Desensitisation – treatment for pollen allergies

Did you know… the right time to think about treatment for pollen allergies is AFTER the pollen season?

For those of us who suffer from hay fever the ordeal for this year is over. Soon we will have forgotten all about the sneezing, eye watering and itching which pestered our lives for weeks and months.

What treatment is recommended and when​?

The only evidence-based treatment for pollen allergies is desensitisation, however this should be started three months before the season.

What is desensitisation?

Desensitisation is based on the administration of low doses of allergen on a regular basis, for about three years. To be sure to choose the right allergen for the treatment it is important to consider the exact time span when you had your symptoms, as well as your allergic sensitisation levels.

Is desensitisation only for comfort?

No, the use of powerful antihistamines is a problem as this causes tiredness and reduces performance at work and school. Desensitisation is definitely recommended for children with a three-year history of hay fever because of their higher risk of developing allergic asthma.

Where can I get a desensitisation treatment arranged?

Call Roseneath Medical Practice on 020 8940 9955 to book desensitisation treatment with Dr Robert Arlt MD, Consultant Paediatrician with a special interest in allergy.

Tick bite – first aid…

Did you know?

In the case of a tick bite, it is advisable to remove the tick within the first 24 hours in order to reduce the risk of Lyme disease.

How do we deal with tick bites?

You are more likely to see the tick, than feel the bite. That is why you should check for tick bites on yourself and your children after spending time in grasslands or woodlands. It is common knowledge that contracting Lyme disease is the main concern. There are special kits available from pharmacies to remove ticks, but you may also simply use tweezers or even a couple of credit cards. It is important to grasp the tick as close to the skin surface as possible, to gently pull upwards and to disinfect the area afterwards.

When shall I see a doctor?

Blood tests shortly after a tick bite are unreliable. You should look out for a circular red rash developing around the bite a couple of days later but it may even occur up to three months later. Blood tests at this stage may still be unreliable and you will normally be prescribed a three-week course of antibiotics to avoid the late stages of Lyme disease. Lyme disease can more rarely simply start with flu-like symptoms. In this case repeated blood tests at longer intervals will usually be necessary to confirm the diagnosis.

Is there anything else we should be aware of?

Another disease transmitted by ticks is tick-borne encephalitis, which does not occur in the UK but does occur in large parts of Central and Eastern Europe. Fortunately, there is a vaccination available against it, which is available at Roseneath Medical Practice.

by Dr Robert Arlt MD – GMC Reg: 6135708 
Consultant Paediatrician

Approximately 3,000 cases of cervical cancer are diagnosed each year in the UK…

Did you know?…

Approximately 3,000 cases of cervical cancer are diagnosed each year in the UK?

Who is affected by cervical cancer?
• Cervical cancer mainly affects sexually active women aged between 30 and 45 years, although it
is possible for sexually active women of all ages to develop cervical cancer.
• The condition is very rare in women under 25 years of age.

What about Human papillomavirus?
• HPV is mainly transmitted through sexual intercourse. Most sexually active women and men will
be infected at some point in their lives and some may be repeatedly infected. The peak time for
acquiring infection is shortly after becoming sexually active. HPV infections usually clear up without
any intervention, but a small proportion of infections can lead to cervical cancer.
• Two HPV types (16 and 18) cause 70% of cervical cancers.
• Vaccination has been proven to be effective in preventing infection with HPV.

Why have cervical screening?
• The aim of cervical screening is to reduce the number of women who develop cervical cancer as well as those who
die from it. In fact since screening has been implemented it is estimated that at least 2,000 cases of cervical cancer are
prevented each year in the UK.

What are the guidelines for cervical screening?
• Women aged 25 to 49 years: screening every three years • Women aged 50 to 64 years: screening every five years.
• Women over 65 years: screening only for women that have recently had abnormal testing.

How can Roseneath Medical Practice help?
See Dr Soori, a female GP with an interest in Women’s health, for comprehensive cervical screening with HPV testing and
quick turnover of results.

New Year’s resolutions

Did you know it is estimated that three-quarters of New Year’s resolutions are abandoned by the end  of February?

Why do people give up on their resolutions so quickly?

  • It takes time to make a new habit, or to lose a less healthy one. Any new exercise regime or diet takes a while to bed in.
  • We often set unrealistic goals and targets- for example, deciding to eat no sugar, give up carbohydrates completely or exercise every day for an hour.

How can you improve your chances of success?

  • Knowing your current health status is a good way to start-your cholesterol level, blood sugar level, blood pressure, body mass index, and being aware of your ideal measurements .
  • A good way to do this is to have a Health Assessment, personal to you, taking account of your age, gender, family history and lifestyle.
  • By knowing these parameters as well as others, your individual risk for heart disease can be calculated.  Other potentially serious conditions can also be screened for eg lung disease, cancers,  mental health problems. This means you can set goals that really improve your personal health, which are safe and realistic for you.

 

health assessment

 

How can we help?

  • At Roseneath Medical practice, Dr Sumi Soori offers a broad range of Health Assessments- Men, Women’s, Comprehensive health assessments,  Healthy heart, Cognitive assessments, Child health,  Fertility, Mental health etc all with same day results.  Referrals can be made as necessary to other health professionals, some on-site eg physiotherapy.
  • Making new habits and behaviours requires us to understand our responses to stress and other triggers. Dr Soori can help you to do this  through Cognitive Behavioural therapy, which can help increase your chance of sticking to you goals and achieving your resolutions.
  • So for 2018, rather than embark on fad diets or fitness regimes that you can’t keep to, why not book a health assessment to fully understand your current health status, and receive advice and support you to successfully achieve your goals.

Roseneath Medical Practice offers a 10% discount for health assessment bookings in January and February ‘18

General good health does not necessarily mean you are fertile.

Roseneath HP Medical QA May 16

Did you know?… by Dr Sumi Soori (Private GP in Richmond)

General good health does not necessarily mean you are fertile. Approximately 1 in 7 couples in the UK have difficulty conceiving.

What are the causes?

Female factors:

  • lack of regular ovulation (polycystic ovaries, thyroid problems, premature ovarian failure)
  • blockage of fallopian tubes (due to previous surgery, infection)
  • problems with the womb (endometriosis, fibroids etc)
  • cervical mucus problems
  • age

Male factors (approximately one third of cases):

  • lack of sperm, sperm that are not moving properly or poor quality of sperm (could be due to testicular problems)

Both partners:

  • being overweight or underweight
  • smoking
  • alcohol
  • sexually transmitted infections
  • stress
  • medicines

And the good news?  Tests done through a GP can help identify a cause in approximately 80% of cases.  Depending on the cause identified, a treatment plan can be formulated to help improve your chances of conceiving naturally or via assisted methods.

What to do now?  If you have tried to get pregnant for over one year, or if you’re a woman over 35 years of age trying to conceive for six months, or if you suspect you or your partner may have a fertility problem, see a doctor at Roseneath Medical Practice for simple efficient investigations to help assess your fertility, and help you achieve a healthy pregnancy.