Consultant is first in county to use new method for treating gallstones

4:00pm Tuesday 10th April 2012 in Bradford by Claire Lomax

a doctor in Bradford has become the first in Yorkshire to use a new technique to shatter gallstones in patients.

Gallstones are stones, usually made of cholesterol, that form in the gallbladder. in most cases they do not cause any symptoms. however, in a small number of cases, gallstones can become trapped in a duct, which leads to a range of symptoms, including a sudden intense pain in the abdomen, nausea and vomiting and jaundice.

Risk factors include obesity and age, with older people more likely to develop gallstones.

Women are also two to three times more likely to develop gallstones than men.

Traditionally, patients needing treatment for gallstones, many of them elderly, have faced major surgery and hospital stays of up to ten days, or frequent visits to hospital for treatment to put in stents.

Health bosses in Bradford have now invested £50,000 in new equipment called SpyGlass from a company called Boston Scientific.

it consists of a baby endoscope – a tiny flexible tube and eye piece to see inside the body – which can pass up a standard endoscope and into the bile duct to directly visualise abnormalities.

tiny forceps can then be used by the doctor to take a biopsy, to aid diagnosis and management of disease or a lithotripter – a device which emits electrohydraulic shock waves – can pass up the baby scope to shatter gallstones.

it will be used on patients who have stones which can’t be removed surgically or using standard endoscopic techniques.

Dr Conrad Beckett, a consultant gastroenterologist at Bradford Teaching Hospitals NHS Foundation Trust, was the first to use SpyGlass, making Bradford one of only eight other centres in the country carrying out the procedure.

Dr Beckett, who has 18 years experience, trained in the technique in Aintree, Liverpool.

he said: “It is a procedure which is lower risk for the patient and can be done as a day case. it takes about an hour-and-a-half for a big stone and because it is not comfortable for the patient it is done under general anaesthetic.

“The first procedure went very well and we crushed a big stone nicely. hopefully the patient won’t have to come back again.

“We are talking about doing a couple of cases a months and will start with the backlog of our own patients and will then be happy to take referrals from across Yorkshire.”

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A lot of people ask me whether stress can cause heart disease or whether anger can cause a heart attack. People who are under stress cannot sleep well and cannot exercise because the body is tired. some people resort to smoking to relieve stress, others eat a lot of food to overcome bad moods.

People who are stressed become weaker due to the lack of exercise and too much food, which can cause high blood pressure, as well as high blood sugar and cholesterol levels. Smoking makes it even more likely for the person to have narrowed arteries.

However, if a stressed person deals with stress by exercising rather than smoking and/or bingeing, the chances of developing heart disease isn’t much higher than a non-stressed person. It only matters that you know when you are stressed.

As for anger, it can cause a heart attack because anger raises you blood pressure instantly, especially in emotionally unstable people. the heart will beat faster and blood pressure will go through the roof when you are really angry. You can see that angry people are red-faced. have someone take a photo of you when you are angry and you will see that you look like you are about to eat someone alive. Older people with heart problems should avoid getting angry. Buddhist meditation is a really good practice to control your anger.

When anger rises, adrenaline is released, making the heart beat faster, the blood pressure rise and the coronary arteries contract.

A study was done in fully fed cats who were later angered. It was found that food lingered in their stomachs for three to six hours longer. This means anger can cause indigestion.

Anger makes the heart unclear. It happens when the person encounters something unpleasant. if the emotion cannot be controlled, anger rises. It can eventually lead to a heart attack. Once anger visits and the person holds on to it (without knowing), it eats the heart up with negative thoughts and bad wishes for the other person, such as hoping for failure and illness to befall the person. Vengeance can also cause stress, which in turn causes narrowing of the arteries _ and you are another step closer to death.

There are many ways to get over anger, but we neglect to consider them because most of the times we don’t even know we are angry. To name a few ways, you can realise the negative effects of anger, have mercy on the person you are angry with, and think that it was a result of something you’ve done to the person in the past. do not respond to anger with anger because it will be your loss.

