Could my hot 紅潮／摘発するs 現実に be long Covid? DR MARTIN SCURR answers your health questions

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I started 存在 woken up by hot 紅潮／摘発するs three months ago, but I don’t sweat. I had a 血 実験（する） that （機の）カム 支援する normal. Last year, I 実験（する）d 肯定的な for Covid, just before the hot 紅潮／摘発するs started. Could this be long Covid? And what can I do about it? I am 69.

Carole Woodcock, 経由で email.

A hot 紅潮／摘発する feels 類似の to 深い 当惑, with a tide of heat that washes over you. When it’s a symptom of the menopause, you also sweat.

This is because 拒絶する／低下するing levels of oestrogen 影響する／感情 the hypothalamus, the part of the brain that 規制するs 気温.?

As you start to feel warmer, your 団体／死体 活動させる／戦時編成するs 冷静な／正味のing 返答s, 含むing dilating the 血 大型船s to 解放（する） heat, and sweating.

But sweating isn’t a problem in your 事例／患者, so we must look at other 可能性のある 原因（となる）s of hot 紅潮／摘発するs. These 含む 強調する／ストレス, a fever, alcohol and foods, such as curry, which 含む／封じ込める spices that can 活動させる／戦時編成する a 神経 receptor that 答える／応じるs to changes in 団体／死体 気温.

A hot 紅潮／摘発する feels 類似の to 深い 当惑, with a tide of heat that washes over you. When it’s a symptom of the menopause, you also sweat?[とじ込み／提出する photo]

An overactive 甲状腺 （分泌する為の）腺 can also 誘発する／引き起こす hot 紅潮／摘発するs, but as your 血 実験（する） was （疑いを）晴らす, this does not 適用する.

One likely explanation for your hot 紅潮／摘発するs is the 麻薬 lercanidipine, which you について言及する taking in your longer letter.

This is a calcium channel blocker used for high 血 圧力. As it 作品 by dilating the arteries, it can also 誘発する／引き起こす 紅潮／摘発するing, as more 血 is pumped to small 血 大型船s. Other 味方する-影響s 含む 増加するd heart 率 and 頭痛s.

That said, the tablet should 普通は be taken in the morning, and, as your 紅潮／摘発するing occurs at night, this may not be the 原因（となる） ― unless you’ve been told to take the 麻薬 in the evening?

I 嫌疑者，容疑者／疑う the hot 紅潮／摘発するs are not 予定 to Covid-19. I’d recommend discussing your 医薬 with your GP.

I am a healthy 60-year-old but, six months ago, I woke up with an excruciating 苦痛 in my chest the day after 解除するing 激しい スーツケースs. My GP 診断するd a chest 塀で囲む problem.

I am still short of breath and coughing, and would 高く評価する／（相場などが）上がる some 安心.

Richard Stokoe, Gateshead.

This sounds uncomfortable and is understandably 関心ing for you. Based on your description, I agree with your GP that the chronic 苦痛 is likely to be 予定 to a mechanical disorder of the chest 塀で囲む, 影響する／感情ing the musculoskeletal structure.

転換ing the スーツケースs may have 原因（となる）d minor 傷害 to one or more of the costochondral 共同のs ― the points where your ribs 会合，会う your sternum (or breastbone).

This can 誘発する／引き起こす an inflammatory 返答, and the 苦痛 can be so extreme that you may struggle to take a 十分な breath in. This can lead to coughing, which can also 傷つける, as it 伴う／関わるs the chest 塀で囲む.

Most 患者s with these symptoms have costochondritis, where several 共同のs are 影響する／感情d, 原因（となる）ing 多重の areas of tenderness. It can be 誘発する／引き起こすd by activities even いっそう少なく onerous than 解除するing a スーツケース, such as gentle 圧力 on the 共同のs when sitting up. It does not 伴う／関わる any 明白な swelling.

The symptoms can be associated with a more unusual 条件, Tietze syndrome, but there will also be swelling of one or two costochondral 共同のs and いつかs the sternoclavicular 共同の, where the clavicle (collarbone) and sternum 会合，会う.

転換ing the スーツケースs may have caus ed minor 傷害 to one or more of the costochondral 共同のs ― the points where your ribs 会合，会う your sternum (or breastbone)

There is no ideal 治療 for either 条件, although 研究 示唆するs that physiotherapy might help 緩和する the 苦痛. Costochondritis usually 解決するs itself after many months, but physiotherapy can help 速度(を上げる） up 回復.

確かな 治療s ― such as 治療力のある ultrasound which uses soundwaves to 刺激する 血 flow and 傷をいやす／和解させるing, 同様に as relieve 苦痛 ― may help. This is 申し込む／申し出d by musculoskeletal physiotherapists, and could be 価値（がある） trying in 新規加入 to the 演習s you say your chiropractor recommended.

令状 to Dr Scurr?

Email?Dr Scurr at drmartin@dailymail.co.uk. Dr Scurr cannot enter into personal correspondence. Replies should be taken in a general 状況: 協議する your own GP with any health worries.

In my 見解（をとる）...We must 許す 補助装置d dying

We live in a time of social equality, with equal 権利s, freedom of speech, and equal 接近 to goods and services.

In turn, we can make our own 決定／判定勝ち（する）s, except the most important ones we’d ever have to make ― those 関心ing our death. I’m speaking, of course, about 補助装置d dying.

But there is light at the end of the tunnel. The Scottish 議会 is considering 提案s for a 法案 to 許す terminally ill people the 権利 to 接近 補助装置d dying. A 類似の 審議 will take place in England later this year.

As someone who’s worked in palliative care, I know it’s not perfect, and I’ve seen too many 患者s 耐える needlessly agonising deaths.

Many doctors argue that 定める／命ずるing the 麻薬s for 補助装置d dying 飛行機で行くs in the 直面する of the Hippocrat ic 誓い ‘to do no 害（を与える）’. But not 除去するing 終点 苦しむing is, in and of itself, harmful, to the dying and their loved ones.

Too often I’ve had to listen to 患者s’ desperate 嘆願s to do something to end it all, but I’ve been unable to help. But we should not have to be bound by 古代の or 宗教的な dogma.

We wish to 緩和する and 限界 intolerable 苦しむing when there are no other means possible.