Must Read: Dr Edward's New Book on Health for Seniors
1. 6. V.S. Bellary
* I am 33 years of age. I had three normal deliveries. I have tummy, which is tough and I am not able to get rid of this. My last delivery was ten years ago.
** The tummy or pot belly that you are having now may not be related to pregnancy or delivery directly. This is a sign of excessive fat or obesity. Our body stores most of the fat in two ways – one that can be seen and one that can't be seen. The fat that can be seen is just under the skin in the thighs, hips, buttocks, and abdomen. That is called subcutaneous (under the skin) fat. The fat that can not be seen is deeper inside, around the vital organs (heart, lungs, digestive tract, liver, and so on) in the chest, abdomen, and pelvis. That's called "visceral" fat.
Many people are self-conscious about the fat they can see. But actually, it is the hidden fat -- the visceral fat -- that may be a bigger problem, even for thin people. Tummy indicates that there is lot of fat in the body, larger amount around the viscera, which is harmful.
There are four keys to controlling belly fat or reducing total fat content: exercise, diet, sleep, and stress management.
Exercise: Vigorous exercise trims fat, including visceral fat. It can also slow down the build-up of visceral fat that tends to happen over the years. Half an hour of vigorous aerobic exercise, done four times a week is ideal. Rapid reduction is not good for health.
Walking briskly at an incline on a treadmill is the best exercise. Vigorous workouts on stationary bikes and elliptical or rowing machines are also effective.
The exercises should be done regularly and routinely. It should be part of our day today routine. Exercising once in a blue moon may not help.
However if one is morbidly obese and having other health problems, it may be better to consult the physician before an vigorous exercise programme is begun.
Abdominal crunches and sit-ups alone may not help though they help to build strong muscles, but they may not be seen under belly fat. In fact, crunches might actually make the stomach look bigger as they build up thicker abs.
Diet: There is no magic diet for obesity or belly fat. A fiber-rich diet may help in reducing the calories and thereby body fat. In fact, reducing all types of calories helps in reducing the fat in the body.
• Remember that it takes a 3700-calorie deficit to lose one pound of fat. That is, one has to either burn off 3700 calories through exercise or eat 3700 calories less than he/she can burn in a week.
• It is ideal to aim to lose a maximum of two pounds per week. Losing any more than that can be unhealthy and leads to a cycle of "crash" dieting, in which one rapidly gains back any lost weight.
• Keep a food diary. Most people tend to underestimate how much they eat. Get an honest assessment of the eating habits by writing down everything that is consumed for a week. Utilize an online calorie calculator, and figure out roughly how many calories are consumed in a day. From there, see what can be afforded to cut.
• Try a diet in which men consume 2200 calories and women 2000 calories per day. This should cause a deficit sufficient to lose one or two pounds per week, depending on the activity level.
Sleep: Getting the right amount of sleep helps to reduce obesity. In one study, people who got six to seven hours of sleep per night gained less visceral fat over 5 years compared to those who slept five or fewer hours per night or eight or more hours per night. Sleep may not have been the only thing that mattered -- but it was part of the picture.
Stress: It is unavoidable, but what we do with our stress matters. It is known that people tend not to make the best food choices when they are stressed.
A determined effort, executed sincerely may help to reduce the tummy.
2. K.M. Dubai
* I am 30 years and I am working in middle east past 7 years. I am married recently but my penis is 4-5 inches. My friend advised me to take enlargement capsule it would help increase the size up to 2 to 3 inches more than the present size. Is their any side effect if take the capsules?
** The fear that the penis looks too small or is too small to satisfy the partner during sex is a common fear of many of the men. But, a number of studies have shown that most men who think their penises are too small actually have normal-sized penises. Similarly, studies suggest than many men have an exaggerated idea of what constitutes "normal" penis size. The average penis measures somewhere between 3 and 5 inches (or about 8 to 13 centimeters) when not erect, and between 5 and 7 inches (13 to 18 centimeters) when erect. A penis is considered abnormally small only if it measures less than 3 inches (or about 7 centimeters) when erect, a condition called micropenis.
The men’s magazines, radio shows and the Internet are full of advertises for pumps, pills, weights, exercises and even surgeries that claim to increase the length and width of the penis. However, there is very little scientific support for any methods to enlarge the penis. And no reputable medical organization endorses penis surgery for purely cosmetic reasons. Most of the techniques that are advertised are ineffective, and some can damage the penis.
