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 Sir, I am tested HIV positive, for almost 3 years i was in a relationship with a boy, but now we broke up and hes getting married to someoneelse. He wants to be sure that hes not HIV positive.... I have asked him to do the CDcount, but is there any other test which can give accurate result... Pls advice.... Also is it possible that after being in relationship with an HIV person one can still result as Negative???

Sexual relationship between HIV positive and HIV negative partners is called as "mixed status" relationship. For mixed-status couples, the possibility of HIV infection is a constant reality. There is always a risk, but it can be minimized. Antiretroviral therapy can lower the viral load and may decrease chance of HIV positive partner transmitting it to the HIV negative partner, but does not prevent it. Safe sex practices and use of condom may lower the risk of transmission. Do not share syringes, water, drug preparation equipment with others. In your case, the boy needs to do HIV test ( it is diagnosed by presence of antibodies to the HIV virus in blood) and also visit a good HIV consultant to get investigated and counseled thoroughly. HIV testing is carried out on voluntary basis with appropriate pre-test and post-test counseling.

Q How can I help my child avoid and manage stress? and tension headache?

Following measures can help your child to manage stress and tension headache: Identifying and avoiding the known triggers. Taking well balanced diet. Enroll your child in any physical activity like his/her favorite sport. This will help to de-stress. Make sure your child gets good quality 7-9 hours of sleep on regular basis. Try and talk to your child if anything at school or at home is bothering him/her. Lastly ask him/her not to skip medicines prescribed for the headache.

Q I have been seeing faces on walls doors etc. Sometimes they are scary looking, and look like they are in pain. Sometimes they are peaceful looking. Ill see them in clusters, male, female, even babies faces.

Can you relate to any experience or incident after which you started seeing these faces? How long has it been since they started and how frequently does it happen? Are you suffering from or are on treatment for any other disease/disorder? Any addictions to smoking, alcohol, drugs etc? If these faces have been appearing recently, just ignore them for a while. Try to divert your attention and keep yourself busy. Theyll probably go away on their own. However, if you have been seeing these faces consistently, it would be wise to see a Mental Health practitioner who will be able to help you out.

Q what is sadomasochism ?

Sadomachochism referes to giving and/or receving pleasure usually sexual by acts invovling infliction or reception of pain or humiliation. The person seeks out sexual gratification from these acts.

Q I want to know about fistula.

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. often occur in the area around the genitals and anus (known as the perineum). It is connection between two body cavities eg. rectum and vagina. The symptom vary with the location of fistula.

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 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 When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

Q 22 year girl have white discharge continuously. How we can prevent it? In last 3 months, she has lost more than 10 kg weight.

Some amount of vaginal discharge is normal and is seen in most females. It is the response of body to maintain internal hygiene. However if the discharge is constant, foul smelling, causes itching, is blood stained then it is a matter to worry. Bacterial, fungal and parasitic infection of the vaginal area are common causes. It is necessary that you get yourself examined by a gynecologist. Try and maintain hygiene in the genital area. Wear loose cotton under garments. Stay well hydrated. Avoid douching and using deodorant pads and tampons.