Q Hi, I sometimes get a "twinge" in my left chest, sort of in the crease of my breast. It doesnt happen after exertion but at any time, even at night in bed - Im scared theres something wrong with my heart.

Twinge or sudden sharp pain is very common presentation of chest pain and most of the times it is not related to heart. Very rarely this pain indicate coronary artery disease. Moreover since the pain is not related to exertion and comes anytime, it is less likely related to heart conditions. One probable cause for your pain could be indigestion. However it is advisable that you get yourself examined by your family physician once to rule out anything serious.

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 Does chewing tobacco affect arteries the same way smoking does?

Yes. The tobacco contains nicotine. And it is going to be in the blood whether you smoke or chew it. The effects of nicotine are same in both situation.

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 oral sex? wat precaution shoud take during oral sex?

Oral sex is where mouth of the one partner and genital of the other partner is involved. It includes aspects like licking. It is safe if you know that your partner is free from any STD otherwise there is a risk of getting an infection.

Q Do women need Sildenafil/Viagra?

Sildenafil has been developed for men to deal with erectile dysfunction. It increases blood flow to penis thus helping erection. Its effectiveness in woman has not yielded any beneficial results.

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.

Q Tips for coping with family stress?

It is said "you can choose your friends but you can not choose your family". Children, elderly parents, relatives all can be a source of stress. Following are some tips to manage family stress: 1. Adjust your priorities. Dont take unnecessary duties and responsibilities. 2.Take advice from people whose opinion you trust, and get specific advice when issue arise. 3. Accept any help thats offered. 4. Use effective coping strategies and dont put impossible pressure on yourself. 5. Fit in some time for yourself, and explore your feelings. Be kind to yourself and build up your confidence if it has been damaged. 6.If you do get upset, go for a walk, have a nap, or find somewhere private to call a friend and get it off your chest. 7. Read a good book which lifts your spirits. 8. Lastly take care of yourself. Take time for relaxation. Use stress management techniques and be alert to any symptoms.

Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q Can delusional disorder be cured?

A delusional disorder usually goes along with another illness,eg schizophrenia,psychosis. Delusions can be managed with medication. Seek psychiatric help, they will be able to help & find underlying causes and treat it. Psychotherapy is usually the most effective help in person suffering from delusional disorder. People who have emotional struggles and abuse drugs or are under significant stress might more likely develop delusional disorder than those who dont experience those situations.