WELOME to my new-look column, answering your questions every week.
From niggling pains to worries you’ve got about your youngsters and family members, I’m right here to assist.
As a GP I see and listen to all of it. It comes with the territory, no topic is off limits and there’s no must really feel embarrassed or ashamed.
Please ship in questions and I’ll reply as many as I can. Listed below are a few of this week’s . . .
Q: I get recurrent urinary tract infections. I’ve good vaginal hygiene and urinate after intercourse. What can I do?
A: There are many potential causes for this, from anatomy or genetics, to menopause and even an underlying well being situation comparable to diabetes or a kidney or a bladder situation.
As you say, hygiene and toilet habits are vital, like wiping entrance to again and passing urine after intercourse.
In some instances, overusing antibiotics has led to partially resistant micro organism triggering infections. Which means UTIs won’t totally clear up with antibiotics.
The underside line is that recurrent UTIs require additional investigation and, relying on outcomes, remedy might vary from oestrogen vaginal pessaries to prophylactic antibiotics – a preventative course somewhat than curing.
In the event you see blood within the urine, it wants pressing investigation.
Q: My two yr outdated retains getting croup. Can something be prescribed to avoid wasting journeys to A&E for steroids?
A: Croup is widespread in early childhood, affecting the air-ways and voicebox (larynx). It’s mostly attributable to parainfluenza virus – one of many viruses that trigger widespread colds in older kids and adults.
Signs embrace a barking cough, hoarse voice and a harsh sound after they breathe in. It may be gentle, average or extreme and a few instances want steroid remedy. If it’s recurring, see a GP as assessments could also be warranted.
It may be linked to reflux points and there’s remedy for that which might cut back the incidence of croup. Your GP may take into account whether or not your youngster is prone due to anatomical or airway points.
Q: How can I management my sweating? It’s terrible – my again will get soaked.
A:Firstly you want to establish a cause for the sweating. Does it occur if you’re nervous? Whenever you’re exercising? Or at evening? Is it localised to your again or arms and ft, or throughout your physique?
Evening sweats will be hormone-related however can be a symptom of tuberculosis. Hyperhidrosis is a situation the place the nerves that activate the sweat glands overreact, inflicting extreme sweating.
If the issue space is the armpits, aluminium-based deodorants can assist, as can Botox injections.
There are issues we will all attempt to cut back the quantity we sweat, although, together with sporting loose-fitting, breathable clothes, avoiding spicy meals and utilizing natural-fibre sheets comparable to cotton, as an alternative of polyester.
It’s price elevating this situation along with your GP as a result of extra sweating is both straightforward to kind or may very well be a symptom of one thing else which warrants investigation.
Q:Will a each day 5km stroll cut back my threat of at some point having a stroke?
A: Sure, completely. If everybody did a 5km stroll every single day we’d cut back the chance of stroke massively on this nation.
Being energetic improves the perform of your coronary heart and blood vessels, and reduces the chance of hypertension and sort 2 diabetes – all of which, in flip, cut back the chance of stroke.
And right here’s the nice information – whereas 5km a day is good, for these with much less time, a brisk each day stroll for ten minutes will considerably cut back threat of coronary heart illness and stroke too.
Intention to be a bit out of breath and strolling briskly to be sure to’re getting the well being advantages.
https://www.thesun.ie/well being/8325236/recurrent-utis-excessive-sweating-dr-zoe-williams/ Recurrent UTIs to extreme sweating