August 13, 2022

For the previous month I’ve had a good ache in my chest and my abdomen has felt unsettled. 

I used to drink three bottles of wine most weeks however I just lately reduce – now I’m having solely the odd glass. 

The ache appears to have coincided with my completely different drink schedule. Might the 2 be associated?

Ingesting greater than the really useful quantities of alcohol over an extended time frame could cause points together with acid reflux disease and abdomen ulcers, which might trigger chest ache. (inventory picture)

Three bottles of wine comprise 30 models of alcohol, greater than twice the protected alcohol restrict for an grownup, which is below 14 models every week. 

If this has been an everyday consumption for a substantial time, it may trigger issues.

One can be irritation of the abdomen and gullet – situations referred to as gastritis and oesophagitis, which might trigger chest and abdomen signs.

This irritation triggers ache, vomiting and, for some, bleeding. 

It additionally causes acid reflux disease and abdomen ulcers and these might be the causes of chest ache and unsettled stomachs.

These signs all develop with ingesting an excessive amount of alcohol over years. 

Do you will have a query for Dr Ellie?

E-mail [email protected] or write to Well being, The Mail on Sunday, 2 Derry Road, London, W8 5TT.

Dr Ellie can solely reply in a normal context and can’t reply to particular person circumstances, or give private replies. In case you have a well being concern, at all times seek the advice of your individual GP.

They could seem as soon as somebody cuts down as a result of they grow to be extra noticeable – ingesting much less could make individuals extra conscious of what’s taking place with their our bodies.

We regularly see this when individuals surrender unhealthy habits, akin to smoking: when you find yourself anticipating to really feel higher, you discover the stuff you have been ignoring earlier than.

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To ascertain whether or not gastritis is the issue, a health care provider might supply an endoscopy to examine the abdomen for irritation or a trial of an stomach-acid-suppressing drug, akin to omeprazole. 

An identical medicine, esomeprazole, is accessible over-the-counter, so whereas ready for an appointment it’s value attempting to see if signs settle.

Chest ache ought to at all times warrant a dialogue with a health care provider, because it’s related to coronary heart illness and might be angina – the kind of chest ache that may precede a coronary heart assault.

Sustained extra alcohol consumption would additionally put some vulnerable to this drawback.

Final yr I had non-public remedy for cataracts in each eyes. 

The process improved my eyesight so I don’t want glasses as a lot, however one thing doesn’t really feel proper. 

It appears as if not sufficient gentle is coming in and I’ve barely blurred imaginative and prescient. 

Do I contact my GP or the non-public hospital?

Cataracts are quite common as we become old and occur when the lens of the attention turns into cloudy. 

Consequently, not sufficient gentle will get via the attention, making imaginative and prescient blurry and misty.

   

Extra from Dr Ellie Cannon for The Mail on Sunday…

Age will increase the chance of cataracts as a result of particles builds up within the lens over time. 

With out remedy, imaginative and prescient will worsen, finally resulting in blindness. 

A scarcity of entry to cataract surgical procedure across the globe is considered accountable for half of the world’s circumstances of blindness.

Cataract surgical procedure is usually very protected and efficient and sometimes dramatically improves sufferers’ high quality of life. 

The cloudy lens of the attention is changed with a transparent synthetic one and restoration takes as much as six weeks.

A small minority of individuals undergo problems after the operation. 

Your GP has seen all of it earlier than 

I’ve just lately been flooded with letters from readers determined for assist in persuading their accomplice to see their GP.

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In virtually all of those circumstances the issue is one thing the individual deems embarrassing – like bother going to the bathroom.

I have to inform you, sufferers who’re too shy or ashamed to see a health care provider for a lot of these points are normally those that find yourself with probably the most depressing outcomes in the long term.

Medical doctors could have seen your issues a whole bunch of occasions earlier than, it doesn’t matter what it could be. And some moments of feeling uncomfortable is a small value to pay for one thing that would save your life.

So persuade your accomplice to a minimum of have a telephone session first. As soon as they see how unfazed the GP is by their drawback, they could really feel higher a couple of face- to-face appointment if wanted.

 

The most typical is additional clouding of the lens that happens over months or years. 

This may be corrected with laser surgical procedure. 

Much less widespread are problems that have an effect on the opposite elements of the attention and dislocating of the brand new lens.

If one thing doesn’t really feel proper after surgical procedure, sufferers ought to return to their surgeon and ask their opinion.

Three weeks in the past I developed a ache in my cheekbone and my left eye turned itchy. 

My physician prescribed aciclovir tablets which had terrible unwanted effects – headache, dizziness and numbness in my cheek, nostril and enamel. 

I’ve been given painkillers, however they’re not serving to. 

Can something make it go away?

This seems like shingles, which is a situation attributable to the herpes virus – the identical one which causes hen pox.

It sometimes impacts a single strand of the nervous system, which is why the signs are at all times one-sided.

Normally, it causes a crimson rash that may blister however not at all times. 

It additionally causes burning ache, so the pores and skin feels sore even with the lightest contact.

This ache can persist for weeks and in as much as 50 per cent of circumstances as much as a yr – we name this post-herpatic neuralgia.

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We provide the identical remedy, even when there isn’t a rash: aciclovir, an antiviral medicine. 

It could be really useful that that is taken for an prolonged interval, if post-herpatic ache is an issue.

Aciclovir does have unwanted effects, like all medicine, and this contains complications. 

However numbness shouldn’t be a identified aspect impact – it’s more likely to be associated to the neuralgia.

Customary painkillers might assist however normally for neuralgia we have to use a selected nerve painkiller akin to amitriptyline or gabapentin

Don’t blame GPs if ovarian most cancers is missed, says DR ELLIE CANNON

I used to be irritated to learn a charity report final week that appeared to counsel GPs are ‘ignoring’ indicators of ovarian most cancers. 

This, together with sufferers being unable to identify signs themselves, was stated to be accountable for 1000’s of pointless deaths yearly due to late analysis. 

However the story isn’t that easy.

It’s true that the telltale indicators of ovarian most cancers – bloating and pains within the decrease tummy – can simply be mistaken for extra widespread, much less critical situations akin to irritable bowel syndrome. 

However that doesn’t imply GPs are ‘ignoring’ the opportunity of ovarian most cancers. 

The reality shouldn’t be all medical doctors can refer sufferers for all of the checks we expect they want due to an absence of assets in sure areas.

In my North London follow, I can simply refer sufferers for gynaecological ultrasound scans however I do know a colleague in one other a part of the nation who can’t except the affected person is excessive danger.

As a substitute of inserting all of the blame with GPs, charities must put strain on well being chiefs to stamp out the postcode lottery inside our NHS. 

Ministers must establish areas with restricted assets and plough more cash and employees into the system.

We all know the indicators of ovarian most cancers all too nicely – but when we are able to’t order a take a look at, early analysis is nearly unattainable.