The Doc Replies

Our expert answers your medical questions

My granddaughter is pregnant and is about to have an amniocentesis test. What is it?

Amniocentesis is a diagnostic test, which is most commonly done at 15-16 weeks, but may also be done later for different reasons. A needle is inserted to take a sample of the amniotic fluid surrounding the developing baby in the womb – it doesn’t touch the baby. Amniotic fluid contains some of the baby’s cells and you can look at them to study the baby’s chromosomes and certain genes. Amniocentesis is offered to women with an increased likelihood of a genetic condition, such as Down’s Syndrome. People with Down’s have an extra chromosome, which is easy to see in the cells. There are also other genetic conditions that can be looked for with this test, such as sickle cell anaemia and cystic fibrosis. This would usually only be done if there was a family history of the condition or if a scan gave cause for concern. It is not possible to screen for every genetic condition. Amniocentesis can lead to a small extra risk of miscarriage. Antenatal clinics will offer advice if your granddaughter needs support.

I’ve be offered Botox as part of my beauty regime, is it dangerous?

Botox comes from botulinum toxin, which causes botulism – a condition that attacks the body’s nerves. In the beauty industry it is injected to relax muscles usually in the face, smoothing lines and wrinkles. It is temporary, lasting three or four months. You need to make sure whoever is doing this is suitably qualified and experienced. Botox should be prescribed by a qualified medical practitioner. You should check what happens if the procedure goes wrong – is there insurance?

How can I help a non-Covid cough?

You should rest, drink plenty of fluids, and try hot lemon and honey which has a similar effect to cough medicines. You can also ask your pharmacist about cough medicines. You should speak to your GP if you have had a cough for more than three weeks, especially if you are a smoker and have experienced other symptoms like unintended weight loss, breathlessness, or coughing up blood.

The Doc Replies

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