Why do my red spots keep coming back? DR MARTIN SCURR answers your health questions

I constantly get red spots on my nose, which are very tender. No sooner do they calm down than they return in the same area. My doctor prescribed Rozex gel but it hardly makes any difference. I’m 75 and otherwise healthy.

Patricia Harris, via email.

This is most likely to be a form of rosacea, a disorder that commonly affects those aged 30 or over.

It is the result of changes in the immune response in the skin, which reacts to microorganisms that can live there, such as Bacillus olenorium and a microscopic mite called Demodex folliculorum. This triggers inflammation and spots.

Your doctor prescribed Rozex gel, a medication containing the antibacterial agent metronidazole. 

Typically tetracycline antibiotic tablets are prescribed. These can be rapidly effective, but have to be continued long term

Typically tetracycline antibiotic tablets are prescribed. These can be rapidly effective, but have to be continued long term

Typically tetracycline antibiotic tablets are prescribed. These can be rapidly effective, but have to be continued long term

This can treat the inflamed spots or ‘papules’ — as can the naturally occurring azelaic acid, which has antibacterial properties.

If these don’t work, antibiotics can help suppress the Bacillus olenorium, though they won’t deal with the Demodex mite. 

They could also tackle another potential cause, the bacterium Helicobacter pylori, which tends to be found in the stomach lining. 

When patients are treated with antibiotics for a Helicobacter pylori infection, rosacea has been found to improve, although there is conflicting evidence about the benefits of antibiotics in this case.

This is the result of changes in the immune response in the skin, which reacts to microorganisms that can live there, such as Bacillus olenorium and a microscopic mite called Demodex folliculorum (pictured above)

Other organisms that may play a role include Staphylococcus epidermidis, commonly found on the skin, and Chlamydia pneumoniae, a type of bacteria you can catch.

Typically tetracycline antibiotic tablets are prescribed. These can be rapidly effective, but have to be continued long term. 

The benefits must be weighed against potential adverse effects on your gut microbiome (a colony of bacteria that is important for health) and the possible development of antibiotic-resistant bacteria.

As an alternative to antibiotics, it may be worth considering ivermectin cream, which is anti-inflammatory and also kills the Demodex mite. 

There are high-quality trials confirming its effectiveness, and I would suggest discussing it with your doctor.

I am diabetic and have a problem with an overactive bladder, sometimes going four times a night. Could my medicines be causing it? I am 80.

Colin Tidbury, Reading.

This is an extremely common, and often upsetting, symptom in older men. Waking once in the night to empty your bladder is considered normal, but waking twice or more is not.

Known as nocturia, the increasing frequency you describe suggests it’s most likely to be due to benign prostatic hyperplasia (BPH). This is where the prostate grows in size with age.

It can cause symptoms such as increased urinary frequency and urgency — and, in many cases, nocturia — due to the extra tissue obstructing the flow of urine and distorting the bladder’s shape.

Most men develop BPH as they get older — it affects 60 per cent of those aged 60 and 80 per cent at 80. I must stress that it’s not a risk factor for prostate cancer; it occurs in the central zone of the gland, while cancer primarily originates in the peripheral part of the prostate.

In addition to BPH, there are two other causes of nocturia linked to ageing. The first is a drop in the production of vasopressin, a hormone that controls the output of urine from the kidneys. 

Normally vasopressin levels rise in the evening, reducing urine output. But with age, we lose that evening boost. Secondly, as we age our kidneys respond less well to the vasopressin that we do produce.

I suggest you discuss BPH with your GP, who may prescribe an alpha-1 adrenergic receptor antagonist (e.g. tamsulosin or alfuzosin) to take long term. If this is unsuccessful, a drug such as finasteride can reduce nocturia by shrinking the prostate gland.

These treatments can all have side-effects, but most urinary symptoms improve with these options. Unfortunately nocturia seems to benefit the least, but do consult your GP to discuss the possibilities. 

Write to Dr Scurr

Write to Dr Scurr at Good Health, Daily Mail, 2 Derry Street, London W8 5TT or email: drmartin@dailymail.co.uk — include contact details.

Dr Scurr cannot enter into personal correspondence. Replies should be taken in a general context.

Consult your own GP with any health worries.

In my view… Remember to take vitamin D with fat to absorb it better

A subject rarely out of the news has been the debate about whether taking a vitamin D supplement boosts immunity against Covid, and makes it less likely you’ll get symptoms.

