I awoke one morning every week in the past with one shiny purple eye. It isn’t sore however appears to be like fairly startling. Just a few days beforehand, I would had a migraine. Are the 2 issues linked, or may it’s that I’m looking at screens an excessive amount of?

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Most individuals will get barely bloodshot eyes occasionally, significantly if they have been looking at screens all day or had little or no sleep. In these circumstances, often each eyes are affected.

This occurs when the eyes get irritated, actually because their muscle groups are strained from being in a single place for too lengthy which causes the small blood vessels on the floor of the attention to swell.

Headaches can be triggered by staring at screens for too long, as the muscles around the eyes can also become fatigued, writes DR ELLIE CANNON

Complications will be triggered by looking at screens for too lengthy, because the muscle groups across the eyes may grow to be fatigued, writes DR ELLIE CANNON

You do not have to protect in case your bronchial asthma is delicate 

Heaps of my bronchial asthma sufferers are asking me: ‘Ought to I be shielding?’ The reply is: not essentially.

Over the previous few weeks, the Authorities has despatched out notifications, through letters and textual content messages, to sufferers with bronchial asthma, advising them to protect. 

People with mild asthma – most patients – have the same Covid risk as a person their age without the condition

Individuals with delicate bronchial asthma – most sufferers – have the identical Covid threat as an individual their age with out the situation

This adopted analysis by Oxford College that confirmed an additional 1.7 million Britons are prone to extreme Covid-19 – on high of these already identified to be weak who had been suggested to protect again in December.

This was accomplished, partially, to bump them up the precedence checklist for a Covid vaccine. 

However, confusingly, not all bronchial asthma sufferers are thought of excessive threat, which implies some may have been instructed to protect, whereas one other particular person they know with the situation won’t have been.

Nevertheless, it’s solely bronchial asthma sufferers who usually depend on steroid tablets or have had an assault severe sufficient to land them in hospital prior to now 12 months who must protect.

Individuals with delicate bronchial asthma – most sufferers – have the identical Covid threat as an individual their age with out the situation. 

However when one eye is shiny crimson – and appears dramatic – it usually means a small blood vessel has burst inside the attention.

Sufferers may consult with this as a bloodshot eye, however medical doctors would name it a subconjunctival haemorrhage. Usually it occurs for no obvious motive, however could also be associated to coughing or hypertension. It would look painful, however it’s truly not.

It would not often trigger a change in imaginative and prescient both, and goes away with out remedy. After a couple of days the purple color often fades, turning pink earlier than finally vanishing.

If it would not, otherwise you really feel unwell, it is price making an appointment together with your GP.

One purple eye is perhaps attributable to an an infection or inflammatory situation, equivalent to conjunctivitis or blepharitis. 

However if that is so, the purple color is often not so dramatic and can in all probability be accompanied by sizzling, typically painful swelling across the eye, and presumably a discharge – which could make it onerous to open them while you get up.

And if the swelling and discomfort worsen over a day or so, search medical assist. Eye infections which can be worsening are thought of a medical emergency as they’ll harm the attention itself.

In uncommon circumstances a really purple eye is a symptom of one thing severe, together with sight-threatening circumstances equivalent to glaucoma or an ulcer on the cornea.

It is not uncommon for sufferers to hyperlink signs equivalent to migraines and complications to bloodshot eyes, however it’s prone to be only a coincidence.

Complications will be triggered by looking at screens for too lengthy, because the muscle groups across the eyes may grow to be fatigued.

For those who suppose eye pressure is perhaps an issue, a check-up on the optician can present an answer – it could be that studying glasses are required otherwise you want a brand new prescription. 

Severe eye circumstances develop slowly over a few years, so common eye exams are key for recognizing them early.

After struggling ache once I handed water, I used to be recognized with an enlarged prostate. I used to be given an examination, and a PSA take a look at, which apparently confirmed my ranges had been regular, and instructed it was nothing to fret about. The issue is, I am nonetheless having bother going to the john. Now I am apprehensive. May it’s most cancers?

If a physician suspects prostate most cancers they may typically perform a blood take a look at for PSA – prostate-specific antigen, a protein launched by most cancers cells.

Night sweats should never be ignored, especially if they persist for three or four weeks, writes DR ELLIE CANNON

Night time sweats ought to by no means be ignored, particularly in the event that they persist for 3 or 4 weeks, writes DR ELLIE CANNON

‘Frail’ does not imply you are frail! 

Some of you’ve written to me after noticing you’ve been given a private ‘frailty score’ which pops up when logging into your GP’s web site to guide an appointment.

This can be a rating based mostly on components regarding medical historical past. However many individuals are outraged to find they’re labelled ‘reasonably frail’ – regardless of having the ability to run spherical after grandchildren and by no means struggling a fall of their life.

You may need simply observed it, however in truth GPs have relied on frailty scores for years. It’s a essential measure, flagging up sufferers who is perhaps at a better threat sooner or later, equivalent to needing remedy in hospital or enter from social care, and guides the medicines we prescribe. It isn’t meant to offend, however I see the way it may.

Write to me and inform me what you consider this.

The issue is that PSA can also be launched by wholesome cells. Excessive ranges will be present in males with an infected or enlarged prostate and even urinary infections. 

And, in about 15 per cent of males with prostate most cancers, PSA ranges are regular. This is the reason it’s all the time used at the side of checks for different signs equivalent to issues with the urinary tract and erectile dysfunction.

Different components equivalent to household historical past and ethnicity are additionally taken into consideration – black males have double the chance of prostate most cancers in contrast with different ethnic teams.

A standard PSA is between zero and 4 however, if it is above three, GPs ought to refer sufferers in high-risk age teams – 50s and 60s – to a urologist. They may do a collection of scans and a prostate biopsy – a process the place samples of the prostate are taken with a wonderful needle through the again passage or perineum.

Though most sufferers will likely be completely happy to belief the conclusion of their GP or specialist, a small quantity will wish to search a second opinion. Docs will likely be completely happy to assist their sufferers do that by providing an appointment with one other GP or specialist. Do not be afraid to ask – we cannot be offended.

I preserve waking within the evening in a sweat. I am in my 50s. Ought to I be apprehensive?

Night time sweats ought to by no means be ignored, particularly in the event that they persist for 3 or 4 weeks.

Feeling sweaty at evening could be very regular whereas affected by an an infection, equivalent to Covid or flu, however with out an underlying an infection it warrants a GP appointment.

WRITE TO DR ELLIE

Do you’ve a query for Dr Ellie Cannon? 

E mail DrEllie@mailonsunday.co.uk

Night time sweats are a typical symptom of the menopause or perimenopause, so could also be typical for a lady in her 50s. 

They could occur regardless of having no different menopausal signs. Though, sometimes, girls expertise sizzling flushes in the course of the day.

The rationale why it is so necessary to hunt assist for evening sweats is that there are a couple of severe circumstances that might be inflicting them. 

Though unusual, one is Hodgkin’s illness – most cancers of the lymph nodes within the armpit, neck and groin, which might additionally trigger weight reduction. Different causes of evening sweats would come with thyroid illness and even tuberculosis.

Night time sweats will also be a aspect impact of remedy, together with sure painkillers, steroids and antidepressants, and ingesting an excessive amount of alcohol.

It will also be a bodily function of tension, with or with out different signs equivalent to nausea, coronary heart racing or dizziness.



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