DR ELLIE CANNON: I’ve been on HRT for 21 years, so why am I still having hot flushes?

DR ELLIE CANNON: I’ve been on HRT for 21 years, so why am I still having hot flushes?

After experiencing menopausal signs at age 49, I used to be placed on HRT patches and remained on them till I used to be 65. I continued to have scorching flashes while sporting them and this has elevated to the purpose that now, aged 70, the slightest effort leaves me sweating and my hair moist. What may very well be the reason for this?

Dr. Eli's replyIt’s fairly potential that sweating could also be attributable to menopause and lack of estrogen.

Nonetheless, the truth that it first appeared while you had been on HRT means that one thing else was occurring.

It's necessary to know that there are now not any arbitrary limits on how lengthy somebody can use HRT.

If HRT controls the sweating and redness attributable to the menopause, it may be continued afterwards on the lowest potential dose, often as a patch.

Facial redness and sweating may be related to a skin condition called rosacea

Facial redness and sweating may be related to a skin condition called rosacea

Facial redness and sweating could also be associated to a pores and skin situation referred to as rosacea

For somebody who doesn’t wish to use hormones however has issues with heavy bleeding, another hormone-free remedy can be utilized.

Clonidine is a drugs for hypertension, however is licensed to be used within the menopause. It's value discussing along with your GP whether or not or not it would assist and whether or not or not it's protected.

Nonetheless, facial redness and sweating could also be associated to a pores and skin situation referred to as rosacea. That is frequent in post-menopausal ladies, and causes flushing and redness within the face.

That is accompanied by an intense feeling of warmth. There are topical drugs obtainable on prescription, corresponding to brimonidine cream or metronidazole gel, which might soothe any rosacea or redness and, in flip, scale back sweating. It's value asking your GP for a prescription to attempt one among these.

There may additionally be no underlying trigger for facial sweating and that is referred to as major hyperhidrosis.

There are particular remedies obtainable to cut back sweating – corresponding to Botox – and this can be an possibility when you see a dermatologist.

My eyes are sticky and swollen each morning. I'm 77 years outdated and take ibuprofen and co-codamol for arthritis. Might my issues be a side-effect of this therapy?

Dr. Allie's reply: This could not be a standard aspect impact for ibuprofen or co-codamol. Sticky moist eyes are often a situation referred to as blepharitis. It may be uncomfortable and aggravating.

The eyelids are often stuffed with secretions and that is worse within the morning. They might additionally look swollen and really feel tough. You might discover sacs of fluid because the small glands on the eyelids can turn into blocked.

The therapy of blepharitis is a every day routine referred to as eyelid hygiene, which opens up any clogged glands. First, heat the pores and skin of the eyelids in order that the fluid drains out. You are able to do this with a flannel soaked in highly regarded water for ten minutes, or you should buy a warmth bag on-line.

Second, therapeutic massage the eyelids to attract out the fluid from the glands. Lastly, clear the eyelids. You will get blepharitis cleaning fluids or wipes on the excessive avenue. A safer various is diluted child shampoo.

Common sticky eyes will also be attributable to allergic conjunctivitis, maybe associated to hay fever or an an infection. If that is so, the eyelid hygiene methodology won’t assist and recommendation from a pharmacist might be wanted.

What helps you progress ahead – or do you want a push?

The NHS recommends 150 minutes of activity per week

The NHS recommends 150 minutes of exercise per week

When I attempt to discuss to sufferers about train, it usually doesn't work. Sick individuals desire a remedy, in order that they don't like to listen to that one of the best ways to take care of hypertension or kind 2 diabetes, for instance, is to turn into extra lively. However it's true.

Final week the World Well being Organisation warned that 13 million Britons are liable to these ailments, in addition to most cancers and dementia, due to inactivity.

The NHS recommends 150 minutes of exercise every week – brisk strolling, biking, jogging, swimming, you identify it. I admit, I battle to suit this in with a full-time job and household.

I’d like to know in case you handle it? What do you do and when? And what about your loved ones – do they pressure you to maneuver home or vice versa? Please write to me on the e mail handle under and let me know.

I’m 90 years outdated and have had a patchy, contaminated rash on my chest for a number of months. Blood exams confirmed I had low sodium and I used to be placed on tablets for 3 months, however they didn’t assist. Steroid lotions didn’t assist both. What ought to I do?

Dr. Allie's reply: Rashes could be troublesome to diagnose and should require a couple of trials of therapy or a go to to the GP to get a definitive reply. Even then, a miracle remedy isn't at all times potential.

Low sodium doesn't trigger these kind of rashes, however no matter causes low sodium can.

For instance, we all know that some medicines corresponding to antidepressants and blood strain tablets can each worsen and trigger drug-induced rashes. Your GP or pharmacist will be capable to perform a drugs evaluate.

Steroid ointments are generally used for pores and skin issues and work if there’s irritation, corresponding to eczema or different kinds of dermatitis. If it doesn't work, there are two potentialities. First, a robust sufficient steroid might not have been used. Secondly, if the issue is attributable to an an infection, steroids might not work in any respect.

Pores and skin infections are usually not unusual, and the reason for a blotchy rash is folliculitis. This causes small pimples and pink spots to type and could be attributable to a bacterial or yeast an infection.

An individual with dandruff is extra prone to have the yeast kind of folliculitis. A GP can take a swab from one space to verify which germ is current. Anti-fungal shampoo is used as a physique wash for yeast folliculitis.

For micro organism this may be an antibiotic and would require a prescription.

A low-risk possibility is to make use of an over-the-counter anti-fungal ketoconazole shampoo as a physique wash.

If the ready interval for an appointment with a dermatologist is simply too lengthy, you’ll be able to ask about teledermatology, the place the images are despatched to the dermatologist.

The burden of failed vacation operations

Write to Dr. Allie

Do you’ve got a query for Dr Ellie Cannon? Electronic mail [email protected]. Dr Cannon can not enter into private correspondence and her solutions ought to be taken typically phrases.

The British Medical Affiliation warned final week that medical tourism – enormous numbers of individuals travelling to Turkey and different locations for affordable beauty surgical procedure – was placing enormous strain on the NHS.

Like virtually each different physician, I’ve seen this occur myself very often. Somebody goes overseas for a haircut or a hair transplant, and after they return house every part begins to get confused.

Nobody thinks it would occur to them, however issues are frequent, particularly in case you're boarding a aircraft instantly and the care directions are in one other language.

Six British individuals died after operations in Turkey final 12 months and plenty of others had been hospitalised within the NHS with infections or different issues. Nonetheless, operations that go awry or have unpleasant-looking outcomes won’t be mounted.

I’m curious to know in case you are a medical vacationer who’s proud of the outcomes – or did you’ve got a foul expertise?

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