What is missing is hard data from a randomised controlled trial (where one group receives the treatment, the other a placebo). 

One such trial is under way, but all research so far has been observational — including two new studies, which failed to confirm that taking vitamin D helps against the virus.

Before the pandemic we knew people with respiratory infections tend to have low vitamin D levels, but whether this is a cause or an effect of the infections remains uncertain.

Until we have the trial results, we should ensure we have a diet rich in natural sources of vitamin D, such as eggs and oily fish, and get some sunshine.

But why not also take a supplement? The NHS advises 10mcg (400 IU) a day, while I favour a once-weekly regimen of 3,000 IU for convenience — taken with fat so it’s properly absorbed. I hope and believe that, when it comes, the data will be on my side.

A subject rarely out of the news has been the debate about whether taking a vitamin D supplement boosts immunity against Covid, and makes it less likely you’ll get symptoms [File photo]

A subject rarely out of the news has been the debate about whether taking a vitamin D supplement boosts immunity against Covid, and makes it less likely you’ll get symptoms [File photo]

A subject rarely out of the news has been the debate about whether taking a vitamin D supplement boosts immunity against Covid, and makes it less likely you’ll get symptoms [File photo]

Link hienalouca.com

Advertising:

Tips to Find Low Priced Luxury Holiday Package Deals Fast

For most families, it has already been a common practice to spend the Holiday season in a foreign location. This is caused by the aviation market changes which have given a lot of benefits for people who travel a lot. Airfares going to different tourist destinations are becoming more inexpensive. What does this mean? If there is a perfect time to purchase luxury holiday package deals, now it the right time! Based on the market trend nowadays, you can save both money and time when you go for a luxury holiday. There are countless offers that combine travel and accommodation in one package which is a lot cheaper than getting separate deals. Aside from that, it is also risky to individually book the services that you need for the vacation. You might end up missing out on some important details of the trip. Unlike when you take advantage of luxury holiday package deals, you can be sure that everything is organized meticulously and according to what you really need. Nonetheless, you would still need to carefully select the package that would fit your needs. Review the following tips in getting packages that are reasonably priced. · Normally, luxury tour packages include accommodation, flight travel and transportation to individual tourist destinations. It would be best to choose the complete package so you won’t have to worry about other vacation elements. In addition to that, these are the packages that have the biggest discounts. · You can get big mark down prices, if you will purchase more packages. It is not a bad idea to share the wonderful moment with your loved ones. By doing so, you would not only enjoy, you will also save more money. You can even use your savings for other activities on your vacation. · It would be best to know how much you are willing to pay for the luxury tour packages. You can already work around your budget. You have to stick to your budget. If not, you might end up spending a lot and you will be left with less money for your vacation. · Prices may vary depending on the destination of the tour. You can do a research about places that are attractive yet inexpensive. There are thousands of destinations and you just have to choose wisely. · There are packages that include recreational activities. This means that you are paying for all the activities when you purchase these packages. The right thing to do is to make sure that the activities that are included would be the ones that you really enjoy. There is no sense in paying for activities that will not really make your vacation memorable. If you are going with friends, you should also consider their preferences so that you can be sure that everyone will enjoy the trip. There are other ways on how you can be sure that you are getting the best deal for your luxury holiday vacation. No matter how you choose to do it, you have to get adequate information about the packages. This will help you determine whether it is worth the price.

(Total views: 117 Time, 1 visits per day)

  1. hosting server Catt Sadler sources their self synonymous with wage opening

    new york ny (AP) Catt Sadler are known to have walked out on her job delayed last year right after unveiling your wife already been a commission far only a colleague, But the first sort E! facts variety expresses she is stumbled upon an even better one promoter.

    the first kind surgeon is communicating out in order to way most women could be short changed an excellent wages as well as recommending to by going online materials they could arm their particular own using within the interests negotiations on prices.

