FIGHTING to make an appointment with the GP?
When you have any worrying well being points or discover new signs, I am right here to assist.
GPs are underneath large strain and the state of affairs has solely worsened because the pandemic.
We wish to see sufferers head to head, and all my colleagues in my London surgical procedure are working as laborious as we will to do that. Nevertheless, there are some medical circumstances that may be managed effectively by speaking to a pharmacist or by calling NHS 111.
When you have any delicate sickness or situation, this will typically be a very good place to begin. And in case you are apprehensive about an issue or wish to know who’s greatest to see, ship me your questions and I’ll reply as a lot as I can every week.
Here’s a choice of letters from readers this week. . .
Q) For a few years I’ve had a morning cough that lasts about half-hour. I am in my fifties, I do not smoke or work in any fume business, and I do not know why I’ve to wash my lungs each morning.
It is a productive cough, however it’s wholesome phlegm. I have been utilizing numerous cures for mucus and throat sweets, however nothing works.
I drink a whole lot of water day by day and I do not know what else to attempt. It will get embarrassing once I’m away. I do not know what else to do.
I’ve contacted my GP up to now however nothing got here of my go to. I really feel a little bit of a cheat taking a cough appointment.
AND) First, you possibly can by no means really feel like a cheat when selecting a cough appointment. In reality, my message to anybody studying this and affected by a cough, for no obvious cause, for greater than three weeks is please contact your GP as this needs to be checked.
In your case, you’ve got visited your GP, and it does not sound such as you’re having troubling signs. However I hear you say that this symptom is embarrassing and causes some fear.
Situations that may contribute to extra mucus embody allergy symptoms, bronchial asthma, and bronchitis. Smoking and circumstances like persistent obstructive pulmonary illness (COPD) and cystic fibrosis may also trigger this symptom, and typically it could actually occur and not using a particular cause.
It’s positively price going again to your GP, who might take into account additional exams, resembling a chest x-ray and a sputum pattern.
If all is effectively, the pharmacist can advise some decongestants or coughing drugs which will assist. Pay particular consideration to an ingredient referred to as guaifenesin.
Q) I’m 55 years previous and have darkish brown spots on my face since I began hormone alternative remedy 4 months in the past.
I perceive it is chloasma from hormonal modifications, however they get greater, fairly darkish, very seen and unpleasant.
I even have brown patches on my arms. I’m presently utilizing HRT gel – I attempted the patches however was allergic. Along with stopping HRT, which I clearly do not wish to do, is there something I can do? My pores and skin is pale so do not exit within the solar as a result of I burn simply.
I’m already utilizing a protecting moisturizer. Will laser therapy work or is there a danger of it coming again?
AND) The outline is similar to melasma, which is typically known as chloasma or “being pregnant masks”.
That is regarded as attributable to pigment-producing cells within the pores and skin referred to as melanocytes, which produce an excessive amount of pigment referred to as melanin, and brown or grayish patches can seem. They’re normally discovered on the face, but in addition in different areas of the higher physique.
A number of components can contribute to the event of melasma, the commonest of that are elevated ranges of being pregnant estrogen hormones – therefore the identify of the being pregnant masks – in addition to hormonal drugs resembling HRT and contraceptives.
Not often, thyroid issues will be attributable to melasma in addition to another drugs resembling anti-epileptic medicine. It might be comforting to know that whereas the looks of melasma may cause stress and naturally it could actually have an effect on your psychological well being and high quality of life, there aren’t any bodily signs or dangers.
The simplest therapy for melasma could be to cease HRT. However you emphasised that that is one thing you do not wish to do, and I perceive it. One other level could be to attempt taking HRT in a distinct type, however I additionally discover that you’ve got already tried the patches. Sadly, these two issues go away you caught between the hammer and the anvil.
I feel the subsequent step could be to see a dermatologist privately, when you’ve got the sources to take action. There are various remedies, lotions and procedures they might focus on with you.
However sadly this isn’t out there on the NHS as melasma is taken into account a beauty situation.
Covid’s Affect on Our Durations
Q) CAN COVID have an effect on your menstrual cycle?
AND) One of many attention-grabbing issues about Covid is that it impacts us all otherwise, and it appears it could actually have an effect on nearly each system within the physique.
So it’s fully credible and truthful to say that it could actually additionally briefly have an effect on our hormones and thus our menstrual cycles. There have been many circumstances of menstrual cycles through which Covid an infection has occurred, and modifications within the menstrual cycle have additionally been reported following Covid vaccinations.
It’s not recognized for sure whether or not an an infection or an immune response to a vaccine is the actual reason behind the modifications, or whether or not the modifications would have occurred anyway and coincide with an infection or vaccination.
Modifications within the menstrual cycle are frequent. That is one thing we see on the whole apply on a regular basis, and it was so lengthy earlier than the pandemic.
These modifications may cause issues and stress, particularly in individuals who monitor their intervals for contraception or fertility.
However the excellent news is that menses normally return to regular after a cycle or two, and there’s no medical proof of any impact on a girl’s fertility.