The Doc Replies

Our expert answers your medical questions

My granddaughter aged five has sickle cell disease. What does this mean for her long-term?

Sickle Cell Disease is a genetic condition where the red blood cells lose their shape and take on a sickle or crescent appearance in certain conditions. These cells become less flexible and can stick in blood vessels. People with Sickle Cell Disease have an abnormal haemoglobin (a protein found in the red blood cells that carries oxygen around the body) called HBS.

It is more common to be a carrier of one gene, which is known as sickle cell trait; a carrier will not have any symptoms. But if two carriers have children there is a one in four risk each child will have the disease.

It can be mild or severe and can cause painful episodes called sickle cell crises – particularly in the stomach and chest. It increases the risk of infections, which can lead to anaemia. Sufferers are more predisposed to stroke, with one in 10 children and teenagers at risk. However, blood transfusions can reduce the risk. There are steps to prevent problems: drink plenty of water to avoid dehydration, exercise but avoid over-exertion, avoid becoming cold, and treat fever quickly. The Sickle Cell Society can answer questions and offer support.

Can the doctor prescribe the Pill to my 15-year-old daughter without my permission?

The doctor will assess whether your daughter has the maturity to understand the risks and benefits of taking the Pill and the level of risk of unprotected intercourse. Doctors try to persuade minors to speak to their parents first but can prescribe the pill without parental permission.

I’m a 74-year-old male with hip osteoarthritis that causes pain in the groin area. I don’t like taking painkillers, is there an alternative?

You can help by managing your weight. Low-impact exercise like walking, cycling and swimming can help build up muscles to protect and support the joint. Hot and cold or alternating hot and cold can help ease the discomfort. Some people also find acupuncture, meditation and massage helpful. Taking an occasional painkiller like paracetamol will not do any harm.

The Doc Replies

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