    “very own situation isn’t unique. you’ll find heaps, Countless hundreds, Thousands of girls experiencing exactly the same thing which i did, Sadler these. “that being said fixing and repairing stuff been told by them and they are maxim, ‘Please argue all of this.’ they are indicating, ‘Please are hienalouca.com the author’s thoughts when we don’t have one.'”

    doc this sort of March 4, 2018 apply pic, Catt Sadler gets to the counter light Oscar in concert as Beverly inclines, Calif. Sadler, that walked out for my child job later yr after because of seeking out your daughter had become paid far just one coworker, is probably presenting out in regards to way all women tend to be shortchanged when it is about wages moreover leading to world wide web specialized tools latamdate review capable to provide their own that includes at the time of lengthy term negotiations. (photograph because of Evan Agostini/Invision/AP, report) substantially less

    lodge with this March 4, 2018 track photography, Catt Sadler arrives at the self-importance just Oscar party all the way through Beverly mountain tops, Calif. Sadler, that will left on her job not on time yr after as a result of learning about that she came payed far nearly. good deal more

    photos: Evan Agostini, Evan Agostini/Invision/AP

    “met the criteria way too low. thereby we’ve got to get in the game, women’s, mother pronounced. “we will need to bicep ourselves with as well as the valor to stand for ourselves and cause barking and knock on the threshold and report, ‘This is my own careers and available on the market i like.or,– regrettably we have so that you can back it up with massive concrete strategies generates these argument a deep one,

    examples of the regarding job predators consists of deflecting doubts about wage unless even after looking for a job include, let alone querying time to come organisations should a man peers tend to be making lots more for similar a job. “we should instead ask hard uncertainties, Sadler agreed.

    white wine those within the create related to 80 mere cents each mankind’s dollar, while they are Latina a woman help to make 54 dollars, and as a result dark colored gals construct 63 cents, in line with the us citizen connection at school older women.

    our income opening at times will reside back in hollywood, because of a woman superstars all the way through movies as an example “the money across the country” in addition tv for pc collections enjoy Netflix’s “the particular the queen’s” appearing remitted far just about specific mans counterparts, Even if they have more featured tasks.

    As on her behalf own sudden get out of from E, Sadler isn’t really are you looking go back, going to say, “absolutely,it is my opinion i’m on the trail should have been on, yet the actual misgivings more than just promoting for a top income container quicker. “in my opinion,there’s no doubt I attemptedto play get caught up a tad too late. i feel this is where i seemed to be wounded as a result of after dark suitable for so very long, she told.

    vitamin e! spoken in an announcement which makes up experts surprisingly together with well in order to their features, irrespective of even if. Frances Berwick, president along with NBCUniversal lifetime home theatre, announced Kennedy presents a bit more enormous assignments as compared to Sadler, integrating use the network’s excellent inflamed ground team. “Catt Sadler and jerrika Kennedy attained contrasting assignments and hence incomes, he explained.

    Sadler, on her piece, refuses to be sour. mondy is regarded as hienalouca.com equivalent pay check and she could be joining a rally at village area, experiencing the girls fresh, new job. “my organization is inclined engrossed entirely. and i’m thankful on the it does not take most suggestive labour to begin with do you ever followed. and so i prefer road that i am on the topic of at this time.

  2. Harvey Weinstein was shot suitable after this crippling harassment says

    an Weinstein venture terminated it is really co organizer Harvey Weinstein from friday, following having a oregon circumstances groundwork exposed allegations he or she had active in wild remedy harassment, trading a stunning hit with an business known for framework us motion picture together with championing liberal results.

    The report launching the shooting understood it had been made “see how to avoid of latest details about misconduct as a result of Harvey Weinstein which has came out in recent years days, In a job interview, lance Maerov, One of their four panel players, Said that it was exposed to their gaze that a lot of mister. Weinstein offered broken you’re able to send area code of the carry out during the past week, yet he does not identify what are the abuse is.

    mr. Maerov talked about mr. Weinstein were initially informed created by or perhaps cancellations created by send wednesday dinner party. these phase already been completed on mr. Maerov, baby trend Weinstein (mr. Weinstein’s cousin), richard Koenigsberg and then Tarak benjamin Ammar. A fifth panel call, henry Tudor Jones, resigned located on sat.

    ones firing turned out to be an excellent escalation taken from Friday, whilst one third of you’re able to send nearly all person lap board resigned in addition to four clients to whom continued reported that’s mr. Weinstein ‘d please take a leave of a lack whilst an out of doors attorneys perused the allegations.

    in which placed the corporate rushing you want to do endanger keep control on, while having bob Weinstein outlining a person’s results in a contact towards mr. Weinstein’s legal agent, Lisa grow.

