I’m because of have an MRI scan however I get very claustrophobic, a lot in order that I walked out of the final one. Would you suggest a gentle sedative to assist me cope?
Earlier than docs prescribe a drugs, they weigh up the dangers and advantages to the affected person. The identical applies to investigations resembling scans and checks.
If a affected person is reluctant to have a selected scan, docs ought to first ask: do they actually need it, and wouldn’t it make any distinction to their course of remedy? Different forms of scan might do the job simply as properly.
An MRI, which makes use of radio waves to take detailed photos of the organs and is commonly used to diagnose breast and prostate cancers, includes a affected person mendacity inside a tube for at the least quarter-hour however typically longer. Though MRI scans are painless and protected, they’re very noisy and claustrophobic. Because of this, folks typically choose out.
An MRI, which makes use of radio waves to take detailed photos of the organs and is commonly used to diagnose breast and prostate cancers, includes a affected person mendacity inside a tube for at the least quarter-hour however typically longer (file picture)
For individuals who are claustrophobic, if the MRI is deemed important a health care provider might supply a sedative. Often it is a drug referred to as lorazepam. It may well additionally assist with preserving the physique nonetheless – important for good MRI photos.
However docs typically want sufferers to be responsive whereas having the scan – asking them to maneuver sure physique elements, for instance. This is the reason robust sedation isn’t actually doable.
A sedative could be prescribed on a person foundation by a GP or guide. It could depend upon the affected person’s medical historical past and every other medicines they is likely to be taking. And it’s value noting that those that take sedatives shouldn’t drive after the scan.
I’m 64 and for the previous yr, haven’t been capable of swallow meals correctly. It’s as if there’s something caught in my throat. Inner scans discovered no apparent trigger. What can it’s?
A number of folks undergo durations the place they discover it tough to swallow food and drinks. It’s an issue docs consult with as dysphagia. It impacts folks in numerous methods: some discover it makes them cough or choke, whereas others have a sense of their meals coming again as much as their throat, and even into their nostril. Nevertheless it presents, dysphagia ought to all the time be mentioned with a health care provider.
Docs would possibly attempt a lot of checks to search for the underlying trigger. An endoscopy, the place a skinny digital camera is handed down the throat and into the meals pipe, might help to identify issues within the oesophagus and abdomen.
A number of folks undergo durations the place they discover it tough to swallow food and drinks. It’s an issue docs consult with as dysphagia, writes Dr Ellie Cannon (file picture)
Extra from Dr Ellie Cannon for The Mail on Sunday…
This is a vital first port of name to rule out throat and oesophageal most cancers. One other check can inform docs what occurs contained in the physique while you swallow various kinds of meals. That is referred to as videofluoroscopy. Related swallowing checks will also be completed with a speech and language therapist.
One check is commonly not sufficient to establish the issue – typically sufferers want a mix of many. A standard reason for dysphagia is irritation within the lining of the meals pipe, and circumstances resembling acid reflux disorder or oesophagitis. Because the act of swallowing is managed by nerves, a neurological illness stands out as the root trigger. This would come with Parkinson’s, a number of sclerosis and maybe the issues of a stroke.
A situation referred to as pharyngeal pouch, the place a bulge develops within the meals pipe, affecting the power to swallow, is likely to be guilty, however that is seen solely in older folks. Docs may additionally think about an issue with the muscle groups, resembling a situation referred to as achalasia, which stops muscle groups having the ability to successfully push meals into the abdomen.
Typically, acid reflux disorder illness would be the wrongdoer, though it received’t essentially present up on scans. A variety of efficient therapies for this can be found through prescription and over-the-counter, resembling medicine that restrict the quantity of acid within the abdomen, referred to as proton pump inhibitors (PPIs). Generally, if there’s no apparent trigger, docs might prescribe a course of PPIs to see if that helps.
I’ve an embarrassing downside with dryness in my groin – however I’m solely in my early 40s and never but menopausal. May this be early menopause? I’ve no different signs. It’s making intimacy with my companion agonising.
This can be very widespread for ladies to expertise vaginal dryness during their life. However girls all too typically endure needlessly as a result of the issue might be simply resolved.
Menopause is one reason for dryness. Usually, it begins between the ages of 47 and 53, however some peri-menopausal modifications might happen earlier.
If a health care provider suspects early menopause, they might supply a blood check to examine a girl’s degree of a intercourse hormone referred to as FSH which rises as reproductive cycles start to tail off.
Write to Dr Ellie
Do you will have a query for Dr Ellie Cannon? Electronic mail DrEllie@mailonsunday.co.uk
The feminine hormone oestrogen is answerable for sustaining the lubrication of the vaginal and vulval space. However throughout the menopause, oestrogen drops dramatically, inflicting the dryness. Some girls discover the identical occurs after they breastfeed, as post-pregnancy fluctuations in hormones trigger oestrogen to drop too.
One of these dryness responds properly to oestrogen lotions and vaginal moisturisers, each of which might be prescribed by a GP.
Vaginal dryness also can occur as a aspect impact of medicines resembling contraceptives and most cancers therapies. Perfumed soaps or physique washes are one other widespread wrongdoer.
The yeast an infection thrush could cause irritation, soreness and stinging throughout intercourse. It is extremely easy to deal with utilizing over-the-counter merchandise.
It’s value making an attempt a lubricant or vaginal moisturiser to ease ache throughout intercourse. I like to recommend a model referred to as Sylk, out there at most high-street pharmacies.
As for laundry, follow plain water or a cleaning soap substitute referred to as aqueous cream.
If there’s no apparent reason for the dryness, and over-the-counter therapies aren’t working, it’s best to see your GP.
Dementia worries? There’s assist
Official NHS knowledge launched final week confirmed that fifty,000 sufferers haven’t been identified and are struggling on with out assist (file picture)
I had a hunch that Covid-19 restrictions had precipitated hundreds of dementia circumstances to go unnoticed – and now there’s proof. Official NHS knowledge launched final week confirmed that fifty,000 sufferers haven’t been identified and are struggling on with out assist.
In June I replied to a reader’s request for recommendation on what to do about his spouse, who he suspected had developed the illness. Since then the letters have saved coming, with many telling me that native reminiscence clinics – which I discussed – are nonetheless closed because of Covid restrictions.
In these conditions I extremely suggest contacting the charity Dementia UK, one of many few to supply face-to-face appointments with specialist skilled nurses – they’ve been doing so all through the pandemic. The charity provides assist for all the pieces from prognosis to monetary issues.
Go to dementiauk.org or name 0800 888 6678.
Good riddance to this pointless Covid theatre
We’ve recognized because the very starting that the machines, which monitor pores and skin temperature, inform us principally nothing about somebody’s Covid standing, writes Dr Ellie
One of many highlights of my week was strolling in to my native hospital to see that it has axed my most-loathed anti-Covid measure: temperature checks.
They’re what I name ‘Covid theatre’: measures that seem protecting, however are literally pointless.
We’ve recognized because the very starting that the machines, which monitor pores and skin temperature, inform us principally nothing about somebody’s Covid standing. But companies throughout the nation proceed to put in them, falsely believing that placing in a temperature monitor makes their premises ‘Covid-secure’.
Final week, the UK’s medicines regulatory physique, the MHRA, issued one more warning that temperature-checkers can’t be used to detect an individual with the virus. Many available on the market, it mentioned, aren’t even able to taking an correct studying.
Enterprise house owners: cease losing your cash on farcical temperature checks and as an alternative set up correct air flow techniques, which blow away stagnant viral particles within the air.