Healthy Life

He said anyone who will be sitting in a plane for hours should take precautions

Dr Amir Khan has urged all Brits who are about to jet off on their summer holidays to follow his advice. It revolves around how to stay healthy when on a plane, and specifically how to avoid blood clots.

The NHS warns that anyone for travelling for four hours or more – whether that is by air, car, bus, or train – is at risk of blood clots forming. Also known as deep vein thrombosis (DVT), it happens when blood flow slows down, a blood vessel gets hurt, or your blood clots too easily.

The danger comes when a DVT breaks off and becomes lodged in your lungs, causing a blockage. This is known as a pulmonary embolism (PE), and it can be fatal.

But there are things you can do to mitigate the risk, as Dr Khan explained to co-host Cherry Healey on the No Appointment Necessary podcast. He said: “People worry about blood clots on flights, right? So you want to reduce your risk of that happening.

“Every one to two hours you should be getting up or having a little wander up and down the plane, or doing your calf movements where you’re stepping up and down on the seat—you know, while you’re sitting down. The one thing you don’t need, some people go, ‘Oh, I’m going to have some aspirin before I fly because it’ll reduce my (risk of DVT)’.

“There is no evidence it reduces your risk of a blood clot, but there is plenty of evidence it increases your risk of bleeding. So do not take aspirin if it’s not prescribed for you or not recommended to you. Don’t take it as a ‘just in case I get a blood clot’ kind of medication. It doesn’t do that.

“And then, the other big thing, what blood loves is lots of volume and fluid, so drink water. Drink lots of water on that flight.”

DVT and PE explained

According to the NHS, symptoms of DVT (deep vein thrombosis) in the leg include:

• throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh
• swelling in 1 leg (rarely both legs)
• red, blue or darkened skin around the painful area – this may be harder to see on brown or black skin
• swollen veins

Many people associate DVT symptoms showing only in your legs, but they can also happen in your arm depending on where the clot is. “Sometimes the only symptom you may have is pain in your lower tummy. This is a symptom of pelvic vein thrombosis, but this is rare,” it continues.

Anyone with suspected DVT should ask for an urgent GP appointment or ring 111. If you’re pregnant you can also call an early pregnancy unit (if you’re less than 20 weeks) or your maternity unit, if you have the phone number.

You should go to A&E or call 999 if you have DVT symptoms and feel shortness of breath and/or have chest pain. You should not drive yourself.

Symptoms of a pulmonary embolism include:

• difficulty breathing that comes on suddenly
• chest pain that’s worse when you breathe in
• coughing up blood

You should go to A&E or call 999 if:

• you have severe difficulty breathing
• you feel pain in your chest or upper back
• your heart is beating very fast
• someone has passed out

Treatment

Often, people who may have DVT or PE are given an injection of anticoagulant to stop the clot becoming larger and prevent any new clots forming.

If tests confirm you have a pulmonary embolism, you will continue with anticoagulant injections for at least five days. You will also need to take anticoagulant tablets for at least three months. Treatment and recovery is normally successful, provided DVY and PE are spotted and treated early on.

To prevent it, the NHS urges people to wear loose-fitting clothing, sit comfortably with plenty of leg room, and drink lots of water. People should also stand up regularly, move your feet and toes regularly, wear flight socks, and press the balls of your feet down hard against the floor every so often.

Other threats to health

Dr Khan also issued another warning. He said that, due to the large numbers of people flying and the places planes go, there was the risk of lots of harmful bacteria on a plane.

He urged people to take appropriate steps to minimise the risk of catching a bug on a plane. He said: “When people are on planes, A) they might have been travelling from somewhere where bacteria that you’re not used to are, but B) not everybody washes their hands when they go to the toilet, and we know this, and it’s gross.

“And so they’ll be touching all the things that, you know, that little twisty thing for your tray table and all of that stuff. And if you’re touching it and then you’re eating something—which is usually why you put the table down, right?—then you could get the bacteria introduced. So I would say, yes, hand sanitiser, and do have a little alcohol wipe down.”

The NHS GP and TV doctor shared advice in an episode of his No Appointment Necessary podcast

NHS GP and TV doctor, Dr Amir Khan, has recommended that holidaymakers start taking a tablet daily one week before their departure date. The health expert offered the advice to help people tackle a common problem many face while on holiday.

