Q Dermatologist?? I think i m suffering from butterfly melasma

Melasma is hyper pigmentation seen most commonly over cheeks and bridge of nose. The hyper pigmentation is of brown to grey in color. Other common region are forehead, chin, back, etc. Without an examination it is not possible to say what you are suffering from. Hence it is necessary that you get yourself examined by a dermatologist.rnrn 

Q What Psychological Factors Contribute to Mental Illness?

The reasons which cause mental illness- Significant interpersonal loss and family instability, such as death of loved one, misfortune, poor relationship with family, domestic partner violence, separation, and divorce, emotional detachment have all been identified as risk factors. Financial stress, unemployment, and a drop in socioeconomic status can also be triggers for mental illness. This is also the case for a range of acute and chronic health problems, such as pain syndromes, or diagnoses of conditions like HIV or cancer. Some mental illnesses have been linked to an abnormal balance of brain chemicals called neurotransmitters. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are out of balance or are not working properly, messages may not make it through the brain correctly, leading to symptoms of mental illness. In addition, defects in or injury to certain areas of the brain also have been linked to some mental conditions.

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.

Q Hello doctor, my grandfather was diagnosed with an alzheimers dementia; could u give me more info about this disease? What is the cause? Is it hereditary? Any treatment for the same?

Alzheimers disease is the most common form of dementia, a serious brain disorder that impacts daily living through memory loss and cognitive changes. Alzheimers is a degenerative disease, progressing from mild forgetfulness to widespread neurological impairment and ultimately death. nAlthough a direct cause of Alzheimers is not known certain common factors are found in the clinical picture of sufferers. These include; prior personality organisation of the individual and stressfulness of their life situation. You are at higher risk, if family history of this disease is there.nAlthough there is no cure for Alzheimers, and various psychotherapies appear to be ineffective, there are ways to treat some of the symptoms of the disease: Use of medications to treat cognitive decline and memory loss. Also appropriate activities such as exercise, recreation, and adult day care services appear to assist in the management of the patient.

Q What can i do if my child is overweight?

Overweight children are more likely to grow up into overweight adults, so your concern for raised weight of child is appropriate. It is usually better that the child maintains their current weight while they continue to grow in height. Making changes to your family~s lifestyle can make a real difference to your child~s weight. Eat regular meals, together as a first step towards a healthier diet. Use homemade food rather than relying on ready-made meals to help you to lower the fat and sugar content in your meals. Avoid the diet like snacks and meals that are high in fat or sugar, such as chocolate, biscuits, sweets and fizzy drinks, and aim to replace these with healthier alternatives such as fruits. Exercise is helpful to burn extra calories in your child. Kindly focus on light exercises done by your child like standing up, moving around, walking at a slow pace and less energetic play. Also active play (such as hide and seek and stuck in the mud), fast walking, riding a bike, dancing, swimming, climbing, skipping rope, gymnastics are helpful depending upon the age.

Q I have diarrhea,headaches,nausea,upset stomach,and pain. since 4 days

The symptoms you are suffering from are indicating an gastrointestinal infection by the microorganisma like bacteria or parasites. You must take the light diet and take more water to control the dehadration cuased due to diarrhoea. It may be due to certain other pathologies like appendicitis, crohns disease, intussuseption etc. It is necessary to rule out the cause and treat the diarrhoea at the early stage because dehydration may lead to life threatning complications.

Q Can high SGOT and SGPT levels affect pregnancy?

Raised SGOT and SGPT levels indicate that there is some disorder associated with the liver. However whether it will have any effect on the pregnancy or not will be determined by the underlying cause for raised SGOT and SGPT levels. So it is necessary that your wife consult her gynecologist.

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 When is herpes contagious? I have not had an outbreak of genital herpes in years but i do take valtrex if i feel an outbreak may be coming on. If i take valtrex as needed and i do not have an outbreak, am i still contagious?

Genital herpes is the most contagious when the lesions are active and a few days before that. However, an infected person can potentially be shedding the virus all his life. Since, the virus is spread by direct skin to skin contact, it is very easy to spread it through intercourse or oral sex. Thus, protect your partner by always using a condom.

Q I am 27 yr old . i am going to be married soon in few days. i have lot of hairs..on shoulders...back...and chest.. how should i remove them.? want less hairs on chest only

Having hair on chest, shoulders and back in common in men. You can trim chest hair; use the electric clipper with various attachments. It is painless and takes atleast a month to grow again. Using razor and shaving cream can lead to rapid regrowth. Instead get waxed. Though it can be a little painful, it lasts about 6 weeks. Trimming the back with an electric razor can help too. Electrolysis or laser hair removal options are there too but are expensive.