The advertisers offer many different types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" researchers. But the claims of safety and effectiveness are not proved. Most advertised penis-enlargement methods are ineffective, and some can cause permanent damage to the penis. Here are some of the most widely promoted products and techniques:
• Pills and lotions: These usually contain vitamins, minerals, herbs or hormones that claim to enlarge the penis. None of these products has been proved to work, and some may be harmful.
• Vacuum pumps: Because pumps draw blood into the penis and make it swell, they are sometimes used in the treatment of erectile dysfunction. Using a penis pump more often and for longer than typically used for erectile dysfunction can damage elastic tissue in the penis, leading to less-firm erections. Using a vacuum pump can create an illusion of a larger penis, but results are not permanent.
• Exercises: Sometimes called jelqing, these exercises use a hand-over-hand motion to push blood from the base to the head of the penis. Although this technique appears safer than other methods, it can lead to scar formation, pain and disfigurement. There are no scientific studies that indicate this technique is effective at increasing penis size.
• Stretching: Stretching consists of attaching a stretcher or extender device to the penis. These devices exert traction on the penis. A few small studies have reported increases of half an inch to almost an inch (about 1 to 2 cm) in length with these devices. However, the studies are not of high quality and more rigorous research is needed before this technique can be considered safe and effective.
• Surgery: Studies have shown that the majority of men who undergo penis-enlargement surgery are not satisfied with the results. At best, surgery may add half an inch (1 cm) to the length of the flaccid penis. At worst, surgery can result in complications such as infection, scarring, and loss of sensation or function.
As there is no guaranteed safe and effective way to enlarge the penis, there are a few things that can be done if one is concerned about the penis size.
• Communication with the partner: Most of the women are not bothered about the size of their partner’s organ, but are more concerned about the love and affection and the technique of the act. Mutual foreplay may be the most important factor in satisfaction than the size. Talk to your partner and you will know.
• Get in shape and lose the belly fat: If a man is overweight and have a big belly, it might look as if he has a shorter penis than actually he has. Regular exercise can make a big difference. Better physical conditioning may not only make a man look better, but can also give more strength and endurance during sex.
• Trim the pubic hair: A lot of pubic hair around the base of the penis can make the penis look shorter. Trimming may make the penis look bigger. It may also increase sensitivity around the base of the penis.
• Counselling: Feeling unhappy about the size of the penis is a common problem. Many men feel better with reassurance from the counsellor that they are "normal" or with advice about how to better satisfy their partner without resorting to cosmetic penis enlargement.
Many men think they have a small penis and that increasing the size of their penis will make them a better lover or make them more attractive. But chances are that the penis is within the normal size range. Even if the penis is smaller than average, it may not matter as much as one thinks. The most effective solution may be as easy as talking with the partner or getting a good shape by reducing body weight.
3. S.D. Mangalore
* My son is 8 years and is in 3rd standard. His weight is 54 kg. I want to reduce his overweight, can you please advice me on this, often he is getting sick and that time we have to give him nebulization. He likes oily fry food. What is the easy method to reduce weight
** The problem of childhood obesity has grown considerably in the recent years. It is estimated that in most of the developed and developing societies about 20% to 30% percent of children and adolescents are obese. Obesity is among the easiest medical conditions to recognize but most difficult to treat.
Unhealthy weight gain due to poor diet and lack of exercises. Overweight children are much more likely to become overweight adults unless they adopt and maintain healthier patterns of eating and exercise during their growing age.
Generally, a child is not considered obese until the weight is at least 10 percent higher than what is recommended for their height and body type. Obesity most commonly begins between the ages of 5 and 6, or during adolescence. Studies have shown that a child who is obese between the ages of 10 and 13 has an 80 percent chance of becoming an obese adult.
The causes of obesity are complex and include genetic, biological, behavioral and cultural factors. Obesity occurs when a person eats more calories than the body burns up. If one parent is obese, there is a 50 percent chance that their children will also be obese. However, when both parents are obese, their children have an 80 percent chance of being obese. Although certain medical disorders can cause obesity, less than 1 percent of all obesity is caused by physical problems.
Obesity in childhood and adolescence can be related to:
• poor eating habits and overeating
• lack of exercise
• family history of obesity, mainly because bad eating habits of the family.
