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Managing your Asthma

By Asthma, Chronic Disease

Asthma can be confusing because it means different things to different people – from wheezing after a short run, to being admitted to hospital. If you or someone you know has been diagnosed with asthma, it’s important to know that asthma is a manageable condition. While there might not be a cure, here are some key areas that can help you get control over the symptoms.

Asthma action plan

An asthma action plan is written in conjunction with your doctor, and tells you what medications you should take, how to tell if your asthma is getting worse, what to do if you have worsening symptoms, and what to do in the event of an asthma attack. If you find that you are having symptoms more than once or twice a week, your asthma could probably be better controlled. Chat to your GP about starting or updating your plan, as your needs will change over time.

Correctly using your inhaler

If you do not use your inhaler correctly, you will not get the full dose of medicine – and up to 90% of people are thought to be using their puffers incorrectly. There are many different types of inhalers available, so there is potential for change if your current model is not working for you. Spacers can also be used help you get the whole dose of medicine, so children should always use a spacer for both preventative and reliever puffers, and adults may be recommended to use them with preventative puffers. There are different types of spacers as well, so work with your doctor to find the right combination for you.

Identifying triggers

Asthma can be triggered by many factors or combination of factors. It could be a cold that you catch, something you inhale such cold air or irritants in the air, strong emotions, physical activity, food or alternative medicines, or other factors in your environment.

Some triggers you should avoid, such as smoking and air pollution inside. Some you can’t really avoid, such as catching a cold or stress – but you should try to minimise your risks. Other triggers like exercise, sex and laughing shouldn’t be avoided. If you find these triggers are causing asthma episodes, you and your doctor should consider a change in your management plan and medication so you can maintain your quality of life.

Complimentary therapies

There are some well-researched practices that you can speak with your doctor about using to help manage your asthma. Caffeine has been shown to increase lung capacity, and there are some promising signs that eucalyptus oils can help. Other therapies such as acupuncture, herbal medicines and supplements, breathing exercises and hypnosis may also help, but do not have enough evidence to say with certainty that they are safe and effective.

Managing your symptoms is a team effort. If you would like a review of your asthma management plan, talk with your GP to discuss what could work for you.

Click here to book an appointment with a GP to discuss asthma management –>

Infertility Awareness

By Family Planning & Parenting, Women's Health

Sometimes even well-meaning strangers can ask, “When are you having a baby?”  For some people, it’s more than just uncomfortable – it’s heartbreaking. Infertility is not something we often discuss in polite conversation, but it needs to be. One in six families is affected by infertility, and the issue should be discussed so we can all better understand the factors surrounding a private struggle that many people face.

Infertility is common.

Infertility is defined as the inability to conceive a child after more than 12 months of unprotected sex. One in six families are affected by either male or female infertility, or a combination of both. The World Health Organisation has predicted infertility to be the third most serious health condition in the 21st century, after cancer and cardiovascular disease.

Infertility affects both genders.

Males make up just under half of reported cases of infertility. One in 25 men is thought to have a low sperm count, and females over the age of 35 have a one in three chance of having issues with their infertility.

IVF is not always the solution.

There are many, many reasons that a family might struggle with infertility. Some causes are able to be addresses by looking at lifestyle, such as;

  • Frequency and timing of sex. There is a small window every month where conception is possible, and some couples can seek education as to the best way to monitor their chances of conceiving.
  • It’s not well known that many STIs, especially including chlamydia and gonorrhoea, can cause infertility issues. Once an STI has been diagnosed, the doctor can discuss where to go from there.
  • After the age of about 33, conception becomes more difficult. Consultation with a doctor can give you some options.
  • Some genetic factors negatively influence fertility.
  • Lifestyle choices. Alcohol, smoking and caffeine are all known to impact fertility. For some people, giving up these substances helps them fight infertility.
  • Weight and exercise. Being overweight and not exercising makes it much harder for the body to conceive. A healthy body can increase chances of conception.
  • Having all the vitamins and minerals the body needs is vital to healthy conception, especially if someone has a deficiency.

Approach the fertility discussion with sensitivity.

While it’s absolutely vital that fertility is spoken about, remember that issues around sex and conception are often private matters. Some people feel like they’ve “failed” if they can’t conceive naturally within a “normal” timeframe. It’s almost always better to focus on listening and supporting, rather than giving advice.

