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 What Psychological Factors Contribute to Mental Illness?

The reasons which cause mental illness- Significant interpersonal loss and family instability, such as death of loved one, misfortune, poor relationship with family, domestic partner violence, separation, and divorce, emotional detachment have all been identified as risk factors. Financial stress, unemployment, and a drop in socioeconomic status can also be triggers for mental illness. This is also the case for a range of acute and chronic health problems, such as pain syndromes, or diagnoses of conditions like HIV or cancer. Some mental illnesses have been linked to an abnormal balance of brain chemicals called neurotransmitters. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are out of balance or are not working properly, messages may not make it through the brain correctly, leading to symptoms of mental illness. In addition, defects in or injury to certain areas of the brain also have been linked to some mental conditions.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

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 What is oppositional defiant disorder?

Oppositional defiant disorder is mental condition seen in children. It is characterized by non co-operative behavior, disobedience, anger and annoying behavior towards any one in authoritative position. A child with oppositional defiant disorder will get angry easily, show temper tantrums, will not obey rules, annoy people deliberately, argue with person in authority, etc.

Q What is pelvic floor muscle dysfunction?

Pelvic floor muscle dysfunction is a condition in which the muscles of the pelvic floor shows disability to work as they should be. Factors such as being over weight, pregnancy, menopause, disorder of the nerves in the pelvic region can lead to pelvic floor muscle dysfunction. Treatment will be determined by the underlying cause.

Q What is an ideal weight for a 3-year-old child?

Ideally, a 3-year-old kid should weigh about 12-14 kg. Do not worry if your kids weight does not increase too much and too quickly after this. After the kid is a year older than this age, the changes in weight can be seen only once a year as growth rate slows down with increasing age.

Q How fast are calories absorbed?

The calories absorption depends on the physical and mental well being of the person. It also depends on the age, sex, occupation, environmental factors etc. It varies from person to person. Some one doing heavy physical work spend the calories early than other one who does relax work in the office.

Q Why is babys head dropping when crawling?

Crawling is seen at the age of 6-9 months of the baby. During this period, the baby tries to hold his head high and try push ups to move forwards. Developing head control varies from baby to baby. Some may develop quickly while other may take time. But, if your baby is unable to hold at all, then you must consult your paediatrician to rule out the cause.

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.