Q What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

Q How is a rhinophyma (the w.c. Fields nose) treated?

Surgery is the treatment option for rhinophyma. Different surgical options include using a scalpel, laser, electro surgery, dermabrassion and cryosurgery.rnrn 

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 What types of tests are used to evaluate patients with pelvic and abdominal pain?

To find out the cause of pelvic and abdominal pain your doctor will do physical examination to determine the location of the pain. Based upon that your doctor may order investigation. Investigations will include blood tests and imaging studies like x-ray, CT scan, MRI scan, ultrasound study. In female a pap smear may be ordered.rnrn 

Q I leak urine when I sneeze, cough, lift heavy objects, exercise. Can this be helped or cured?

What you describe is called as stress incontinence in medical terms. It can be either due to weakness in pelvic muscle or due to disorder related with nerves. Exact cause needs to be find out in order to plan the treatment. Initially you can make following changes: cut down your fluid intake, if you are on the overweight side, try and lose some weight. Avoid alcohol and caffeine rich drinks. Practice kegel exercise to tone your pelvic muscles. If all these dont help than consult a gynecologist for the medication. Surgery will be required if everything else fails.

Q I fell on a out stretched hand and my pinkie and wrist hurts badly and the x-ray came up normal. Could I have TFCC?

The TFCC is an abbreviation for triangular fibrocartilage complex. The function of TFCC is to provide stability and smooth movement of the wrist. Injury either due to a fall or while playing a sport can cause pain the TFCC region. However without a physical examination it is difficult to say whether you have develop TFCC or it is a simple strain. So to get correct diagnosis and treatment consult orthopedic physician.

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 Does sperm die when it touches water?

Yes. The sperm will die in the water after sometime and not instantly as it touches it. This is due to change in the environment of the sperm in the body and outside the body like change in the temperature, pH etc.

Q Dry cough to cure for 30-year-old, some home remedies

Here are some natural home remedies for curing a dry cough: - Mix 3 tablespoon of lemon juice, 1 cup honey, and 1/4 cup warm water and take two teaspoons daily - Peel a small piece of fresh ginger. Add honey with it - Add a gram of turmeric powder to a teaspoon of honey - This is very useful for a dry cough. CAUTION: Any cough persisting more than a week, accompanied by headache or fever, and any cough which is productive of thick yellow or green mucous should be evaluated by a doctor.

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.