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 How can I improve my chances of becoming a father?

You must follow a regular exercise and diet plan in order to be fit and fine, and to increase the chances of being a father. It is necessary to have the intercourse during the ovulation phase of the female. Normally, ovulation takes place at 14th day after the last menses counting from the starting of the bleeding as Day 1. In irregular cycle, one can use the ovulation kit to get the ovulation period. If you are quite young and unmarried, avoid excessive masturbation and other things which make you feel arousal. Because, it may lead to less erection and early ejaculation which will affect your sexual life and some other problems related with general physical and mental health. Avoid multi-partner sex which may gives you any sexually transmitted disease.

Q What are the symptoms of kidney failure?

Symptoms may vary form person to person. Usually kidney failure is asymptomatic in early stage but as disease progresses symptoms become prominent. Sign and symptoms include nausea, vomiting, loss of appetite, fatigue, weakness, changes in urine output, fluid retention, swelling over ankles and feet, shortness of breath, persistent itching, hiccups, high blood pressure, difficult concentration, abnormal heart rhythms, sleep problems. If left untreated life threatening circumstances may develop.

Q Hairfall after delivery is it common how can i deal with it?

A hair cycle consists of 3 phases: anagen (growing), catogen (stoppage of growth and blood supply) and telogen(resting) phases. Normally upto 90% of hair are in the growing phase, 10-14% in the resting phase and 1-2% in the falling phase. Pregnancy and childbirth are stressful events for the body which pushes a lot of hair prematurely in the resting phase (telogen effluvium). This results in a large quantity of sudden hairfall. However, dont worry, this condition is temporary. In six months, the hair reverts back to its normal growth cycle. In the meanwhile, make sure you eat a healthy, well-balanced diet and remain stress free.

Q Do I need a tetanus jab (vaccine) after an accident or injury?

Yes. It is necessary to get an injection of TT after an accident or injury. Because the bacteria of tetanus are present in the soil which can infect you if not vaccinated.

Q What can trigger headache in children?

Headache in children can be caused due to several factors. Day to day cold and flu, viral infection, infection in the ear or of the sinus are common causes. Trauma or injury to the head can also cause headache. If the child is predispose to migraine than even that can cause headache. Some child may complain of headache from food items such as ice cream, cold drink, preservative and additives used in the food. Disorders like meningitis, abscess or tumor in the head can present with headache.rnrn 

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.

Q can inhale not exhale,cough only during night feeling lack of energy

The symptom you have descrirbed may be due to pathologies related with respiratory system and the organ involved is trachea, lung or diaphragm. It may be due to an infection with bacteria or virus and it may acute or chronic. You require physical examination by a consultant to rule out the cause. A diet lacking certain nutrients can also contribute to a chronic cough. If your body has deficiency of iron, swelling and irritation in the back of your throat could be a symptom, which can lead to coughing at night. The condition is also associated with weakness many times. An iron supplement may be all you need in this case.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q Is it possible to raise your IQ?

Intelligence is mostly hereditary. Intellectual ability grows until about age 16, and after that changes very little. Practicing various skills which are tested on IQ tests will increase your IQ score some, but it is not likely to increase your intelligence. Intelligence is basically the abilities to learn, to reason, to remember, to think abstractly, to problem-solve, etc. These abilities are very difficult to improve once you are an adult, though you may improve specific skills. E.g. you can improve basic mathematical skills by practicing them often and learning certain mathematical shortcuts, or you can learn to read faster by pushing your reading speed and learning to scan for meaning. Generally, the best way to improve your performance in specific work tasks is to do those tasks a lot. When you do that, you gradually learn the best possible techniques to efficiently and accurately complete that work, in the minimum necessary amount of time.