Even Viagra will not assistance me get an erection, aid! Dr Zoe Williams responses your health inquiries

THE Euros, Wimbledon and the Olympics offer a great prospect to have enjoyment with mates.

 It’s outstanding to see the strength sporting occasions carry to the country. But there are some dangers I’d like to warn you of.

4

Dr Zoe Williams shares assistance with a male unable to attain an erection due to the fact getting cancer surgical procedureCredit: Olivia West

 If you are acquiring a BBQ, make sure you cook minced meat (these as burgers) all the way as a result of to steer clear of tummy bugs.

Suncream is simple to ignore when it is cloudy, but the dangerous sun’s rays go via, so SPF is essential every single working day in summer.

When ingesting, consider alternating liquor with tender drinks. Owning single spirits with a food plan mixer retains calories down, when compared to lager or cider. 4 pints can be 1,000 energy. That will not assist your waistline or possibility of health ailments such as heart disease, if you make a routine of it.

And, with football significantly, it’s a unfortunate real truth that wins and losses can make current domestic abuse a lot more recurrent and serious.

Contact the National Domestic Helpline for free and in assurance any time on 0808 200 0247.

Here’s a collection of what viewers have asked this 7 days.

Cancer op has ruined intercourse daily life

A reader has contacted Dr Zoe after experiencing sexual problems following treatment for colorectal cancer

4

A reader has contacted Dr Zoe soon after dealing with sexual difficulties subsequent remedy for colorectal cancerCredit: Getty

Q) I Experienced medical procedures for colorectal (bowel) cancer in 2015 and I haven’t been capable to achieve an erection considering that.

Viagra doesn’t get the job done and my penis looks to have shrunk. Is there any other therapy I can obtain? I’m 64. I have also been a variety 2 diabetic for about 5 several years.

A) This is a really significant issue that a lot of persons struggle with so thank you for becoming genuine ample to compose in about it.

Deborah James clarifies the early indicators and indicators of bowel most cancers you should In no way overlook

Sexual challenges are definitely pretty widespread in folks immediately after cure for colorectal most cancers.

Surgical treatment to the bowel or rectum can have an impact on the nerves to the sex organs basically for the reason that they are so near in proximity, so any procedure can bring about sexual challenges in both equally males and ladies.

 Men can have problems with getting an erection and staying equipped to ejaculate after medical procedures and radiotherapy for rectal most cancers. You could not be in a position to get or continue to keep an erection and may possibly have dry orgasms.

Your most cancers expert ought to be ready to communicate by means of cure solutions with you, which might include a penile rehabilitation programme that can enable manage blood flow to the penis and cut down hurt to the muscle and tissue in the penis. You say Viagra doesn’t get the job done but there are various medications, this kind of as Cialis, Levitra and Spedra, which can in some cases be approved by specialists for problems prompted by surgical procedures, like yours.

There’s also a prescription product referred to as Vitaros which you utilize to the opening of the urethra and if it functions you can get an erection anywhere from 5 to 30 minutes after making use of it.

A gel identified as Erexon is available to invest in devoid of prescription. It can also be utilized to the head of the penis and, by stimulating the nerves, could lead to an erection in 10 minutes.

There are also prostaglandin injections and vacuum pumps which attract blood into the penis.

 There are a whole lot of alternatives accessible to assist so please don’t put up with in silence – and don’t believe you are by itself.


This reader's husband experienced deterioration of his sight after cataract surgery

4

This reader’s spouse professional deterioration of his sight right after cataract surgical treatmentCredit: Alamy

Q)  MY 75-yr-previous husband experienced a cataract removed from his appropriate eye in January this year and his remaining eye was performed two months later on.

At his post-operation appointment he was advised he experienced fluid at the back of both of those eyes, and his eyesight, which was crystal distinct following the very first operation, had deteriorated.

He’s been referred to medical center for injections as the drops did not work but will this overcome the condition and will his eyesight strengthen?

A) While cataract surgical procedure has a results charge of about 95 to 98 for each cent, as with any procedure there are matters that can modify just after the operation that can have an outcome on the consequence.

The central aspect of the retina at the back of the eye is identified as the macula.

It is dependable for tons of high-quality eyesight functions like studying, viewing Television set and recognising faces.

When blood vessels leak into the retina it can induce fluid to get and accumulate in the macula, which outcomes in a problem called macular oedema.

It can take place on its possess fully out of the blue, but it can also arise as a end result of cataract surgery.

We know from the statistics taken from prosperous cataract surgery that macular oedema is rare but it can happen.

The end result is blurring of vision and a distortion of vision, which are both equally classed as deteriorations by consultants, which is what sales opportunities me to suspect this might be what your spouse is dealing with.

It can be verified with an assessment applying eyedrops to dilate the pupils, and then a slit lamp is applied to assist look at the pretty again of the eye where by we can see the fluid accumulation if it exists.

Eyedrops are normally employed as a initially treatment and, if no enhancement is observed, steroid injections may well be launched – either close to the eye or into the eye.

Fortuitously, a person’s vision normally increases in a small selection of months.

Regretably, in rare cases, full recovery isn’t achieved even with cure, but ideally your spouse will be in the the greater part that do get well.


Coughing up blood as I wait around for surgical treatment

This reader is worried because he's coughing up blood, while waiting for a hip operation and doctors don't know why

4

This reader is fearful simply because he’s coughing up blood, while waiting around for a hip procedure and health professionals you should not know whyCredit: Getty

Q) I’M a 64-year-previous man waiting around for a new hip. I have been coughing up blood every single early morning for 4 months.

I’ve had a upper body X-ray, MRI scan and blood exams, and all have been apparent.

Doctors never know why it is going on. They explained to me to take two omeprazole tablets rather of a single.

Could it be since I’m getting far too a lot of tablets?

I’ve been in pain waiting around for my hip op and I get two amitriptyline, four tramadol, just one atorvastatin and two omeprazole each and every working day.

A) The initial factor is to assist establish exactly in which the blood is coming from.

You say “coughing up”, which suggests it is coming from your airways, but some individuals use that term when they are essentially spitting it with no a cough. In which circumstance it could be coming from your tummy, food pipe, oral cavity or the back of your nose or throat.

If it’s from your lungs it could be a upper body an infection, pneumonia, bronchitis, a lung tumour or a blood clot – but you have experienced investigations to pretty confidently rule these diagnoses out.

If it’s coming up from the gastrointestinal tract as reflux or vomit then probable will cause involve swelling or ulcers of the belly or oesophagus. Blood from the nose can travel backwards to the throat through sleep and appear in the spit in the morning and bleeding lesions in the mouth really should be identifiable with a thorough oral evaluation.

In phrases of the medication you choose, tramadol can really hardly ever bring about another person to bleed from a gastric ulcer, but omeprazole is made use of to stop upper gastrointestinal tract bleeding, so is protective.

As a GP, it’s reassuring to me that checks have been performed and absolutely nothing identified.

Although I do get the point that if you really don’t have a conclusive respond to it can be annoying as a affected individual, if we can rule serious factors out as medics we’re normally quite content to view and wait.

It is really worth retaining an eye on and examining in with your GP often if nearly anything improvements at all, particularly if you recognize any changes to electrical power concentrations, any fat modify and any new pains or aches, no matter how trivial they may seem to be.