Q I have a 14 year old girl who has fatty lumps either side of her cheeks near mouth that really stick out. I think they are called inverted dimples. Is this rare as she is very self conscious of them and we have never seen these on a child before. Or is there some other underlying problem

Difficult to predict what they can be without an examination. However if your daughter is not happy with it, then you should take an opinion of cosmetic surgeon regarding how to get rid of it.

Q I ate viagra 100 mg tablets before 10 min i want the effects out from my body. How can i do this?

You cant really do much. Just wait for the effects to pass. They should wear off in about 4 hours.

Q Is it possible to raise your IQ?

Intelligence is mostly hereditary. Intellectual ability grows until about age 16, and after that changes very little. Practicing various skills which are tested on IQ tests will increase your IQ score some, but it is not likely to increase your intelligence. Intelligence is basically the abilities to learn, to reason, to remember, to think abstractly, to problem-solve, etc. These abilities are very difficult to improve once you are an adult, though you may improve specific skills. E.g. you can improve basic mathematical skills by practicing them often and learning certain mathematical shortcuts, or you can learn to read faster by pushing your reading speed and learning to scan for meaning. Generally, the best way to improve your performance in specific work tasks is to do those tasks a lot. When you do that, you gradually learn the best possible techniques to efficiently and accurately complete that work, in the minimum necessary amount of time.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q After what age children can drink coffee?

Children under 12 are generally recommended to avoid caffeine or to limit its intake. Because, Caffeine is absorbed very quickly into the body and then passes into the central nervous system. In low doses caffeine can affect the body causing decreased appetite, increased urination, hyperactive behaviour and difficulty sleeping. The harmful effects may occur when a child consumes more than 4.5 mg of caffeine per pound of body weight.

Q Reason for pain in uterus

The pain in uterus has many causes like- an infection or inflammation, trauma, an ovarian cyst, any menstrual pain, pain due to intercourse, sexually transmitted diseases (STD), infection of any other organ leading to referred pain, any cancerous condition, pain as a result of adverse effect of some medication. Detailed medical history along with physical examination will help to find out the exact cause. Consult your gynecologist.

Q Sir, My dad has HIV positive..What is the treatment for me? What are the precautions should be taken for family members to be free from HIV?

Just because your father is HIV positive, it doesnt mean that you too are. Yet, you must get tested once to confirm. The only precaution to be taken by you and your family members is to avoid sharing razors with him. The biggest risk is to your mother due to sexual intercourse. It can be prevented if they always use condoms. The rule of thumb is that there should be blood to blood contact with him. All other activities such as sharing food, hugging, kissing, sleeping or any other family activity with your father is absolutely safe.

Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

Q Will my hernia come back after Ive had an operation to repair it?

It might. All hernias carry a risk of recurrence even after surgical repair. Surgery performed by an experienced surgeon can reduce the risk of recurrence.

Q Can HIV spread from kissing?

In most cases HIV virus is not transmitted through saliva. The saliva of an infected person does contain HIV, but the virus is only present there in very small quantities making it next to impossible for the disease or virus to be passed on to another in that way. For instance in the case of two people kissing, if both partners were to have large open sores in their mouths, or if they had severely damaged or bleeding gums then they might transmit the virus through the act of mouth to mouth kissing.