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 Medicine for circinate balanitis (reactive arthritis)

The cardinal symptoms of reactive arthritis are arthritis, urethritis and conjunctivitis. Balanitis is also a frequently noted symptom. It is advisable to get examined by a physician and then start the required medication. In the meanwhile, do not use any soaps, shower gels, condom, lubricant, etc on your penis; so as to avoid further irritation.

Q Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

Q What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

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 Can i catch HPV from oral sex or kissing?

Yes. Sexual contact including oral sex and deep kissing can cause transmission of HPV from one person to another.

Q My wife is not able to absorb the sperm after relationship and thats way she is not able to get pregnant.

After sexual intercourse it is normal for some amount of seminal fluid to ooze out from the vagina. This will not affect your wifes chance of getting pregnant. However if you are trying since more than a year and have not succeed than it is necessary that both of you get yourself examined. For female examination like ultrasonography and for males semen analysis is recommended.

Q Causes for itching after sex?

One of the reason can be that you are allergic to latex condom. Other reasons include rough sex, fungal infection, vaginitis, vaginal irritation, due to menopause because of less lubrication. Consult your doctor to know exact cause and corresponding treatment.

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.

Q What is G-spot? Where exactly is it located?

G-spot is an erotic spot in females. It is a bean-sized mass supposed to be located on upper surface of vagina exactly behind the urinary opening. The presence of this G-spot is still dubious and controversial.