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 What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q I am diabetic and having erectile dysfunction and very late ejaculation. I do not have babies planning due to it. Why is erectile dysfunction caused in diabetes? What can I do?

Uncontrolled diabetes causes damage to small blood vessels and the nerves that control erection. Damage to these blood vessels and nerves leads to the development of erectile dysfucntion. As far as fathering a child is concerned if you have healthy sperm quantity and quality you need not worry. For erectile dysfunction it is necessary that you keep your blood sugar levels under control. Treatment options include oral medications, penis pumps, surgery and implants. Consult an andrologist to know what treatment option will suit you best.

Q What is natural family planning?

Natural Family Planning ( NFP) is the term for certain methods used to achieve and avoid pregnancies. These methods are based on observation of the naturally occurring signs and symptoms of the fertile and infertile phases of a womans menstrual cycle. Couples using NFP to avoid pregnancy abstain from intercourse and genital contact during the fertile phase of the womans cycle. No drugs, devices, or surgical procedures are used to avoid pregnancy.

Q Whats the treatment of nervousness?

Nervousness by itself is not considered a serious problem. If nervousness is related with an anxiety disorder treatment is needed. The Nervousness refers to fearful thoughts with basic physical symptoms. The most important tool for reducing nervousness is exercise. It allows you to easily reduce your nervousness because it increases production of relaxing neurotransmitters while simultaneously burning hormones caused by stress and tiring the muscles so that anxiety symptoms are less severe. Sleep deprivation has a profound effect on nervousness. So sound sleep at least for 7 to 8 hours is necessary. Nervousness may be produced due to empty time, so stating busy is helpful to reduce it. Get yourself involved in work. Take interest in your hobby. Writing a diary is also good way as it provides a mental outlet. Consultation with a doctor is necessary if the symptoms are not controlled and are causing disturbance in mental and physical health.

Q My aunty is suffering from abdominal pain since 4 days without any noticeable reason

Abdominal pain can arise due to several causes. It can range from something as simple as indigestion or menstrual cramp to something as serious as kidney stone or an internal injury. The best approach would be to get a USG done and visit a gastroenterologist for an examination and diagnosis.

Q Hello doctor, my grandfather was diagnosed with an alzheimers dementia; could u give me more info about this disease? What is the cause? Is it hereditary? Any treatment for the same?

Alzheimers disease is the most common form of dementia, a serious brain disorder that impacts daily living through memory loss and cognitive changes. Alzheimers is a degenerative disease, progressing from mild forgetfulness to widespread neurological impairment and ultimately death. nAlthough a direct cause of Alzheimers is not known certain common factors are found in the clinical picture of sufferers. These include; prior personality organisation of the individual and stressfulness of their life situation. You are at higher risk, if family history of this disease is there.nAlthough there is no cure for Alzheimers, and various psychotherapies appear to be ineffective, there are ways to treat some of the symptoms of the disease: Use of medications to treat cognitive decline and memory loss. Also appropriate activities such as exercise, recreation, and adult day care services appear to assist in the management of the patient.

Q Is there any relation between obesity and headache?

There are studies which suggests that obese people are at increased risk of developing migraine. Hence it is advisable that you maintain a healthy weight.

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 My child drank one full bottle of cough syrup. He has some reactions like swelling on body and face, please advise what to do .

Your child has had an overdose of medication. Rush to the hospital immediately along with the bottle. Any delay can compromise the health of the child.