Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.

Q Can you have a normal ECG but an abnormal chest X-ray ?

Yes. This can happen. As both the investigations serve different purposes. ECG is restricted to evaluate and diagnose heart conditions. It does not give an idea about other structures in your chest cavity. But a chest X-ray is more elaborated and preliminary examination to detect any problems inside thoracic cage. Most commonly chest X-ray is advised to see lung condition, but its scope does not limit there. A normally functioning heart with problems to other organs and spaces inside chest cavity can give normal ECG with an abnormal chest X-ray.

Q Does vaginal cream cause breast growth in men?

What exactly do you mean by vaginal cream? In any case, gynaecomastia (breast growth in men) is genetic and has no co relation with any cream.

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 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 How to care for newly erupting teeth in babies?

Unlike the belief that teeth should be cared for after the first birthday, dental care for kids begins much before the eruption of first tooth. Wipe babys gums daily gently using a damp clean cloth to keep it clean and germ-free.n Try brushing your kids teeth as they erupt using plain water. For kids about 2 years of age, brush the teeth using very tiny amount of tooth paste. Teach the kid to spit.n Don~t be shocked to learn that babies do develop tooth decay in absence of good feeding habits. Do not put baby to sleep with a bottle. Milk left for prolonged time on teeth eats away the enamel leading to discolouration and pitting of front teeth and even cavities. Some babies have neonatal tooth. Consult the dentist if you see one.

Q Hello doctor, my grandfather was diagnosed with an alzheimers dementia; could u give me more info about this disease? What is the cause? Is it hereditary? Any treatment for the same?

Alzheimers disease is the most common form of dementia, a serious brain disorder that impacts daily living through memory loss and cognitive changes. Alzheimers is a degenerative disease, progressing from mild forgetfulness to widespread neurological impairment and ultimately death. nAlthough a direct cause of Alzheimers is not known certain common factors are found in the clinical picture of sufferers. These include; prior personality organisation of the individual and stressfulness of their life situation. You are at higher risk, if family history of this disease is there.nAlthough there is no cure for Alzheimers, and various psychotherapies appear to be ineffective, there are ways to treat some of the symptoms of the disease: Use of medications to treat cognitive decline and memory loss. Also appropriate activities such as exercise, recreation, and adult day care services appear to assist in the management of the patient.

Q How does aids kill cells in immune system?

The AIDS is caused by the virus HIV, which attacks the CD4 cell (T-cells) of the immune system. Because, CD4 cells have a specific protein for the HIV. The HIV also affects other cells like B cells and macrophages which are the main part of the immune system. Thus, limiting the action of the immunity of the affected individual. Due to decreased immunity, the individual is prone to any infection leading to further decline in the health status of the individual. In most of the cases, the individual dies due to some other infection to the AIDS patient.

Q I have a sweaty palms and feet plz tell me right cure for it thanks

Sweating on palms and feet can be due to several reasons like nervousness, anxiety, panic attacks, excitement, due to certain foods or as a result of some underlying disease. Identifying and treating the underlying cause is the best solution. Treatment options include use of antiperspirants, iontophoresis, medications and surgery. Consult a dermatologist to help you with this. Till then you can try these home remedies: Soaking your hands in a solution of water + baking soda or water + black tea will reducing sweating when done regularly. Avoid putting your hands in pockets in order to hide them. It will worsen your situation. For your feet sweat: wear well fitted shoes. Whenever possible remove your shoes and air your feet. Wash your feet after you come home. Try to avoid wearing same shoes every day so that they get enough time to dry up.

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.