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 what are the symptoms of dyspesia and how it is diagnosed?

Dyspepsia is also known as indigestion. It is a condition in which the digestion is disturbed either due to any lifestyle or dietary change or some underlying pathology. It is a medical condition characterized by chronic or recurrent pain in the upper abdomen, upper abdominal fullness and feeling fullness in the stomach even with small amount of food. It may be associated with nausea, vomiting, bloating, belching, heartburn etc. It is a common condition in many people and generally do not require any treatment. If it is experienced for prolong time, it is advised to visit your physician to rule out the cause and get the best possible treatment.

Q I am 15-year-old boy and I often think about sex. Is it normal, or am I a pervert?

It is absolutely normal to think about sex often. Thinking about sex once in a while or over and over again at this age is not attributed to any abnormality and does not make you a pervert. Hormonal fluctuations and changes in body that take place at teenage increase the curiosity about sexuality and your own body. You will start noticing and appreciating opposite gender, will be attracted to someone you like, daydream, and think about sex inevitably in dreams, while studying, or even when talking with friends. All this curiosity and sexual thoughts are natural.

Q How old are you when you have wet dreams?

Wet dreams also called as noctural emission are common during adolesence or early young adult years but they may start anytime after puberty. In males puberty is complete by the age of 15-17.

Q How does viagra work?

Viagra contains Seldenaphyl Citrate. This on consumption increases blood circulation. As the blood supply is increased to the penis area, it results in erection. It is usually used by people with erectile dysfunction.

Q What is the golden hour in treatment of heart attack?

The available oppurtunity (first 60 minutes to 120 minutes) after the onset of a heart attack is considered as the golden hour. In this time period, maximum fatality and damage to the heart muscles occur. Thus, an available oppurtunity in offering a logical treatment reduces the after-effects and impact of heart attack, increases the survival rate and lessens complications to an individual. Thrombolysis with clot buster " medications" during this hour when the patient is able to recieve emergency care give excellent results. Nowadays it has been substitued with PAMI i.e., Primary Angioplasty Myocardial Infaction after heart attack in a cardiac care centre. Thus immediate hospitalisation of the patient in a cardiac health care centre is important for his chances of recovery are very high.

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 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.

Q Are cigars less detrimental to health than cigarettes?

"No. Cigars arent less harmful than cigarettes in any way. Rather they contain more carcinogenic tars, which make them worse than cigarettes. Moreover, when one smokes stogy, excess nicotine and carcinogens are inhaled through the mouth, which could cause dental problems,lung diseases, and cancers.
The reason behind the false repute of cigar being less harmul might be that generally cigar smokers are "occasional" users, and while puffing, most of them don~t inhale the smoke into their lungs. Stay away from cigarettes, cigars, pipes etc if you want to live healthy."

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.