also known as indigestion. It is a condition in which the digestion is disturbed either due to any lifestyle or dietary change or some underlying pathology. It is a medical condition characterized by chronic or recurrent pain in the upper abdomen, upper abdominal fullness and feeling fullness in the stomach even with small amount of food. It may be associated with nausea, vomiting, bloating, belching, heartburn etc. It is a common condition in many people and generally do not require any treatment. If it is experienced for prolong time, it is advised to visit your physician to rule out the cause and get the best possible treatment.

Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

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 My age is 26 . I have a sex problem . I could not have my first sex as my penis did not erect and get hard.

If you are capable of getting erections during masturbation or at any other time, then you are absolutely fine. At that time, you may not have gotten an erection due to anxiety. However, if you have never had an erection in your entire life or have suddenly stopped getting them now, then you must visit a urologist.

Q What causes fast heartbeat in infants?

In some physiological conditions like crying, exercising or any vigorous activity the heart beats faster in infants. But, if at rest, the heartbeats are fast, then the causes are pathological like- dehydration, any lung disease, heart disease etc. It is an emergency condition and you can notice by the sudden paleness or bluishness of the skin, fainting of the baby etc. In such a case, you must visit your paediatrician as early as possible to get the accurate curative and preventive measures.

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.