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 My first marriage broke up because of my snoring, Im in another relationship now and I dont want it to happen again.please guide me for treatment of my snoring habit

It must be quite frustrating when your snoring affect your relationship. But the good news is, snoring can be controlled or eliminated by various devices and lifestyle changes. Snoring sound occur when there is any problem in smooth passage of air through airway. This can happen due to several reasons like more throat and nasal tissue, being fatty or overweight causing more fat at throat, tongue blocking airway while asleep, wrongly adapted sleeping posture, etc. You can seek help of any snoring device that will minimize the sound or your snoring. It will be bit difficult and time consuming to find the best suitable for you as many of such devices in the market are not well proven. You can take help of your physician to find the best one and to find the cause behind your snoring. Also rule out any underlying medical problem making you snore, with your doctors help. We are suggesting here some general guidelines about how you can reduce your problem: 1. Loose those extra pounds if your are overweight. Loosing even little fat can prove helpful in great way to reduce snoring. 2. Exercise regularly. Specially working for abs, arms and legs muscles will increase the tome of muscles in throat and neck, reducing snoring. 3. Quit smoking if you smoke. It will further narrow your air passage making your problem worse. 4. Established well planned sleeping schedule. 5. Elevating your head few inches while sleeping can help keeping airways intact. You can use specially designed pillow that help to prevent snoring. 6. Avoid sleeping on your back. Prefer side way position. 7. You can do several throat exercises to strengthen your throat muscles. 8. If these things does not prove helpful, think of medical treatments like CPAP, oral or dental devices, surgery to clear the airway etc.

Q I am suffering from knee pain?wht to do?

Knee pain has many causes like any injury, trauma, arthritis, any muscle or ligament tear, age factor, obesity, calcium deficiency etc. To rule out the cause, it is advised to consult the physician, because it may require physical examination. If it is unbearable, then you must take some medicines prescribed by the physician. Along with it, some preventive measures to get relief are - Take complete rest and protect an injured or sore area. When resting, place a small pillow under your knee. You can apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Wear the lowest heel possible, because it may give pressure on the knee during walk. Maintain a healthy weight; it is one of the best things you can do for your knees. If the pain is very severe, you may need an surgical intervention depending on the cause and symptoms.

Q Pericarditis develops after what?

In most the cases the cause of pericarditis is unkown. In some cases it may develop due to viral infection or after a major heart attack. Other causes include lupus, rheumatoid arthritis, kidney disease, trauma to heart region, side effect of medications such as blood thinning medicines, etc.

Q Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

Q Hi, I only have left ovary, can I have a chance to get pregnant?

As long as your other ovary is normal and intact with its fallopian tube, you can become pregnant.

Q Can stress cause weigh gain? How is stress related to weight gain? How to prevent it?

Yes stress is the major cause for weight gain! People turn to food for comfort whenever they feel stressed and tend to overeat. To make it worse, often we choose junk food. So, one, we eat unnecessarily without being hungry and two, junk food means much more added calories than needed.n Over a period, the caloric imbalance leads to weight gain and eventually elevates risk of diseases such as hypertension, diabetes, and heart disease.n Now that you know, choose healthy alternatives like an apple or roasted almonds next time you feel stressed and are tempted to eat!n Moreover, try alternate ways like going for a walk or dancing to the tunes of some soothing music. This will not only relieve stress but will give bonus benefit by burning excess calories.

Q what is fever? what are the signs and symptoms of fever?

Fever or pyrexia is an elevation of body temperature above the normal range of 36.5-37.5 °C (97.7-99.5 °F). Fever is a common symptom of many medical conditions. The signs and symptoms of fever are termed as sickness behaviour which include lethargy, depression, anorexia, sleepiness, hyperalgesia, and the inability to concentrate. Additionally, local symptoms arising due to the cause of fever are usually present.

Q How can I tell when Im ovulating?

Ovulation usually occurs 12-15 days before your period starts. So if your periods are regular, you can easily determine your ovulation period by subtracting 14 days from the expected date of the next menstrual cycle. One in 5 women experience mild abdominal cramps when they are ovulating. You can also use a basal body thermometer to check your basal body temperature which shows the lowest reading followed by a sudden rise when you ovulate. During ovulation, your cervix becomes softer and gives out more discharge (mucus) than normal. You can also buy ovulation kit available in chemist to determine your ovulation.

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.