Dr. ABBAS 

Genital Warts
Q. Previously I had unprotected sex with my ex-girlfriends. On a regular doctors visit I found out that I acquired genital warts. The warts disappear for sometime, but they keep on reappearing regardless, if I’m having safe sex or not having sex at all. I’m really worried because I’m getting married in a few months from now. Your advice will be greatly appreciated on as to what shall I do and what steps shall I take? Kindly suggest me?
Concerned Reader, DSM.

A. You are suffering from viral warts. Warts may adopt a variety of patterns. The one you have is called ano-genital warts. The human papilloma virus (HPV) is of many types. A type of virus to be recognised, each with its own range of clinical manifestations. Infection occurs when infected skin scales come into contact when infected skin scales come in contact with breaches in the skin.
Cauliflower like lesions with a moist macerated vascular surface, may appear anywhere in this area. They may coalesce to form huge lesions causing discomfort and irritation. The vaginal and anorectal skin can be affected. Women with ano-genital warts or who are the patterns of men with warts should have regular tests. Genital warts are contagious and most men will ignore them for years before seeing their doctor. It is important to see a doctor, as there may be a connection between vaginal warts and cervical cancer. You have been most responsible and obviously love your girlfriend. While the virus may remain dormant for years, removal of warts themselves reduces the risk of infection to almost zero. Mouth infection from genital warts is very rare anyway so to go now and adopt the correct position.
Cryotherapy is suitable for treatment anogenital warts. Some prefer to use special pant, which should be applied carefully to the warts and allowed to dry. Treatment is best carried out weekly by a doctor or nurses and not by the patients.

Heart Attack
Q. I lost my father from heart attack as was diagnosed by admitting doctor at one of the hospital. What is it? Can you tell us about it we will really appreciate?
Concerned Reader, DSM.

A. The heart depends on its own blood supply to provide it with the oxygen that is essential for it to function properly. If the oxygen supply to an area of heart muscles is interrupted that area of muscle cannot function. Over period of months or years fatty deposits can attach themselves to the wall of coronary artery (blood supply to heart muscles). In time this impedes the blood flow passing through that artery. A total blockage occurs when a blood clot forms in the middle of the artery at the point of maximum narrowing. It is not known exactly why this clot should occur, but the fact that the wall of the artery is heavily coated with fatty deposit is a contributing factor. A heart attack is a continuos process. Interruption of the blood supply is the first stage.
As the blood supply to the heart muscles is stopped, the patient feels pain. The affected cells die, and if the blood supply remains obstructed, that area of the muscles will die and be replaced over the period of weeks with scar tissue, which could affect the heart if a very large area of muscles has been affected. The people most at the risk from a heart attack are smokers, people who eat lot of fat, people with a history of high blood pressure, diabetics and those with a family history of heart attacks.
They are most likely to occur in middle age men. In some people the first symptom will be totally unexpected but in many there is warning sign the development of angina. This is central chest pain, which happens during exertion or excitement and last for few minutes. Often pain spread to neck, shoulder or arms.
The main symptom of heart attack is a dull or heavy pain, usually in the centre of the chest. There may be sweating, nausea or vomiting and breathlessness as well. Patient may look ill and grey. The severity of the symptoms varies from severe pain, collapse of the patient and death or only slight discomfort.

Constant Sex
Q. It has become very tiring to fulfill my boyfriend. My boyfriend is in need of constant sex. What does it mean if a man constantly wants sex?
Concerned Reader, Morogoro.

Men in a stat of sexual high alert may fall into one of these categories: Being at the beginning of an intense new relationship when sexual feelings are running high. Being in an erotically charged atmosphere or environment. Feeling highly anxious - anxiety can confer a state of high arousal. Being driven by hormones. Feeling pressurized by cultural stereotypes to appear super-sexual. Being frustrated at not being able to find suitable sexual outlet. Needing sex because it makes you feel attractive, desirable or loved.