The Doc Replies
Our expert answers your medical questions
My grandchild has scarlet fever which, when I was growing up, was a serious illness. Should I be worried?
Scarlet fever used to be very common and was one of the biggest causes of childhood deaths, but it has become less common with general health improvements. . In scarlet fever there is tonsillitis and the release of toxins in the body. These lead to a rough, red rash and can cause a red tongue with tiny white spots. It usually affects children under 10. Treatment is with antibiotics, most commonly penicillin. However, if not treated complications can develop such as ear infections, sinus problems, and pneumonia. Further down the line it can lead to rheumatic fever and kidney problems. So it is important to see a GP even if symptoms are mild and take the full course of antibiotics prescribed, which is 10 days. So as long as your grandchild follows the doctor’s instructions, there should be no need for you to worry.
My dad has developed an ulcer on his leg that doesn’t seem to be going away. What’s happening?
A leg ulcer is a chronic, longlasting sore.
It usually affects older people: around one in 50 over the age of 80. There is increased risk of ulcer in anyone who has difficulty walking, and in those who are obese, have arthritis or have suffered a leg injury. Varicose veins and recent surgery, like knee replacement, can leave a person more prone to ulcers. You can help prevent their development by avoiding putting on weight, giving up smoking and taking regular exercise. Compression stockings can also prevent ulcers.
What is glue ear – my neighbour’s daughter has just been diagnosed with it?
Glue ear is when the middle ear has a build-up of fluid. It can affect the hearing and as it usually occurs in young children it can impact speech and language development. Grommets are used to treat the condition. They are tubes that allow air to pass through the ear to equalise the pressure. They usually last for six to 12 months and are effective in treating the condition.