• medical illnesses (endocrine, neurological problems)
• stressful life events or changes (separations, deaths, separated parents, child abuse)
• family and peer problems
• low self-esteem
• emotional problems like depression
There are many risks and complications with obesity. Physical consequences include increased risk of heart diseases, high blood pressure and diabetes when they reach early thirties. Child and adolescent obesity is also associated with increased risk of emotional problems. Teens with weight problems tend to have much lower self-esteem and be less popular with their peers.
Obese children need a thorough medical evaluation by a pediatrician or family physician to consider the possibility of a physical cause. In the absence of a physical disorder, the only way to lose weight is to reduce the number of calories being eaten and to increase the level of physical activity. Lasting weight loss can only occur when there is self-motivation. Since obesity often affects more than one family member, making healthy eating and regular exercise a family activity can improve the chances of successful weight control for the child or adolescent.
Ways to manage obesity in children and adolescents include:
• start a weight-management program
• change eating habits (eat slowly, develop a routine)
• plan meals and make better food selections (eat less fatty foods, avoid junk and fast foods)
• control portions and consume less calories
• increase physical activity (especially walking) and have a more active lifestyle
• know what your child eats at school
• eat meals as a family instead of while watching television or at the computer
• do not use food as a reward
• limit snacking
Obesity frequently becomes a lifelong issue. The reason, most obese adolescents gain back their lost pounds is that they tend to go back to their old habits of eating and exercising. An obese adolescent must therefore learn to eat and enjoy healthy foods in moderate amounts and to exercise regularly to maintain a desired weight. Parents of an obese child can improve their child's self esteem by emphasizing their strengths and positive qualities rather than just focusing on their weight problem.
4. J.D. Abudhabi
* I am 42 years of age. I found small red color pimples, spots just inside the head of my penis which are sometimes painful and itching. It is started slowly from January during my leave after I had sex with my partner. Again repeated during my leave in April and now continuing. It starts for a week and then disappears and restarts. Kindly advise.
** Red bumps on the penis can indicate many different diseases and conditions; most are not threatening. It is not possible to say what they are unless examined. It is better to consult a skin specialist or a physician for proper assessment.
Tiny, red blisters can indicate the presence of the genital herpes virus. These bumps appear solitary or in a cluster. After the blisters pop, a painful ulcer appears. Generally, these marks disappear within a few weeks. Despite this, the person is still infected with the virus and must seek medical treatment. It is important to keep an eye on the symptoms and consult the doctor when these reappear or worsen.
5. C. D. Udupi
* My wife is facing the problem of vertigo. Initially when it occurred she was hospitalized for about a week and was partially improved; medicines were discontinued. After one month she has the same problem ; for an hour she became blind then started sweating then could not walk (in balance ). Please let me know what has to be done?
** Your wife requires proper evaluation by a neurologist and may require investigations to find the cause for the problem. You may go any reputed institution where the facilities for investigations like MRI are available.
6. F.C. Udyavara
* I am aged 62 years. For the past 5 years I am suffering from knee joints pain. On consulting a doctor in he told me that my joints are worn out and there was no medicine to treat the same except surgery and fixing artificial joints. Now my question to is whether any latest developments are there in the field such as medicines or any other courses because I am not keen to undergo surgeries.
** Your problem appears to be osteoarthritis is also known as "wear-and-tear" arthritis. Osteoarthritis is typically seen as a primary disease in older people but can occur as a secondary condition in younger people. Injury, occupation, excess weight, and genetics are among the factors which cause the cartilage of a joint to wear away. Many a times the initial insults may be a minor trauma, which is often forgotten or repeated minor injuries in sports like foot ball, volleyball etc.
Besides from weight reduction and avoiding activities that exert excessive stress on the joint cartilage, there is no specific treatment to halt cartilage degeneration or to repair damaged cartilage in osteoarthritis. There are claims by various advertisers and drug manufacturers that certain dietary supplements help in reducing wear and tear. These claims do not have proper scientific support.
The goal of treatment in osteoarthritis is to reduce joint pain and inflammation while improving and maintaining joint function. Some patients with osteoarthritis have minimal or no pain, and may not need treatment. Others may benefit from conservative measures such as rest, exercise, weight reduction, physical and occupational therapy, and mechanical support devices. Medications are used to complement the physical measures described above. Medication may be used topically, taken orally, or injected into the joints to decrease joint inflammation and pain.
