Q Does chewing tobacco affect muscle growth?

It Definitely affect muscle growth. Nicotine present in tobacco is responsible to constrict blood vessel which in a way reduces blood supply to muscle. it inhibits growth. It can lead to myalgia. It also leads to reduced effort tolerance.

Q Hello Doctor, this is Lavanya. My Mother, 42 years old is suffering from slipped disc from almost 7 years. She tried all kinds of medicines (Ayurvedic, Homeopathy, English medicines) and physiotherapy too. But nothing worked out. Can you please suggest - how correct is to go for a surgery ?

Whether to go for surgery or not will largely depend upon the severity of the complaint. If there is no neuro deficit then you can continue with the conservative mode of treatment. However if there is neurologiacal deficit then surgery is the best option.

Q Can you use cream in your vagina?

Yes. There are some creams that you can use inside your vagina. It can be a cream locally to be applied for vaginitis or it can be a spermicidal jelly as a contraceptive method, or it can be an anaesthetic jelly to reduce the pain at intercourse. There are various types of vaginal creams for various purpose.

Q Can marijuana help with anger management?

Many marijuana users will clain that it helps to calm them down. Even if it is true, you are inviting much bigger problems by smoking marijuana. Immediate effects of marijuana abuse include rapid heartbeal, disorientation, depression, sleepiness and panic attacks. Long term use may lead to bronchitis, cancer, brain abnormalities, psychosis, sterility, impaired memory, hallucinations and birth defects in children. Now you tell me: is it worth taking marijuana to combat anger when you have to pat such a hefty price? Anger management can be very well achieved with self control, counselling and meditation. You need not resort to unhealthy means like marijuana.

Q 1.When i retract my penis and make it erect , the tip of the penis head pains , is there any problem.? i sometimes masturbate , without retracting the penis. is something wrong with me ? 2.i am 16 years old and having problem of puffy nipples. i have problem of male breast. its been some years since i am having these problems

If the foreskin is tight that can cause pressure over the penis head and can cause pain. Male breast can be due to excessive fat over chest area or due to hormonal problem called as gynaecomastia. Get yourself examined.

Q Hi doc, I ejaculate very soon when I have sex with a girl so please suggest me not to ejulate soon and my age is 25 years now but the same condation is going on so please help me doc???

What you describe is called as premature ejaculation in medical terms. Its common causes are: stimulation of pleasure centers in brain, stimulation of sensitive nerves on the head of penis, stress, performance anxiety, etc. Following are some of the tips that can helps you: Use condom while having sex. It will delay the sensation to the head of your penis and will help you to last longer. Practice kegel exercise. It will improve the tone of pelvic muscle and will improve your ejaculation time. Improve your duration of foreplay. Try and have sex in different positions. It is said that practice makes man perfect and same is true for sex also.

Q I am suffering from sever pain in stomach on and off. It is mostly on the right side just below the ribs. And sometimes can not locate it properly. what can be the reasons? I have done sonography and the reports are normal.

Right sided abdominal pain can be caused by disorders related to liver, appendix or due to injury. However if problems related to liver and appendix were the cause it should have been seen in sonography. I would recommend that you consult your family physician who based upon your symptoms can help you identify the cause. You may require a repeat sonography or advance tests like MRI to find out the cause.

Q I am 65 yrs old my blood pressure is 186 over 90 and my pulse is 60 is does this need attention?

You did not mentioned whether the values are with medication or without. In either case it is necessary that you consult your family doctor as it requires medical attention.

Q My moms age is 47+ . Doctor suggest her to do cataract surgery in right eye. he gave me a list of lens..bt i cant decide which lens is good..can u suggest me?

During cataract surgery, the cataract (the clouded natural lens) is replaced with an advanced artificial lens called an intraocular lens (or IOL). There are many types of intraocular lenses. Depending on your goals after surgery, your lifestyle, medical concerns and your current vision, your doctor can help you choose the IOL that is right for you. The lense is decided according to her near sightedness or far sightedness, astigmatism (an eye condition with blurred vision), use of glasses too.

Q I am 23 year old female who has been having delayed menstrual cycles by 10 days. I have been getting my periods every 40 days for the last 6 months. The doctor asked for some hormones tests (fsh, lh and prolactin). The results are: fsh: 5.64 miu/ml, lh: 6.2 miu/ml, prolactin: 26.38 ng/dl. Are these results normal? The doctor said that prolactin reference value should be below 20 ng/dl. Please advice.

As per report your prolactin and LH levels are slightly higher than normal. Hypothyroidism and PCOD are more common causes of imbalance hormone levels and irregular menses. Its my advice to you please check your TSH levels and go for sonography to find out PCOD result. For prolactin you have to make test in the early morning without any breast stimulation and sex at previous night, these activities stimulate the prolactin hormone, due to which high prolactin level may be traced in the test. Obesity and emotional stress are the other reasons of hormonal imbalance, so please try to maintain healthy weight and healthy lifestyle.