The GP suggests taking the tablets to help reduce the common issue of irritation from mosquito bites. While Brits often complain about the insects during the summer population boom, they are even more common in mainland Europe, much to the frustration of holidaymakers.

Thankfully, Dr Khan has shared advice that could help anyone visiting a country where bites are likely. The NHS doctor and TV personality offered the tip during a recent episode of the No Appointment Necessary podcast. Dr Khan, who is a co-host of the show, revealed he swears by the method himself.

The doctor clarified that the trick does not prevent bites, but it can help to reduce irritation. He told viewers: “How do we protect ourselves against insect bites?

“This won’t avoid you getting bitten, but it will help you reduce all that irritation and redness. Start taking a daily antihistamine a week before you go on holiday. I do that now, and it has changed my reaction to mosquito bites.

“They’re not as bad as they were, and I’m not like just miserably itchy on holidays. So every day for a week beforehand.” He added: “Antihistamines a week before you go on holiday, and while you’re out there as well, because your whole point is managing your overimmune response, and antihistamines will help do that.”

The advice proved popular with social media users when a clip from the podcast was shared on Instagram. The video gained over 4k likes. Replying to the post, a commenter said: “True fact as we did before going to Sri Lanka last year and what a difference!!”

A similar reply said: “I’ve been doing this for a while and it works.” Another response read: “Did this going to Thailand last year and it worked a treat.” However, there were also some commenters who said they had tried the tip before without noticing a difference.

The NHS says you should speak to a pharmacist or GP before taking antihistamines if you’re already taking other medicines. It’s also important to follow the directions when taking antihistamines.

The NHS website explains: “Antihistamines are medicines often used to relieve symptoms of allergies, such as hay fever, hives, conjunctivitis and reactions to insect bites or stings.

“They’re also sometimes used to prevent motion sickness, to treat feeling sick (nausea) or being sick (vomiting), and as a short-term treatment for insomnia. Most antihistamines can be bought from pharmacies and shops, but some are only available on prescription.”

Certain holiday destinations have seen a rise in cases of a nasty infection

British travellers have been issued a food warning amid an outbreak of a bug that causes “explosive” diarrhoea. Mexico and the US are among some of the holiday destinations that have seen a rise in cyclosporiasis.

Cyclosporiasis is an infection caused by a microscopic parasite called Cyclospora. This is typically spread by eating food or drinking water contaminated with human faeces containing the parasite.

Symptoms can include “watery diarrhoea” and “explosive bowel movements”, and can last several weeks. In an update provided on its website, Travel Health Pro explained that “most” UK cases have been linked to visits to Mexico.

It said: “Cyclospora is a parasite found in some tropical and subtropical countries. In the UK, infections are most commonly linked to summer travel abroad.

“Cyclospora has been found in Central and South America, South and Southeast Asia, and most UK travel-related cases and outbreaks have been associated with visits to Mexico.”

The US Centres for Disease Control and Prevention (CDC) also recently published data showing there had been 843 confirmed cases of cyclosporiasis in the US between May 1 and July 9 this year. No deaths have been reported, and 86 people were admitted to hospital, the CDC said.

As part of its advice, Travel Health Pro provided guidance on eating while abroad. It said: “People usually become infected by eating or drinking food or water contaminated with human faeces. Foods most commonly linked to Cyclospora include fresh produce such as soft or unpeeled fruit, lettuce, green salads and herbs like coriander or basil.”

It continued: “You can reduce your risk of Cyclospora infection by following good food and water hygiene, even if you are staying in a luxury hotel or high-end all-inclusive resort.” To do so it said you should:

• Wash your hands regularly with soap and clean water; use alcohol hand gel only when handwashing is not possible
• Where there is no clean water supply, drink only bottled or boiled tap water (this includes brushing your teeth)
• Avoid ice in drinks
• Avoid fresh produce that may not have been washed with bottled or boiled water, including berries, salads, vegetables and herbs like basil or coriander
• Choose fruit that you can peel yourself, such as bananas and oranges
• Eat food that has been freshly cooked and is served hot
• Remember that smoothies, juices and other drinks may contain raw fruit, herbs or vegetables

Symptoms

Travel Health Pro said: “Not everyone infected with Cyclospora will become ill. If you do get symptoms, they will usually start about a week after consuming contaminated food or drinks.”

