Q Sir, I am tested HIV positive, for almost 3 years i was in a relationship with a boy, but now we broke up and hes getting married to someoneelse. He wants to be sure that hes not HIV positive.... I have asked him to do the CDcount, but is there any other test which can give accurate result... Pls advice.... Also is it possible that after being in relationship with an HIV person one can still result as Negative???

Sexual relationship between HIV positive and HIV negative partners is called as "mixed status" relationship. For mixed-status couples, the possibility of HIV infection is a constant reality. There is always a risk, but it can be minimized. Antiretroviral therapy can lower the viral load and may decrease chance of HIV positive partner transmitting it to the HIV negative partner, but does not prevent it. Safe sex practices and use of condom may lower the risk of transmission. Do not share syringes, water, drug preparation equipment with others. In your case, the boy needs to do HIV test ( it is diagnosed by presence of antibodies to the HIV virus in blood) and also visit a good HIV consultant to get investigated and counseled thoroughly. HIV testing is carried out on voluntary basis with appropriate pre-test and post-test counseling.

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 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 erectile dysfunction?

Erectile dysfunction is a medical disorder in which male has difficulty either in getting an erection or maintaining an erection till the completion of sexual act. It can be caused due to excessive smoking or alcohol consumption, excessive physical or mental stress, diabetes, high blood pressure, ageing, side effects of certain drugs, post surgery. Treatment will depend upon the cause and include oral medication, penis pump, surgery, implants.

Q How to apply xylocaine gel in her vagina

Before having intercourse apply it locally with the finger, wait for 15 mins and then wipe the excess.

Q What is multiple personality syndrome?

Dissociative identity disorder or multiple personality disorder is a very rare mental disorder. It is characterised by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a persons behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness. It is one of the most controversial psychiatric disorders with no clear consensus regarding its diagnosis or treatment.

Q For Depression, Phone Therapy May be an Answer?

Depression is a mental disorder in which the person may feel to be alone and dont want to see anyone around him. In this case, phone therapy can play a important role to consult with the patient without going to disturb him. No third person come to know about the disease and the treatment. The patient can feel comfortable at home and feel free to discuss the problem in private. The patient may feel comfortable by avoiding the dressing to go to the clinic, travelling and waiting for consultation etc. But, it should not be considered as a complete treatment. And one has to limit the time period during the call.

Q How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

Q Dermatologist?? I think i m suffering from butterfly melasma

Melasma is hyper pigmentation seen most commonly over cheeks and bridge of nose. The hyper pigmentation is of brown to grey in color. Other common region are forehead, chin, back, etc. Without an examination it is not possible to say what you are suffering from. Hence it is necessary that you get yourself examined by a dermatologist.rnrn 

Q What can trigger headache in children?

Headache in children can be caused due to several factors. Day to day cold and flu, viral infection, infection in the ear or of the sinus are common causes. Trauma or injury to the head can also cause headache. If the child is predispose to migraine than even that can cause headache. Some child may complain of headache from food items such as ice cream, cold drink, preservative and additives used in the food. Disorders like meningitis, abscess or tumor in the head can present with headache.rnrn