A patient of mine in his early 50s had chronic high blood pressure. He was rather plump as he didn’t like to exercise. His blood sugar level had also been high for years, but he never had any treatment before he came to see me about a stabbing pain in the right side of his chest, which he often felt after he fought with his wife, and the pain would last five to 10 minutes.

Later, he found out it was because of his anger, because whenever he felt angry, he would feel pain in his chest. He solved the problem by walking away from his wife as soon as it started.

I recommended a contrast agent injection to ascertain if his coronary artery could be treated with balloon angioplasty, but he did not want this, so I gave him some medication to help with the problem. His symptoms persisted (did his wife follow him when he walked away?), so he had be admitted to hospital. He still refused a contrast agent injection. He told me that he had hearing problems. if he walked away far enough, he wouldn’t hear his wife, and his anger would fade away! Good to know he realised his own anger.

One day, he was taken to hospital in the middle of the night due to acute myocardial infarction, a heart attack and protracted chest pain. He said it happened after a fight with his wife _ yet again! _ but when he tried to walk away, she followed him. He got so angry that he was shaking, his face turned red (according to his children) and suddenly he was caught by a pain in his chest, and his pills couldn’t help.

That time, he spent more days in the hospital because of acute myocardial infarction and he also had heart failure. His heart was working at only 30% and he needed to depend on urine medication and blood pressure medication for days.

A Doppler colour test did not found any clogging in the heart muscles’ arteries. I assumed that when he got angry, the blood vessels contracted so much that blood did not reach his heart muscles, causing myocardial infarction.

His hearing problem also worsened before he returned home. It could have been a side effect of the treatment. I asked him to see an ear specialist, but he refused.

After that, he did not have any chest pain, but his hearing problem grew worse. I had to yell into his ear to make him understand what I said. Every time he came to see me, I ended up with a sore throat! however, I noticed that he was much calmer. His children also said that he no longer fought with his wife. When I asked (at the top of my voice) what his secret was, he shouted back, “It’s easy! My hearing is so bad I can’t hear my wife nag anymore!”

Dr Nithi Mahanonda is a consultant cardiologist and interventionist at Perfect Heart Institute, Piyavate Hospital.

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is it fatal, can it be cured, is it a natural occurance or disease, drug, alcohol, or poison related?

usually caused by alcohol

I have liver complications after many years of drinking heavily….. Symptoms for me have been tenerness and slight pain on the right side where the liver is; and severe pain if the doctor pokes there………. Even after not drinking for a year or more, it remains somewhat tender, but not as bad as it was………….

no, slight fatty liver is common in persons with high cholesterol/fat intake. it is not fatal. it literally means that your liver is fat. it is common in middle age.
symptoms: none physically; can show by elevated liver enzymes (AST and ALT) in blood tests; test of choice is generally sonogram of the liver/abdomen
Cure: dietary changes, exercise and lose weight.

Of course my doctor said there is no other way but I refuse to go into surgery, especially when I never had any pain or symptoms of gallstones, they just showed up on my ultrasound.

There's a herbal tincture called Chionanthus Virginica that dissolves gallstones.
The TCM cure is to expel them using a mix of olive oil, lemon juice and epsom salts taken before bedtime. You can find the protocol online if you look for it.
Most people have gallstones and don't even know it. if you're asymptomatic no problem. Unnecessary gallbladder surgeries are epidemic (so are routine hysterectomies).

Lithotripsy uses ultrasonic shock waves to break gallstones into small pieces which can be safely passed, but this method is not suitable for all cases. Cholesterol gallstones can sometimes be dissolved by oral ursodeoxycholic acid but it can take years to work.

If they are not causing you any grief you probably don't need to worry about it, but gallstones can lead to blockages which can be nasty – perhaps your doctor is worried about that.

Olive oil, lemon juice and epsom salts don't work – what comes out looks like gallstones but actually they are bile-stained "soaps" produced by partial saponification of the oil.

