Q Can dark circles be treated completely with laser?

There are very effective modern laser and light treatments that can permanently remove the dark circles under your eyes.However, these dark circle treatments must be directed at the underlying medical cause of the dark circles for removal to be effective. Always consult a good doctor and ensure that he knows what he is doing. Since the skin under the eyes is delicate, a wrong laser treatment may cause serious damage to the eyes. You may also consult a dermatologist to recover from dark circles.

Q I am 43 year old man and my wife 41 year we have 4 year and 6 month daughter. We are very confused whether to go for second child as my only daughter feels very lonely. Can you advice?

First, determine whether you and your wife are physically, mentally and financially ready to have a second child. It is definitely possible to conceive at this age; however there are many factors that you should take into account before arriving at a decision. A womans fertility decreases drastically in her forties so there is a major possibility that your wife may have to use donor eggs to achieve pregnancy. The risk of complications during pregnancy such as diabetes and high blood pressure increases. Moreover, there are higher chances of premature and still births. You may need to use assisted reproductive techniques thus escalating costs. I am not trying to discourage you, but giving you the facts. On the other hand, some women do get pregnant well into their 40s, and many of them have complication-free pregnancies and healthy babies. Both of you should make an informed decision after knowing all the pros and cons. For any further clarification, visit a gynaecologist who will brief you about all available options. Do consider the possibility of adoption too.

Q What kind of diet is not advisable for when you have pain in neck and shoulder?

Unhealthy diet and lifestyle are on second rank when it come to pain in body like neck and shoulder pains. Modern food habits are actually producing harmful effect on body by promoting accumulation of toxins in body. These type of food include: chocolates, ice-creams, food containing caffeine, highly processed food, canned or preserved food specifically with MSG, junk food or fast food, food high in sodium and sugar, high fat dairy products, meat, cigarette, wine, beer or any other alcoholic drink etc. These type of food in diet put your body under constant metabolic stress and promote production and accumulation of unhealthy chemicals or toxins in your body. This combined stresses, irritate and spasms nerves and skeletal muscles resulting in pain. So, healthy way to avoid or reduce neck and shoulder pain is to eat healthy, well cooked, preferably home made and fresh food including lots of veges and fruits.

Q Why do people lie pathologically?

There are many reasons people lie pathologically. It could be from family abuse (covering up or lying so they arent beaten.) It can be immaturity (afraid of the world in general) or it can simply be the person doesnt think they rank high on the ladder of life and make up stories to make themselves look better to others, or because they want sympathy or attention that they are not getting. There are just too many reasons.

Q Biotin and vitamin e for hair?

Both the biotin and vit E are helpful for the growth of hair.

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 is Schizophrenia?

Schizophrenia is a brain disorder that affects the way a person acts, thinks, and sees the world. People with schizophrenia have an altered perception of reality, often a significant loss of contact with reality. They may see or hear things that dont exist, speak in strange or confusing ways, believe that others are trying to harm them, or feel like theyre being constantly watched. With such a blurred line between the real and the imaginary, schizophrenia makes it difficult even frightening to negotiate the activities of daily life. In response, people with schizophrenia may withdraw from the outside world or act out in confusion and fear.

Q Why does your babies tongue keep thrusting out?

Its because of tongue-thrust reflex. It is also called as reverse swallow or immature swallow. This tongue-thrust reflex can make early feedings a bit of a challenge. Try to get your baby to relax during feedings and dont push him to eat more than hes inclined to. If hes bottle-fed, make sure the hole in the nipple is the right size making it easy for him to suck milk.

Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q Need help related to phimosis

Treatment of phimosis are of two types surgical and non-surgical. The choice of treatment will depend upon the acuteness and severity of the problem. Consult an urologist to decide what is best for you.