The Doc Replies
Our expert answers your medical questions
I have an excruciating stabbing pain in my heel when I first walk on it in the mornings. My GP thinks I may have plantar fasciitis. What is it, and can it be treated?
Plantar fasciitis is the inflammation of the band of tissue that stretches from the heel bones to the bones in the middle of the foot, on the sole.
It is there to support the arch of the foot and is also a kind of shock absorber. It is quite common with one in 10 affected at some point in their life, particularly people who run. There is most risk when people start running, when there is a rapid increase in intensity in the frequency or distance of their runs, or if they have poor support in their running shoes.
Other risk factors are being overweight and tightness of the Achilles tendon. Pain just in front of the heel is the main symptom and tends to be worst when you get up in the morning before easing off. It may get worse after a long walk or prolonged standing. Generally, the condition improves by itself, with rest, stretching exercises and only gentle walking. Heel pads and arch supports, along with ice packs, painkillers and anti-inflammatories can help. If it doesn’t settle see your doctor who may suggest steroid injections. Be patient. It can take some months to get better.
I feel nauseous immediately after eating but I have no other symptoms. Could a stomach ulcer be the cause?
This could be a peptic ulcer, but there are many possible causes. If this is a new symptom, it should be checked, particularly if you are an older person. I advise a visit to your GP. In the meantime having smaller meals, taking regular sips of water and getting lots of fresh air may help.
I’m 40 and have missed a number of periods but I’m not pregnant. I’m irritable and emotional. Am I too young for the menopause?
No, you are not too young for an early menopause. And, if you are experiencing flushes, this might be a possibility. You should see your GP for blood tests to rule out other causes and, if you are going through the menopause, to discuss hormone replacement therapy.