Chionanthus Virginica has been used for gallbladder inflammation, I doubt it will have any effect on gallstones. perhaps @thenoseknows would care to post some substantiating evidence for that claim.

See: mayoclinic.com/health/gallsto…

natural-cancer-cures.com/remo…

might not work and there are some risks
surgery is usually the best way. you dont really need a gallbladder anyways
good luck

I've had a few people tell me that my mom might have gallstones instead of acid reflux. She's 45 years old and her symptoms are very bad stomach pain, back pain, feeling very hot for a while and then cold, sometimes even vomiting. how do i know what it is? I don't know what to do…we've been to many doctors! PLEASE HELP! I'm very worried about her!

It sounds more like she has a gallbladder problem than reflux. It can sometimes be very hard to determine if it is the gallbladder causing the problem, and since the treatment for it is surgery, doctors like to be certain before they remove it. unfortunately, sometimes that takes a long time, and even then they finally operate just because they have ruled everything else out. You can have a bad gallbladder with or without gall stones. Gall stones are deposits of cholesterol or calcium that harden in your gallbladder creating the pain. other symptoms are a feeling you got slugged right in the center of your abdomen just under the breast, and a feeling of tightness around your body like your bra is too tight. Talk to family & friends to find a doctor that's highly recommended and report all symptoms and all tests other doctors have done. she could try changing her diet to see if it makes a difference so that would be additional information for the new doctor. Avoid all spicy food, fried food, rich foods, mayo, salad dressing. keep the diet lean and simple and see if it makes a difference.
Don't give up. It took me 2 years and a 3 day stay in the hospital before I was diagnosed. good luck.

There are 2 types of gallstones, those composed of cholesterol and those composed of bilirubin and calcium salts that are found in bile. she needs to have an ultrasound done to have a look at her gallbladder. Go to back to one of the drs and tell them to do one. The pain from gallbladder disease sounds about what you described. When I had my one and only attack, it built up like gas and was with me for several hours. and some people have vomiting and nausea. I never had the vomiting, but was nauseous for several days. if it is her gall bladder, it can be removed in a pretty simple outpatient surgery. she might want to cut out foods with a lot of fat in it for awhile too. Hope you find out what is wrong soon.

Its little calcium deposits that build up in the gallbladder and cause a lot of problems. Fortunately you can live fine without your gallbladder so they can remove it if necessary.

Gallstones aren't a life-threatening matter and why you're mother should have to go from one doctor to another is a mystery to me. Hasn't she been diagnosed by now? It's not difficult to distinguish between the two conditions with the right screening.

Your mother may be experiencing symptoms of biliary colic. This occurs when one or more gallstones become lodged in the common bile duct or the cystic duct. I'll need to explain more.

The liver produces bile, a substance the body uses to break down fats for further digestion, similar to the way in which liquid dish detergent breaks up grease on dishes. The liver also secretes bile acid and lecithin into the bile which give it that detergent-like quality. in addition to acids and lecithin, the liver secretes cholesterol into bile as a way of ridding the body of excess cholesterol. The liver Bile is stored in the gallbladder and is released through the cystic and common bile ducts into the small intestine after a meal with fats is eaten. most digestion takes place in the small intestine. The problem happens when the liver secretes more cholesterol than bile acids and lecithin can dissolve. The undissolved cholesterol sticks together and forms solid masses called gallstones. usually these remain in the gallbladder and cause no symptoms and no problems and can go undiagnosed for years. another way gallstones form is when the gallbladder stops emptying itself as quickly as it used to. Bile sits in it longer and gallstones are more likely to form. When gallstones move outside the gallbladder they cause problems. They can get stuck in one or both the ducts and when they do, the painful and problematic condition is called biliary colic.

Acid reflux, or gastroesophageal reflux disease, is an entirely different matter. At the end of the esophagus there is a ring of muscle, the cardiac sphincter. We have sphincters in other parts of the body as well. The job of the cardiac sphincter is to keep stomach contents inside the stomach where they belong. but sometimes the ring of muscle is weak or it spasms and allows stomach contents, along with stomach acid, to back up the esophagus. The word "flux" is Latin for flow. So reflux means reflow. Acid reflux is not normally associated with stomach pain. Instead the burning pain is in the esophagus but can feel like chest pain because the esophagus runs through the midchest.

