Are you able to suggest any pure sleep cures? I maintain waking in the midst of the night time and can’t get again to sleep for a minimum of two hours. I’m a wholesome, match 52-year-old man.
The unlucky fact about sleep issues is that there’s usually no straightforward repair. It may take time and endurance to reach at a long-term answer that works.
If a affected person is waking up in the midst of the night time, docs will first contemplate apparent elements that disrupt sleep. This consists of an excessive amount of caffeine within the daytime, needing to go to the bathroom at night time, and exercising within the night. Bodily exercise can support sleep, however it may be over-stimulating should you do it simply earlier than mattress.
Sleep atmosphere can also be actually essential. Docs name this sleep hygiene – though it has nothing to do with cleanliness. It is about contemplating elements comparable to how darkish the bed room is, if it is a snug temperature and whether it is sufficiently quiet.
Most individuals do not realise we are inclined to sleep higher in a barely cooler room. A watch masks and ear plugs can even assist, or have a soothing tub earlier than mattress.
Ensure you’re not watching screens (telephones or televisions) simply earlier than you wish to drift off, as this may be stimulating.
‘I maintain waking in the midst of the night time and can’t get again to sleep for a minimum of two hours’ (image posed by mannequin)
Nervousness and stress are additionally widespread causes of insomnia. If that is so, sleep troubles are unlikely to resolve until the underlying downside is sorted.
There’s a particular kind of psychological remedy really helpful for sleep issues. It is known as CBT-I and goals to cut back anxiousness about not having the ability to go to sleep, which makes the issue worse.
A therapist will even assist sufferers to determine the ideas, emotions, and behaviours which are contributing to insomnia and handle them. Such recommendation must be out there through native psychological NHS providers, known as IAPT.
As for pure cures, it may be value making an attempt an over-the-counter drugs – comparable to valerian – or an antihistamine. These should not usually really helpful for sleep issues however some individuals discover them useful. Therapeutic massage and rest therapies can even assist.
Are you able to assist with a really embarrassing downside? I’m a match and lively 76-year-old lady with no well being issues. However lately, I’ve observed an disagreeable scent after I empty my bladder. There is not any ache. I am afraid to go to the bathroom in a public place.
‘I’m a match and lively 76-year-old lady with no well being issues. However lately, I’ve observed an disagreeable scent after I empty my bladder’ (image posed by mannequin)
A scent after passing water is normally a telltale signal of a urinary tract an infection.
Nonetheless, these usually trigger different signs, together with ache and needing to empty the bladder fairly often.
The only solution to discover out whether it is an an infection is to ask the GP surgical procedure for a urine take a look at.
Extra from Dr Ellie Cannon for The Mail on Sunday…
This might contain two assessments. First, a dipstick take a look at, achieved within the surgical procedure, which seems to be for blood cells and adjustments within the urine that counsel micro organism is current.
Then, a secondary take a look at during which the pattern is shipped to the laboratory to look particularly for micro organism.
Older girls can have asymptomatic bacteriuria: numerous micro organism begin to develop within the urinary tract however don’t trigger an an infection. This is able to be confirmed with the second take a look at.
Adjustments to the scent of urine may additionally come from vaginal discharge. That is extra prone to occur after the menopause, attributable to adjustments to the vulval tissues.
Sure medicines, comparable to vitamin dietary supplements or penicillin, can even alter the scent of urine – ask your pharmacist about this.
Being dehydrated generally is a issue, as can consuming sure meals together with asparagus.
It’s value consuming extra water and seeing whether or not that solves the problem.
I had Covid lately and ever since, I’ve had excruciating ache in my backside and higher thighs. The ache and spasms have gotten higher, however I nonetheless must take painkillers each day to manage. Is there something that may pace up my restoration? I’m 77.
Viruses are well-known to set off a spread of issues, together with those who have an effect on the muscle tissue. This feels like reactive myositis – irritation within the muscle tissue that develops after an an infection comparable to Covid.
Typical signs embrace weak, painful muscle tissue that really feel tender. The thigh muscle tissue are sometimes affected, as are the shoulders or the hips.
Muscle aches and pains are one of many extra generally recognised signs of lengthy Covid.
Do you might have a query for Dr Ellie?
Electronic 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 basic context and can’t reply to particular person circumstances, or give private replies. If in case you have a well being concern, all the time seek the advice of your personal GP.
Consultants suggest actions like stretching and yoga to enhance flexibility, in addition to power work to construct up the muscle.
Pacing your self is a vital a part of restoration. Start at a low stage of exercise, earlier than increase step by step.
Myositis occurs on account of the immune system’s effort to battle the virus because the physique’s fighter cells set off irritation inside the muscle tissue.
It may additionally develop as a persistent autoimmune situation. It may very well be a coincidence that it occurred similtaneously Covid, or the virus might have triggered it.
If the signs have continued for months, it might be value asking your GP for blood assessments to substantiate the analysis and search for muscle injury.
Steroid tablets are sometimes used for the persistent kind of myositis, to cut back irritation inside the physique.
Are you one of many rising military of booster refuseniks?
Have you ever had your newest Covid booster but? Everybody aged over 65 has been eligible for an additional dose since early September to guard them from the inevitable winter wave.
Healthcare employees, pregnant girls and people who find themselves very susceptible to Covid can even have one. However apparently lots of people on this group are but to have theirs.
I’ve heard from some say they do not need one other jab, having had 4 or 5 by now, and others have not even been invited.
Have you ever had your newest Covid booster but?
It would not bode effectively, provided that we have now the remainder of the over-50s to get by, who shall be known as up within the coming weeks.
The additional enhance of safety is essential, with a double whammy of Covid and flu anticipated to flooring the NHS this winter. I am formally boosted – and all it value me was a barely sore arm for a few days.
I wish to know should you’ve had your booster but. And if not, why not? Write and inform me.
Low-cost medication miss the goal
Are you acquainted with the drug Humira? Or adalimumab, to make use of its generic identify.
It is some of the generally prescribed medicines and is used to deal with circumstances involving the immune system, comparable to rheumatoid arthritis and bowel illness.
However Humira is branded, making it eye-wateringly costly, so since 2018 the well being service has been providing sufferers generic, cheaper variations of the medication, known as biosimilars.
However I’ve heard that some sufferers have been discovering that the cheaper variations are much less efficient. One pal, a person in his 50s who has extreme arthritis, has been advised that he cannot change again to Humira as a result of it is too expensive, which has left him in horrible ache.
I wish to know the way you have bought on with the change. Please write and inform me.