Q Is caffeine a headache treatment or a headache trigger?

Actually it is both. Caffeine can cure as well as cause headaches. It will depend upon individual body response whether it will acts as reliever or a trigger for headache.

Q Hairfall after delivery is it common how can i deal with it?

A hair cycle consists of 3 phases: anagen (growing), catogen (stoppage of growth and blood supply) and telogen(resting) phases. Normally upto 90% of hair are in the growing phase, 10-14% in the resting phase and 1-2% in the falling phase. Pregnancy and childbirth are stressful events for the body which pushes a lot of hair prematurely in the resting phase (telogen effluvium). This results in a large quantity of sudden hairfall. However, dont worry, this condition is temporary. In six months, the hair reverts back to its normal growth cycle. In the meanwhile, make sure you eat a healthy, well-balanced diet and remain stress free.

Q My 10 year old daughter continues to wet the bed. Not every night, but i thought it would stop as she grows but still hasnt. I wonder if there is something medically wrong.

If you daughter has nocturnal enuresis sometimes, it may need further evaluation, as this is not so common in teenagers. There are some factors that may affect urine control in teens. These include excessive intake of caffeine drinks like tea or coffee, deep sleep pattern which can be a normal for growing teen, excessive emotional stress or fear of something, inconsistent sleep timings etc. These things can be corrected in order to fix the problem. Other things to give consideration are certain medications, diabetes of other medical diseases, family history of parents having the same problem, urinary tract infection, etc. If she is having this problem since her childhood, then this can be considered as primary nocturnal enuresis and she can be out of 2% of girls who continues with this till they reach their teen. This thing can be improved with proper counselling to her. Making her to use bathroom before going to bed. Limiting her fluid intake before going to bed. She can be effectively treated with moisture alarms while asleep. It will be less likely that she will need medications for this. Proper counselling and educating her may motivate her to take initiation to cure herself. You may take her to physician to rule out underlying disease if any.

Q I feel my testicle bag contracting, no pain, but it will not stop contracting day or night. I have seen many doctors and underwent an operation but helpless cau you please suggest some thing?

In order to produce sperms optimally, testicles need to maintain a lower temperature compared to the rest of the body. Hence, in cold climates, it is normal to testicles to shrink and move closer to the body in order to maintain an optimum temperature. However in hot climates, the testicles usually hang lower to cool off. This contraction and relaxation takes place due to the cremaster muscle and dartos fascia. Changes in the intraabdominal pressure, contraction of the abdominal muscles and most commonly, spasm of the cremaster muscle can cause contraction of the testicles. Try to keep a warm atmosphere at your home and office. Prefer boxers to briefs. See a surgeon to find out the exact cause and treat accordingly.

Q What are the key statistics about thyroid cancer?

Thyroid cancer are not the deadliest cancers. Thyroid cancer has a 5 year survival rate of about 97%. It is estimated that by the end of year 2015 there will be 62,450 new cases of thyroid cancer.

Q I have been suffering from hyper-acidity as a result of antibiotics. Please advice.

Hyper-acidity is a common side effect of most antibiotics. Most physicians will prescribe an antacid or a H2 blocker along with antibiotics to circumvent this side-effect. If your physician hasnt done so, please visit him and ask him to prescribe the same. If you are on long term antibiotics, a multivitamin will help. As a home measure, include plenty of cold milk and yogurt in your diet to counteract hyper-acidity.

Q I am 38 and regularly go to gym, does taking fat-burn pill affect male fertility

There is no sufficient scientific data on whether taking fat burn pill will affect male fertility or not. Also the effects and side effects may vary from product to product. So research about the product that you are taking for its effectiveness and side effects.

Q What causes a rash on babies elbow?

While most rashes are not serious, a few need close attention as blisters can indicate a serious infection, like a bacterial infection or herpes. Small red or purplish dots can be caused by a viral or bacterial infection. In the first few months of a babys life, any rash associated with other symptoms (such as fever, poor feeding, lethargy, or cough) needs to be evaluated by a doctor as soon as possible. Acne or pink pimples can be caused due to blocked pores on babies elbow. The moisture on elbow creates fungal infections as candidiasis. Dry, sensitive skin, and sometimes allergies may create red, itchy patches as in eczema. Other rashes like erythema toxicum-red blotches on skin, salmon patches-nest of blood vessels, mongolian spots-melanin deficiency are commonly seen in children and most of the times needs no treatment and get cured by the age.

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 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.