Q Are growing pains real?

Growing pains are seen in children of the age group 5 to 12 years. Thses always concentrate in the muscles, rather than the joints. Most kids have pains in the front of their thighs, in the calves, or behind the knees. The children with growing pains can be helped by massaging the area, stretching or by placing a heating pad on the area.

Q My daughter has a perforated eardrum identified by our doctor today.Can she fly with this?

Yes, absolutely. There are no restrictions on flying with perforated ear drum. Rather, person with perforated ear drum may experience less discomfort and will get adjusted to air pressure changes more easily than a person with intact eardrums. Strange but true!! But if she has undergone any surgery for eardrum repair, then you should not proceed till her doctor permit to do so.

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 common is pancreatitis in children?

Pancreatitis is less common in children. Even if it does occur most commonly it is acute pancreatitis. Trauma to the abdomen is the most common cause of pancreatitis. Other causes include viral infection, side effect of medication, etc. In around 25% of cases the cause is not known.rnrn 

Q Foreskin wont retract over head

Unable to retract foreskin is called as phimosis. It is of two types complete phimosis where foreskin cannot be retracted even in flaccid state and relative phimosis where foreskin can be partially retractable. Depending upon the severity of complaint treatment option can be planned. Treatment option include non-surgical and surgical methods. Consult a urologist to know what is suitable for you.

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 What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

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 What causes a rash on babies elbow?

While most rashes are not serious, a few need close attention as blisters can indicate a serious infection, like a bacterial infection or herpes. Small red or purplish dots can be caused by a viral or bacterial infection. In the first few months of a babys life, any rash associated with other symptoms (such as fever, poor feeding, lethargy, or cough) needs to be evaluated by a doctor as soon as possible. Acne or pink pimples can be caused due to blocked pores on babies elbow. The moisture on elbow creates fungal infections as candidiasis. Dry, sensitive skin, and sometimes allergies may create red, itchy patches as in eczema. Other rashes like erythema toxicum-red blotches on skin, salmon patches-nest of blood vessels, mongolian spots-melanin deficiency are commonly seen in children and most of the times needs no treatment and get cured by the age.

Q Why do babies spit up?

Spitting up tends to peak at age 4 months, and most babies stop spitting up by age 12 months.nThe reason for it is babies have esophageal valve still in developing phase that means its immature yet so it results in backward flow of food. Until this valve take time to mature, spitting up may be an issue — especially if your baby eats too much or too quickly. Having food too much or hurriedly cause air to get inside babys stomach along with food. While sucking milk from breast or bottle nipple, babies engulf much amount of air too. This is then come out along with some liquid in the form of spitting. Try these tips to help your baby keep his food down: 1. Hold your baby in a fairly upright position when you feed him. 2. Try smaller, more frequent feedings. 3. Frequent burps during and after each feeding can keep air from building up in your babys stomach. 4. Try to avoid distractions or noises while feeding him, which will reduce his air intake.