Q I am 69 year old, my hands start trembling whenever I am writing any thing which medicine should I take? what is parkinsons disease?

Trembling or shaking of hands is called as tremors. There are variety of tremors found and so variety of causes are there for its occurance. If you are suufering from tremors only when you write something, then these can be: Intentional tremors that occur at the end of any purposeful movements, Cerebellar tremors represented as intetional tremors, postural tremor that occur in particular posture of hand or leg against gravity, benign essential tremors occuring at older age and are inherited from family, tremors due to increased thyroid functioning, tremors due to reduced blood sugar levels, tremors as a result of alohol withdrawal or due to alcohol consumption, it can be a side effect of certain medicines, or it can be a task specific tremors. To prescribe you any medicines, it is necessary to evaluate your symptoms in more detailed way including evaluation by physical examination, which will be best achieved if you see your physician or a neurologist. Perkinsons disease is a degenerative disorder of central nervous system, where brain cells and nervous tissue undergo degeneration, resulting in dopamine deficiency in a patient. If you are trying to link your tremors with parkinsons, then the main differentiating point is parkinsons tremors are observed at rest and not at the time of movements. Further evaluation is needed for proper management.

Q My three-month-old baby has cradle cap. His head smells sour, is this normal? Does cradle cap have an odour?

It is very normal to have an odor to scalp of your baby. This is generally due to sweat glands and its secretions. This smell may become more intense due to use of cradle cap. There is nothing to worry about it.

Q What is dry patchy skin around eyes?

Dry patchy skin around eyes indicates that skin in that area is devoid of its water content or moisture. Several factors can cause dry patches around eyes such as extremes of temperature, strong facial cleansers, soap, acne products. Skin conditions such as eczema and psoriasis can also cause dry patchy skin.

Q What is erectile dysfunction?

Erectile dysfunction is a medical disorder in which male has difficulty either in getting an erection or maintaining an erection till the completion of sexual act. It can be caused due to excessive smoking or alcohol consumption, excessive physical or mental stress, diabetes, high blood pressure, ageing, side effects of certain drugs, post surgery. Treatment will depend upon the cause and include oral medication, penis pump, surgery, implants.

Q Diagnosis of high cholesterol

The diagnosis of high cholesterol levels is based on a simple blood test. Usually a complete Lipid profile is advised to test the levels of different components of cholesterol and triglycerides. Total cholesterol levels should be less than 200 mg/dl. LDL levels less than 100 mg/dL ( 2.6 mmol/L) are considered optimal. An acceptable HDL range is between 40- 60 mg/dL (1.04-1.56 mmol/L). Triglyceride levels should be maintained less than 150 mg/dl. High levels of HDL have a protective effect against heart disease whereas high levels of LDL and triglycerides increase the risk of heart disease and stroke.

Q 10 months baby having hiccup 6 or 7 times per day

Some of the common causes of hiccup in baby are reflux disorder, cold temperature, breastfeeding. You need not worry unless the hiccups affects your babys sleep or feeding.rnrn 

Q Is depression common in children? If yes, how common it is?

Yes. Depression in children, though missed many times, is a common childhood condition. Teen age is the most affected age in children. Chances of depression increase as the child ages. It is most commonly found in girls. About 11% children can develop depression. Symptoms and signs of depression may vary in children and hence is commonly get misdiagnosed.

Q Is ensure a safe drink to have while on both chemo and radiation for metastasized stomach cancer? I have read articles stating that ensure is filled with sugar, which can actually be counterproductive in cancer patients

Ensure drink can be had as a supplement to regular meals but not as a replacement. It is best to stick to actual food in order to get energy and necessary nutrition. As long as you have a small quantity (1 serving a day), you shouldnt face any problems. However, there is a possibility of Ensure interacting with certain medications, so it is imminent to discuss this issue with your treating physician.

Q What is the golden hour in treatment of heart attack?

The available oppurtunity (first 60 minutes to 120 minutes) after the onset of a heart attack is considered as the golden hour. In this time period, maximum fatality and damage to the heart muscles occur. Thus, an available oppurtunity in offering a logical treatment reduces the after-effects and impact of heart attack, increases the survival rate and lessens complications to an individual. Thrombolysis with clot buster " medications" during this hour when the patient is able to recieve emergency care give excellent results. Nowadays it has been substitued with PAMI i.e., Primary Angioplasty Myocardial Infaction after heart attack in a cardiac care centre. Thus immediate hospitalisation of the patient in a cardiac health care centre is important for his chances of recovery are very high.

Q Are cigars less detrimental to health than cigarettes?

"No. Cigars arent less harmful than cigarettes in any way. Rather they contain more carcinogenic tars, which make them worse than cigarettes. Moreover, when one smokes stogy, excess nicotine and carcinogens are inhaled through the mouth, which could cause dental problems,lung diseases, and cancers.
The reason behind the false repute of cigar being less harmul might be that generally cigar smokers are "occasional" users, and while puffing, most of them don~t inhale the smoke into their lungs. Stay away from cigarettes, cigars, pipes etc if you want to live healthy."