Q Is there anything I can do to get rid of my stretch postpregnancy? marks or will have to just live with them?
to stretch marks are caused by tears in the dermis, the middle layer of the skin. This allows blood vessels in the deep layer to show through which is why stretch marks are often red or purple color when they first appear.
they occur when the skin has to stretch and although they are more commonly associated with pregnancy may also occur at the stage of growth that occurs at puberty or when a person gains weight suddenly.
Some skin types are more prone to stretch marks than others and if a close relative of his family have acquired, you are at greater risk.
Unfortunately, despite claims that often are very expensive creams, there is very little you can do to prevent it from happening if you happen to be likely to get.
The good news however, is that when the skin contracts after pregnancy blood vessels are no longer visible and the marks fade to a silvery white and will be much less noticeable, although this process can take several years.
Laser therapy can help fade stretch marks but can not eliminate them completely and usually several treatments are required. It is not available on the NHS and is usually very expensive.
Of course you should not consider it done unless you are sure that your family is complete.
Q I suffered from polymyalgia rheumatica (PMR) for a couple of years and the most affected joint is my right shoulder that makes it extremely difficult to raise the arm. Is there anything I can do to help myself, besides taking medication?
A IN polymyalgia muscles swell and although some of them may be affected usually affects people around the shoulder and sometimes the large muscles of the thighs.
is more common in people over 60 years of age, especially women, and suddenly starts with pain, muscle stiffness, along with extreme fatigue and feeling unwell.
cause is not known. It is usually treated with steroid tablets that reduce inflammation. A high dose is used to start and then is slowly reduced to a maintenance dose to be continued for about two to three weeks.
The dose is usually controlled with erythrocyte sedimentation rate (ESR) levels (one that measures the levels of inflammation in the blood) as the amount of steroids needed to maintain swelling under control can vary from person to person.
If the shoulder is still sore, then this suggests that either you are not taking a sufficiently high dose or is there something more that is contributing to their pain, possibly some underlying arthritis, for example. I suggest you see your doctor again and see if you need to make further trials as it can not be just polymyalgia that is to blame.
Q I’ve noticed that whenever eating eggs and drinking coffee I feel dizzy for several hours afterwards. Can you think of what could be causing this?
A is very rare that the combination of coffee and eggs to cause nausea and wonder if other factors are to blame. For example, what time of day this happens? I guess you eat at breakfast this way are eating in a hurry and get indigestion?
happens if you eat more slowly or at another time of day? Why it happens if the eggs are eaten without drinking coffee? I suggest you conduct a little experiment to try to find out whether the combination is really the culprit of nausea or whether it is other factors.
If you have a health question for Dr. Romero, write to her in confidence at The Northern & Shell Building, 10 Lower Thames Street, London EC3R 6EN or Dr. Romero [email protected] response email will appear in this column. She regrets that he can not enter into personal correspondence and that due to the volume of letters she can not respond to everyone. Learn more about Dr. Romero in drrosemaryleonard.co.uk