A&E Under Pressure During Busy Holiday Season
As we approach the holiday season, the pressure on A&E departments in the UK is mounting. The last Friday before Christmas, known as "Black Eye Friday," is often associated with increased incidents of alcohol-related violence. In addition, hospital admissions for viruses like norovirus and flu are on the rise, adding to the strain. NHS GP, Dr. Zoe Williams, is here to answer some of your health questions and provide guidance on how to navigate the healthcare system during this challenging time.
Ease the Burden on Hospitals
With the increased pressure on hospitals, it's important for the public to understand when to seek emergency care. Calling 999 should be reserved for true emergencies, such as signs of a possible heart attack or stroke, severe breathing difficulties, choking, sudden confusion, heavy bleeding or injury, swelling of the lips or throat, a seizure, or a suicide attempt. For less urgent health conditions, it's recommended to use NHS 111 or consult with a pharmacist for minor ailments and over-the-counter medicines. Make sure to check online for pharmacies that are open during the holiday season in your area.
Understanding Chronic Kidney Disease
One reader is concerned about their husband's diagnosis of chronic kidney disease stage 3. Dr. Zoe Williams explains that stage 3 indicates moderate impairment of kidney function and is not a cause for immediate worry. As we age, our kidneys may become less efficient, especially for individuals with high blood pressure, diabetes, or a family history of kidney disease. Only a minority of patients with stage 3 CKD progress to more serious kidney disease. Regular monitoring and lifestyle changes, such as a balanced diet, limiting salt and alcohol intake, quitting smoking, and regular exercise, can help manage the condition and reduce the risk of cardiovascular disease.
Unexplained Lower Back Pain
A 30-year-old man seeks advice for his dull lower back pain, accompanied by sharp, fleeting pain and frequent confusion. Dr. Zoe Williams acknowledges that without a full examination and medical history, it's difficult to provide a diagnosis. However, she emphasizes the importance of further investigation. Ordering an X-ray, considering MRI or scans, and conducting blood tests, including a PSA test to assess prostate health, are recommended. The debilitating nature of the symptoms at the man's age suggests the need for thorough evaluation.
Addressing Painful Sex and Lichen Sclerosus
A reader shares her experience of seeking help for painful sex during the COVID-19 pandemic. After initially receiving unhelpful advice, she was eventually diagnosed with lichen sclerosus, a chronic inflammatory skin condition that affects the genital area. Dr. Zoe Williams explains that lichen sclerosus is not caused by anything the individual has done and is most common in women after menopause. While it can't be cured, it can be controlled with potent steroid ointments. It's important to use the ointment as directed by the GP and to avoid scented products. If symptoms persist or worsen, a referral to a gynecologist may be necessary. The risk of vulval cancer is low but can be further reduced through proper management and vigilance for any skin changes that do not respond to treatment.
If you're experiencing similar issues, don't hesitate to speak with your family and seek support from your GP. Don't let embarrassment prevent you from getting the help you need.
