Q I want to know about fistula.

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. often occur in the area around the genitals and anus (known as the perineum). It is connection between two body cavities eg. rectum and vagina. The symptom vary with the location of fistula.

Q Can exercise trigger headache?

Yes. Exercise being a universal pathway of well being can trigger one of the common health problem-headache. Sometimes the type of activity youre doing or the way youre doing it can lessen the healing effects of exercise. Vigorous exercise is seen to cause headaches usually. This is because in exercise the blood vessels in brain becomes inflamed, these stretches the nerves within and sends shock waves causing pain. Such headaches are known as primary exertional headaches. Exertional headaches usually result in pulsating pain that lasts from five minutes to 48 hours.

Q How can i overcome intrusive thoughts?

The person having anxiety has to cope with intrusive thoughts. To overcome intrusive thoughts, it is important to realise that you are in complete control of yourself. People with intrusive obsessive thoughts are gentle and non-violent. You have to believe in yourself. It is you, who can help yourself and no one else. Try to solve the thoughts "logically" by telling yourself some positive statements. You have to relax yourself and give out the negative energy stored in your body and mind. It is advised to have a change in the attitude. A change in attitude will quickly disarm the emotional reaction you are having to the fearful thoughts.

Q what steps should I take if I think Ive got an STI?

If you think you may have a sexually transmitted infection (STI), go to your GP or local Sexual Health or GUM (genitourinary medicine) clinic. Most STIs can be treated, but its important to get any symptoms checked as soon as possible. The indications of when you should go for checking include pain when passing urine,itching, burning or tingling around your genitals, blisters, sores, spots or lumps around your genitals or anus, black powder or tiny white dots in your underwear (this could be droppings or eggs from pubic lice). Unprotected sexual intercourse with unknown person should also get a checking.

Q Can high SGOT and SGPT levels affect pregnancy?

Raised SGOT and SGPT levels indicate that there is some disorder associated with the liver. However whether it will have any effect on the pregnancy or not will be determined by the underlying cause for raised SGOT and SGPT levels. So it is necessary that your wife consult her gynecologist.

Q What is "Selective Mutism"?

Selective mutism is a condition in which a person who is normally capable of speech is unable to speak in given situations or to specific people. Selective mutism usually begins in childhood. It usually co-exists with shyness or social anxiety. Its important to understand that when the mutism happens, the child is not voluntarily refusing to speak but is literally unable to speak, feeling frozen. In time, they learn to anticipate the situations that provoke mutism and do all they can to avoid them. Example: selective mutism while interacting with the opposite sex. Other attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive. Behavioral therapy forms the mainstay of treatment with medications used in a few older patients. Most children will work their way through SM with sympathetic support, although they may remain reserved and anxious in social situations.

Q What is juvenile diabetes?

Type-I diabetes in children is called as juvenile diabetes. Here pancrease fails to produce insulin needed for digesting sugar and thus insulin replacement is required.

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 How fast are calories absorbed?

The calories absorption depends on the physical and mental well being of the person. It also depends on the age, sex, occupation, environmental factors etc. It varies from person to person. Some one doing heavy physical work spend the calories early than other one who does relax work in the office.

Q How can I improve my chances of becoming a father?

You must follow a regular exercise and diet plan in order to be fit and fine, and to increase the chances of being a father. It is necessary to have the intercourse during the ovulation phase of the female. Normally, ovulation takes place at 14th day after the last menses counting from the starting of the bleeding as Day 1. In irregular cycle, one can use the ovulation kit to get the ovulation period. If you are quite young and unmarried, avoid excessive masturbation and other things which make you feel arousal. Because, it may lead to less erection and early ejaculation which will affect your sexual life and some other problems related with general physical and mental health. Avoid multi-partner sex which may gives you any sexually transmitted disease.