The Doc Replies
Our expert answers your medical questions
My eyes dry out all of the time. Are there more permanent solutions other than eye drops?
Dry eyes are common, particularly as people get older. Medication, such as water tablets, certain antidepressants, beta-blockers and antihistamines, can be a factor. Some underlying conditions can cause it too – in ectropion, the eyelids turn outwards slightly, and in paralysis affecting the eyelids the eyes don’t close properly. Overactive thyroid can affect the eyes to not close properly, while in Parkinson’s disease a lack of blinking leads to dryness. Some people do not sleep with their eyes fully closed, which can contribute to dry eyes. Air conditioning or central heating can speed up tear evaporation, as can staring at screens all day.
If you are in an overly-dry environment, buying a humidifier can help, as can wearing glasses and sunglasses in dry, windy conditions. Always try to give your eyes a rest when you have to look at screens for prolonged periods of time.
You can be prescribed or buy artificial tears over the counter; people who wear contact lenses should check suitable preparations with their optometrist or pharmacist.
I get nervous and flustered when I speak to my GP. What can I do?
If you feel nervous and flustered before going to see your GP, writing down what you want to say before you go can be helpful. Sometimes, people hand me a list of things that are wrong, especially if they are worried about getting their problem across fully. Some people find it easiest to speaking to a nurse or other member of the GP team, who may be able to help as much as the GP. It may also help to take a family member along to your appointment.
What is Bowen’s disease?
Bowen’s disease is a skin condition that causes small, red, scaly patches of skin. It is a growth of abnormal cells in the outer layer of the skin, and it is important to get it diagnosed as it can sometimes develop into a type of skin cancer. It is related to skin exposure, and most commonly occurs on the legs below the knee, face and neck. It can be treated with creams and cryotherapy.