If your mother has a digestive disorder, a gastroenterologist can easily diagnose her. I suggest she arrange for a consult. if she has HMO insurance, she can request a referral from her primary care doctor.

The only thing that puzzles me is why she's "been to many doctors". Choleycystitis isn't a mystery disease. is there something you've failed to mention???

Symptoms of Gallbladder Stone

Article by alice rose

Cholelithiasis also known is Gallbladder. Gallstones are concretions that form in the biliary tract, usually in the gallbladder. Gallstones are formed within the gallbladder, an organ that stores bile excreted from the liver. Further complications of gallbladder disease include gallstone pancreatitis, gallstone ileus, biliary cirrhosis, and gallbladder cancer. Gallbladder disease is one of the leading causes of problems with digestion that result in hospital admissions. Did you know that around 10% of the population (on average) in most Western countries has gallstones? Most of these are “silent” but about 4% of patients with stones develop symptoms each year.

A gallbladder can develop gallstones, polyps or even cancer.if you are having a gallbladder attack it can be caused when the the gallbladder becomes too thick and the gallbladder blocks the passing of bile. Gallstones can be caused by too much cholesterol in your diet or the hormone estrogen. Diet plays a big role because you find gastric cancer very common in Japan, also in part of Africa where most people consume fast food chicken that is injected to mature in a month. However a report shows that the most fatal one globally is lung cancer.

There are several kinds of radishes in the world. In North America, we often think of the Cherry Belle variety that is red on the outside and white in the inside and is about an inch in diameter; but, there are many other kinds: the Daikon (originally from Japan), the Black Radish (excellent for your gallbladder), and the Red King, to name a few. if you are having gallbladder attack symptoms, you may not even know it. this is because the mild or moderate pain in the upper abdominal area on the right side can also be biliary problems. Other common symptoms of an attack include constipation, diarrhea, gas, nausea, belching, bitter fluid repeating after eating, trouble with inhaling deeply and vomiting.

The treatment of gallbladder problems is generally a simple thing. There are only a couple of things that can be done. if the pain is not that severe and if gallbladder attacks occur only infrequently, then an over the counter pain killing medication will suffice. if you have any gallbladder symptoms, you should take a close look at what you eat everyday. for example, cholesterol is the prime culprit in gallbladder disease. Although a very small amount of cholesterol is necessary for good health, your liver naturally produces all the cholesterol you will ever need.

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Gallstones are formed from digestive fluids that harden, and rest in the gallbladder. The gallbladder contains the digestive fluid known as bile, and bile is released into the small intestines. Bile is comprised of liver cells, and aids in the digestion of food. Gallstones are commonly formed in the gallbladder, but they can also be formed anywhere else in the body, where bile is present. There are several types of gallstones, each carrying a different cause, and varying symptoms. The most common type of gallstone is Cholesterol Gallstones. these gallstones can be as minute as a grain of sand, or as big as a golf ball. in the initial stages, there may not be any symptoms for gallstones, as symptoms may remain silent in the majority of people. after years of lying relatively dormant however, gallstones can produce symptoms that will worsen if not treated.

What are Cholesterol gallstones?

Cholesterol gallstones are made mainly of cholesterol. They are the most notable type of gallstones found in the world. Cholesterol gallstones are formed when the liver cells breakdown cholesterol into bile. during this process, some of the cholesterol does not get dissolved and it is this undissolved cholesterol that hardens in the gallbladder to create gallstones.

What are the symptoms of gallstones?

