Q Hi, My son is 5 years old. About a year ago he had adenoidectomy and insertion of grommet in his ear for ear infection. Now one of the grommet is coming out and he is complaining of ear pain. Can you advise if he needs repeat surgery?

If the grommet is coming out and he is complaining of ear pain, there is need of reinsertion of grommet. My advise to you is revisit your ENT surgeon, who have operated your son. Because he is in a better position to advise you and do further management.

Q What is the true cause of trichotillomania aslo known as severe obsessive compulsive hair pulling?

The cause of trichotillomania is unclear. But like many complex disorders, trichotillomania probably results from a combination of genetic and environmental factors. Also, abnormalities in the natural brain chemicals serotonin and dopamine may play a role in trichotillomania. While the underlying biology is not clearly understood at this time, we do know that people with trichotillomania generally have a neurologically based predisposition to pull their hair as a self-soothing mechanism. The pulling behavior serves as a coping mechanism for anxiety and other difficult emotions. It does not hurt and they are not trying to damage themselves. While the average age of onset is 11, trich can be found in children as young as one year old. Onset of trich can be triggered by simple sensory events, such as itchy eyelashes, or by stressful life events, and it can occur quite suddenly. For example, it may be a tingling feeling that can only be relieved by pulling. ny relief that comes with hair pulling usually only lasts for a moment. The urge almost always returns. Thats because when the mind becomes used to giving in to the powerful urges that go with compulsive behaviors, the behavior is reinforced, and then becomes a habit. The mind gets trapped in a cycle of expecting to have the urge satisfied. The longer this goes on, the harder it can become to resist the urge.

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 What can you tell me about Borderline Personality Disorder?

Borderline personality disorder (BPD) is a Mental Health disorder that generates significant emotional instability. This can lead to a variety of other stressful mental and behavioral problems. When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you dont exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values. This is because people with borderline personality disorder often have difficulty accepting gray areas; things seem to be either black or white. The common symptom of borderline personality disorder are overwhelming feelings of distress, anxiety, worthlessness or anger, difficulty managing such feelings without self-harming, for example by abusing drugs and alcohol or taking overdoses, difficulty maintaining stable and close relationships, sometimes, periods of loss of contact with reality, in some cases, threats of harm to others. Treatment may involve a range of individual and group psychological therapies (psychotherapy) carried out by trained professionals.

Q What is Hyper Tension

Hypertension, also referred to as high blood pressure, is a condition in which the arteries have persistently elevated blood pressure. Every time the human heart beats, it pumps blood to the whole body through the arteries. Systolic pressure more than 140 and diastolic pressure more than 90 is usually considered as hypertension.

Q What are the symptoms of an abscessed tooth?

An abscessed tooth is a painful infection at the root of a tooth or between the gum and a tooth. Its most commonly caused by severe tooth decay. Other causes of tooth abscess are trauma to the tooth, such as when it is broken or chipped, and gingivitis or gum disease. Sharp or shooting pain are common symptoms of an abscessed tooth. Symptoms include fever, pain when chewing, sensitivity of the teeth to hot or cold, bitter taste in the mouth, foul smell to the breath, swollen neck glands, general discomfort, uneasiness, or ill feeling, redness and swelling of the gums and swollen area of the upper or lower jaw.

Q How fast are calories absorbed?

The calories absorption depends on the physical and mental well being of the person. It also depends on the age, sex, occupation, environmental factors etc. It varies from person to person. Some one doing heavy physical work spend the calories early than other one who does relax work in the office.

Q Why do kids suck thumb? Does it mean that they are hungry?

Babies suck thumb because thumb sucking has a soothing and calming effect on them. No, it does not always suggest that the kid is hungry. Thumb sucking around the feeding time could indicate that the kid is hungry, but not otherwise.n Babies may suck thumb when they are lonely, bored, or sleepy too! This habit usually stops by the age of 3 to 6 years.n Some babies develop habit of thumb sucking right in the womb!

Q What is the golden hour in treatment of heart attack?

The available oppurtunity (first 60 minutes to 120 minutes) after the onset of a heart attack is considered as the golden hour. In this time period, maximum fatality and damage to the heart muscles occur. Thus, an available oppurtunity in offering a logical treatment reduces the after-effects and impact of heart attack, increases the survival rate and lessens complications to an individual. Thrombolysis with clot buster " medications" during this hour when the patient is able to recieve emergency care give excellent results. Nowadays it has been substitued with PAMI i.e., Primary Angioplasty Myocardial Infaction after heart attack in a cardiac care centre. Thus immediate hospitalisation of the patient in a cardiac health care centre is important for his chances of recovery are very high.

Q I am suffering from knee pain?wht to do?

Knee pain has many causes like any injury, trauma, arthritis, any muscle or ligament tear, age factor, obesity, calcium deficiency etc. To rule out the cause, it is advised to consult the physician, because it may require physical examination. If it is unbearable, then you must take some medicines prescribed by the physician. Along with it, some preventive measures to get relief are - Take complete rest and protect an injured or sore area. When resting, place a small pillow under your knee. You can apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Wear the lowest heel possible, because it may give pressure on the knee during walk. Maintain a healthy weight; it is one of the best things you can do for your knees. If the pain is very severe, you may need an surgical intervention depending on the cause and symptoms.