Health and Fitness

DR ELLIE CANNON: Is this agony in my knee really all because of a cyst? 

I’ve been limping for the previous few weeks attributable to excessive ache in my left knee. I went to A&E and the physician wasn’t positive however identified a Baker’s cyst, despite the fact that there wasn’t any swelling. Is that this the precise prognosis?

It is extremely frequent for ache and swelling within the knee to be brought on by a Baker’s cyst. The small progress normally develops as the results of an damage, or is said to arthritis. Sufferers usually say their knee feels tight or uncomfortable after strolling or different train. If the cyst bursts, you’ll in all probability really feel sudden ache and listen to a ‘pop’. The knee might also seem very crimson, swollen and really feel scorching.

However there are different, extra critical diagnoses that may be mistaken for a Baker’s cyst – akin to blood clots – so it’s important docs rule these items out. GPs can refer sufferers for ultrasound scans which ought to assist clear up the issue.

At present’s reader has an issue with their knee and wonders whether or not their ache may very well be right down to a cyst 

Different, much less critical issues can mimic a Baker’s cyst too. If sufferers really feel a sudden bout of ache after fast actions, akin to whereas taking part in sport, it may very well be what we name tennis leg. It is a tear within the calf after a giant or impactful step.

An ultrasound may assist to diagnose this. Different doable issues could also be tears or sprains within the knee itself.

The knee is a really complicated joint with ligaments, tendons and shock absorbers referred to as menisci. Sudden impactful actions on an already sore knee might trigger injury to any of those parts.

Most of those circumstances are handled with ‘conservative administration’ – resting, ice packs and painkillers.

An intensive evaluation with a physiotherapist might also assist.

In some areas you may e book an appointment with a physio with out a referral out of your GP. It’s price calling your surgical procedure to see if that is doable.

I’ve not too long ago been informed I’ve a bowel drawback referred to as proctitis. I’ve learn many articles about Crohn’s and IBS, however by no means about this. Are there any new therapies that may be given?

Proctitis is actually much less frequent than the opposite circumstances you point out. The issue, which causes the tissue to be infected, is distinct from the others as a result of it impacts solely the rectum, the bottom a part of the bowel.


Extra from Dr Ellie Cannon for The Mail on Sunday…

Sufferers realise they’ve an issue once they really feel a relentless must go to the toilet, see blood and undergo extreme ache.

Some have diarrhoea and have a relentless feeling that their bowels aren’t empty, even when they’re.

Docs would normally refer sufferers for a colonoscopy – a tube with a digicam on the tip is handed by way of the again passage – to identify irritation low down within the bowel.

It’s common for proctitis to be a part of one other situation akin to colitis or Crohn’s. However it will also be a standalone situation, triggered by meals poisoning, antibiotics or radiotherapy.

The remedy sufferers are provided will rely upon the underlying trigger. Docs usually use anti-inflammatory treatment akin to steroids – both in pill type or as enemas.

If the set off is regarded as an an infection – akin to micro organism in meals – antibiotics or antiviral medication will be useful. In additional extreme circumstances, docs may prescribe medication that suppress the immune system, because the physique’s ‘fighter’ response could make the irritation worse.

Potent anti-inflammation drugs akin to infliximab are actually accessible to some with very dangerous signs.

Altering your eating regimen to scale back the chance of diarrhoea can ease signs too. This consists of avoiding caffeine, high-fibre meals like pulses and probably lactose – the sugar present in milk is a pure laxative.

I undergo from bronchial asthma and take treatment. Final September, I used to be identified with pseudomonas and since then my respiratory is far worse. I’ve been on and off antibiotics however they don’t appear to work. I’ve been referred to a clinic however I’ve been informed there’s an extended watch for an appointment. Do you might have any recommendation?

For individuals with wholesome lungs, pseudomonas – a sort of micro organism that we will breathe in – causes no bother. However for these with lung illness, like extreme bronchial asthma, it may be very disagreeable.

The pseudomona bugs are present in soil and water and may trigger infections within the urinary tract and open wounds.

The micro organism is notoriously tough to clear – it doesn’t reply to generally used antibiotics akin to penicillin. As an alternative, docs use a unique kind referred to as ciprofloxacin, which is commonly given at an unusually excessive dose, twice a day.

For people with healthy lungs, pseudomonas ¿ a type of bacteria that we can breathe in ¿ causes no trouble. But for those with lung disease, like severe asthma, it can be very unpleasant

For individuals with wholesome lungs, pseudomonas – a sort of micro organism that we will breathe in – causes no bother. However for these with lung illness, like extreme bronchial asthma, it may be very disagreeable

For some, even an extended course of this remedy doesn’t kill the bugs. In these circumstances, docs may attempt totally different doses of antibiotics, or ship them by way of an inhaler.

Sufferers could not must endure a prolonged wait to see a advisor. A GP can get in contact with the native infectious illnesses workforce, whose members can advise them methods to deal with you. Equally, a GP can ask the hospital’s respiratory workforce if they’ve any ideas.

This fashion you would, in idea, begin taking a drugs earlier than you even see a specialist.

There are additionally respiratory well being groups throughout the UK, lots of which may come to the house. Chances are you’ll be eligible for assist, relying in your age and the severity of the issues.

In case your signs aren’t right down to the an infection, it’s doable your issues imply that the bronchial asthma is getting worse – and there are a selection of therapies that may assist.

How your capsules could make a heatwave even worse

Have you ever been struggling greater than you count on with the warmth? It may very well be brought on by your treatment.

Do you might have a query for Dr Ellie?

Electronic mail or write to Well being, The Mail on Sunday, 2 Derry Avenue, London, W8 5TT.

Dr Ellie can solely reply in a common context and can’t reply to particular person circumstances, or give private replies. If in case you have a well being concern, at all times seek the advice of your personal GP.

On Twitter final week I noticed a submit from somebody on frequent antidepressants referred to as SSRIs who needed to remind fellow sufferers that the tablets might make them liable to warmth stroke.

This was information to me, however a little bit of investigation revealed case studies of this kind of response. 

Rather more frequent is being left susceptible to sunburn – normally this can be listed on affected person info on negative effects as ‘photosensitivity’.

There are frequent medication to pay attention to, akin to doxycycline and tetracycline – antibiotics taken for pimples – in addition to the center drug amiodarone and the anti-inflammatory naproxen.

It doesn’t imply you’re allergic to the solar, simply over-sensitive. So slap on extra solar cream than regular, or keep out of the solar altogether. 

If you happen to’ve had a response to the solar and warmth, and also you assume it’s linked to your treatment, let me know.

Have you been suffering more than you expect with the heat? It could be caused by your medication

Have you ever been struggling greater than you count on with the warmth? It may very well be brought on by your treatment

Oh, we’ve got a Minister for that!

Ever heard of an MP referred to as Will Quince?

No, me neither. However apparently he’s the Minister for Youngsters and Households and apparently he’s answerable for advocating on behalf of younger individuals with studying disabilities. Nicely, I might by no means have identified, regardless of the very fact I spend most days serving to susceptible households in my clinic attempt to entry very important assist for complicated wants.

Perhaps his invisibility explains why many mother and father caring for disabled youngsters say they really feel deserted by the Authorities as they attempt to wade by way of reams of paperwork with a purpose to entry assist.

It’s simply one other instance of a token appointment, a faceless Minister who appears to do little to assist the individuals they’re presupposed to characterize. Maybe there may be extra occurring behind the scenes, however I doubt it.

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