If you are struggling with fertility, or find yourself wondering if what your family is experiencing is “normal” – talk to someone. Almost every person who finally seeks advice about their fertility wishes they had started sooner. Your trusted GP is a great place to start, and they can refer you on if necessary.

Click here to book a GP to discuss infertility –>

The Truth About Healthy Bones

By Body Systems, General Wellbeing, Lifestyle

The Truth About Healthy Bones

Poor bone health is a problem for 2 in 3 Australians older than 50 years. People of all ages can take steps to develop strong, healthy bones that will last a lifetime. Let’s look at some misconceptions about bone health, and find out the truth about healthy bones.

Misconception 1: Osteoporosis can’t be prevented.

Osteoporosis means that bones have become weak and brittle. If a person’s dietary intake is not enough to keep their body functioning, the body can borrow calcium and other minerals from the bones – which makes them more fragile and prone to breaking. Bone health can be influenced by genetics, but building strong bones early in life and maintaining good bone health habits later on goes a long way towards preventing osteoporosis.

Misconception 2: Osteoporosis is a women’s problem.

Because women have a rapid drop in oestrogen during menopause, they are more susceptible to osteoporosis. Men’s testosterone levels do drop off, but at a more gradual rate. However, by age 65, both genders lose bone mass at about the same rate. Osteoporosis affects 1 in 5 women over the age of 65 years, and 1 in 20 men – although the number of men is growing. Both men and women can benefit from good bone health.

Misconception 3: Bone health is only relevant to older people.

There are several advantages of considering bone health, even in children and young adults. Firstly, the habits that encourage strong bones are generally good for your whole body. Secondly, the teenage years build one-quarter of adult bone mass, and by the late twenties bones are at their peak mass. After this point, adults need to be careful to maintain good habits so they don’t lose that mass. Building healthy bones at a young age gives your older self a strong advantage later on.

Misconception 4: Maintaining strong bones is difficult.

There are 3 simple ways that you can ensure your bones stay healthy and strong. They are:

  1. Get enough calcium: In most Australian diets calcium comes from dairy products, but there are other sources such as supplements, fortified soy products and other foods. Discuss your calcium needs with a doctor or dietician to make sure your intake is adequate.
  2. Weight bearing exercise: it’s not only muscles that get stronger as you exercise – your bones get stronger too. Any exercise that offers some resistance is a good option for strengthening bones.
  3. Get vitamin D: Vitamin D is another essential building block for healthy bones, and the good news is that your body can make its own when given direct sunlight. But don’t throw your sun safety habits away – normally only a few minutes in the sun will do the trick. Talk to your doctor about how much sunlight you need to get your daily vitamin D.

While age, genetics and gender can’t be changed, your habits can. Healthy bones are worth the effort. Your GP is a great place to start looking for personalised information about what you can do to avoid osteoporosis and help your bones stay fighting fit, well into your later years.

Click here to book an appointment with a GP to discuss bone health –>

Keeping Abreast of all Things Breastfeeding – 7 Facts You May Not Know

By Children's Health, Family Planning & Parenting, Nutrition, Women's Health

It’s World Breastfeeding Week, and the theme this year is “sustaining breastfeeding together”. Breastfeeding is actually a team effort – the research shows that mothers breastfeed more effectively and for longer when they feel supported. So, let’s get together and look at 7 interesting facts you might not know about breastfeeding.

Breastfeeding benefits mothers

It’s not just baby that benefits – exclusively breastfeeding can have a natural birth control effect for the first six months – but while it’s 98% effective, it’s not 100% failsafe! Breastfeeding also reduces the risk of breast and ovarian cancer, helps most mothers to lose baby weight, and reduces the risk of type II diabetes and postnatal depression.

Breastfeeding helps the budget

Breastfeeding can save a family hundreds of dollars a year. Even without the cost of formula, breastfeeding mothers avoid the cost of bottles, bottle warmers, sterilisers, and specialised equipment. Even mothers who pump their breast milk will not normally require as much additional cost.

