Women

GP and Embarrassing Bodies doctor: Pixie McKenna

Trainer and fitness consultant: Jane Wake

Contributing beauty editor: Leyla Tabaksert

Zest staffer and nutritionist: Lyndsey Heffernan

Feeling faint

Q: In the last month, I’ve fainted in the shower three times. I’m eating properly and don’t have any other symptoms – what’s wrong?

Kim, 33, Edinburgh

A: It sounds like vasovagal syncope – a temporary malfunction in the system that controls your blood pressure and circulation. When something over-stimulates the vagus nerve, your blood pressure and heartbeat drop, so you fall to the floor, which allows your blood pressure and pulse to rise again. It can happen after long periods of standing still or in a warm environment – hence the shower. See your doctor to rule out problems with blood pressure, blood sugar or iron levels. Mention any family history of heart disease or diabetes, any recent head injury of lifestyle changes and be honest about drug and alcohol use.

Pixie

Sleep-inducing eats

A: I suffer from insomnia and try not to eat anything or drink coffee after 7pm, but I’m sill struggling to get my zzzs. What can I eat for a better night’s sleep?

Hannah, 31, London

Being too hungry can disturb your sleep, so have a snack an hour or so before hitting the sack. The hormone melatonin is what makes us feel sleepy, but your brain needs tryptophan, found in poultry, beef, eggs, fish and nuts, to produce it. subsequently, tryptophan needs carbohydrate to transport it into your brain, so a turkey sandwich makes a good sleep-inducing supper. Calcium also helps tryptophan enter the brain. Which is why hot milk, with its mix of tryptophan, carbohydrate and calcium, is such a popular bedtime drink. Also, caffeine can keep you buzzing for hours after you consume it, so ditch it after midday.

Lyndsey

Banish bags

Q: Why do I always wake up with puffy, baggy eyes?

Erin, 35, Suffolk

A: Fluid build-up around the eyes looks so much worse first thing simply because your body is pulled down by gravity as you stand, causing any resting fluids to droop with it. it should be less noticeable within the hour but there are things you can do to help. First, cut down on salt – it’s a major cause of fluid retention. Second, hold a cold damp flannel over the area for minute each morning or dab on an eye gel, such as The Body Shop Elderflower Cooling Eye Gel, £6.50. Third, elevate your pillow a touch to reduce the rush of fluids to the eye area overnight. A little more sleep won’t hurt either.

Leyla

Lump concern

Q: I found a lump in my breast two years ago. After screening, my doctor confirmed it wasn’t cancer but it’s still there and it’s painful, too. Should I go back?

Sara, 34, by email

A: Yes, yes, yes! For reassurance, if nothing else. Most breast lumps in women of your age aren’t cancerous but even benign lumps should be reassessed regularly and you can be re-scanned to compare the size of the lump with two years ago. Unnecessary surgery can cause pain and scarring so don’t be surprised, assuming all’s well, if you’re still advised against removing it.

Pixie

Probiotic confusion

Q: Lots of foods are labeled as containing probiotics while some have prebiotics. What’s the difference?

Sally-Ann, 29, Glasgow

A: Probiotics are the “good” bacteria in your gut, which help maintain a healthy digestive system, while prebiotics are nutrient in certain foods (such as bananas, apples, garlic, spinach, onions and wholegrains) that “feed” the good bacteria. Stress, a poor diet and some medications can cause an overgrowth of “bad” bacteria, so it’s important you have a full army of the good guys to prevent the bad ones taking over. Some foods, like bread and cereal, one fortified with prebiotics but they can be expensive. However, by following a healthy diet low in sugar (which the baddies thrive on) and high in fruit and veg, along with a regular dose of inexpensive, probiotic-packed live yogurt, you’ll get a good balance without spending a fortune.
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