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 How is a rhinophyma (the w.c. Fields nose) treated?

Surgery is the treatment option for rhinophyma. Different surgical options include using a scalpel, laser, electro surgery, dermabrassion and cryosurgery.rnrn 

Q Does sperm die when it touches water?

Yes. The sperm will die in the water after sometime and not instantly as it touches it. This is due to change in the environment of the sperm in the body and outside the body like change in the temperature, pH etc.

Q I feel my testicle bag contracting, no pain, but it will not stop contracting day or night. I have seen many doctors and underwent an operation but helpless cau you please suggest some thing?

In order to produce sperms optimally, testicles need to maintain a lower temperature compared to the rest of the body. Hence, in cold climates, it is normal to testicles to shrink and move closer to the body in order to maintain an optimum temperature. However in hot climates, the testicles usually hang lower to cool off. This contraction and relaxation takes place due to the cremaster muscle and dartos fascia. Changes in the intraabdominal pressure, contraction of the abdominal muscles and most commonly, spasm of the cremaster muscle can cause contraction of the testicles. Try to keep a warm atmosphere at your home and office. Prefer boxers to briefs. See a surgeon to find out the exact cause and treat accordingly.

Q Body too thin...some diet tips

Weight gain depends upon your diet and exercise pattern. Include calorie and protein rich foods in your diet such as eggs, chicken, fish, milk and milk products, nuts, pulses etc. Every morning have a glass of milk with honey and 2 bananas. Consume handful of mixed nuts everyday. Weight gain should be healthy and hence you should limit your intake of junk food. Instead of 3 large meals have 5-7 small meals. Join a gym and practice weight training under supervision.

Q I am 27 yr old . i am going to be married soon in few days. i have lot of hairs..on shoulders...back...and chest.. how should i remove them.? want less hairs on chest only

Having hair on chest, shoulders and back in common in men. You can trim chest hair; use the electric clipper with various attachments. It is painless and takes atleast a month to grow again. Using razor and shaving cream can lead to rapid regrowth. Instead get waxed. Though it can be a little painful, it lasts about 6 weeks. Trimming the back with an electric razor can help too. Electrolysis or laser hair removal options are there too but are expensive.

Q Can asanas be performed after having morning tea or coffee?

Yoga asanas should preferably be done on an empty stomach. However, a cup of tea/coffee/milk is allowed before Yoga. You should not eat anything for about 30 minutes after performing Yoga.

Q 22 year girl have white discharge continuously. How we can prevent it? In last 3 months, she has lost more than 10 kg weight.

Some amount of vaginal discharge is normal and is seen in most females. It is the response of body to maintain internal hygiene. However if the discharge is constant, foul smelling, causes itching, is blood stained then it is a matter to worry. Bacterial, fungal and parasitic infection of the vaginal area are common causes. It is necessary that you get yourself examined by a gynecologist. Try and maintain hygiene in the genital area. Wear loose cotton under garments. Stay well hydrated. Avoid douching and using deodorant pads and tampons.

Q What is "Selective Mutism"?

Selective mutism is a condition in which a person who is normally capable of speech is unable to speak in given situations or to specific people. Selective mutism usually begins in childhood. It usually co-exists with shyness or social anxiety. Its important to understand that when the mutism happens, the child is not voluntarily refusing to speak but is literally unable to speak, feeling frozen. In time, they learn to anticipate the situations that provoke mutism and do all they can to avoid them. Example: selective mutism while interacting with the opposite sex. Other attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive. Behavioral therapy forms the mainstay of treatment with medications used in a few older patients. Most children will work their way through SM with sympathetic support, although they may remain reserved and anxious in social situations.

Q My doctor tells me my test results are normal, but I still have a few thyroid symptoms. Should I worry?

If the thyroid function test is done for the first time and the reports are normal, then there is nothing to worry about. However if you are taking the medicine for any thyroid disorder, then though your results are normal you may have the symptoms for few days.