ASK THE DOCTOR
QI have eczema and the week before my period is due, the skin on my thumbs breaks and bleeds. Will supplements help? S.M., WA. Some women describe a cyclic flare up of their eczema. Because of the localised symptoms, also look for possible contact irritants – your hand wash for example. Some foods can worsen eczema and it would be worth getting advice on this, particularly doing a food diary and trialling a gluten-free diet. A probiotic containing lactobacillus rhamnosus LGG may help.
QMy doctor put me on Prolia after I fell out of bed and fractured my pelvis. I’ve had a hip replacement and my coccyx removed. I use a walker, take calcium and am overweight. My knees seem to be in trouble. Could it be osteoarthritis? G.C., Qld.
Your situation is complex. You seem to have osteoporosis, osteoarthritis, weight problems and incomplete rehabilitation from your injuries and surgery. Your priorities will be weight loss and muscle strengthening and balance training. Your GP or a rehab specialist would be able to help devise a program for you including physiotherapy, dietician advice, and exercise physiology. A water-based aquafitness program may be a good start.
QShould I worry about indoor pollution?
A.R., Tas.
It’s important to be aware of potential indoor pollutants. Symptoms can include eye, nose and throat irritation, cough, headaches, dizziness and allergies. Possible sources are tobacco smoke, gas heaters, chemical odours, volatile organic compounds (VOCs) from furnishings and cosmetics, moulds and dust. Eliminate them and ensure adequate ventilation with fresh air.
QCould you tell me the difference between postnatal depression and anxiety? I love being a mum again, though I do find myself being paranoid I’ll hurt the baby and worrying all the time. How much is normal? T.T., Vic.
If you’re feeling happy, it’s unlikely you have postnatal depression. Some anxiety is normal after you have a baby. It’s a sign you’re aware of the responsibility and the adjustments you need to make to your family life. It would help you to join a mother’s group to see how common your concerns are, and counselling can also help.
QI had BV for the first time. Does it recur?
D.B., WA. Bacterial vaginosis (BV) is a vaginal inflammation caused by the overgrowth of natural bacteria in the vagina. It affects women of any age. Symptoms include vaginal discomfort, discharge and odour.
Your GP will do a vaginal swab to diagnose it and then give you a topical antibiotic treatment. It can recur but it is usually a one-off.