Breast milk adapts to baby’s needs

Breast milk changes its nutritional profile as your baby’s needs change. Breast milk for a 1 month old is different to the milk a mother produces for a 6 month old. It can even be different from one day to the next – for example, the body will automatically add more water during hot weather to help baby stay hydrated.

Big breasts don’t mean better breastfeeding

Breast size has very little to do with how much milk is produced and stored. Breast size is usually determined by fat deposits, but it is the mammary glands in breasts that produce milk.

Breastfeeding helps with bonding

Babies are born with limited eyesight – in fact, they can only see 20 – 30 cm. That happens to be the perfect distance to see their mum’s face while breastfeeding. Breastfeeding also gives skin-to-skin contact, which is perfect for bonding with a new baby.

Don’t put the brakes on breastfeeding

Mums can still breastfeed during most sicknesses – in fact, it’s often better for baby. By the time you have symptoms, you have probably already passed on the infection, so it’s best to keep breastfeeding so your baby gets the benefits of your antibodies to help fight the sickness. You also don’t need to avoid a glass or two of alcohol – just wait at least 2 hours after each drink before feeding again.

Breastfeeding knowledge is built up over time

While many people think breastfeeding comes naturally, it can actually take some women time and effort to learn. It’s normal to need help. That’s why one of the major factors that determine whether a mother sticks with breastfeeding is how much support she has.

Not everyone can breastfeed exclusively, but the vast majority of women are able to when given support.  If you have any concerns or questions about breastfeeding or your baby, your GP can help or point you towards free specialist services.

You can click here to book in with a GP –>

Eliminating Hepatitis – It’s Everybody’s Problem

By General Wellbeing, Immunisation

 

Hepatitis has a reputation as a disease that only affects people who live an unhealthy lifestyle. While factors like sharing needles can greatly increase the chances of contracting a form of viral hepatitis, it is quite possible for almost anybody to come into contact with the disease. Being informed about hepatitis is everybody’s responsibility.

So, what is hepatitis?

The term “hepatitis” refers to inflammation of the liver. There can be many causes and degrees of severity. Normally when people talk about hepatitis, they are talking about one of the viral forms.

  • Hepatitis A (HAV) is a virus that is often transmitted by coming into contact with food or water that has been contaminated by faeces of an infected person.
  • Hepatitis B (HBV) is a virus that is spread via bodily fluids – blood, semen or similar.
  • Hepatitis C (HCV) is a virus that is also spread by contact with bodily fluid.
  • Hepatitis D (HDV) is a virus that is spread through direct blood contact, but can’t infect someone unless they also have Hepatitis B. It is uncommon in developed countries.
  • Hepatitis E (HEV) is a virus that is spread through contaminated water. It is very uncommon in developed countries.
  • You can also get non-viral hepatitis from an auto-immune disease, or as a complication from drugs, alcohol, medications or toxins.

How is hepatitis diagnosed?

Most symptoms of hepatitis aren’t obvious until there is a lot of damage to the liver. First, your doctor will talk to you to try and find any risk factors. You might get a physical exam where the doctor will gently press on your stomach to feel for any abnormal swelling, or if you have pain.

There are blood tests to see how well the liver is working. Abnormal results might be the first sign something is wrong, especially in the early stages. Other blood tests might be necessary to check for a number of factors that might indicate hepatitis.

Ultrasound can be used as a diagnostic tool to check that your liver looks normal. If there are still concerns, your doctor might order a liver biopsy, which is a small sample of tissue that is taken from your liver – normally with a needle instead of surgery. These samples show what’s really going on with your liver.

Treatment

Some types of hepatitis can be cured; some types can be vaccinated against, and some need to be managed. If you are found to have a form of hepatitis, you will need to work closely with your doctor to discuss treatment options.

Avoiding hepatitis

The best ways to avoid hepatitis are:

  • Good hygiene practices, including eating at restaurants with high safety standards
  • Avoiding blood, including spilled blood, shared drug needles and razors.
  • Practising safe sex
  • Be extra alert when traveling to developing countries; avoid local water, ice, raw fresh produce and seafood.
  • Stay up-to-date with vaccinations.

If you are concerned about any symptoms you might be experiencing, such as lethargy, unexplained weight loss, pale stools, abdominal pain, or if you would like a routine blood test – be sure to see your GP. Up to 90% of people who have hepatitis B are unaware that of their status, and the symptoms are often not obvious in the long-term forms of the disease. Your GP is the best person to help you find peace of mind and good health.

