Q Hello doctor, my grandfather was diagnosed with an alzheimers dementia; could u give me more info about this disease? What is the cause? Is it hereditary? Any treatment for the same?

Alzheimers disease is the most common form of dementia, a serious brain disorder that impacts daily living through memory loss and cognitive changes. Alzheimers is a degenerative disease, progressing from mild forgetfulness to widespread neurological impairment and ultimately death. nAlthough a direct cause of Alzheimers is not known certain common factors are found in the clinical picture of sufferers. These include; prior personality organisation of the individual and stressfulness of their life situation. You are at higher risk, if family history of this disease is there.nAlthough there is no cure for Alzheimers, and various psychotherapies appear to be ineffective, there are ways to treat some of the symptoms of the disease: Use of medications to treat cognitive decline and memory loss. Also appropriate activities such as exercise, recreation, and adult day care services appear to assist in the management of the patient.

Q How to apply xylocaine gel in her vagina

Before having intercourse apply it locally with the finger, wait for 15 mins and then wipe the excess.

Q Can people get infections from animals?

Yes. Diseases passed from animals to man are called zoonoses or zoonotic illnesses. The animals can pass some bacterial, viral and fungal infection either by direct contact or by the contamination of the food and water. They may also lead to allergic reaction in some cases. Infections from animals can be particularly dangerous to babies and young kids, pregnant women, elderly people, and people whose immune systems have been weakened by illness or disease

Q What is multiple personality syndrome?

Dissociative identity disorder or multiple personality disorder is a very rare mental disorder. It is characterised by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a persons behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness. It is one of the most controversial psychiatric disorders with no clear consensus regarding its diagnosis or treatment.

Q My 11 years old girl used to get sick 5-6 times a year, most probably its flu or cold or sore throat with a high fever although she is a swimmer, she swims 2-3 kilos daily, shall I think about reducing her swimming or how can I improve immunity?

I would recommend that she should continue swimming because it will help her to build immunity. Ask her to avoid swimming on the days when she is ill. Apart from this make sure she has a well balanced diet, adequate hydration and regular sleep for 7-9 hours. Also if the incidence of her falling ill has started after she started to swim than you should consider changing the place where she swims and see if there is any difference in her frequency of falling ill.

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 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 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 Why do babies spit up?

Spitting up tends to peak at age 4 months, and most babies stop spitting up by age 12 months.nThe reason for it is babies have esophageal valve still in developing phase that means its immature yet so it results in backward flow of food. Until this valve take time to mature, spitting up may be an issue — especially if your baby eats too much or too quickly. Having food too much or hurriedly cause air to get inside babys stomach along with food. While sucking milk from breast or bottle nipple, babies engulf much amount of air too. This is then come out along with some liquid in the form of spitting. Try these tips to help your baby keep his food down: 1. Hold your baby in a fairly upright position when you feed him. 2. Try smaller, more frequent feedings. 3. Frequent burps during and after each feeding can keep air from building up in your babys stomach. 4. Try to avoid distractions or noises while feeding him, which will reduce his air intake.

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.