Most people with gallstones exhibit no outward symptoms, and remain totally unaware of the existence of the gallstones. later in life, usually when the gallstones are infected, the symptoms of gallstones may begin to manifest. The most prevalent symptom of gallstones is Biliary Colic. Biliary Colic occurs when the gallbladder becomes obstructed by the gallstone. Behind this blockage, fluid builds up and causes the gallbladder to stretch and this causes a severe pain. Biliary Colic manifests as a:

1. Sudden, intensifying pain in the upper right part of the abdomen.
2. Sudden, intensifying pain in the middle portion of the abdomen.
3. Back pain, usually between the shoulder blades.
4. Pain in the right shoulder.
5. Nausea

This pain can last anywhere from 15 minutes to 5 hours. if the pain persists for any longer, this indicates serious complications.

Risk factors for gallstones

The primary risk factors for gallstones include but are not limited to:

• Gender- Gallstones are more prevalent in women than in men.
• Age- Gallstones become more prevalent the older a person gets.
• Obesity- Obesity doubles the chances of developing gallstones.
• Pregnancy- Women who have had children are more susceptible to gallstones than women who are childless.
• Birth control pills- The increased levels of hormones in these pills act as a gallstone trigger in some women.
• Rapid weight loss- The rapid loss of weight can result in a susceptibility to gallstones

Prevention of gallstones

Gallstones can be prevented by the use of bile acid medications that can dissolve any undissolved cholesterol in the gallbladder. Medicines such as Ursodiol also help to stop gallstones from forming. Ursodiol has been effective in preventing gallstones in obese patients losing weight through surgical methods.

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To lower cholesterol is an important part of any diet if you have a cholesterol level above normal. A better idea is to never allow cholesterol to be placed in the first place. This requires regular exercise and reduce foods rich in animal fats and oils. as you probably know, high cholesterol for a long period of time can lead to heart disease and atherosclerosis, both potentially fatal diseases. another product that is supposed to help lower cholesterol with plant sterols. This article explains how plant sterols do this and what types of foods are additive in them.

Plant sterols, also known as phytosterols, are naturally occurring in plants. Plants are equivalent to cholesterol in mammals, since they act as a structural component of cell membranes in the body. Many processed foods such as margarines, spreads, yoghurt drinks and supplements contain plant sterols. Foods containing natural plant sterols are things like beans and vegetables, including rice, maize and wheat germ. Many vegetable oils such as olive, soybean and peanuts also have a high amount of plant sterols. And, of course, all fresh vegetables and fruits contain a certain amount of plant sterols. Therefore, it is important to incorporate these foods in your diet if you want lower cholesterol. But how does it lower cholesterol?

It is believed that when consuming about 2.3 grams per day of plant sterols, cholesterol was reduced. It does so in the intestinal tract where it blocks the absorption of cholesterol in the body. Studies have shown that reducing LDL cholesterol in the body. LDL cholesterol is the lipoprotein that carries cholesterol throughout the body and therefore is considered as bad cholesterol.

Addition of plant sterols in margarine and other spreads and salad dressing have, in general, was endorsed by many organizations of dietetics and nutrition. Significantly, the Food and Drug Administration (FDA) has authorized the use of it in the marketing of these types of food products after reviewing the research.

Dr Martin Scurr has been treating patients for morethan 30 years and is one of the country’s leading GPs. Here he answers your questions…

Felix de Havilland, Ongar, Essex.

Uphill struggle: Dr Scurr says you should not listen to people who claim they can get rid of gallstones with natural remedies

Yi Dan is a form of herbal medicine and, as regular readers will know, I am no fan of alternative therapies. But before I explain why, first to the gallstones.

About 20 per cent of people over the age of 65 have them, and in most cases they’re not a problem. however, in some cases they cause pain, infection in the gallbladder (cholecystitis) or bile-duct system (cholangitis), or even an inflamed pancreas (pancreatitis), a common and potentially very serious complication.

There are different types of gallstones. The most common are formed of cholesterol; there are also black or brown ‘pigment’ stones, made up of waste products excreted by the liver. Stones grow about 1mm to 2mm each year, taking some years to become big enough to cause problems.

Why do gallstones form? The process starts with bile, which is made by the liver and carries away unwanted waste such as cholesterol. Bile travels from the liver via the common bile duct. some is then diverted up a short tube, the cystic duct, into the gallbladder, which acts as a storage reservoir.

