I’m awaiting an operation to deal with an enlarged prostate, after varied tablets didn’t work. My advisor has instructed me there are a couple of varieties of procedures they can’t provide me – similar to much less invasive ones. Should I search a second opinion?
Prostate issues are quite common in older males. And one which we see fairly often is an enlarged prostate, which occurs when the gland will get too massive and pushes on the bladder.
This causes a spread of distressing signs, similar to going to the bathroom usually at evening and feeling you haven’t emptied your bladder correctly.
Often, males discover their signs resolve simply with medicine. But if not, surgical procedure is obtainable.
When it involves operations, the NHS has a couple of choices. The one sufferers get will rely on elements like different well being issues and the specifics of their prostate issues.
Prostate issues are quite common in older males. And one which we see fairly often is an enlarged prostate, which occurs when the gland will get too massive and pushes on the bladder (inventory picture)
One generally carried out operation is transurethral incision of the prostate, or TUIP.
Here, there is no such thing as a open surgical procedure concerned as docs entry the affected space through the penis. It means a shorter hospital keep for sufferers and fewer uncomfortable side effects.
Another sort of process is known as a TURP, wherein a part of the prostate is eliminated. Also carried out by the penis, it’s extra invasive than TUIP, so sufferers want to remain in hospital for longer. It may trigger issues with sexual perform.
There are a number of newer strategies for prostate enlargement too. But not each urology centre presents them.
Prostate surgical procedure could be very a lot a present space of innovation within the NHS. One instance is a process whereby the prostate is lower away utilizing a laser, whereas one other sort of operation makes use of a vapourising methodology. There can be a ‘elevate’, the place an implant is inserted to separate the prostate from the bladder. Patients don’t usually want to remain in hospital for this.
These strategies have been developed to cut back uncomfortable side effects and enhance males’s high quality of life.
My fingertips have began to really feel sore and the pores and skin instantly appears thicker – and never simply after being in water or within the chilly. Should I be involved? I’m 60.
All pores and skin circumstances are horrid, however the ones that have an effect on the fingers might be particularly inconvenient.
The drawback is difficult to deal with as a result of smearing fingers in cream makes each day duties unattainable.
More from Dr Ellie Cannon for The Mail on Sunday…
Eczema could properly have an effect on the fingertips, inflicting dryness, peeling pores and skin and ache. It might be handled by avoiding cleaning soap and utilizing thick emollient lotions which can be obtainable on prescription or from the pharmacist. We usually advise sufferers to make use of a cream cleaning soap to clean with and use a remedy cream like hydrocortisone earlier than mattress, so it doesn’t get wiped off.
Sore fingertips may also be an indication of a standard blood-circulation drawback known as Raynaud’s. The fingertips can look wrinkly and alter color – going white and even purple – and really feel sore or numb.
The signs are triggered by modifications in temperature, similar to very chilly climate, in addition to stress and caffeine.
There are extra uncommon ailments which will have an effect on the best way the fingertips look. These embody connective tissue or rheumatological circumstances like lupus or systemic sclerosis.
These ailments have an effect on a number of elements of the physique, together with the connective tissues throughout the pores and skin – inflicting tightness and ache. The pores and skin can harden and develop into thick, which could make joints within the finger really feel stiff and painful.
Can you assist my 75-year-old mom? My father lately died and she or he has misplaced an enormous quantity of weight – she is pores and skin and bones and instantly very frail. I’ve tried to fill her fridge with candy treats, however she isn’t consuming them and is getting thinner and thinner. Is there a fast manner to assist her acquire weight?
It is just not unusual for folks to lose numerous weight after a bereavement. Grief and disappointment are elements, however there are additionally the sensible issues similar to not purchasing and cooking for an additional particular person.
It’s price noting that dramatic weight reduction may also be a symptom of significant sickness that could possibly be happening on the similar time. Cancer is one – and will at all times be thought of in a aged particular person shedding weight. A GP would run pressing exams and even perhaps hospital investigations to make sure nothing is missed.
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If you’ve a well being concern, at all times seek the advice of your individual GP.
High-calorie meals are greatest for somebody with a small urge for food so the particular person doesn’t must eat huge portions. So, as an example, go for nuts, dried fruit, peanut butter, oily fish, avocado and milky drinks.
Adding cream, floor nuts and oils to meals will help too.
There are additionally particular medical milky drinks you possibly can attempt that pack 300 energy right into a 200ml bottle. Some sufferers discover it helpful so as to add them to their regular food plan.
Large meals might be uncomfortable, inflicting folks to get full in a short time. Smaller meals and common snacks could also be simpler.
Having meals ready within the fridge and an easy-to-use microwave may assist.
Being frail and consuming little places aged folks susceptible to vital well being points similar to osteoporosis and infections. A GP as could advise taking Vitamin D and calcium to assist stop a few of these issues.
Menopause examine at 45? Not for everybody
Should all ladies have a menopause examine at their GP clinic once they flip 45?
That’s the suggestion made by the All Party Parliamentary Group on Menopause, chaired by Labour MP Carolyn Harris, pictured left with movie star menopause campaigners Mariella Frostrup and Penny Lancaster. She says such a scheme would enhance entry to hormone substitute remedy (HRT).
You may suppose it’s a plan no girl might presumably disagree with. Well, I do.
Should all ladies have a menopause examine at their GP clinic once they flip 45? That’s the suggestion made by the All Party Parliamentary Group on Menopause, chaired by Labour MP Carolyn Harris, pictured with movie star menopause campaigners Mariella Frostrup and Penny Lancaster
The factor is, most girls undergo no in poor health results throughout the menopause and don’t have any want for HRT. Telling ladies the menopause is so disastrous they’ll want a check-up units them as much as fail. Not to say that with the NHS in its present state, I’m fairly certain assets could be much better spent on different, chronically underfunded areas of ladies’s well being.
The key’s to deal with every girl as a person. A one-size-fits-all strategy doesn’t work for anybody – particularly the affected person.
Strokes can strike at any age
How previous do you suppose it’s important to be to undergo a stroke?
Last week I used to be reminded of how essential it’s that folks of all ages are conscious of the indicators when one is occurring.
I had been invited on to the ITV present This Morning together with Coronation Street actor Chris Fountain to debate the mini-stroke he had earlier this 12 months, aged simply 35. Such a life-threatening occasion could be very uncommon in under-40s, however he immediately recognised the signs – he was struggling to talk – and known as for an ambulance. This speedy response set him up for the very best restoration. Most of us keep in mind these haunting TV adverts flagging up the primary indicators of stroke. They may appear excessive, however they lodge essential messages in public consciousness which, in the future, may save your life, or another person’s.
I had been invited on to the ITV present This Morning together with Coronation Street actor Chris Fountain (above) to debate the mini-stroke he had earlier this 12 months, aged simply 35