Q My 22 months old boy still has anterior fontanelle open. Is it a concern

In most cases anterior fontanelle closes between the age of 7-19 months. Delay in closure can be due to causes like premature birth, intrauterine growth retardation, downs syndrome, etc. I would suggest that you get your child examined by a pediatrician to rule any abnormality.

Q Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

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 How to avoid dandfuff?

There are many reasons for dandruff - Stress, nutritional deficiencies, excessive dryness of the scalp, fungal infection, vitamin C deficiency, pregnancy, long illness, thyroid imbalance, as well as hair damage caused by procedures like hair coloring/dyeing, bleaching, straightening, perming, etc. You can do following things to prevent hair loss: Getting proper nutrition is essential for healthy hair. Water, protein, biotin (part of the vitamin B complex), vitamins A, B6, B12, C, copper, iron, omega 3 fatty acids, zinc, calcium, folic acid, and magnesium all play a part in maintaining a healthy scalp, skin, and hair. Using your fingertips to massage your scalp will increase circulation in your scalp which is important for hair growth. Take 10-12 jaswand (hibiscus) flower +200gm methi (fig) seeds soaked in coconut oil for 7 days then boil it sleeve it and use it daily for head massage it prevent hair loss, promote new hair growth and hairs become thick and restrict dandruff formation. In a week massage your scalp with yoghurt(curd) or aloe-Vera pulp or neem leaves paste which has antibacterial properties which help to clear dandruff formation. Instead of using chemical shampoo, use rita to wash the hairs; take 7-8 rita soaked for whole night boil in the morning in water gently massage and wash the hairs with this mixture.Gentle combing or brushing of your hair will help break up hardened oils that clog your pores. It is recommended that you comb or brush 100-200 strokes in the morning and at night. Avoid excessive wind, sun, and heat (such as from hair dryers, hot showers, and curling irons) on your hair. Tight fitting caps and hats will cause poor circulation in your scalp and will also cause buildup of sweat and grime. Take plenty of water keep yourself hydrated. Take care.

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 How to make artificial vagina?

Hello. There are n number of techniques to make fake vagina at home. You can use any soft but firm material for this, like a glove inside towel roll, or two pillows on each other, or toilet paper roll and condom etc. Remember that you should use soft and non-hurtig material to make it at home. Though none of this home made techniques make you feel the actual goodness of having sexual intercourse with a female, but you can feel some closer to it. More better option we can suggest is to buy an artificial vagina from the shop of sex toy. The feel with these kind of sex toys is more realistic and more easier than making it at home. Hope this finds helpful for you.

Q For Depression, Phone Therapy May be an Answer?

Depression is a mental disorder in which the person may feel to be alone and dont want to see anyone around him. In this case, phone therapy can play a important role to consult with the patient without going to disturb him. No third person come to know about the disease and the treatment. The patient can feel comfortable at home and feel free to discuss the problem in private. The patient may feel comfortable by avoiding the dressing to go to the clinic, travelling and waiting for consultation etc. But, it should not be considered as a complete treatment. And one has to limit the time period during the call.

Q Does stress affect lutenizing hormone?

Stress such as excessive physical or metabolic stress causes release of corticotropin releasing hormone. This hormone inhibits the release of gonadotropin releasing hormone. Suppression of gondotropin releasing hormone causes reduce levels of leutenizing hormone and follicle stimulating hormone in women.

Q Do women need Sildenafil/Viagra?

Sildenafil has been developed for men to deal with erectile dysfunction. It increases blood flow to penis thus helping erection. Its effectiveness in woman has not yielded any beneficial results.

Q My mother has recently develop big abscess in her axilla left side she is not able to even move her arm doctor says to put a cut but she is very much afraid how can I help her with home remedies

Whenever an abscess occurs, it has to be drained in order to get relief faster and in complete form. Home remedies will subside the pain, but the pus will not be completely dried with the help of home remedies. Hence it is necessary that your mother listens to her doctor.