Click here to book to see a GP –>

A Painful Subject – Living With Chronic Pain

By Chronic Disease, Chronic Pain

Acute (or short-term) pain is a normal function of our nervous system, meant to let us know that something is wrong and to hopefully encourage us to fix the problem. Chronic pain is pain that stays for the long term. Even though it is very common – one in five Australians live with chronic pain – people who have this condition can feel isolated and misunderstood. Here are three areas of life with chronic pain that we should talk about.

  1. Sometimes, acute pain can turn chronic

Some conditions have chronic pain as a common symptom; for example, osteoporosis, arthritis, and migraines. Pain as the result of an injury or condition that lasts beyond the expected healing time can also become chronic (or on-going).  For example, if a person had surgery, they would expect to feel some pain afterwards until the wound healed. However, if the wound had completely healed but the patient still had pain, it has become chronic. Often, delayed or incorrect treatment is the reason acute pain becomes chronic.

  1. People can feel pain even when there is no physical damage

Pain is a signal that is sent from the nervous system and interpreted by the brain. In some conditions such as nerve disorders, there is no physical damage that is causing the pain.  If acute pain is not correctly treated, the body can modify its nervous system to continue to send pain signals – even when the original problem is no longer there.

Not only can a person with chronic pain feel the same pain sensation as someone with physical damage, it can be much harder to treat because the issue can be with the nerve signals instead of a result of a treatable injury.

  1. Chronic pain often comes with social and mental issues

Because pain is not visible or measurable by other people, a person with chronic pain can feel misunderstood and unsupported by not only the people around them, but even by some medical professionals. Mental health issues are common in people with chronic pain. The rates of mental health issues such as depression, anxiety, PTSD and substance abuse are much higher than in the general population.

 

Imagine being in pain every day. Maybe it’s worse on some days than others. When you first talk about your pain, people are sympathetic and understanding.  As the months stretch on, some friends, family and co-workers begin to lose interest or become frustrated with your inability to resume your normal activities. Many people bear the pain silently, or isolate themselves as a result.

 

Where someone has pain, it is very important that a pain management plan is developed as soon as possible. If you have experienced acute pain, stay in contact with your GP if you feel the pain is not resolving as quickly as expected. If you suffer from chronic pain, find a GP that will commit to working with you long-term to manage your symptoms. Pain is a serious condition that deserves to be prioritised, and there are many options available to help you manage symptoms.

 

Click here to book in with a GP to discuss pain management –>

5 Tips to Get a Better Nights Sleep

By General Wellbeing, Lifestyle

How anxiety affects sleep

 As the Sleep Health Foundation say – “Time in bed is time well spent”. The average adult needs about 8 hours of sleep a night, but the truth is that many people are getting far less than the recommended amount. Poor sleep habits are sometimes seen as something to laugh about, but the lack of quality sleep can have some serious effects on our health. Let’s look at 5 tips you can do to get a better nights sleep.

The effect of anxiety on sleep

Sleep disruption is a common feature of mental health problems, and anxiety is no exception. You don’t have to have a diagnosed anxiety disorder to feel the impact the stress and worry can have on your sleep patterns.

anxiety and sleep information - things you should know infographic

Source: Sleep Health Foundation 

1.Set up a sleep pattern.

Your body operates on a complex biological timer, and you can help influence your internal clock by setting up a routine to tell your body when to sleep. To help train your body, try to go to bed at a similar time each day. Your pre-bed routine can also play an important part in winding down – you might take a warm shower, read a book, or do other calming activities to prepare yourself before bed.

2. No screen time before bed.

Taking mobile phones to bed for a last look at social media has become common, but this practice is particularly harmful to sleep quality. The light that electronic devices emit tell your brain that it is time to be awake, and make it harder for you to wind down. Turn off the electronics well before it is time for bed.

3. Avoid bad habits.

Caffeine is a major culprit in keeping people awake. Coffee, chocolate, tea and cola drinks have sleep-disturbing amounts of caffeine, so start limiting them hours before bed. Alcohol might seem to help with relaxation but it seriously affects the quality of sleep, so avoid that as well. If you need a daytime nap, try to have it before the afternoon so it doesn’t affect your sleep.

