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 What is a Narcissistic Personality Disorder? Describe a narcissist in detail.

Narcissistic personality disorder is characterized by dramatic, emotional behavior, which is in the same category as antisocial and borderline personality disorders. Narcissistic personality disorder symptoms may include: Believing that youre better than others. Fantasizing about power, success and attractiveness. Exaggerating your achievements or talents. Expecting constant praise and admiration. Believing that youre special and acting accordingly. Failing to recognize other peoples emotions and feelings. Expecting others to go along with your ideas and plans. Taking advantage of others. Being jealous of others. Believing that others are jealous of you. Trouble keeping healthy relationships. Setting unrealistic goals. Being easily hurt and rejected. Appearing as tough-minded or unemotional. Although some features of narcissistic personality disorder may seem like having confidence or strong self-esteem, its not the same. But underneath all this behavior often lies a fragile self-esteem. Narcissistic personality disorder crosses the border of healthy confidence and self-esteem into thinking so highly of yourself. In contrast, people who have healthy confidence and self-esteem dont value themselves more than they value others. While here you may be generally unhappy and confused by a mix of seemingly contradictory emotions. Others may not enjoy being around you, and you may find your relationships unfulfilling.If you notice any of these problems in your life, consider reaching out to a trusted doctor or Mental Health provider. Getting the right treatment can help make your life more rewarding and enjoyable.

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.

Q How can I help my child avoid and manage stress? and tension headache?

Following measures can help your child to manage stress and tension headache: Identifying and avoiding the known triggers. Taking well balanced diet. Enroll your child in any physical activity like his/her favorite sport. This will help to de-stress. Make sure your child gets good quality 7-9 hours of sleep on regular basis. Try and talk to your child if anything at school or at home is bothering him/her. Lastly ask him/her not to skip medicines prescribed for the headache.

Q can inhale not exhale,cough only during night feeling lack of energy

The symptom you have descrirbed may be due to pathologies related with respiratory system and the organ involved is trachea, lung or diaphragm. It may be due to an infection with bacteria or virus and it may acute or chronic. You require physical examination by a consultant to rule out the cause. A diet lacking certain nutrients can also contribute to a chronic cough. If your body has deficiency of iron, swelling and irritation in the back of your throat could be a symptom, which can lead to coughing at night. The condition is also associated with weakness many times. An iron supplement may be all you need in this case.

Q When you dye your hair does the hair dye seep into your scalp and cause any bad health problems

Irritation of the skin, allergic reaction, damage to the hair, discoloration of the surrounding skin are some of the side effects related to use of hair dye.rnrn 

Q I am suffering from knee pain?wht to do?

Knee pain has many causes like any injury, trauma, arthritis, any muscle or ligament tear, age factor, obesity, calcium deficiency etc. To rule out the cause, it is advised to consult the physician, because it may require physical examination. If it is unbearable, then you must take some medicines prescribed by the physician. Along with it, some preventive measures to get relief are - Take complete rest and protect an injured or sore area. When resting, place a small pillow under your knee. You can apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Wear the lowest heel possible, because it may give pressure on the knee during walk. Maintain a healthy weight; it is one of the best things you can do for your knees. If the pain is very severe, you may need an surgical intervention depending on the cause and symptoms.

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 My doctor tells me my test results are normal, but I still have a few thyroid symptoms. Should I worry?

If the thyroid function test is done for the first time and the reports are normal, then there is nothing to worry about. However if you are taking the medicine for any thyroid disorder, then though your results are normal you may have the symptoms for few days.

Q After what age children can drink coffee?

Children under 12 are generally recommended to avoid caffeine or to limit its intake. Because, Caffeine is absorbed very quickly into the body and then passes into the central nervous system. In low doses caffeine can affect the body causing decreased appetite, increased urination, hyperactive behaviour and difficulty sleeping. The harmful effects may occur when a child consumes more than 4.5 mg of caffeine per pound of body weight.