Body & Fitness

What’s your problem: Big breasts, pubic lice or diarrhoea

Big breasts, pubic lice, diarrhoea? Northland-based doctor CJ Fleming has the solutions to your sensitive medical problems
Do you have smelly farts, public lice or diarrhoea? We answer your sensitive medical questions.

Big breasts

Q. I have really large breasts and they cause many problems, but I’m too scared to get breast reduction surgery. Is there anything I can do to help ease the back pain?

Solution: The extra forward weight from large breasts can cause upper back and neck pain, but there are many possible causes of back pain that should be considered before you attribute it to large breasts alone.

After a full assessment of your medical history and back pain, your GP may recommend seeing a physiotherapist. They may recommend exercises or suggest using regular paracetamol to help manage the pain. Ensure your bra is the right size and the straps are not cutting into you. Wear supportive sports bras during the day and especially during exercise.

IUD issues

Q. I have an IUD but I can no longer feel the strings. What should I do?

Solution: Sometimes the strings become coiled up and cannot be felt. In rare cases the IUD can fall out. After every period, you should check the strings of your IUD are still present.

If you cannot feel the strings, you should see your GP for an examination. You may require an ultrasound scan to check the IUD is still in the correct position.

HPV

Q. What is HPV and how do I get rid of it?

Solution: HPV is a common sexually transmitted virus. It can be asymptomatic (no symptoms) and get better by itself. Some strains of the virus cause genital warts and other strains can cause cancer of the cervix or throat.

There is no cure for HPV. You can avoid HPV by getting vaccinated and always using condoms. Genital warts are treated with topical ointment or liquid nitrogen. You can reduce the risk of cervical cancer by having regular smear tests.

Smelly farts

Q. I have excessive and smelly farts, and it’s extremely embarrassing. How can I fix this?

Solution: Farts are normal – most people fart approximately 14 times per day. Undigested carbohydrates in the colon are broken down by bacteria which release gas. The terrible smell comes from the foods that release sulphur when broken down. Medical conditions that can cause excessive farting include irritable bowel disease, lactose intolerance, inflammatory bowel disease and diverticulitis.

Reduce your intake of the following foods: beans, onions, broccoli, cabbage, sprouts, cauliflower, sorbitol (a sweetener) and dairy if you are lactose intolerant. Ensure you still eat five or more servings of fruit and vegetables per day. Keep a food diary to pinpoint the culprits. See your GP if you have any other symptoms too, such as diarrhoea, constipation, severe abdominal pain, bloody stool or fevers.

Pubic lice

Q. Is there a difference between pubic lice and crabs? What’s the best way to treat them?

Solution: Pubic lice (also known as crabs due to their shape) are sexually transmitted infections. They survive by grabbing onto coarse pubic hairs and extracting blood for nutrition. They are different to head lice.

Pubic lice are killed by insecticide. This should be applied as per the instructions and repeated after one week. Wash all bedclothes, sheets and towels. Treat your partner too.

Diarrhoea

Q. Sometimes I get diarrhoea after I exercise. How do I prevent this?

Solution: Diarrhoea can be common after (and during) exercise – especially in runners. The cause is unclear.

See your GP to review your diet and any underlying bowel problems. Avoid fatty foods before exercising and reduce exercise intensity until the diarrhoea resolves. Take anti-diarrhoea medication cautiously after consulting your GP.

Latex

Q. Sometimes when I have sex with a condom, I get red skin and an itchy vagina. Can you be allergic to latex?

Solution: It is unlikely to be an allergy if it only happens sometimes. Latex allergies are caused by a hyper-sensitive immune reaction to latex protein. Symptoms include rashes, itchiness and swelling of the exposed area. It can also cause more serious reactions (anaphylaxis) with breathing difficulties, swollen lips and tongue, low blood pressure, abdominal pain and vomiting.

Anaphylaxis is a serious condition that requires immediate treatment with adrenaline. If you do have an allergy to latex, there are many other types of contraception: the oral contraceptive pill, injections, diaphragms, IUDs, permanent contraception and others. The best contraception for you will depend on your age, relationship status, personal preferences and medical conditions. Talk to your GP or visit your nearest Family Planning clinic to work out what is best for you.

Calluses

Q. I have large calluses on the base of my foot. What’s the best way to get rid of them?

Solution: Calluses are thickened layers of protective skin cells. They form in areas of friction or pressure. They are not dangerous but can be unsightly.

Look out for signs of an infected callous (redness, tenderness, swelling or pus). If you’re diabetic, see your doctor if you notice any skin changes. Visit a podiatrist for callous removal and prevention advice; do not remove calluses on your own.

This content is not a substitute for personal medical advice, a diagnosis or treatment. Always seek the advice of your health provider regarding a medical condition.

Words by: Dr CJ Fleming

Photos: Corbis, Getty Images

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