WOW | Q&A

Health Question Answers

BEAUTY

DOLLY SINGH, proprietor of Dolly’s Exquisite Creations, will answer all your beauty and makeup queries. Contact her at 4445080.
DOLLY SINGH, proprietor of Dolly’s Exquisite Creations, will answer all your beauty and makeup queries. Contact her at 4445080.

Q. My skin gets very dry during winters and the fine lines on my face are pronounced. I am 40 years old and have combination skin. I would appreciate if you could recommend a moisturizer for my skin type and also the type of facial I should have and how often? I am especially concerned about the fine lines and maintaining the elasticity of my skin. – Pratibha

A. Winter is the season when you see a lot of changes in your skin. This is the time to keep your skin as much hydrated as you can. Make sure you use a rich moisturiser that contains Vitamin E as that helps to strengthen the skin and maintain good elasticity. As far as the facial is concerned please come in for our very special Corrective Facial which helps you with lifting as well as deep moisturising. It has its own special ways of doing it where lymphatic drainage is used and a collagen mask is applied at the end to stimulate new cells renewal. However for more information please contact me at Dolly’s.


Dr. Veena Shrivastava is a Professor in the Department of Obstetrics and Gynaecology, Nepal Medical College and Gynaecologist in Nepal International Clinic. Send her your queries at vshrivastava68@gmail.com

GYNAECOLOGY

Q.I am a 35 year old working woman. I have been in relationships but have never married. In fact I am uncertain if I want to marry but there is a lot of pressure at home. My friends also say that my biological clock is ticking and if I want a child, I should think of marriage now. I have heard of freezing of eggs. Is that a possibility in Nepal? Also should I in the future decide to become a single mother, is donor sperm available in Nepal for IVF? What are my chances of considering IVF when I am 38 and more ready to become a parent? These are serious considerations for me. I also want to know whether there is a menopause pattern genetically because my mother had menopause at the age of 45.  – Name withheld

A.Facility for freezing egg is available in Nepal. Freezed donor sperm is also available here. One can  have baby with IVF at any age but success rate declines after the age of 35 and heredity does contribute to the age of menopause. I hope this information will help you in making your future plan.


MENTAL HEALTH

Q. My mother is 70 years old and she recently suffered from a mild stroke which has left one side of her body weakened for which she is undergoing physiotherapy. I have always known her to be a strong woman but now I see her shaken and suffering from mild depression. She has lost interest in many things and feels restricted from her normal routine. We try and support her as a family but we are not always around in the day due to work. Does she need counseling? I am very worried because she is unable to get a sound sleep, is lethargic sometimes, does not have balance in movement all the time and needs support besides she broods a lot. Please advise. – Kirti Subba

Dr. Ajit Kumar Gurung, MD; DPM has been working as a consultant psychiatrist since the last 16 years. He is Psychiatrist Consultant at Norvic International Hospital; Head of Department and Senior Consultant Psychiatrist at Department of Psychiatry, Nepal Police Hospital; and Consultant for Alcohol and Drug Rehabilitation Centre ‘Ashara’.
Dr. Ajit Kumar Gurung, MD; DPM has been working as a consultant psychiatrist since the last 16 years. He is Psychiatrist Consultant at Norvic International Hospital; Head of Department and Senior Consultant Psychiatrist at Department of Psychiatry, Nepal Police Hospital; and Consultant for Alcohol and Drug Rehabilitation Centre ‘Ashara’.

A. As  you must be aware when a healthy mobile person suffers from sudden stroke and his/her movements become grossly compromised, a person definitely becomes traumatised. It is obvious that she is having difficulty coping with this unexpected consequence. Therefore, certain level  of frustration and anxiety is usual in post-stroke cases. But there are many cases where patients develop post-stoke depression following such events. Going through the symptoms you have described she may be suffering from either post-stroke depression or anxiety disorder. Thus, a thorough assessment is necessary. If she is suffering from either of the above, specific treatment should be started.

You have mentioned that she is undergoing physiotherapy, which is a very good thing and you have to continue that to regain her movements. As her condition improves, she will gain confidence which will have a positive  impact in fighting against her depressive symptoms. Counseling is also advantageous in this case and support from family members plays equally effective role in combating with her depressive symptoms.
I would like to suggest you that she should not be kept alone. At least one family member should be along with her for support and care during  these difficult times.

I wish her a speedy recovery. Good Luck!