The wall of the gallbladder absorbs 90 per cent of the water from the bile, concentrating it. When you eat, the gallbladder empties the stored bile back into the common bile duct.

But if the gallbladder is diseased — common risk factors include obesity, genetics and a rich, fatty, over-calorific diet — waste products such as the pigments formed by the breakdown of old blood cells collect into small stones.

Gallstones can be dissolved by taking bile acids orally for many months, though this is only effective for cholesterol stones. And the success rate with large stones is poor; even in the best cases, less than half are dissolved after two years of treatment.

The stones can also recur — around 50 per cent of patients suffer again within five years.

A bigger worry is that stones made smaller by dissolution can become small enough to be squeezed down the cystic duct into the common bile duct and cause a blockage — a considerable problem. in more than 30 years as a GP, I’ve never had a patient deal successfully with gallstones in this way.

Alternative treatments: Dr Scurr has never met anyone who cured their gallstones with olive oil or lemon juice

The gold-standard treatment is cholecystectomy — removal of the gallbladder. this is offered once symptoms occur and is usually a keyhole procedure. it does not affect digestion, although some patients develop chronic diarrhoea.

My patients often mention the alternative method you describe and always seem to know somebody who knows somebody for whom it worked. But I’ve never managed to speak to an actual patient who’s had it, and frankly I think it’s a fairy story, perpetuated by the internet.

In any case, it’s difficult to imagine how Yi Dan would help flush your 2cm stone down the common bile duct, which is just 5mm in diameter.

I receive many readers’ letters seeking advice on alternative treatments. I do sympathise, as I think it’s essentially a quest for being listened to with patience, kindness and understanding: these can be in short supply in the hard-pressed world of high-tech medical care.

However, don’t confuse this with efficacy: alternative treatments are ‘backed’ only by anecdote.

But it works, people say. Well, that’s the magic of the placebo effect.

Nowhere is this more true than with homeopathy, which James Delingpole recently wrote about in these pages.

Homeopathy is based on the joke principle that like treats like — giving minute doses of a poison which, in larger amounts, apparently produces the symptoms from which the patient suffers.

This is not the same as herbal medicine (heroin, from the opium poppy, is a herbal medicine and really works for pain). in homeopathy, the substance used is so diluted there’s none left.

Put a sugar lump in the sea at Portsmouth and take a spoonful of seawater at Penzance and you’ll understand the sort of dilutions being employed. Sure, homeopathy is well meaning, but it’s based on wishful thinking and, as such, is dishonest.

Just like the loony Yi Dan treatment proposed for your gallstones. Disappointing I know, but please don’t waste your time. as for the olive oil and lemon juice, I’m afraid that won’t help either.

G Pattenden,  Eastbourne, East Sussex.

The phrase ‘hardening of the arteries’ refers to the process of atherosclerosis, when deposits of fatty cholesterol material build up inan artery. Risk factors include high cholesterol, raised blood pressure, smoking, diabetes and obesity. Any artery in the body can be affected: in your case, it was the carotid artery.

CONTACT DR SCURR

To contact Dr Scurr with a health query, write to him at Good Health, DailyMail, 2 Derry Street, London W8 5TT or email drmartin@dailymail.co.uk -including contact details.

Dr Scurr cannot enter into personal correspondence.

his replies cannot apply to individual cases and should be taken in a general context.

Always consult your own GP with any health worries.

The two carotid arteries, one on each side of the neck, are the most important arteries supplying blood to your brain.

The risk is that a clot forms on a section narrowed by a fatty build-up. The clot then detaches and is carried up into the brain, whereit eventually blocks a smaller artery, reducing blood supply and damaging the area of brain cells the vessel was supplying — causing an ischaemic stroke.

In patients with at least 50 per cent narrowing of the artery, surgery is used to remove the fatty build-up. however, studies suggest there’s no benefit in operating on those with 30 to 49 per cent narrowing; and surgery is actually harmful in those with less than 30 per cent.

