Q Is it possible that you catch any disease from this minimally invasive surgery - I assume all tools used - needles, scalpels etc are clean/new - should I be worried? I had 2 very small hair transplants and both surgeries were completely clean and very modern - just am concerned over the cleanliness of tools used - should I worry?

Almost all the standard institute for hair transplant follow all the necessary aseptic precautions while doing any kind of procedure. Hence you should not worry.

Q Hi, I am suffering from itching at vaginal area. kindly advice me some medicine or ointments

There are many reasons for vaginal itching. The most common cause is fungal infection. Other causes include vaginal irritation, inflammation, allergy. Physical examination by a doctor is important to know the exact cause of vaginal itching without which medicine cannot be prescribed.

Q My mother is 69 years, last year we accidntally came to know that she has polycystic kidney disease. She never had any symptoms of this disease. When she went for an ultra sound scan for porlonged cough, doctor deteced PKD, then a nephrologist suggested to go in for continuous dialysis and we have been doing the same twice a week. She is normal now. Should we continue doing dialysis? She is not BP or Sugar patient

Whether to continue with dialysis or not will depend upon how well is the kidney functioning. Frequency of dialysis can be decided only by nephrologist considering her response to the treatment. Do regular consultation with your doctor and follow his advises.

Q Sir, My dad has HIV positive..What is the treatment for me? What are the precautions should be taken for family members to be free from HIV?

Just because your father is HIV positive, it doesnt mean that you too are. Yet, you must get tested once to confirm. The only precaution to be taken by you and your family members is to avoid sharing razors with him. The biggest risk is to your mother due to sexual intercourse. It can be prevented if they always use condoms. The rule of thumb is that there should be blood to blood contact with him. All other activities such as sharing food, hugging, kissing, sleeping or any other family activity with your father is absolutely safe.

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 how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q Im a 30 yr old male, i been travelling a lot of late and this caused me severe pain in the back and numbness in the leg.I consulted a neurologist who suggested an MRI scan.The report is 1.L3-L4 mild circumferential disc bulge with mild indentation over thecal sac with moderate sparing of CSF column with sparing or bilateral lateral recess & neural foramina. 2.L4-L5 mild circumferential disc bulge with moderate indentation over thecal sac with mild sparing of CSF column with sparing or bilateral lateral recess &neural foramina. 3.L5-S1 diffuse disc dessication changes with broad based posterior disc extrusion causing thecal sac indentation & loss of CSF column with narrowing of bilateral neural foramina(left>right). My height is 6.2 and weight is 80. Please help me with the answer soon. Is it something serious and what treatment would be done and how long would it take for the recovery and what are the things that i need to be careful from here on. Thank you.

Based on your MRI report the condition is mild to moderate at this stage. But if ignored can turn into something serious. Your symptoms are due to the pressure on the nerves due to disc bulges form L3-L5 and disc dessication at L5-S1. Treatment options for such condition includes use of pain killer to manage pain, physiotherapy to strengthen your back muscle and surgery as last resort. Avoid lifting any weight, sitting in abnormal posture or anything that can put pressure over your back. Use of lumbar belts. The changes that has taken place in your spinal column can not be reversed but with proper care they can be prevented from progressing further.

Q How do drugs affect driving?

Driving requires skills, such as information processing and psychomotor skills, which may be impaired by the use of drugs. The effect of drugs vary according to the individual, drug type, dosage, the length of time the drugs stays in your body, or if the drug has been taken with other drugs or alcohol. Drugs affect your ability to drive in different ways like - poor concentration and coordination, blurred vision, nausea, hallucinations, decrease the reaction time etc. A driver who is impaired through any drug is at risk of having an accident which may be life threatening in rare cases. And note that, driving under the influence of a drug is illegal.

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 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.