Q I have a 14 year old girl who has fatty lumps either side of her cheeks near mouth that really stick out. I think they are called inverted dimples. Is this rare as she is very self conscious of them and we have never seen these on a child before. Or is there some other underlying problem

Difficult to predict what they can be without an examination. However if your daughter is not happy with it, then you should take an opinion of cosmetic surgeon regarding how to get rid of it.

Q My penis bleeding during sex and its hurts. my age 31

You seem to have injured yourself during the act. Please visit a physician to determine the cause and further management. Meantime maintain hygiene, avoid sexual intercourse to allow healing process, wear cotton underwear.

Q Can my sleeplessness lead to headache?

Yes, sleeplessness can lead to headache. Migraine, cluster headache, tension headache are some of the types that are caused due to sleeplessness.rnrn 

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 My son fears animals a lot and continuously cries. What can I do?

The fear for large animals is obvious but if the child has got it for smaller pets you need to put some positive efforts. You can help your child to overcome the fear of animals by gradually introducing your child to small animals. Show your child pictures of animals in which they are playful. Take small steps at a time and do not rush things or it may back fire.

Q What do you mean by Social Phobia? How it is expressed?

Social phobia is a strong fear of being judged by others, and of being embarrassed. This fear can be so strong that person start worrying about the things he is going to do in front of others weeks before, or it may restrict him from going into public places/school/work etc. Person will have overwhelmed fear that others will judge him wrongly or make fun of him. He might be afraid of eating or drinking in front of others, using public restrooms, going in social functions, performing anything in front of a crowd etc. This may end up with staying away from such situations or completely avoiding them. For some, it is a problem only in few situations, but some may have this fear constantly. This fear can express itself in the form of difficulty in getting acknowledged with others, talking with other people, high level of self-consciousness when in public, worries excessively before weeks or days of any upcoming social function, difficulties in making friends and becoming friendly with others, physical symptoms of fear may appear like sweating, trembling, blushing, palpitations, nausea, etc.

Q What causes a rash on babies elbow?

While most rashes are not serious, a few need close attention as blisters can indicate a serious infection, like a bacterial infection or herpes. Small red or purplish dots can be caused by a viral or bacterial infection. In the first few months of a babys life, any rash associated with other symptoms (such as fever, poor feeding, lethargy, or cough) needs to be evaluated by a doctor as soon as possible. Acne or pink pimples can be caused due to blocked pores on babies elbow. The moisture on elbow creates fungal infections as candidiasis. Dry, sensitive skin, and sometimes allergies may create red, itchy patches as in eczema. Other rashes like erythema toxicum-red blotches on skin, salmon patches-nest of blood vessels, mongolian spots-melanin deficiency are commonly seen in children and most of the times needs no treatment and get cured by the age.

Q I am patient of Kidney stone for last 10 years yearly one to two stones pass through my urine system Stone analysis test carried out and there is presence of calcium and oxalates and traces of uric acid pls give some dietary advise Thanks

Following are some tips to prevent kidney stones : 1. Water! Typically, kidney stones are caused by dehydration (not getting enough water). If you live in an area with hot, humid weather or where clean water is rare, your odds of getting kidney stones are tripled. Therefore, you must begin your natural treatment with drinking at least 10 tall glasses of water a day. 2. Distilled! If you live in a country with the option of distilled water, buy it! Distilled water is pure from any and everything including minerals that could aid in the formation of kidney stones. Distilled water is almost perfect for flushing your system and passing stones. 3. Citric acid present in lemons have been known to dissolve hard materials, even stones. Add a lemon to your drinking water to spruce things up. 4. Play again! Get outside or in the gym and do a little exercise. There are thousands of reasons to exercise but besides feeling better about yourself, you can actually give your body a boast of overall health. And overall health includes flushing the kidneys. 5. Cranberry juice from concentrate! By drinking cranberry juice, you can maintain your urinary tract which will help prevent kidney stone formation. 6. Citrates! Citrates reduce the build up of uric acid and eliminate the build-up of calcium salts which cause the formation of kidney stones. To get an adequate amount of citrates, drink plenty of fruit and vegetable juices such as carrot, grape and orange juices.

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 Suffering from fibromyalgia since last 12 years fade up of that now please suggest solution

We can understand your despair about your condition. Fibromyalgia syndrome is characterized by generalised pain, hypersensitive and painful response to pressure, joint stiffness, chronic fatigue and sleep disturbances. Also it is commonly associated with psychological disorders like depression. As it is a complex syndrome and has no specific cause, it is one of medically not fully understood syndromes, as a result there is no universally accepted permenant cure for this condition. The aim in management of it is to alleviate the pain and other associated symptoms of this condition. This include various methods that collectively will give relief from symptoms. The methods include cognitive behaviopural therapy, prescribed medicines, exercise(specially aerobic). FM is not a fatal condition and is not prograssive. So, if you maintain healthy lifestyle including exercise, eat healthy and balanced diet, get an adequate sleep, and stay away from stress and depression, it can get better over a time. Trying complemetary or alternative therapies is definitely a thing to consider. You can choose any from a variety, like Ayurveda, Homoeopathic, Accupressure or accupuncture, massage therapies, physiotherapy, herbs etc. These are proved to be effective in many such patients.