4. Don’t watch the clock.

If you are watching the clock tick over while you struggle to tune out, get rid of the clock completely. Create the mindset that rest is a good use of your time, even if you are not asleep. People sleep more than they think they do, and anxiety will definitely prevent you from relaxing. Don’t stay in bed if you are wide awake – try repeating your calming bedtime routine, and then use your time to rest and relax in bed.

5. Get professional help.

Sleeping tablets are rarely a long-term solution except in exceptional circumstances, but there are a range of other techniques and treatments that can be used to help people who struggle with sleep.  If you experience recurring problems in this area, don’t suffer in silence – talk to your GP.

The Sleep Health Foundation specifically recommends that you see your doctor if you experience “persistent problems with mood, restlessness in bed, severe snoring or wakening unrefreshed despite what should be adequate length sleep”. Your GP is available to help you with your sleep issues, and to refer you on to specialists where necessary. Don’t accept poor sleep as an inconvenient part of life – fight back for a good night’s rest.

With these 5 tips to get a better nights sleep, you could be on your way to getting that restful shut eye we all need!

Click here if you would like to see a GP to discuss sleep issues –>

Don’t Hold It In – Continence Issues and Why You Should Talk to Someone.

By Elderly and ageing, Family Planning & Parenting, Men's Health, Women's Health

Continence issues are not a popular topic, but if there is no serious discussion, people who suffer in this area often feel alone and helpless.  The theme of this year’s Continence Week is “No laughing matter” – focusing on people’s tendency to laugh off continence issues as a joke, or to treat it as an inevitable part of ageing or childbirth. The truth is, continence is a specialist health issue with a range of treatments and management strategies. Let’s look at bladder and bowel control issues, and why we should be discussing them.

What is incontinence?

Incontinence is the word used for problems with bladder or bowel control. This could mean that a person accidentally loses urine from their bladder, or has accidental loss from their bowels – including faeces or passing wind. Problems can range from small, infrequent leakages to complete loss of control over the bladder or bowel. Over 4.8 million Australians have some loss of control over their bladder or bowel.

Who is at risk?

Bladder and bowel control problems affect one in four people. It is more common as people age, but these problems are not only limited to older people – many young people also have bladder or bowel control issues. Childbirth can also cause complications that lead to bladder and bowel control problems. Many people with poor bowel control also have poor bladder control.

Isn’t it just something that happens sometimes?

People like to make light-hearted jokes about incontinence, but the truth is that bladder and bowel control problems are a health issue.  It’s not a natural part of getting older or giving birth, and it will not get better on its own. Incontinence is an issue that needs medical help to manage, control or fix symptoms.

How can you treat or manage your continence issues?

People with bowel or bladder control issues can feel embarrassed to bring them up, but it is important to discuss them with someone who can help. Bladder and bowel control problems can be treated, managed or cured – you won’t know how much improvement you can make until you ask.

You can work on creating healthy habits to improve your bowel and bladder health by eating healthy food, drinking lots of water, exercising regularly, toning and exercising your pelvic floor, and by reviewing and improving your toileting habits.

Where can you go for help?

Your GP can help you manage and treat your bladder or bowel control issues, and can advise you on what steps you can take to improve your condition.

If you are uncomfortable talking about your bladder or bowel control issues in person, you can phone 1800 33 00 66 for confidential advice, or you can go to www.continence.org.au to find information, connect and share your experience.

Don’t live with incontinence issues – click here for an appointment today.

Preventable, Treatable and Beatable – Bowel Cancer Australia Awareness Month

By Cancer, Lifestyle

Bowel Cancer Australia Awareness month

Did you know that bowel cancer has the second highest rate of deaths in Australia? We lose more than 80 Australians every week to this disease. The good news is that is also one of the most treatable types of cancer if it is detected early. Bowel Cancer awareness month is an opportunity to talk about this disease. Here’s what you need to know about detecting bowel cancer.

Who is at risk?

