As winter progresses, health officials are raising alarms about an increase in norovirus cases across the United Kingdom. According to the UK Health Security Agency, reported cases of norovirus have surged by 57 percent within just one week. While this trend is typical for this time of year, the rise is concerning for those at risk of contracting the virus.
Preventive measures are crucial in curbing the spread of norovirus. Health experts recommend regular hand washing with soap and water, emphasizing that bleach-based cleaning products are effective for sanitizing surfaces. It’s important to note that alcohol-based sanitizers do not kill norovirus, making hand hygiene even more vital. Furthermore, individuals experiencing symptoms such as diarrhea and vomiting are advised to avoid returning to work, school, or childcare settings until at least 48 hours have passed since their last symptom. Those affected should also refrain from preparing food for others during this time.
In light of these health warnings, readers have submitted various health inquiries, reflecting their concerns about personal conditions and treatments.
Understanding Vulval Lichen Sclerosus
One reader, a 75-year-old woman, recently shared her experience following a hospital consultation regarding a red patch on her vulva. The consultation led to a diagnosis of *suspected vulval lichen sclerosus*, a chronic skin condition that can cause discomfort and irritation. Despite her initial reassurance from the attending doctor, the lack of clear communication left her feeling anxious about her condition and subsequent treatment.
The condition manifests as thinning skin and patches of redness or whiteness in the vulval area. It is not contagious and is not caused by any personal actions. Treatment typically includes the application of topical steroid creams, such as Dermovate 0.05%, which her general practitioner prescribed. Experts recommend a regimen of daily application for the first month, followed by alternate days for another month, and then twice weekly.
For cleansing, she has been advised to use Epimax ointment as a gentle alternative to soap. The upcoming “punch biopsy” mentioned in her correspondence is a standard procedure aimed at confirming the diagnosis and excluding other conditions. It is performed under local anesthesia and is not typically a cause for alarm.
To address her concerns, contacting her general practitioner or the consultant’s office for a phone consultation may provide the clarity she seeks. The British Association of Dermatologists offers informative resources online for further understanding of this condition.
Common Shoulder Pain Issues
Another reader, a 68-year-old woman, reported persistent shoulder pain that radiates down her arms. This discomfort has worsened over the past few months, especially during sudden movements or while lying in bed. Such symptoms are common among older adults and can arise from various underlying issues.
One potential cause includes rotator cuff injuries, where tendons in the shoulder become worn or inflamed. This condition often leads to pain that worsens with movement. Other possibilities include shoulder impingement or bursitis, which entail irritation of tendons or fluid-filled sacs in the shoulder. Additionally, polymyalgia rheumatica (PMR), which is characterized by stiffness and pain in the shoulders, is more prevalent in individuals over 50.
To determine the specific cause of her discomfort, a visit to either a general practitioner or physiotherapist is advisable. Guided exercises and rehabilitation can significantly alleviate many shoulder issues, whereas PMR requires a distinct treatment approach involving steroid tablets if diagnosed.
Addressing health concerns early can lead to effective management and an improved quality of life. Those experiencing symptoms should seek professional advice rather than delay treatment.
