Q My Grandmother slipped in our bathroom last week. After the incident she is facing some problem while walking, when asked she said her thigh is giving some amount of pain. I tried to arrange a massager but she did not like and nor did she allowed to continue it further. Now its been 2 weeks she is suffering from this issue? Please assist me further as soon as possible.?

Please get x-rays as soon as possible if you havent. It will tell you the cause of the pain. In old age fractures are very common even with mild injuries. Do not massage until the x-rays are said to be normal by a doctor. Mean while you can give her pain medicines and cold fomentation at the affected site.

Q How common is pancreatitis in children?

Pancreatitis is less common in children. Even if it does occur most commonly it is acute pancreatitis. Trauma to the abdomen is the most common cause of pancreatitis. Other causes include viral infection, side effect of medication, etc. In around 25% of cases the cause is not known.rnrn 

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 I have notice white substance attached to my tonsils, I am suffering from tonsillitis and fever, can you please explain what is this?

Exact diagnosis cannot be made without examining your throat. However probable cause for your complaint can be bacterial infection of the tonsils or tonsilolith also known as tonsil stones. I would recommend that you consult an ENT specialist, who after an examination can tell you the exact cause and start you with appropriate treatment.rnrn 

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 How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q Will doing swimming during winter days harm kids? and what about clorinated water exposure?

During winter, due to cold environment, children may get flu, cold and cough etc. Children are more sensitive and their immunity is also weak as compared to adults. So, it is advised not to go for swimming during winter. And remember, some children are allergic to chlorinated water. You must keep an eye on your childs health, to identify any symptoms if they do appear.

Q I have diarrhea,headaches,nausea,upset stomach,and pain. since 4 days

The symptoms you are suffering from are indicating an gastrointestinal infection by the microorganisma like bacteria or parasites. You must take the light diet and take more water to control the dehadration cuased due to diarrhoea. It may be due to certain other pathologies like appendicitis, crohns disease, intussuseption etc. It is necessary to rule out the cause and treat the diarrhoea at the early stage because dehydration may lead to life threatning complications.

Q Can a girl get pregnant without inserting? Just touch outside her vagina.

A girl can get pregnant only when the sperms enter the vagina. But this can happen even if you ejaculate near her vaginal opening. Please do not take any unnecessary risk. Either use a condom or stay as far from the vagina as possible.

Q Split ends in my hair !! Any treatment?

Splint ends are caused due to dryness and damage to hairs. Factors that can cause dryness and damage to hair are over exposure to sun rays, poor nutrition, excessive use of chemical based hair products, use of hair dryers, etc. Here we are also listing some general tips to improve your hair health: Warm oil massage, regular trimming of hair, minimizing use of hair dryers or styling products, following a balanced and nutritious diet, covering your hair properly while going out in sun and avoid combing hair when they are wet.