Q My Grandmother slipped in our bathroom last week. After the incident she is facing some problem while walking, when asked she said her thigh is giving some amount of pain. I tried to arrange a massager but she did not like and nor did she allowed to continue it further. Now its been 2 weeks she is suffering from this issue? Please assist me further as soon as possible.?

Please get x-rays as soon as possible if you havent. It will tell you the cause of the pain. In old age fractures are very common even with mild injuries. Do not massage until the x-rays are said to be normal by a doctor. Mean while you can give her pain medicines and cold fomentation at the affected site.

Q Can you have a normal ECG but an abnormal chest X-ray ?

Yes. This can happen. As both the investigations serve different purposes. ECG is restricted to evaluate and diagnose heart conditions. It does not give an idea about other structures in your chest cavity. But a chest X-ray is more elaborated and preliminary examination to detect any problems inside thoracic cage. Most commonly chest X-ray is advised to see lung condition, but its scope does not limit there. A normally functioning heart with problems to other organs and spaces inside chest cavity can give normal ECG with an abnormal chest X-ray.

Q Can i smoke while recovering from jaundice.

There is no co-relation between jaundice and smoking. However it is advisable that you avoid smoking while recovering from jaundice due to general health reasons.

Q Does stress affect lutenizing hormone?

Stress such as excessive physical or metabolic stress causes release of corticotropin releasing hormone. This hormone inhibits the release of gonadotropin releasing hormone. Suppression of gondotropin releasing hormone causes reduce levels of leutenizing hormone and follicle stimulating hormone in women.

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 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 I am a 24 yr old female who is always tired and "out of it". No matter how much sleep I get, energy drinks/vitamins I take I am always exhausted, have no motivation, distracted, cranky and not myself. I am limited in the foods I can eat because of food allergies and have been feeling these effects since the 2 years since I was diagnosed with allergies. Can you suggest anything to help? I want to feel like a normal human being again.

The cause of your condition may be due to excess intake of caffeine or alcohol, excess physical activities etc. Irregular food habits, some medical conditions related with liver, lungs, anaemia, diabetes are associated with these. Psychological conditions as anxiety, stress may cause your symptoms many times. As you have got food allergy try to cope up with your diet first. May be due to the allergy you are unable to take sufficient and proper diet. Consultation with a dietitian may be helpful. Regular exercise may help you better. If sleeping is not causing comfort for you learn better ways to relax. Try yoga or meditation. Maintain a reasonable work and personal schedule.

Q Does stress really cause heart disease?

Stress is a normal part of life. But if left unmanaged, stress can lead to psychological and physical complaints. Stress by itself does not cause heart disease but it increases the risk of developing heart disease. Stress is known causative factor for hypertension, high cholesterol levels, binge eating, alcohol abuse, excessive smoking. All these in turn can lead to heart disease.

Q Why do women experience post-delivery depression?

Depression in first few months after childbirth is called postpartum depression. It is due to hormonal changes that take place after pregnancy. The risk factors for postpartum depression can be history of depression, stress in life, poor support from the partner and family, and physical health of both baby and mother. In some cases, there are more disturbances with regards to thoughts, fears and behavior; this is termed as postpartum psychosis.

Q Biotin and vitamin e for hair?

Both the biotin and vit E are helpful for the growth of hair.