Symptoms of Cyclosporiasis include:

• Watery diarrhoea
• Fever
• Stomach cramps
• Loss of appetite and weight loss
• Tiredness and muscle pain
• Bloating and excess wind
• Feeling sick

It said: “Cyclospora infections are usually mild and resolve themselves. However, symptoms can sometimes last for several weeks and return even after a person seems to have recovered. People with a weakened immune system, including those living with HIV, may be at greater risk of severe illness.”

The CDC added: “Cyclospora infects the small intestine (bowel) and usually causes watery diarrhoea with frequent and sometimes explosive bowel movements.”

When to seek help

Travel Health Pro says you should do the following if you become ill abroad:

• Drink plenty of “safe” fluids, such as bottled water, or tap water that has been thoroughly boiled and cooled
• Use oral rehydration solutions so that you do not become dehydrated
• Get early medical advice if you have a weakened immune system or are at higher risk of complications
• Seek medical help if your symptoms are severe or do not improve

If you are back in the UK, you should ask for an urgent GP appointment or get help from NHS 111 if you have diarrhoea and you’ve recently travelled abroad and:

• The diarrhoea is severe and has lasted for more than three days
• You have bloody diarrhoea or bleeding from your bottom
• You have a high temperature (fever)
• You are dehydrated
• You have a weakened immune system or other condition

The NHS said: “If you’re still abroad, get medical advice where you are as soon as possible.”

This is a “natural” part of being a woman, he said

A doctor has revealed why women start to put on belly fat as they age, stating it’s a “normal” part of life. According to the expert, women can expect to see their weight fluctuate when they get older.

In a clip from his podcast No Appointment Necessary, shared to his Instagram page, Dr Amir Khan issued some reassurance about weight before and after the menopause. He explained how fat is distributed on the body differently as a result of this hormonal change.

Menopause is a natural life stage that typically affects women between the ages of 45 and 55. It happens when hormone levels in the body drop to a point where periods cease completely.

Forgotten immune organ can predict how long you’ll live, landmark trial crushes ‘undruggable’ cancers, and blood test can spot signals of Alzheimer’s early – all this and more in our latest science newsletter

As a consequence of these hormonal shifts, the body can experience a broad range of symptoms that can impact both physical and mental health. These include hot flushes, mood swings, and brain fog.

However, it can also affect how your body stores fat. On the podcast, his co-host Cheery Healey said: “Lots of women find that when they go through perimenopause and menopause, they gain weight.”

Dr Amir responded: “So, before the menopause, fat distribution in women is usually around the hips, thighs, and buttock area. And that fat distribution is completely normal and healthy and women should have fat there, you don’t want to lose it.”

He explained why. “It’s really good for your fertility,” he said.

“It’s really good for your overall health. It is expected and needed.”

But after menopause, you might notice that you are more prone to weight gain around the tummy. Dr Amir continued: “After the menopause, as the hormones shift, things change.

“And that fat usually deposits around the tummy area and the hips as well and so people can refer to it as a ‘meno belly’. It’s not really a great term but it is just the shift of weight, really.”

He added: “Normal, natural, not the end of the world, part of being a woman, an adult woman.” His advice is supported by the NHS website, which says: “Weight gain during perimenopause and menopause is common.

“It often happens around the stomach and upper body.”

Other symptoms of menopause

The other symptoms of menopause, as listed by the NHS, include:

• Changes to your periods
• Hot flushes and night sweats
• Sleep problems
• Mood changes, poor memory and brain fog
• Vaginal problems such as dryness, a burning feeling, irritation or itching in and around the vagina
• UTIs (urinary tract infections)
• A faster, slower or more noticeable heartbeat (palpitations)
• Weakening bones (loss of bone density), which can lead to osteoporosis
• Feeling the need to pee more or not being able to control when you pee (urinary incontinence)
• Headaches and migraines that are worse than usual
• Muscle aches and joint pains
• Hair thinning or hair loss
• Skin changes, including dry and itchy skin
• Reduced sex drive (loss of libido)
• Sensitive teeth, painful gums or other mouth problems

The health body says you should contact your GP if:

• You think you have symptoms of menopause or perimenopause and want to know what your options are
• You have symptoms like a fast heartbeat (palpitations)
• You still have periods but your bleeding pattern has changed and you’re bleeding more, not less, than before
• You have not had a period for 12 months or more, and you have any vaginal bleeding

The most commonly prescribed treatment for menopause symptoms is hormone replacement therapy (HRT).