I have been on and off for a while. I had an ECG, but this did not reveal anything abnormal. Do I need treatment?
Dr. Ellie answers: Ergings involve the heart that racing or beating abnormally. Some people may notice a pounding or feel an irregular heartbeat.
Sometimes this is accompanied by breathlessness or the need to cough.
Veals can be activated by the menopause, heavy exercise, a lack of sleep, stress, alcohol, caffeine, nicotine and certain medicines.
Although uncomfortable, heart palpitations caused by one of these factors is not dangerous.
However, palpitations can also be a sign of a potentially worrying heart rhythm condition.
For example, atrial fibrillation causes an unstable heartbeat and is caused by a problem with the electrical system that makes the heart beat.
Atrial fibrillation also often leads to chest pain, difficulty with sports and shortness of breath. There are medicines that can control the speed and rhythm of the heart, such as beta -blockers.
Atrial fibrillation patients may also need surgery to manage the problem. To recognize the cause of heart palpitations, patients are often told to wear a device called an electrocardiogram (ECG), which measures the heart rhythm for five days.
This is because for some patients heart palpitations can only occur occasionally, making them difficult to pick up a quick test.
Patients who continue to have palpitations without clear cause must ask their doctor to find further tests to find the trigger.
It is important to remember that all conversations with a doctor are confidential and cannot be shared with others without the patient’s permission
I am 64 and recently found out that my new partner HPV is positive. I want to be tested, but my doctor is also my neighbor, and I am ashamed of talking to her about my sex life. What should I do?
Dr. Ellie answers: If personal relationships with a general practitioner make it difficult to seek medical advice, registering with another practice can be the most suitable option.
All conversations with a general practitioner are confidential and cannot be shared with others without the patient’s permission.
However, some people feel understandably uncomfortable about discussing sensitive topics with someone they know socially.
In such cases, switching general practices is simple and can be done via the NHS website: nhs.uk/service-search/find-a-gp.
HPV – Human Papillomavirus – is a common viral infection, usually passed through sexual contact.
About eight in ten people will contract it at a certain moment and in most cases it is harmless. In rare cases, however, it can lead to cancer.
It is the primary cause of cervical cancer, which is why NHS -Cervical Screening HPV tests for women aged 25 to 64 years.
Women older than this age are not routinely screened, because evidence suggests that a new HPV infection at this age will probably not continue to cervical cancer. This is because cancer -like changes in the cervix usually take decades to develop.
For those older than 65 who have missed their last cervical screening, an HPV test can still be requested. The most reliable way to open this is through a sexual health care clinic, because not all general practitioners offer the test, while all NHS sexual health services do.
My knees are weak. They are not painful or inflamed, but if I squat down, I can’t get up unless I push my hands off the floor. What can the reason be?
Dr. Ellie answers: Weakness in the legs will probably not be caused by a problem with the knees. Instead, there is a greater chance that it is due to problems in the surrounding muscles. Knee problems, such as arthritis, tend to activate pain in the joint or visible swelling.
In later life, many people develop a condition called Sarcopenia. Here the muscles slowly reduce in size.
The best way to combat sarcopenia is to do strength training exercises. These include lifting weights, the use of practice tires and doing squats and lunges. These exercises have been proven that they build and retain strong muscles.
This is different from cardiovascular exercises, such as running or swimming, which is also good for the body, but does not necessarily disconnect sarcopenia.
The knees are mainly supported by the Quadricep muscles, also known as the quads, which form the front of the thigh.
Everyone who struggles with strength in this area of the body can benefit from a few sessions with a physiotherapist or personal trainer who can teach you some exercises that can help. Every sudden and severe muscle weakness must be investigated by a doctor because it can be a sign of disease, such as a car -immune disease such as thyroid disease or lupus. A general practitioner can perform blood tests to exclude these problems.
Muscle weakness can sometimes also be a side effect of certain medicines such as statins.
It will wait a long time for NHS weight loss jabs
Last week, when it was announced that GPS could start prescribing the weight loss medicine Mounjaro on the NHS, I was not impressed by the way it was handled.
Health Secretary Wes Streeting claimed that it could “end the Obesity epidemic” and the Jabs would be available for “everyone she needs”. This does not reflect the reality.
Only people who are seriously obese and have four serious weight -related health problems can be prescribed weight loss Jabs on the NHS
Currently, only people who are seriously obese and have four severe weight -related health problems can get them on the NHS. The day after the announcement, my practice was flooded with patients who asked for a Mounjaro recipe. None of them qualified.
Although the limitations are relaxed over time, most people who want to poke these will have to wait a long time before they can get them on the NHS.
Have you tried to get a NHS Mounjaro recipe? Were you successful? Please register and let me know.
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