With Doctor Arabella Onslow
Urge incontinence Q I’ve noticed that I can hold my wee for ages, but as soon as I am near the loo and about to go, I get a little leak. What’s going on? Amie, Scarborough
A Your involuntary bladder muscles are fine, but your voluntary pelvic floor muscles are weak. Try doing regular daily pelvic exercises to strengthen your floor and prevent urge leaks. Fibromyalgia and fatigue
Q I'm in so much pain and no medication helps, so I can't sleep. I am barely even bothering going to bed because my sleep is so poor, and now
A Poor sleep triggers fibromyalgia (chronic pain) and vice versa, but sleep is therapeutic so you are trapped in a vicious cycle. You must prioritise sleep. Look at advice around insomnia and sleep hygiene, and speak to your GP for help. Sedentary lifestyle
Q I have a desk job and it’s difficult to get into a good exercise regime. Any advice? Dani, Bristol
A Being seated for hours at a time is unhealthy, so ensure you move around every 45 minutes. Get a pedometer and maximise your step count, and include at least one session of highintensity activity per week.