Total knee joint replacement or TKR is the ultimate surgical solution to the problem. And, of course, it is wise to exhaust all other treatment methods and therapies before undergoing a TKR. You first may consider lifestyle changes, the use of medication and injections, strengthening exercises. If the pain becomes unbearable and hinders your day today activities you may decide about the surgery. Surgery in experienced hands has satisfying and long lasting results.
7. SDS, Dubai
* I am 42 years of age, married and having a kid. All of a sudden I have developed itching sensation in my penis and noticed the two spots inside and the outer skin developed redness which continuously irritates me. Earlier I had the habit of masturbation. What can I do? I have stopped having intercourse with my wife because of this.
** Itching in the penis is not necessarily sexually transmitted disease, as you appears to have perceived. Most common cause of itching remains allergic, especially if there are any eruptions too. Inflammation of prepuce or glans (balanoposthitis) due to various reasons too may give rise to some itching though it would be associated with visible inflammatory changes. Urethritis as well as chronic prostatitis may also give similar symptoms. It is not possible to advise treatment unless you are examined. You should see an urologist or a skin specialist who would get the necessary workup done and give you appropriate treatment.
8. S.K. Mangalore
* I am 25 years of age. Actually I have a problem with the size of my penis, I have had a look at other males and compared to them my size is really small; and one more thing is that my fore skin is still attached to the tip of my penis so my fore skin does not really come till the end. What can be done for this?
** It appears that you are having phimosis and as a result your organ is not able to attain the normal length during erection due to the tight skin. You may consult a surgeon, ideally an urologist and get the phimosis treated by circumcision. It is likely to relieve your problem.
One thing that men can be assured of is that the size and the girth of the penis have no relation to sexual pleasure or performance. Performance is the ability to get and maintain an erection or to provide sexual pleasure to the partner. Performance is not really related to size -- but dependent on muscles, blood and nerve supply to the reproductive organs.
In reality sexual pleasure is related to a person's state of mind; to respecting their partner's needs and fulfilling their own needs. During intercourse, the opening of the vagina is normally not too small or too large for any penis because it is really a "space" that is surrounded by muscular tissue and will adapt to most size penises.
There are no scientific or credible evidence that pills, sprays or lotions work to enlarge the penis or increase its girth permanently. There are no reliable surgical procedures also. For more details refer to the answer of the 2nd question of this column.
9. A.C. Dubai
* I am 47 years and working in gulf for more than 15 years. As soon as I get from the bed in the morning for 5 minutes I get continuous cough, after that throughout the day nothing will be there. I am facing this problem more than two years. I am not a smoker; occasionally I consume limited alcohol and consuming good diet. Except for minor gastric problem I have no other illness.
** An early morning cough that does not seem to go away is a quite a common occurrence. The intensity of the cough depends on the severity of the condition, but all-in-all it just lasts for a few minutes after waking up in the morning. It is important to ascertain the cause and take preventive measures. A change in lifestyle habits and some other measures can prevent the occurrence of this cough. However, if the problem persists or appears to worsen over time it is probably better to go consult a physician. Ignoring this condition for a long time can be a risky, as it may signify the presence of an illness.
Smoking is the most common reason for a daily morning cough. The most prominent sign of tobacco poisoning is a chronic cough in the morning. As you are not a smoker, this may not be the reason in your case.
Allergic cough is the second most common cause. The main triggering agent may be the dust, at times the cotton dust from the mattress and the pillow. This is commonly due to an allergy to house dust mite. The house dust mite is a tiny insect-like creature that lives in every home. It mainly lives in bedrooms and mattresses, as part of the dust. People with allergy to dust mite may have symptoms each morning when they wake up.
Post nasal drainage is another condition that can lead to early morning cough. The mucus in the sinuses around the nose slowly drains backwards into the back areas of the throat, and thus causes a lot of irritation there. Since the mucus travels backwards, this condition gets magnified when the person lies down, and therefore experiences cough after waking up in the morning.
Gastroesophageal reflux disease is a condition that causes chronic cough in the morning in many people. Due to this disease, also known to cause heartburn, the various stomach acids regurgitate into the esophagus. This results in extreme irritation in the throat, and many cases of morning cough are traced back to the presence of this condition. It is a fairly difficult condition to diagnose and coughing can be a symptom of many diseases.
