Q What is a Narcissistic Personality Disorder? Describe a narcissist in detail.

Narcissistic personality disorder is characterized by dramatic, emotional behavior, which is in the same category as antisocial and borderline personality disorders. Narcissistic personality disorder symptoms may include: Believing that youre better than others. Fantasizing about power, success and attractiveness. Exaggerating your achievements or talents. Expecting constant praise and admiration. Believing that youre special and acting accordingly. Failing to recognize other peoples emotions and feelings. Expecting others to go along with your ideas and plans. Taking advantage of others. Being jealous of others. Believing that others are jealous of you. Trouble keeping healthy relationships. Setting unrealistic goals. Being easily hurt and rejected. Appearing as tough-minded or unemotional. Although some features of narcissistic personality disorder may seem like having confidence or strong self-esteem, its not the same. But underneath all this behavior often lies a fragile self-esteem. Narcissistic personality disorder crosses the border of healthy confidence and self-esteem into thinking so highly of yourself. In contrast, people who have healthy confidence and self-esteem dont value themselves more than they value others. While here you may be generally unhappy and confused by a mix of seemingly contradictory emotions. Others may not enjoy being around you, and you may find your relationships unfulfilling.If you notice any of these problems in your life, consider reaching out to a trusted doctor or Mental Health provider. Getting the right treatment can help make your life more rewarding and enjoyable.

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 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 Can people get infections from animals?

Yes. Diseases passed from animals to man are called zoonoses or zoonotic illnesses. The animals can pass some bacterial, viral and fungal infection either by direct contact or by the contamination of the food and water. They may also lead to allergic reaction in some cases. Infections from animals can be particularly dangerous to babies and young kids, pregnant women, elderly people, and people whose immune systems have been weakened by illness or disease

Q High lymphocytes means what.

An increase in lymphocyte concentration is usually a sign of a viral infection (in some rare case, leukemias are found through an abnormally raised lymphocyte count in an otherwise normal person).

Q What are the symptoms of an abscessed tooth?

An abscessed tooth is a painful infection at the root of a tooth or between the gum and a tooth. Its most commonly caused by severe tooth decay. Other causes of tooth abscess are trauma to the tooth, such as when it is broken or chipped, and gingivitis or gum disease. Sharp or shooting pain are common symptoms of an abscessed tooth. Symptoms include fever, pain when chewing, sensitivity of the teeth to hot or cold, bitter taste in the mouth, foul smell to the breath, swollen neck glands, general discomfort, uneasiness, or ill feeling, redness and swelling of the gums and swollen area of the upper or lower jaw.

Q When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

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 Will having sex during pregnancy harm my baby?

If you have an absolutely normal pregnancy, you can safely have sex between the 3rd to 8th month. However, if you have any risk factors or complications like spotting or bleeding in early pregnancy, abdominal pains or cramps, broken waters, a history of cervical weakness, a low-lying placenta ( placenta praevia), a history of miscarriage or a twin pregnancy, its best to avoid intercourse. Your gynaecologist is the right person to advise regarding the safety of intercourse keeping your pregnancy (whether normal or risky) in mind.

Q Very severe spasms in calf muscles every night. I am 35 year old woman always remain over worked

Excessive physical exertion, dehydration, deficiency of potassium, magnesium or calcium, poor blood circulation are some of the causes of cramps in calf region. However excessive physical exertion seems to be the probable cause in your case. Following tips may help: follow a well balanced diet, include foods like banana, coconut water regularly in your meals, stay well hydrated, include some stretching exercise in your routine, give hot fomentation over the calf muscle. If all these measures do not help consult your physician to prescribe you medications.rnrn