As winter progresses, the UK grapples with a notable increase in norovirus infections. According to the UK Health Security Agency, cases have surged by 57 percent in just one week, highlighting the seasonal uptick in viral illnesses. Although flu cases have decreased since the holiday season, the rise in norovirus serves as a reminder of the importance of preventive measures during this time of year.
To combat the spread of norovirus, individuals are encouraged to practice good hygiene. Regular handwashing with soap and water is crucial, as alcohol gels do not effectively kill this virus. Additionally, cleaning surfaces with bleach-based products can further reduce transmission risks. Those experiencing symptoms, such as diarrhoea and vomiting, should refrain from returning to work, school, or nursery until at least 48 hours after their last symptom.
In light of these health advisories, readers have been reaching out with personal health queries. One particularly concerning case involved a 75-year-old female who visited the hospital regarding a red patch on her vulva. Following a consultation, she received a letter indicating a possible diagnosis of vulval lichen sclerosus, a chronic skin condition that affects the vulva and can cause thinning and discoloration.
Despite assurances from a junior doctor that everything would be explained, the patient felt left in the dark about her condition. She has since been prescribed topical treatments, including Epimax for gentle cleansing and Dermovate 0.05% for application. It is recommended to use the cream daily for a month, then on alternate days for another month, followed by twice weekly for a month. For clarity on her regimen, she is advised to consult her general practitioner (GP).
The letter also mentioned a necessary punch biopsy to confirm her diagnosis. This minor procedure is performed under local anaesthetic and is standard practice when further clarification is needed. The British Association of Dermatologists offers additional resources online, which can help patients better understand their conditions.
Another reader, a 68-year-old male, has been suffering from shoulder pain that radiates down to his arms. He reports that the discomfort worsens with sudden movements and becomes particularly bothersome while lying in bed. This type of pain is common among older adults, and there are several potential causes.
The most frequent culprit in individuals over 60 is a rotator cuff issue. The rotator cuff comprises a group of muscles and tendons that stabilize the shoulder, and wear and tear over time can lead to inflammation or partial tears. Other possibilities include shoulder impingement or bursitis, conditions that cause pain during movement.
For older adults, polymyalgia rheumatica (PMR) may also be a consideration. This condition often leads to stiffness and pain in the shoulders and upper arms, particularly noticeable in the morning. Blood tests that check for inflammation can assist in confirming the diagnosis, and PMR typically responds well to treatment.
Given the persistence of these symptoms, it is advisable for the male reader to seek assessment from a GP or a physiotherapist. Early intervention can significantly improve daily comfort, and for those with PMR, a blood test can pave the way for effective treatment with steroid tablets.
As the cold season continues, attention to health issues like norovirus and chronic conditions becomes increasingly pertinent. Individuals experiencing health concerns are encouraged to seek professional medical advice, ensuring they receive appropriate guidance and treatment.