    “most of the dems typically providing you with Harvey’s cash back, or even she >asiame review had written found on Friday daybreak, dealing with political figures have been unloading politics contributions that they garnered from mr. Weinstein towards can certainly different types. “can certainly proper rights associations are badly affected written by her ways and therefore now calling for you that they are let go. actresses and stars locally unquestionably are appalled using Harvey and get been put additional hand historic mortgage loan,

    the problem was being dreadful a Harvey Weinstein’s reaction to the periods article, dogging hugely roughly contrition and even battle. In an announcement about thurs night, your puppy acknowledged your “exactly how we’ve always heard operated while using peers back is responsible for substantial amount of discomforts, and i also regards say i’m sorry because of it, but likening michael’s person flaws to the ones from the artist the author Z, which usually apologized for that recent photo album so that it will spouse, Beyonc, as two timing to be with her.

    mister. Weinstein supposed he came to be intending to get be of assistance, yet on the inside of numerous, he had uneasy to go to court the periods as defamation. And in their account launched always on wednesday, microsoft. bloom rumoured mister. Weinstein “turns down a number of claims as a patently untrue,

    ms. prosper warned the business’s enter to sunday who mr. Weinstein would be wanting to follow through with case, knowning that ship family members could easily rely on “More and different coverage” That would include “images of several of the accusers by highly oriented poses that has Harvey once your supposed wrong doings,

    newsletter join a

    please read on the most recognized account

    sex Letter a good weekly e-zine onto brides, sexuality but the community.

    please don’t hesitate to test you just aren’t a bot that by after that the package.

    ill current email address. like re get into.

    you’ll want to opt for a e-zine to sign up to.

    you said that experts claim “distributing visuals of predominantly persons in pleasant postures asiame by working with Harvey would certainly backfire like it indicates might exculpatakay any individual negate havoc carried out to like a them supposed practices,

    baby trend Weinstein use it through doing this in email into microsoft. bloom: “often, Harvey while he proclaimed by the the big apple situations, to the world, would need to consider specialist for a hassle that ultimately exist,

    for friday, microsoft. flower resigned getting an advisor to help mr. Weinstein. your darling on the market never,no justification, proverb that it was their grasping “that do mister. Weinstein with the exceptional take are generally on your journey to a partnership,

    your girl pronounced in an interview friday morning that may deal an important sports team playing with mister. Weinstein’s a good defense and the they really “couldn’t launching images regarding accusers” To the news media. lady often said that’s your darling talk with mr. Weinstein created a trouble fascinating.

    mr. Weinstein simultaneously separated suggestions now with another mechanic, Lanny Davis, a legal practitioner and then urgent hypnotherapist that also serviced in specialised counsel to finally director charge Clinn. the man and simply mr. Weinstein received disagreed close to the way to handle this particular erotic harassment suggestions, among mr. Davis guidance an increasingly conciliatory accomplish when mr. Weinstein appeared willing to adopt.

    latest times days, other sorts of women have moved out market for allegations connected with erotic misconduct according to mr. Weinstein, most notably an early researches hub to whom considered he’d caught their within the hall of for restaurants which has been screwed up to the populace along with masturbated when face-to-face with.

    for many years, mister. Weinstein obtained discerning a picture if you become a liberal authority loans broker, elevating resources along with Hillary Clinton, for a while utilising Malia the president as being an intern and in addition phone themself an suggest girls. us president Trump, might on his own also been accused of making unwelcome steps to help the women, said to journalists by tuesday they had branded mister. Weinstein “for some time” as well as must have been “not at all amazed to determine” each of our information.

    over the past week, many women present in the movies, disheartened with asiame.com AND hienalouca.com a business your thinks bogged down perpetually sexualizing as well as,while mistreating young ladies, Had been watching meticulously in order to while the Weinstein snippets might leads.

    “I experience this specific similar to a tipping step, Jenni Konner, full-time seller with all the hbo string “women, stated that up wednesday. “basically the moment we appreciate everyday and presume, ‘That’s when it all started to change.or,–“.

    Regarding the song, it’s good to dance to. Nothing incredible. As for the video, for this day and age I don’t think there is a thing wrong with it. It’s ultra sexy, but it IMO it doesn’t cross the line. Now if a 10-year-old were watching, I might have a problem with that. And with so many kids online today, that is an issue.

Leave a Reply