COPD –also known as Chronic obstructive pulmonary disease is seen in elderly, a lung disease is associated with conditions like chronic bronchitis and emphysema. Where chronic bronchitis is the over-growth of mucus glands resulting in the narrowing of airways, emphysema is the destruction of functional lung tissue which results in less intake of oxygen.
Lack of fluid may result in dry mucus and will not help in the production of more mucus. So one need to drink adequate amount of water in order to maintain the fluid balance in the body. The humidity level of the room in which you sleep should also be high. This will keep your airways moist and will reduce coughing.
You may consult a physician to assess the cause for the cough. The cure depends on the cause.
10. C.L. Mangalore
* I am a woman of 40 yeas. About 7 years ago I was diagnosed with mild carpal tunnel syndrome in my right hand. I had taken treatment for the same and it recurs once in a while now. About a year ago, I had swelling and pain in my left wrist and I was diagnosed with de Quervain's tenosynovitis for which also I had undergone treatment. Again some weeks ago there was swelling in my right wrist and the blood tests I have undergone show that my ESR is high at 22 mm/hr and the Absolute Eosinophil Count is 500. My random sugar level is normal. Is the pain of joints and inflammation suggestive of Rheumatoid arthritis or any cardiac disease? What further specific tests will clear my doubts? How do I supplement my diet with necessary vitamins?
** You have not mentioned what were the treatments given for carpal tunnel syndrome and for de Quervain’s disease. These conditions if symptomatic and disabling may require surgical intervention for permanent relief. If you have symptoms you may consult an orthopaedic surgeon for assessment.
In your report the ESR and absolute eosinophil counts are not markedly elevated and they do not suggest any abnormality. Your problem is unlikely to be rheumatoid arthritis.
Ideally no dietary supplements are required when a person consumes balanced diet. if you have any deficiency, that will manifest and you may require supplementation. Your physician may advise the supplements if required.
11. J.M. Dubai
* am 47 years. I have problems in my neck-disc problem at c5, c6. Can this be cured by exercises and physiotherapy?
** Majority of the disc problems either in the neck (cervical disc disease) or in the lower back (lumbar disc disease) can be effectively managed by simple medication, physiotherapy and exercises. Surgical intervention is rarely needed. If you are already diagnosed with the problem, you may consult a physiotherapist and get proper physiotherapy and learn the exercises that would help to strengthen the muscles of the neck and prevent the relapse of the symptoms.
12. R.D. Mangalore
* I am 27 years of age. I am married for 3 years now. I have been diagnosed with endometriosis of the ovary, 3 cm in the right ovary and 5 cm in the left. We are planning for our 1st baby now. I tried 2 cycles with clomid but did not succeed. Do I need to undergo laparoscopy? or is it ok to try to conceive for another few cycles?? My periods are regular and my husband is normozoospermia.
** Endometriosis is the abnormal growth of cells (endometrial cells) similar to those that form the inside or lining the tissue of the uterus, but in a location outside of the uterus. The cells of endometriosis attach themselves to tissue outside the uterus and are called endometriosis implants. Endometrial cells are the cells that are normally shed each month during menstruation.
The endometrial implants are most commonly found on the ovaries, the fallopian tubes, outer surfaces of the uterus or intestines, and on the surface lining of the pelvic cavity. They can also be found in the vagina, cervix, and bladder, although less commonly than other locations in the pelvis.
Endometriosis affects women in their reproductive years. The exact prevalence of endometriosis is not known, since many women may have the condition without any symptoms. While most cases of endometriosis are diagnosed in women aged around 25 to 35 years, endometriosis has been reported in girls as young as 11 years of age. Endometriosis is rare in postmenopausal women.
Endometriosis can be treated with medications and/or surgery. The goals of endometriosis treatment may include pain relief and/or enhancement of fertility.
Surgical treatment for endometriosis can be useful when the symptoms of endometriosis are severe or when there has been an inadequate response to medical treatment.
The surgical treatments can be very effective in the reduction of pain, the recurrence rate of endometriosis following surgical treatment has been estimated to be as high as 40%. Many doctors recommend for women who have had surgery for endometriosis to take oral medications after surgery to help maintain symptom relief.
Endometriosis is more common in infertile, compared to fertile women. However, the condition usually does not fully prevent conception. Most women with endometriosis will still be able to conceive, especially those with mild to moderate endometriosis. It is estimated that up to 70% of women with mild and moderate endometriosis will conceive within three years without any specific treatment.