That’s why you’ll have been advised to take a small daily dose of aspirin, as this makes the blood less sticky and reduces the chances of aclot. It’s also advisable to control blood pressure meticulously; buy your own machine and use it once a week.

Most important, taking a statin is essential, preventing further cholesterol build-up and even shrinking the blockage.

In your letter, you also mention suffering neck pains with small amounts of alcohol. this, I suspect, is unrelated to your arteries and may be due to a creaky old neck, which blights many of us.

Save your pennies: Private health insurance doesn’t cover primary care

Just at the moment financial cutbacks and a major re-organisation put the NHS under huge strain, up pop those seductive ads for private healthcare. they imply any illness will be paid for, and you can bypass the NHS. Ah, such peace of mind.

But there’s not one policy anywhere that covers primary care (GP care), and yet 90 per cent of anything that might happen to you is treated in general practice. Your attention is craftily distracted by the promise of cover for osteopathy, physiotherapy and other more peripheral treatments — but before anything can be treated, you need a diagnosis!

My other concern is insurers will attempt to hijack your medical care by ‘helping you find a consultant’. since when have clerks at the big insurance providers had the training in medical care to select specialists?

Furthermore, and even more insidious, is that insurers tell the specialists what fee they may charge: anyone who doesn’t sign up to this is not registered by the insurer. not only does this improperly suggest to the layman that ‘unregistered’ consultants have not passed muster in some way, but patients see specialists chosen on the basis of cost, not excellence.

Meanwhile, the specialists themselves have to do more work in less time; the only way to cover their overheads is to squeeze in more consultations. why go privately if you don’t then get to spend time with the specialist and receive a detailed opinion?

Note: insurance companies are commercial organisations dedicated to making money for their investors.

My approach is to opt for in-patient cover only. this means the insurer re-imburses the fees when the problem is so serious you must be in hospital, but keeps the premiums down. otherwise it’s just a rip off.

Performing a Medical Symptoms Check (Medical History)

Side effects for commonly prescribed drugs:

Side effects that results from combined drugs:

• Antidepressants: this is often happening when you first start taking them, these symptoms include light-headedness, feeling a little ‘spaced out’, headaches, tummy symptoms and problems with sleeping. these side effects may end after 2 weeks at most.
• Aspirin-type medicines such as ibuprofen or diclofenac: these medicines can be a bit tough on your stomach; taking them with food helps.
• Blood pressure lowering medication: Tiredness and problems with erections in men may happen with some blood pressure medicines.
• Painkillers: Some codeine-containing drugs commonly cause problems with constipation, so you may need to ask you physician about using additional laxatives.

• Combined oral contraceptive pill and antibiotics: if you’re a woman taking the combined oral contraceptive pill, also starting to take certain antibiotics can make the pills less effective and put you at risk of becoming pregnant.
• Statins and macrolide antibiotics: If you take a cholesterol-lowering drug belonging to a group of drugs called statins, also taking a type of antibiotic of the macrolide group (such as erythromycin or clarithromycin) increases the risk of muscle aches.

These are some important hints that might be useful when preparing your own medical symptoms check. There are still some other topics that we can talk about in another article to complete the medical symptoms check list.

How about medications? Modern medicine is based mainly on drugs; doctors can’t deal with many diseases without drugs, which can be effective in relieving pain and its symptoms. But almost any medicine may have side effects. these side effects may be a direct result of the drug itself or due to interaction of different types of drugs resulting in more side effects.

There is something called ‘Contraindications’, where someone has certain health conditions, but needs to avoid taking new drugs while having certain health problems. You need to think about contraindications when you start taking a new drug and having new symptoms making you feel unwell. Another important issue about drugs is ‘Allergic reactions’. this includes feeling symptoms like rash, itching or difficulty breathing after taking new medicine. You can have an allergy to certain medicines just as some people are allergic to certain foods or insect bites. if you know or suspect that you suffer from an allergy, make sure that your doctor and other people close to you know about the condition.

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