Q Why is one pupil bigger than the other in a 2 month old baby boy?

1 in 5 babies can born with different sized pupils without any underlying disorder. If other family members also have similar pupils, then the pupil size difference is possibly genetic and nothing to worry about. However, certain underlying conditions such as Homers disease, aneurysm, tumor, increased intracranial pressure, meningitis can cause a difference in pupillary size. If your baby does not have any other sign and symptom and he is healthy otherwise, then there is nothing to worry about. But our advise will be to get him examined once to rule out any underlying disease.

Q what is fever? what are the signs and symptoms of fever?

Fever or pyrexia is an elevation of body temperature above the normal range of 36.5-37.5 °C (97.7-99.5 °F). Fever is a common symptom of many medical conditions. The signs and symptoms of fever are termed as sickness behaviour which include lethargy, depression, anorexia, sleepiness, hyperalgesia, and the inability to concentrate. Additionally, local symptoms arising due to the cause of fever are usually present.

Q Is it possible that you catch any disease from this minimally invasive surgery - I assume all tools used - needles, scalpels etc are clean/new - should I be worried? I had 2 very small hair transplants and both surgeries were completely clean and very modern - just am concerned over the cleanliness of tools used - should I worry?

Almost all the standard institute for hair transplant follow all the necessary aseptic precautions while doing any kind of procedure. Hence you should not worry.

Q How can I improve my chances of becoming a father?

You must follow a regular exercise and diet plan in order to be fit and fine, and to increase the chances of being a father. It is necessary to have the intercourse during the ovulation phase of the female. Normally, ovulation takes place at 14th day after the last menses counting from the starting of the bleeding as Day 1. In irregular cycle, one can use the ovulation kit to get the ovulation period. If you are quite young and unmarried, avoid excessive masturbation and other things which make you feel arousal. Because, it may lead to less erection and early ejaculation which will affect your sexual life and some other problems related with general physical and mental health. Avoid multi-partner sex which may gives you any sexually transmitted disease.

Q Are growing pains real?

Growing pains are seen in children of the age group 5 to 12 years. Thses always concentrate in the muscles, rather than the joints. Most kids have pains in the front of their thighs, in the calves, or behind the knees. The children with growing pains can be helped by massaging the area, stretching or by placing a heating pad on the area.

Q What can cause orgasm problems in men?

Orgasm is release of sexual tension characterised by sense of sexual pleasure. The length of a mans orgasm is estimated to be in between 10-15 seconds on an average although they may last upto 30 seconds. In men it is denoted by ejaculaton of semen. However problems associated with ejaculation can affect a mans ability to achieve orgasm. They include : Anejaculation, premature ejaculation, retrograde ejaculation, delayed ejaculation and erectile dysfunction.

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 My underarms have become dark. I wax regularly and don~t use any hair removal creams. Can you please suggest something?

Excessive sweating is the main cause of dark underarms. Make sure not to keep the underarm hair too long. Wax your underarms every 15 days. Tight clothes may cause excess sweating and affect the area. Friction can darken the underarm skin too. So, avoid wearing tight clothes as far as possible.n Gently exfoliate the underarm skin every week to remove the top layer of dead skin cells, which can cause darkening. To reduce darkening, scrub underarms daily with pumice stone while taking shower. Waxing removes hair from the roots and dead cells from armpits. Thus usually it does not darken underarms.

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 Having complain of white discharge and itching in vagina since 2 months my menstrual cycle is regular

The white discharge and itching in the vagina is suggestive of some infection in the area due to bacteria, virus or fungus. You have to take care of your hygiene. Wear cotton undergarments which increases air flow and decreases moisture. Wear loose-fitting clothing. Proper treatment of an infection is usually very effective. You must consult the physician to get the best possible treatment.