The reasons for a decrease in fertility are not completely understood, but might be due to both anatomic and hormonal factors. The presence of endometriosis may involve masses of tissue or scarring (adhesions) within the pelvis that may distort normal anatomical structures, such as fallopian tubes, which transport the eggs from the ovaries. Alternatively, endometriosis may affect fertility through the production of hormones and other substances that have a negative effect on ovulation, fertilization of the egg, and/or implantation of the embryo. Infertility associated with endometriosis is more common in women with severe forms of the disease.
The treatment options of infertility associated with endometriosis are varied, but surgical treatments are superior to hormonal or medical treatments for endometriosis when the goal is enhancement of fertility. Assisted reproduction techniques may also be used when appropriate in combination with surgical therapy.
You may discuss the issue with your gynecologist and decide. The option of laparoscopy depends on the severity of the problem. If there is obstruction in the fallopian tube, laparoscopy may be the better option.
13. R. V. Mangalore
* My wife and my mother in law are suffering from psoriasis. Could you please give some solution for this ? My mother in law has psoriasis in her hand leg and it is now in a very bad condition. And my wife has the problem in her hand and in the scalp.
** Psoriasis is a common condition affecting the skin. It causes red, scaly patches. In addition it can affect the joints, nails and eyes. Psoriasis can cause as little as a single dimple on one of the finger or toe nails, or affect as much as the majority of the skin surface, the joints, and the eyes. It is reported that 2% of people (1 in 50) have psoriasis to some degree.
The most commonly affected areas are the back of the elbows and the front of the knees. It often affects the scalp, too, and can, indeed, affect any part of the body. The standard appearance is of red areas where the skin is thickened and crusty, often with silvery flakes, which come off easily. This appears as patches, which are known as plaques.
Psoriasis runs in some families, but that is not to say that everyone in a family will get it. It can start at any stage in life, but most develop their first symptoms between 11 and 45 years of age.
The skin, in the patches that are affected, replaces itself at a much quicker rate than the rest of the skin normally does. Normal skin replaces itself, by pushing up new skin cells from below, over a period of 28 days, but in psoriasis this takes as little as 4 days. As with all diseases, and problems of the skin in particular, stress can aggravate psoriasis.
There is no "cure" for psoriasis, but many people have long periods of remission when it does not trouble them. Sometimes it gets better on its own, but most people need some treatment. The treatment may be sought from a skin specialist. There are several preparations available to apply on the skin which may be prescribed by the dermatologists. Moisturizing creams and ointments, oils for the bath, creams, ointments, lotions and shampoos based on tar are widely used. There are applications based on salicylic acid are helpful at removing thick layers of over-grown skin and scales. Both your mother in law and your wife may consult a skin specialist for treatment.
14. GRS, Mangalore
* I am 32 years of age. I get small cysts / lump inside anal area after passing stool. It pains me very badly and returns back to normal after sometime. There is pain if I touch that area to apply cream. Also have discomfort / pain when I sit for long. Kindly advice me what I shall do to rid off this problem.
** You are probably having piles, also known as hemorrhoids. Hemorrhoids are dilated blood vessels around the anus, which may become bulky and enlarge to the point of protruding through to the outside. When this occurs, you may feel a lump coming down as a result of straining at the stool. They may itch or feel generally uncomfortable and sometimes bleed. The degree of prolapse of piles varies from not at all, to persistently hanging down through the anus.
It is better to consult a surgeon to know what exactly it is. The best treatment is prevention through avoidance of constipation through eating a high fiber diet and drinking adequate water and fluids. Minor hemorrhoids may settle down with the use of short courses of soothing anti-inflammatory creams or suppositories. If they should become a persistent nuisance, the piles may warrant surgical attention.
15. A.R. UAE
* I am 43 years of age. I had pain in my both breasts, so I consulted a breast specialist and he checked my breast and marked a small part of the left breast and asked me to go for scanning. The doctor who scanned said everything was normal there was nothing to worry. So I asked why did the doctor mark and he said to clear his doubt and they were all fat tissues and he advised me have scanning only after one year. Is it required to have a scan before 1 year? Even after the scan also( after a week) I am feeling some nods and small balls in my breast.
