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attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive.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 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 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 Is dotted condoms give more pleasure than plain condom??

Sexual pleasure is every ones subjective feeling. Nothing is universal when it comes to sex or sexual pleasure. But to see an average, it is true that variation in sexual intercourse like using dotted condoms increase pleasure for many women. Dotted condoms are made for more pleasure as they have rough texture which may increase the sensations while intercourse. But it will vary with a women whether she enjoys it or not. Some women can still enjoy plain condoms than any other variety.

Q Hello, I am 31 yrs old having 4 children, married at an early age. I have gone through 3 operations & 1 normal delivery. Want to lose weight very fast, but no time for exercise & special diet. Please suggest any herbal medicine, which will be useful for ever. My weight is 64 kgs...

There are no shortcuts when it comes to losing weight. No matter what medicine you take, without a well balanced eating plan and regular exercise schedule it is not possible to achieve permanent weight loss. The sooner you realize this the better it is for you.

Q Does moon phase has some connection with mental illness?

There are studies which states that symptoms of a person suffering from mental illness aggravates during full moon. There are also studies which say that moon phases only has effect on schizophrenic patients. However, many recent studies have found no co-relation between the moon phases and mental illnesses.

Q I want to do ivf and I am hiv ptv is it possble for me

If you are a male, you can go for IVF in which the sperms are washed using medical solution to remove the infected material. And, a single sperm from that pool is picked up for the fertilization. Still, you can not deny the chances of infection. But, if you are a female, then it is not possible for you to prevent the child from the infection as your blood contains the virus.

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 Does chewing tobacco affect arteries the same way smoking does?

Yes. The tobacco contains nicotine. And it is going to be in the blood whether you smoke or chew it. The effects of nicotine are same in both situation.

Q Is there any relation between obesity and headache?

There are studies which suggests that obese people are at increased risk of developing migraine. Hence it is advisable that you maintain a healthy weight.