Q How often should I have an eye test?

Adults and children are normally advised to have a sight test every two years. However, in some circumstances, your ophthalmic practitioner may recommend more frequent sight tests. Such conditions include- n1) If you are wearing glassesn2) If you have diabetesn3) If are aged 40 or over and have a family history of glaucoman4) If you are aged 70 or over

Q My son fears animals a lot and continuously cries. What can I do?

The fear for large animals is obvious but if the child has got it for smaller pets you need to put some positive efforts. You can help your child to overcome the fear of animals by gradually introducing your child to small animals. Show your child pictures of animals in which they are playful. Take small steps at a time and do not rush things or it may back fire.

Q is epilepsy treatable?

Rather to say curable, epilepsy is very well treatable with medication (anti-epileptic drugs). Epilepsy is the disorder of the brain and central nervous system where abnormal electrical impulse leads to uncontrolled, involuntary movement of the body. The balance between the factors that begin electrical activity and factors that restrict it is lost, resulting in the body jerking. Several reasons are cited for the cause of the disease like neurocysticercosis (worms from intestine reach brain), tuberculosis of brain, brain tumour, brain stroke and even genetic. In most of the cases, the cause of the fits remains unknown. Neurologist would be able to select the best medication depending on the type of epilepsy and also age and sex of patient. The medicines are required to be taken for long-term without any discontinuation. Avoid driving, swimming and hazardous activities, as occurrence of seizures during these activities can be dangerous. With all above simple management you can live normal life with Epilepsy.

Q My mother is 69 years, last year we accidntally came to know that she has polycystic kidney disease. She never had any symptoms of this disease. When she went for an ultra sound scan for porlonged cough, doctor deteced PKD, then a nephrologist suggested to go in for continuous dialysis and we have been doing the same twice a week. She is normal now. Should we continue doing dialysis? She is not BP or Sugar patient

Whether to continue with dialysis or not will depend upon how well is the kidney functioning. Frequency of dialysis can be decided only by nephrologist considering her response to the treatment. Do regular consultation with your doctor and follow his advises.

Q 22 year girl have white discharge continuously. How we can prevent it? In last 3 months, she has lost more than 10 kg weight.

Some amount of vaginal discharge is normal and is seen in most females. It is the response of body to maintain internal hygiene. However if the discharge is constant, foul smelling, causes itching, is blood stained then it is a matter to worry. Bacterial, fungal and parasitic infection of the vaginal area are common causes. It is necessary that you get yourself examined by a gynecologist. Try and maintain hygiene in the genital area. Wear loose cotton under garments. Stay well hydrated. Avoid douching and using deodorant pads and tampons.

Q When is it safe to have sex after an episode of heart attack?

It is natural to be concerned about being sexually active after a heart attack or other cardiovascular problem. Like any form of physical activity, having sex can make your heart work harder by increasing your heart rate and blood pressure. It is important to note that, if you do not experience cardiac symptoms such as chest pain, shortness of breath, and dizziness during exercise, you will not experience them during the sex. Most people can safely resume sexual activity a couple of weeks after a heart attack, if they have no serious complications. Like any form of physical activity, having sex can make your heart work harder by increasing your heart rate and blood pressure. You have to consult your physician about the fitness and the preventions during sex, to enjoy the moment.

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 Sir, I am 30 years old.i have made all my checkups for HIV, all reports are ok. I want consult for my lip and for my penis. I had a white tiny dots on my lips inner side and on the head of penis. white dots on penis are from last 3 years and on my lips they are from one month. i dont know how it happens. but sure it occured after intercourse with my wife, some oral sex. i had some neat alcohol on the previous day when white dots appear. kindly please let me know why are these dots are on my lips and penis.

With the description that you gave it feels the the tiny white bumps that you have are fordyce spots. These are visible sebaceous glands that are present on genitals and in mouth. They are harmless and are not due to any disease or illness or sexually transmitted infection. They are benign are do not require any treatment. However exact diagnosis can only be made after an examination.

Q Hello I am 28 years newly married .i am sexually weak ,the time duration is not enough .what can i do??

What you face is called as performance anxiety. It is common among newly married mens. The reason behind it is nervousness in front of your partner or doing the act in hurry. For most couples the duration of sex is betwee 3-7 mins. So if you are in this category you need not worry. How ever you can follow these simple measures to improve your time. Pace slowly. Give more time to foreplay. Do not hurry. Try to do sex more often. Over a period of time it will improve. If not planning for pregnancy then use a thick condom. It will delay the sensation to your penis and will help you to last long. You can also practice stop-start method. Divert your mind to non sexual thought the moment to feel you are about to ejaculate and once you are relaxed restart again.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.