Both men and women, young and old, can develop bowel cancer. Around 25 % of people with bowel cancer have a history of the disease, but that leaves 75% with no known family history of this type of cancer or hereditary risks. However, there is hope – 90% of bowel cancer can be treated successfully with early detection. That is why it is so important to participate in screening, and understand the warning signs and to get checked out if you have any concerns.

How common is bowel cancer?

The Bowel Cancer Australia website has some confronting statistics. It is one of the top 5 causes of premature death among Australians aged 45 – 74, and the seventh leading cause of death in people aged 25-44. Australians have one of the highest rates of bowel cancer in the world – 1 in 13 will develop the disease at some point in their life.

How does it start?

Most bowel cancers (also known as colorectal cancer) start as usually harmless growths called polyps, which form in the lining of the bowel. Some types of polyps can turn cancerous, and turn into a tumour if left to develop.

What are the warning signs?

Unfortunately, in the early stages some people have no symptoms – which makes screening for bowel cancer particularly important. However, people with bowel cancer might experience:

  • Changes to bowel movements – alternating constipation and diarrhoea, or a change in the shape or appearance of your stools (thinner than usual, for example)
  • Abdominal pain
  • Anaemia (low red blood cells), weakness or weight loss
  • Blood in the stool (poo) or in the toilet
  • Pain or a lump in the anus or rectum

How do you screen for bowel cancer?

Initial screening for bowel cancer is extremely easy to do, can be done at home, and does not require any discomfort on your part. You will be given a kit called a faecal immunochemical test (FIT), which will require you to put a small amount of stool (poo) or toilet water on a card, and to send it in for testing – postage is even pre-paid. Results will be sent to you and to your GP for discussion. If there are any concerns, you may need a colonoscopy to check the health of your bowel.

If you experience any of the symptoms mentioned, particularly if they continue for more than 2 weeks, see your GP – you can click here to book.  Bowel cancer is often an easily treatable disease, and for the sake of a simple screening test it is absolutely worth having the conversation with your doctor. With education and discussion, we can see bowel cancer rates reduced in Australia and less lives affected by this disease.

5 Reasons to get outside and play with your kids!

By Children's Health, General Wellbeing, Lifestyle

Kids love to get outside to play – and as parents know, they should get out in the fresh air as much as possible. The National Day of Real Play is a fantastic initiative to encourage parents to get their kids playing creatively. More than just play, getting out of the house has real health benefits for your children. Let’s look at some great reasons why you should take advantage of the National Day of Real Play and get your kids playing.

1. Helps to improve vision.

Studies by vision specialists have shown that when children play outside, it can help with their depth perception and distance vision. It makes sense that getting out of the four walls at home encourages their eyes to see further. You could take advantage of any scenic places in your area or hide things in your garden for them to find, to help them use their eyes at different ranges and depths.

2. Vitamin D.

Vitamin D is a vitamin our body can get for itself, but we need sunlight to be able to make it. Unfortunately, as children stay indoors for longer periods, vitamin D deficiency is becoming more common. Don’t throw your sun safety teaching out, but just a few minutes of direct sunlight each day will help your child to keep their vitamin D up at the levels they need to stay healthy and strong.

3. Increased attention span.

Many parents have already discovered for themselves the benefits of getting their kids to “burn excess energy” before they settle down. It seems this instinct has scientific backing – children who play outside and are encouraged to join in creative activities have been shown to have an increased attention span when it’s time for other activities. Being able to focus on tasks is a great life skill for later, and getting active helps children to concentrate.

4. Reduced stress.

Sadly, stress levels in children are on the rise, and even young children are being brought to their doctors for consultations. While you should always seek advice if you have any concerns, encouraging your children to be outside can help to reduce their stress levels. Practising mindfulness exercises outside can also help kids to reduce stress and feel more balanced.

5. Muscle strength and coordination.

One of the easiest ways that we can get our children to improve their muscle strength is to encourage kids to use them! Getting outdoors provides lots of opportunities to run, play and get involved with sports.
Movement is the best way to see your children improve their gross and fine motor skills, and helps them to develop their muscles and improve their coordination.

There are so many more great reasons to get your kids outside and active. Have a look online for some National Day of Real Play activities that are being held in your area, and you’ll also find some great tips for easy and fun ways to get creative at home. If you do have any concerns about your children, remember to discuss them with your GP. You can click here to book if you need.

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