Q How does viagra work?

Viagra contains Seldenaphyl Citrate. This on consumption increases blood circulation. As the blood supply is increased to the penis area, it results in erection. It is usually used by people with erectile dysfunction.

Q I want to know about fistula.

A fistula is an abnormal connection between an organ, vessel, or intestine and another structure. Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation. often occur in the area around the genitals and anus (known as the perineum). It is connection between two body cavities eg. rectum and vagina. The symptom vary with the location of fistula.

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 Sir, what is severe eccentric mitral regurgitation which my wife has got in the recent echocardiogram...??

Human heart has four chambers. Between each chambers there are flaps which prevent back flow of blood. Mitral valve is one such flap that is present between left atrium and ventricle. Mitral regurgitation means that mitral valve is not functioning adequately and causing back flow or leakage of blood from left ventricle into the left atrium. Mitral valve prolapse is one the most common cause for this. You must get your wife examined by a cardiologist at the earliest.

Q how to do anal sex? does it creat any problem?

Anal sex is practiced by many heterosexuals, as well as homosexual couples. The anal area has many erotic nerve endings in both men and women. Because of this, many couples (heterosexual or homosexual) can derive pleasure from some form of bottom stimulation. Anal sex should be avoided by couples in which one of the partners has been diagnosed with an STI until the treatment has proven to be effective. In order to make anal sex safer, the couple must ensure that the anal area is clean and the bowel empty and the partner on whom anal penetration occurs should be able to relax. Regardless of whether anal penetration occurs by using a finger or the penis, the condom is the best barrier method to prevent transmission of STI. Since the rectum can be easily damaged, the use of lubricants is highly recommended even when penetration occurs by using the finger. Especially for beginners, using a condom on the finger is both a protection measure against STI and a lubricant source. Most condoms are lubricated and they allow less painful and easier penetration. Anal stimulation with a sex toy requires similar safety measures to anal penetration with a penis, in this case using a condom on the sex toy in a similar way. It is important that the man washes and cleans his penis after anal intercourse if he intends to penetrate the vagina. Bacteria from the rectum are easily transferred to the vagina, which may cause vaginal infections. When anal-oral cos ntact occurs, protection is required since this is a risky sexual behavior in which illnesses as Hepatitis A or STIs can be easily transmitted, as well as enteric infections. The dental dam or the plastic wrap[citation needed] are effective protection means whenever anilingus is performed. Anal sex has a number of health risks. Anal intercourse is the riskiest form of sexual activity for several reasons, including the following: The anus lacks the natural lubrication the vagina has. Penetration can tear the tissue inside the anus, allowing bacteria and viruses to enter the bloodstream. This can result in the spread of sexually transmitted infections including HIV. Exposure to the human papillomavirus (HPV) may also lead to the development of anal warts and anal cancer. Using lubricants can help some, but doesnt completely prevent tearing. The tissue inside the anus is not as well protected as the skin outside theanus. Our external tissue has layers of dead cells that serve as a protective barrier against infection. The tissue inside the anus does not have this natural protection, which leaves it vulnerable to tearing and the spread of infection. The anus was designed to hold in feces. Repetitive anal sex may lead to weakening of the anal sphincter, making it difficult to hold in feces until you can get to the toilet. The anus is full of bacteria. Even if both partners do not have a sexually-transmitted infection or disease, bacteria normally in the anus can potentially infect the giving partner. Practicing vaginal sex after anal sex can also lead to vaginal and urinary tract infections.

Q Can yoga help relieve the symptoms of ibs?

Yes. Yoga helps in relieving the symptoms of the IBS. Yoga focuses on deep breathing, de-stressing and restoring balance to entire body. You can do forward bending which helps soothe a hyperactive bowel. You can also have Knee-to-Chest Pose and the Twists to feel better and get rid of the IBS.

Q Are condoms 100% effective?

No condom can be effective in preventing pregnancy or sexually transmitted diseases (STDs) 100% of the times.n Condoms fail to provide protection sometimes from infections spreading from sores on the skin uncovered by a condom, for eg. at the base of the penis or scrotum. But a properly used condom can protect against STDs better than anything else. Some factors to consider in order to ensure the efficacy of condom are: check date of expiry, use latex, keep them away from heat, use water-based condoms, open carefully to avoid tearing, remove holding at the base of penis, choose condom with reservoir tip to hold semen after ejaculation. Consult a doctor if the condom breaks or slips off. Although not 100 % perfect, condoms are the best way of protection if one is going to have sex.

Q I get angry very often. How can I control my anger?

Getting angry is normal. One needs to concentrate not on "not feeling angry" or "controlling anger" but on how to manage that anger correctly. First of all try to identify the things, people, or situations that trigger anger. You can even keep a dairy. Note the ways in which you react to these situations. Then look for alternative ways of responding to the same situations. Practice this alternative adaptive response till it becomes a part of your nature. Recognizing anger and triggers, practicing alternatives and doing this persistently with positive attitude is the key.

Q Entamoeba histolytica infection

Entamoeba histolytica is a parasite and you must start anti parasitic drugs under care of a physician. Here are a few guidelines to avoid reinfection as well as to avoid spraeding infection to others. 1. Wash your hands before eating and after using the washroom. 2.Wash fresh vegetables carefully. Many people get E. histolytica by eating contaminated raw fruit and vegetables. 3.Wear gloves when gardening or working with soil or sand, because it is contaminated with the eggs of the parasites. 4.If you have pet, deworm him regularly.

Q What is oppositional defiant disorder?

Oppositional defiant disorder is mental condition seen in children. It is characterized by non co-operative behavior, disobedience, anger and annoying behavior towards any one in authoritative position. A child with oppositional defiant disorder will get angry easily, show temper tantrums, will not obey rules, annoy people deliberately, argue with person in authority, etc.