Q hi, My husband underwent piles surgery on last tuesday and was there in hospital for 2 more days. He got discharged yesterday(thursday). but he is having great problem in passing the stools. He almost faints and become soo weak after going to bathroom. He is havings sitz bath, applying cream and taking tablets also. But still the problem exists. Please help and tell us how can he reduce pain while passing the stool.

He will have the pain and difficulty for more 3-4 days. You have to give him more liquid diet and water which will ease the stool formation and relieve the pain. Give him more fibre containing food to prevent the constipation. Take the medicines regularly as prescribed. Give him a glass of buttermilk or a small bowl of yogurt everyday proper digestion of the food. Let him do some exercise for about 30 min a day regularly like walking, cycling or swimming etc after the recovery. Avoid the alcohol and smoking. If the problem persists longer, then consult the surgeon.

Q I leak urine when I sneeze, cough, lift heavy objects, exercise. Can this be helped or cured?

What you describe is called as stress incontinence in medical terms. It can be either due to weakness in pelvic muscle or due to disorder related with nerves. Exact cause needs to be find out in order to plan the treatment. Initially you can make following changes: cut down your fluid intake, if you are on the overweight side, try and lose some weight. Avoid alcohol and caffeine rich drinks. Practice kegel exercise to tone your pelvic muscles. If all these dont help than consult a gynecologist for the medication. Surgery will be required if everything else fails.

Q i m 32 years serving army officer ..had a brain stroke 1 and a half year back..have recoverd a lot..started breathing on my own started eating,i do walk but with support..i remember everythng i write i can do calculations and my speech is slur.will i be alright

Being patient is the key word. Follow your routine and exercise schedule. Take medicine on time. You will definitely recover from this. You can take help of speech therapy for your slurred speech.

Q How to reduce indigestion problem i am not getting free motion in morning how to reduce this please reply to me...

Take smaller bites. Get Enough Water during the day. Increase your Dietary Fiber. Try to have salad in your food. Salad is high source of fibres which helps in digestion. Taking the fermented food like curd which helps in proper digestion of food. Star taking the food in natural state like carrot. Take fresh carrot and eat it whole. This is the most important of the natural digestion. Dont try to put strees on your weight. Dont over-eat. Divide your meals into well-spaced nutritionally balanced meals with plenty of fibre and fresh fruit and vegetables. Stimulants such as caffeine, alcohol, sugar and cigarettes can adversely affect the digestive system. Increase fresh fruits (organic where possible) e.g. apples, berries, pineapple, papaya. Yoghurt containing live probiotics such as acidophilus and bifidus is also a valuable addition to the diet. Increase fresh vegetables (organic where possible) e.g. green leafy vegies, carrots. Choose lean protein sources Tofu, legumes, unsalted raw nuts and seeds and nut butters and fish Hydration - drink at least 2 litres of filtered water daily and fresh vegetable juices. Consume more whole grains such as brown rice, rye, oats, millet and breads free of yeast and wheat.

Q I am having chest pains every day multiple times. Should I be worried? I am 17 years old. They hurt a lot and last from 20 to 45 seconds. I cant move or do anything or it ll hurt.

Having chest pain multiple times may be something you should take it seriously, whatever is the cause. It is advised to consult the physician as early as you can, to rule out the cause. Some of the causes for repeated chest pain include- muscular pain, any injury or trauma, heart burn etc. It is less common to have any underlying heart disease at this age but, the probability is there.

Q How do I grow height? Im 14 from Canada and my height is 4 10"

Growth of height is determined by following factors : your genetic background , your overall nutrition level, tendency to fall repeatedly ill, etc. In males maximum height can be achieved by the age of 18-20 and in females up-to the age of 15-16. So you have a good scope of improving your height. Take care of following things to boost your height : Increase dietary intake of proteins like groundnut, soya beans, milk and milk products, eggs, chicken and fish ( if you are non vegetarian ). Have calcium rich foods like milk, spinach, yogurt, cheese, green leafy vegetables. Do some kind of physical activity. Cycling and swimming are best to increase height. Take enough rest, Stay well hydrated.

Q What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

Q What is Schizophrenia?

Schizophrenia is a brain disorder that affects the way a person acts, thinks, and sees the world. People with schizophrenia have an altered perception of reality, often a significant loss of contact with reality. They may see or hear things that dont exist, speak in strange or confusing ways, believe that others are trying to harm them, or feel like theyre being constantly watched. With such a blurred line between the real and the imaginary, schizophrenia makes it difficult even frightening to negotiate the activities of daily life. In response, people with schizophrenia may withdraw from the outside world or act out in confusion and fear.

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 I am 14 and I get chest pains whats wrong with me ?

To evaluate whats wrong with you, we need further details about nature of your pain, your gender and lifestyle. Some of the common causes of chest pain at your age could be due to acidity, stress, anxiety, prolonged cough, trauma to the chest region, etc. Chest pain due to heart disease is less likely at your age. If it is recurrent and very sever, get yourself examined.