I LOVE receiving your questions every week and am so glad you’re feeling in a position to share your well being issues and worries with me and our Solar Well being neighborhood.
I’m a practising GP in clinic many of the week, so sadly the staff and I are usually not in a position to straight reply to each electronic mail.
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Whereas I purpose to answer to as lots of your questions as potential every week, please don’t delay in in search of medical assist in the event you want it.
For medical or psychological well being emergencies attend A&E or name 999.
mergencies attend A&E or name 999.
NHS 111 is out there 24/7 in case you have an pressing medical downside and you aren’t certain what to do.
And naturally, you possibly can name your GP surgical procedure in the event you want an appointment, pressing or in any other case, or use their e-consult service if they’ve one.
Your pharmacist may even be capable of assist with extra minor illnesses and recommendation.
Right here’s what a few of you requested me this week . . .
Q) I AM 68 and over the previous couple of months I’ve been having hassle holding my urine.
I’ve heard of pelvic ground workout routines and was questioning if there may be every other means, possibly tablets, that might assist me.
I really like studying your column within the paper and hope you possibly can advise me
A) Firstly, thanks very a lot, what a form factor to say.
Secondly, in reply to your query, sure there are medicines that may be prescribed.
However they aren’t often the primary port of name and the medicines which can be generally prescribed for urinary incontinence can have unwanted side effects, starting from fatigue and blurred imaginative and prescient to nausea.
You say it’s over the past couple of months, so my first query in the event you got here to see me can be, “What’s modified?’.
May you may have a urinary tract an infection?
Have you ever began any new medicine for an additional situation?
Have you ever had any surgical procedure or skilled any mobility points that make it more durable so that you can get to the bathroom on time?
It could possibly be that your GP, who has your medical historical past, might pinpoint an apparent trigger.
If not, the subsequent query is, what sort of incontinence is that this?
Is it stress incontinence — so leakage of urine once you cough, sneeze or leap?
Or is it urge incontinence, when your bladder begins to squeeze urine out earlier than you’re prepared, which means you aren’t making it to the bathroom on time?
Or, as is quite common, is it a mix of the 2?
Both means, you can begin by fascinated about way of life adjustments that may assist.
Make certain your final drink is a few hours earlier than mattress time and scale back your caffeine consumption as it’s a diuretic, which suggests we wee extra after we drink plenty of tea and occasional.
Carrying extra physique weight, ingesting fizzy drinks, in addition to age, are all danger elements for incontinence.
Pelvic ground workout routines are all the time an essential a part of the therapy plan and ought to be completed by all of us, whether or not we’ve got points or not.
Coaching the muscle mass of our pelvic ground to maintain them robust and functioning effectively is essential, identical to it’s for different muscle mass of our physique.
However the backside line is that there are a large number of therapies and coverings for individuals with incontinence points.
These vary from pelvic coach units and to surgical procedure to electrical stimulation and biofeedback, which each work by inserting a probe to assist your urinary muscle mass contract.
So please don’t undergo in silence or see this as a traditional a part of ageing.
The earlier you’re taking motion, the higher.
JOINT PAINS WORSENING
Q) MY spouse who’s 76, has continual obstructive pulmonary illness and makes use of inhalers.
She additionally takes Nexium twice a day. For the final three years, she’s been getting sharp pains within the ribs and now in her fingers and ft too, in addition to a tingling in her ft typically.
The pains are getting worse and are on most joints.
A) Musculoskeletal pains which can be widespread and have an effect on many bones or joints require a full evaluation, particularly if it’s affecting an individual’s each day functioning and/or their high quality of life.
Your GP will need to assess for a variety of circumstances that may trigger these pains, together with osteoarthritis, rheumatoid arthritis, osteoporosis, menopause, fibromyalgia, vitamin D deficiency and a few rarer circumstances resembling blood cancers or different cancers which have unfold to the bone.
We see many individuals normally observe who complain of musculoskeletal ache and usually, we are able to rule out any underlying medical situation.
The plan of motion then is usually to deal with the signs by getting the individual transferring higher.
People are designed to maneuver, day-after-day, however we are inclined to spend most of our time sedentary, particularly as we age.
Simply ten minutes of bodily exercise every day, resembling brisk strolling, dancing, or doing seated workout routines, could make a giant distinction.
Breaking apart sitting often is advisable too.
I usually recommend doing ten sit/stands or squats when the TV adverts come on.
And check out balancing on one foot when ready for the kettle to boil.
I imagine we ought to be decided to do what we are able to to battle bone and joint ache, which regularly means making motion and bodily exercise a traditional a part of every day.
Q) I HAVE had a cough for 2 weeks, no sore throat, however I’ve misplaced my voice.
I’ve obtained no vitality, the sunshine hurts my eyes however I’ve had unfavorable Covid exams. What can or not it’s?
A) To additional add to the winter of discontent, it looks like everyone seems to be getting sick in the mean time, doesn’t it?
Along with Covid, we’re nonetheless within the thick of flu season and Strep A continues to be a well being concern.
You point out signs that could possibly be flu, with lack of vitality, gentle sensitivity and a dry cough.
Most individuals really feel higher every week or so after coming down with flu however it’s not unusual for the signs to hold round longer.
A number of individuals will take just a few weeks for his or her vitality to return and actually really feel like they’re again to regular.
After all, it could possibly be a variety of different viruses, resembling any of the 200-plus that trigger the widespread chilly.
You don’t say how previous you’re however a lot of persons are eligible for a flu vaccine, together with kids, these with sure medical circumstances and folks over the age of fifty.
So in the event you match the standards, I might advise nonetheless getting your vaccine in case you have missed it this 12 months.
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