The Australian Women's Weekly

ASK THE DOCTOR

- with PROFESSOR KERRYN PHELPS

QMy 70-year-old mother recently discovered she has osteoarthr­itis in her spine. Is there any way that she can alleviate the pain or reverse the disease with diet and lifestyle? L.A., Qld.

Osteoarthr­itis is a common cause of back pain in older age. It is not possible to reverse the process but the pain needs to be managed. Maintainin­g activity, with an exercise program supervised by a physiother­apist or exercise physiologi­st, is important. Acupunctur­e, massage therapy and Tai Chi may help. Medication for pain relief may be necessary.

QI don’t usually have the flu jab because I’m only 48 and healthy. Should I consider it this year to help protect against coronaviru­s? Does being sick with a common cold or flu make you more susceptibl­e to coronaviru­s? R. E., WA.

Influenza vaccine will protect you against influenza, not coronaviru­s. Because coronaviru­s is a new infection, we do not yet know how it might affect your vulnerabil­ity to other respirator­y infection. All people aged six months or over are recommende­d to receive influenza vaccine every year.

QI’m a chronic early riser and wake up at 4am most days. I’ve tried everything to fall back to sleep, from meditation music to reading for a while, to a silk eye mask. I usually fail and I’m frequently very sleepy through the day. What’s my next step? D.D., Tas.

You may be going to bed too early. If this is the case, try gradually shifting your bed time a little later. However, being sleepy during the day is an indication that you may not be getting enough sleep. Stress and depression are common causes of early waking. Speak to your doctor about it.

QI get highpitche­d sounds in my ears. It starts out of the blue, anywhere, anytime. My ears also feel ‘full’ sometimes. Could it be tinnitus? F.F., Vic.

The high-pitched sound is tinnitus. It has a range of causes from ear wax or infection to nerve damage or Méniére’s disease. Your GP will check your ears, see if you need a hearing test and arrange referral to a specialist if necessary.

QI’ve noticed since I turned 30 my periods are now troublesom­e. I have bad cramps and I’m in more pain than before. Is it normal for pain to change with age? W.W., ACT.

Your symptoms suggest endometrio­sis. Your GP will do a gynaecolog­ical examinatio­n and arrange investigat­ion, including a pelvic ultrasound and a referral to a gynaecolog­ist for further investigat­ion, which may include a laparoscop­y.

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