After noticing a few smallish mushy bumps below the pores and skin on my arms and abdomen, I consulted a physician, who gave me an ultrasound scan. I used to be informed they’re referred to as lipoma and weren’t something to fret about.
I’ve additionally learn that consuming a shot of cider vinegar each night time can do away with them. Is that this true?
Look on-line and also you’ll see cider vinegar (usually referred to as apple cider vinegar, which is the American time period) beneficial for the whole lot from arthritis ache to weight loss.
There’s been a good bit of analysis into it over time, and none of those claims stands up.
Apart from tasting disagreeable, vinegar is acidic and might erode the tooth. Simply because one thing is ‘pure’ doesn’t imply there aren’t downsides.
Look on-line and also you’ll see cider vinegar, usually referred to as apple cider vinegar, beneficial for the whole lot from arthritis ache to weight reduction, writes Dr Ellie Cannon (file photograph)
A lipoma is a swelling of fats you can usually see as a soft-feeling lump below the pores and skin.
They’re quite common, innocent, and develop slowly – and might vary in dimension, from not a lot larger than a bean, to very massive.
We don’t know why they occur. Some individuals appear to easily be vulnerable to them, and should have a couple of lipomas on their physique.
An ultrasound scan is reassuring, as this will affirm the lump is a lipoma and nothing sinister. It’s at all times vital to get any lumps checked by your GP, notably if they’re arduous, painful or rising.
Surgical elimination of a lipoma could also be supplied on the NHS in particular circumstances, for instance if there may be ache or it interferes with regular features, however in any other case, they’re thought of a beauty drawback, and so this could not usually be an possibility. Personal clinics provide lipoma elimination.
I’ve by no means heard about cider vinegar eliminating lipomas, and, unsurprisingly can’t discover any scientific proof that may assist it.
My spouse, who’s 75, stopped taking HRT earlier this yr, and he or she’s since suffered terribly with extreme sweating. It’s worst at night time, and he or she usually has to vary her bedclothes, typically twice in an evening. She’s shedding sleep.
The GP appeared unconcerned, however I’m actually nervous. Is that this regular?
Hormone alternative remedy could be a lifeline for girls struggling menopause signs. There is no such thing as a particular period of use or age cut-off for remedy, but it surely’s not often taken ceaselessly.
There are dangers from the remedy – as an illustration, a tiny elevated danger of blood clots and breast most cancers – however these are far outweighed by the instant, usually life-altering issues attributable to menopause, corresponding to melancholy, insomnia and lack of sexual operate.
And this is the reason, no less than within the quick to medium time period, HRT is value contemplating, as it may see sufferers by means of the worst of it.
There are additionally options to HRT that might be able to management the sweating, corresponding to clonidine tablets. Alternatively, it’s doable to be referred to a specialist menopause clinic (file photograph)
Nevertheless, as girls become older and fluctuating hormones stage out naturally, it’s usually a good suggestion to strive tapering the HRT dose, and ultimately stopping.
Usually, HRT is taken for 3 to 5 years, however it may be longer. The explanation the dose is diminished slowly is to strive an keep away from a sudden menopause-like hormonal crash. Extreme sweats could be thought of an excessive response, and warrants additional dialogue with a GP.
Sweating could also be attributable to sure cancers corresponding to lymphoma, or thyroid illness, and within the first occasion blood checks ought to rule these out.
Whether it is hormonal, persevering with with HRT remedy may very well be thought of. There are additionally options to HRT that might be able to management the sweating, corresponding to clonidine tablets.
Alternatively, it’s doable to be referred to a neighborhood specialist menopause clinic at a hospital.
Insomnia can have a major and debilitating affect on life, and these issues ought to by no means be dismissed.
I’ve been taking the antidepressant mirtazapine for 18 months – and my physician felt it was OK to cease taking them. However I had horrible withdrawal signs, and needed to begin them once more. What can I do?
Experiencing withdrawal simply means we’ve got to cut back the dose much more slowly, and it is important that is achieved below steering from a GP, says Dr Ellie Cannon (file photograph)
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Do you have got a query for Dr Ellie Cannon? E-mail DrEllie@mailonsunday.co.uk
Mirtazapine is an antidepressant identified to trigger disagreeable withdrawal results – sometimes anxiousness, nausea, insomnia and dizziness. Because of this we suggest coming off them very slowly, by decreasing the dose extremely slowly over quite a lot of months.
Mirtazapine impacts two of the chemical substances within the mind, serotonin and noradrenaline. And it’s the change in ranges of those when stopping the treatment that may trigger disagreeable signs.
It is very important do not forget that antidepressants can even take a very long time to depart the physique, so withdrawal signs might develop many weeks after decreasing the dose.
In fact, the plain fear is that which means stopping won’t ever be doable, however this isn’t true.
Experiencing withdrawal simply means we’ve got to cut back the dose much more slowly, and it is important that is achieved below steering from a GP.
Change cream to maintain athlete’s foot on run
Most individuals gained’t assume twice about treating athlete’s foot. All it’s a must to do is pop into the native chemist and decide up some cream. However the fungal an infection can in time grow to be proof against over-the-counter medicines.
This occurs when a course of treatment doesn’t fully do away with all of the fungal spores. It means the spores which can be more durable and fewer affected by a particular drug are left, and might develop and ‘reinfect’ the pores and skin. So when the identical remedy is used once more, the an infection doesn’t appear to reply.
Most GPs will now have a look at pictures of pores and skin issues through e mail or textual content message, and in persistent instances, there are athlete’s foot remedies we are able to prescribe
I used to be contacted by a reader with simply this drawback. They stated Lamisil As soon as, often very efficient, wasn’t working any extra. In instances like these, communicate to a pharmacist. Completely different athlete’s foot remedies comprise completely different anti-fungals and it could be value making an attempt one other, if one doesn’t work.
Most GPs will now have a look at pictures of pores and skin issues through e mail or textual content message, and in persistent instances, there are athlete’s foot remedies we are able to prescribe.
It’s additionally value contemplating that you simply may need one other pores and skin drawback, corresponding to dermatitis.
Beware Covid jab allergy
A few of my sufferers can’t have a flu or shingles jab, a lot as they might profit from one, as a result of having the vaccination may trigger a doubtlessly deadly allergic response.
I’m guessing they’ll have felt rather less thrilled than others at the excellent news concerning the forthcoming Covid vaccines.
I do know that the vaccine being developed by Oxford College doesn’t comprise neomycin, so may very well be protected for somebody with an allergy to it, writes Dr Ellie Cannon (file photograph)
This drawback is usually seen in people who find themselves allergic to sure antibiotics, notably neomycin, which is used within the manufacture of vaccinations, leaving traces of it in a jab. Even this tiny quantity is sufficient to set off the allergic response.
Nevertheless, not all vaccines are made with neomycin: as an illustration, the grownup pneumonia vaccination used within the UK. At this stage, it’s unclear who shall be eligible for one of many new Covid vaccines and who shall be allergic to them.
However I do know that the vaccine being developed by Oxford College doesn’t comprise neomycin, so may very well be protected for somebody with an allergy to it.