Q Can dark circles be treated completely with laser?

There are very effective modern laser and light treatments that can permanently remove the dark circles under your eyes.However, these dark circle treatments must be directed at the underlying medical cause of the dark circles for removal to be effective. Always consult a good doctor and ensure that he knows what he is doing. Since the skin under the eyes is delicate, a wrong laser treatment may cause serious damage to the eyes. You may also consult a dermatologist to recover from dark circles.

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 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attributes of children or adults with selective mutism are nervousness, socially awkward, clingy, excessively shy or withdrawn, stubborn or aggressive.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 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 do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q Does smoking can lower sperm count?

Apart from the other major side effects of smoking, prolonged smoking can affect sperms. The effect is seen on the quantity as well as quality. Smoking can decrease the motitlity of the sperms. So if you are worried that your chance of being a father will be blown away with the puff then it is the right time either to reduce or quit smoking.

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 what is sex ?

Sex is an activity initiated with foreplay and ends with sexual intercourse inorder to satisfy sexual urge. The sexual relationship can be developed between two person of the opposite gender or of the same gender. There are different ways to have sex such as vaginal, anal and oral. Sex can include two phases first is foreplay and second intercourse. Foreplay involves kissing, cuddling, touching etc. While intercourse means penetration of mens erect penis into females vagina in case of vaginal sex.

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 about soy and thyroid health?

The available research suggests that soy may not affect thyroid function, especially in those who have a normal thyroid. Those who have an existing thyroid problem and take medications for their thyroid must avoid it or consume after an interval. The reason being, soy may affects the absorption rate of the medicine is the GI tract.