** The doctor who examined the breasts must have felt fatty-fibrous nodules and he must have marked those areas so that the sonologist who would do the scanning specifically look for any abnormality. As the scanning has not revealed any problem, you need not worry. The nodes that you are feeling may be non cancerous growths-benign lesions-known as fibroadenomas. A fibroadenoma is a benign (non-cancerous) solid lump of tissue. This will not change into a cancer later. Similarly there can be small cysts which again are harmless. Fibroadenoma thought to result from increased sensitivity to the female hormone estrogen. It normally has a rubbery texture, is smooth to touch and moves easily under the skin. For this reason it is sometimes called a 'breast mouse' Fibroadenomas are very common and it is not unusual to have more than one. They are mostly found in young women but can occur in women of any age.
Most fibroadenomas are about 10-30mm in size. These are referred to as 'common' fibroadenomas. Occasionally they can grow to more than 50mm in size, and these are called 'giant' fibroadenomas. Most fibroadenomas stay the same size. Some get smaller and some will eventually disappear over time. A small number get bigger and this may be more noticeable during pregnancy and breastfeeding. As suggested by your doctor you may go for scanning after a year or so. Repeated scanning may not be needed.
16. S.D. Udupi
*I am 35 year old married female. I had three caesarian sections. The most recent was a year ago. Three months ago I got a burning sensation just at the opening of the anus. It was there for an hour or so and disappeared. After this I got this pain may be once in 2-3 weeks. About a month back I noticed a lump on the opening(inside) of the anus. It looks like extra growth and it is reddish in color. I get this pain now at least once a week and it is mostly while sleeping. I have no pain while bowel movements nor have I ever suffered from constipation. I never put pressure while passing stools. The growth has not changed from the time I have first noticed. During the last section, the nurse used to insert some pain killers through my anus also. Could there be some infection? I never had anal sex nor me or my husband had multiple partners.
** You also may be having hemorrhoids or piles as explained in the answer to the 14th question of this column. You may consult a surgeon for proper assessment and treatment. It is unlikely to be any other dangerous condition and definitely not related to sexual life.
17. D.V. Mangalore
*I am 32 years of age. I am working in gulf for fast 9 years. I have the problem with my eyes. They are getting red in the day time even though I sleep more than 8 hours a day(from child hood). I did the eye tests and the doctor told me that there was no problem with my eyes its from dust. I don't think so its from dust because I am working in the office where there is no dust. What should I do further?
** It appears that you are having the problem of allergic conjunctivitis. The allergic conjunctivitis causes red, watery, itchy eyes. The common cause is an allergy to common allergens such as house dust mite, cosmetics, and problems with contact lenses.
There are two main types in allergic conjunctivitis- the seasonal conjunctivitis and perennial conjunctivitis. The seasonal conjunctivitis is when the symptoms occur at the same time each year. Most of these cases are due to pollen and occur in the hay fever season. Symptoms tend to last a few weeks each year. Grass pollens tend to cause symptoms in early summer. Various other pollens and moulds may cause symptoms later in the summer. Other symptoms of hay fever may also occur at the same time, such as a runny nose and sore throat.
The perennial conjunctivitis is a conjunctivitis that persists throughout the year. This is commonly due to an allergy to house dust mite. The house dust mite is a tiny insect-like creature that lives in every home. It mainly lives in bedrooms and mattresses, as part of the dust. There need not be dust to have dust mites. People with perennial conjunctivitis usually also have perennial allergic rhinitis which causes symptoms such as sneezing and a runny nose. Symptoms tend to be worse each morning when the person wakes up.
In allergic conjunctivitis both the eyes are usually affected and symptoms tend to develop quickly. The eyes are usually itchy, and the whites of the eyes look red or pink. A burning feeling may occur, but the eyes are not usually painful. The eyes water more than usual, but do not become too gluey as in infective conjunctivitis. Usually vision is not affected.
You may consult an ophthalmologist for proper evaluation and treatment. There are various types of eye drops which may be used as per the advice of your doctor. Tablets and other medicines are normally not required.
18. L.R. Udupi
* I am 26 years of age and I have been in relation with one of the divorced lady whose age is 28 years and with one kid. I want to marry her, and even kid accepted me. I want to know is this right to do because they are having hope in me, and I don't want to break their trust. I am confused ,so want to know is this the right thing?
