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attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive.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 How can I tell when Im ovulating?

Ovulation usually occurs 12-15 days before your period starts. So if your periods are regular, you can easily determine your ovulation period by subtracting 14 days from the expected date of the next menstrual cycle. One in 5 women experience mild abdominal cramps when they are ovulating. You can also use a basal body thermometer to check your basal body temperature which shows the lowest reading followed by a sudden rise when you ovulate. During ovulation, your cervix becomes softer and gives out more discharge (mucus) than normal. You can also buy ovulation kit available in chemist to determine your ovulation.

Q I got ulcer and swelling on inner cheek. I quit chewing tobacco few weeks before. I started eating 8 months before, it happened one time before as well when i quit before. please help?

Tobacco contains nicotine which is added in blood through chewing. It acts as a stimulant,so the person feels good under the effect. But the effect does not last for longer time. Hence it is consumed again. The mucosal area inside the cheek is sensitive; produces ulceration on continuous contact with harsh & dry substance like tobacco. The ulceration is not due to quitting but due to the chewed tobacco. Kindly consult a physician for further treatment.

Q My two year daughter fell from the slide this morning. In evening she passed white stool with bad smell.

Episode of fall and the white stool does not seem to be connected. But at the same time white coloured stool can not be ignored. Stool gets its normal yellow- brown colour due to bile. White colour stool indicate that either the bile is not produced or it is obstructed. Hence it should be evaluated by the doctor. Consult your family physician at the earliest.

Q How to remove skin tan problem

Follow these simple measures : Cover your face when ever you go out in sun. Apply a sun screen block before going out and reapply after 2 hours if you are still out. You can apply a face pack made up of milk, turmeric and lemon juice mix together in equal quantity. Keep it till it gets dry and then wash it of with cold water. You can also apply a face scrub made up of walnut powder, milk and lemon juice. Give ice fomentation on your face it will lessen the effect of tan. Keep yourself well hydrated. Consume well balanced and nutritious diet. You can also consult a cosmetologist to know about different procedures to reduce skin tan.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q My lips are very dry and occasionally bleeds what to do?

Lips have a thin coating of oil which prevents them from drying. However in some people this moisture is lost resulting in excessive drying. The main reasons behind this is defective hydration, excessive licking habit, in winters due to dry winds, side effect of medications. In most cases self care measures helps to resolve the issue. Self care measures include: Improving daily water intake because it is important to remain well hydrated to prevent drying of lips. Use a lip balm whenever you are outdoors. Rubbing a slice of cucumber or a milk cream on lips at night. Keep it for few minutes and then wash it of with plain water. This will help in healing of cracked lips. However a condition called as chelitis which is cracked skin at corner of lips needs medical care, as the cause is infection. In that case consultation with dermatologist is required.

Q hi i having a white substance formation in my penis. my age is 26

You are probably referring to smegma- which are normal secretions of the penis, which when not cleaned accumulate as a white substance under the foreskin. The solution is very simple- everyday ehile bathing or otherwise, retract your foreskin and gently clean the penis underneath. It should disappear in a few days.

Q What tips do you have for someone with Social Anxiety?

At first, being social when youre feeling anxious is challenging. As difficult or painful as it may seem initially, dont avoid situations that trigger your symptoms. By regularly facing these kinds of situations, youll continue to build and reinforce your coping skills. The following techniques can help you begin to face situations that make you nervous: Prepare for conversation. For instance, read the newspaper to identify an interesting story you can talk about. 1. Focus on personal qualities you like about yourself. 2. Practice relaxation exercises. 3. Adopt stress management techniques. 4. Set realistic goals. 5. Pay attention to how often the embarrassing situations youre afraid of actually take place. You may notice that the scenarios you fear usually dont come to pass. 6. When embarrassing situations do happen, remind yourself that your feelings will pass, and you can handle them until they do. 7. Develop coping skills- Hang out with people whom with you feel comfortable, Joining a group that offers opportunities to improve communication and public speaking skills, remind yourself that you can get through anxious moments, that your anxiety is short-lived. 8. Take good sleep and healthy diet. Psychiatric counselling and medicine helps to deal with anxiety. Finally positive thinking and building self-confidence is the key to fight against your anxiety. Be confident. All the best.

Q Hello, I am 31 yrs old having 4 children, married at an early age. I have gone through 3 operations & 1 normal delivery. Want to lose weight very fast, but no time for exercise & special diet. Please suggest any herbal medicine, which will be useful for ever. My weight is 64 kgs...

There are no shortcuts when it comes to losing weight. No matter what medicine you take, without a well balanced eating plan and regular exercise schedule it is not possible to achieve permanent weight loss. The sooner you realize this the better it is for you.