Q My wife is breastfeeding. Can she take iron and calcium medicine. My baby is 11 months old

If she has deficiency then she can take. It is actually advisable for a lactating woman to have calcium supplement. Also encourage her to have well balanced and nutritious diet.

Q Is caffeine a headache treatment or a headache trigger?

Actually it is both. Caffeine can cure as well as cause headaches. It will depend upon individual body response whether it will acts as reliever or a trigger for headache.

Q How soon can I use tampons after giving birth?

You should not be using tampons for at least 6 weeks after childbirth. The uterus sheds lochia during this period for which you must stick to a sanitary napkin. Tampons can easily introduce infection since the tissues of the vagina have not yet healed completely. Once the discharge of lochia has stopped and your vaginal musculature has returned back to normal, you can start using tampons.

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.

Q How often should I have an eye test?

Adults and children are normally advised to have a sight test every two years. However, in some circumstances, your ophthalmic practitioner may recommend more frequent sight tests. Such conditions include- n1) If you are wearing glassesn2) If you have diabetesn3) If are aged 40 or over and have a family history of glaucoman4) If you are aged 70 or over

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 I am allergic to condom what is an alternative ?

If you are allergic to latex condom you can use polyurethane condom. Other options that you can consider is use of spermicidal gel and withdrawal method. For some the spermicidal gel that are used with condom can cause allergic reaction, hence it necessary to rule out that. If you married than you can ask your wife to start oral contraceptive pills.rnrn 

Q I have white stuff in my milk ducts and I want to know it its cancerous

Discharge of white material from breast can be normal as well as abnormal. An abnormal discharge would be from any one breast, it would be without any touching or squeezing. It may have a bad smell. A careful investigation and examination is required to comment anything. It is advisable that you consult a gynaecologist who based on your symptoms and breast examination can give you the correct diagnosis and treatment. Also if the discharge turns out to be abnormal there is no need to worry as most of them are easily treatable.

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 My underarms have become dark. I wax regularly and don~t use any hair removal creams. Can you please suggest something?

Excessive sweating is the main cause of dark underarms. Make sure not to keep the underarm hair too long. Wax your underarms every 15 days. Tight clothes may cause excess sweating and affect the area. Friction can darken the underarm skin too. So, avoid wearing tight clothes as far as possible.n Gently exfoliate the underarm skin every week to remove the top layer of dead skin cells, which can cause darkening. To reduce darkening, scrub underarms daily with pumice stone while taking shower. Waxing removes hair from the roots and dead cells from armpits. Thus usually it does not darken underarms.