** If you really love each other and want to marry, there should not be any problem. You will be an ideal example for proving that love is not age bound, love do not see money, age or caste. It will be difficult to convince some people, but it is your decision, your life, your feelings, your destiny. You need not care what people will say- some people may discourage or criticize you, ignore them; some will appreciate you, acknowledge them. If you love each other, care for each other you can have a beautiful married life. It is the mutual caring, sharing and bearing with each other’s inequalities that makes a good married life. Age difference of 2 years may not be significant.
19. S.L. Mangalore
* I am 32 years of age and I got married 3 years ago. I am working abroad and we are trying for baby. I am worried because my wife is having thyroid problems. Can she conceive or no? How much time may be required to recovery from thyroid problem.
** Though you have not mentioned, I presume your wife is having hypothyroid problem. When a woman has an underactive thyroid (hypothyroidism), the thyroid gland does not produce enough hormone-thyroxin. There is a link between hypothyroidism and infertility. Low levels of thyroid hormone can interfere with the release of the egg from the ovary (ovulation), which impairs fertility. Hypothyroidism is treated with synthetic thyroid hormone called thyroxin—a medication which is identical to the T4 made by the thyroid. This hormone supplementation if given in adequate dosage will normalizes body function and also helps in conception, provided the couple has no other problem. Women with preexisting hypothyroidism will need to increase their pre-pregnancy dose of thyroxin to maintain normal thyroid function. Thyroid function should be checked every 6 to 8 weeks during pregnancy. Synthetic thyroxin is safe and necessary for the well-being of the fetus if the mother has hypothyroidism. Hypothyroidism can not be cured, thyroid supplementation has to be taken life long.
20. C. N. Mangalore
* Is it true that honey with milk will increase weight? I want to increase my weight. I look thin and my height is 5.7 and but weight is 46. I am an vegetarian and I want to put on weight.
** There is no reliable evidence that the milk and honey helps in increasing weight. Honey has been long known as a health booster and it was always known to have health benefits, used alone or with other ingredients such as milk. But according to Ayurvedic principles, one should not take milk and honey together as they become “vipreet aahaar” or foods that react against each other to the detriment of health.
Gaining or regaining weight can be just as difficult as losing weight. When done in a smart, healthful way, many of the same basic principles apply to both gaining and losing weight.
Losing some kilograms of excess weight has been a major concern of many people. They are vigilant on their diet, do all type of exercises… but fail in their attempts. There are very few people, who are lucky that they are destined to grow thin and lean. They are otherwise healthy. You are probably one of them.
Genetics plays a major role in physical build and musculature. If you are thin but healthy, take a close look at your parents and siblings. The human body can change to a limited extent through weight training and increased food intake, but you'll never be able to turn a runner’s body into that of a linebacker. People who are trying to regain weight after illness or surgery usually can gain weight more easily than someone who is naturally thin.
If you are destined not to grow fat, you may not gain weight by any means. However you can make some sincere efforts to put on weight. One has to look for a healthy weight gain, not just adding body fat. That means, instead of loading up on junk foods and high-fat nutritional nightmares like cookies and candies, treating yourself to nourishing foods that will help you add muscle and body mass. Here are a few tips:
• Eat three meals every day. Yes, this means you need to get up in time for breakfast that you can't skip lunch, and that dinner actually needs to be prepared and eaten.
• Eat three snacks every day. That's midmorning, mid-afternoon and evening. In order to gain weight, you need to fuel your body at regular times. The easiest way is to set up a schedule of three meals and three snacks.
• Stop drinking non-caloric beverages. That includes diet soda, and plain coffee or tea. You have to look for calories. Choose skim or 1 percent milk (You need healthy calories, not fat, so avoid milk with higher fat contents), 100 percent fruit juice or sports drinks.
• Choose calorie-dense foods. That means eating rice, chapattis instead of bland vegetable salads and banana chips. Make it a habit to routinely choose foods that are higher in calories.
• Expand your meals. Each meal should include some type of starchy food (rice, bread, potato, and cereal), fruits and vegetables, and a protein source (chicken, red meat, fish, legumes, eggs, cheese). Use small quantities of butter or ghee in each meal to add moderate amounts of fat without going overboard.
• Exercise: Regular exercise and activity will help your body gain muscle and not unwanted fat. One hour walk or thirty minutes of aerobic exercises is plenty to get your system moving yet not so much that you're burning up tons of calories. If you are more active, you'll need to increase your calorie intake.