Q hi, My husband underwent piles surgery on last tuesday and was there in hospital for 2 more days. He got discharged yesterday(thursday). but he is having great problem in passing the stools. He almost faints and become soo weak after going to bathroom. He is havings sitz bath, applying cream and taking tablets also. But still the problem exists. Please help and tell us how can he reduce pain while passing the stool.

He will have the pain and difficulty for more 3-4 days. You have to give him more liquid diet and water which will ease the stool formation and relieve the pain. Give him more fibre containing food to prevent the constipation. Take the medicines regularly as prescribed. Give him a glass of buttermilk or a small bowl of yogurt everyday proper digestion of the food. Let him do some exercise for about 30 min a day regularly like walking, cycling or swimming etc after the recovery. Avoid the alcohol and smoking. If the problem persists longer, then consult the surgeon.

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 Do childhood earaches cause hearing loss later in life?

The ear ache in childhood has different causes either related to ear or some other parts like teeth, head, mouth etc. In most of the cases, it is related with the hearing loss in later life. But, the deafness has many other serious conditions in adult life which are not related with the childhood earache.

Q My wife is not able to absorb the sperm after relationship and thats way she is not able to get pregnant.

After sexual intercourse it is normal for some amount of seminal fluid to ooze out from the vagina. This will not affect your wifes chance of getting pregnant. However if you are trying since more than a year and have not succeed than it is necessary that both of you get yourself examined. For female examination like ultrasonography and for males semen analysis is recommended.

Q High lymphocytes means what.

An increase in lymphocyte concentration is usually a sign of a viral infection (in some rare case, leukemias are found through an abnormally raised lymphocyte count in an otherwise normal person).

Q hi i having a white substance formation in my penis. my age is 26

You are probably referring to smegma- which are normal secretions of the penis, which when not cleaned accumulate as a white substance under the foreskin. The solution is very simple- everyday ehile bathing or otherwise, retract your foreskin and gently clean the penis underneath. It should disappear in a few days.

Q What is a panic attack?

A panic attack is a sudden onset of intense fear or apprehension without any known cause. A panic attack comes suddenly lasts for few minutes and may disappear of its own without any medicine. Sometimes, panic attacks can be very frightening. Some of the symptoms you may experience during the panic attack include - palpitations, sweating, trembling, shortness of breath, a choking sensation, chest pain and feeling sick etc. If the attack is recurrent, it is advised to consult the physician to get the best possible treatment.

Q My left testicle divided into two parts this is a problem or not

Since how much time does the testicle appear like this? Is it by birth? Is there pain or swelling? Is there difficulty in urination too? Are there any other symptoms? It may be the swelling known as Orchitis. If the swelling is painful, it could be due to an infection. Injury may sometimes cause swelling giving such an appearance. Kindly consult a surgeon or a physician for proper diagnosis & treatment.

Q Do men suffer from menopause like women?

The phase of life similar to menopause is called as andropause in men. It is marked by lethargy, sadness, weariness, lack of drive, irritability, poor concentration and sometimes loss of sexual desire in middle-aged men. This leads to boredom, lack of fitness, heavy drinking and lack of self-esteem.n Though, male menopause is controversial, as there isn~t any calculable fall in the levels of male hormones in middle age like females have fall in sex hormones drastically, yet it is advised that men experiencing the symptoms should exercise regularly and eat healthy, nurture a hobby, and have a peaceful mind and renew interest in life.

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.