Tired, no appetite ... tell the doctor

Professor George Crooks
Professor George Crooks

I’ve been feeling unwell for a few weeks. I am constantly tired and have had stomach cramp. I also have excessive wind and feel bloated with no appetite.

Everyone feels tired occasionally but it sounds as if this is quite persistent and also not typical for you.

This alone but also the fact it is accompanied by a tummy pain means you should discuss all the symptoms with your GP. 

They will take a history of what has been going on and examine you. You have not said what age you are but it might be worth doing a pregnancy test before seeing your doctor. It would also be useful to bring a sample of urine to the appointment.

I had about 30 lipomas all over my body. Now I have five on my left breast. I have been for a biopsy but result can take six weeks.

A lipoma is a soft, fatty lump that grows under the skin which can occur on any area of skin where there are fat cells. They are usually seen on the shoulders, neck, chest, arms and back. They range from the size of a pea to a few centimetres across, and they grow very slowly.

On examining breast lumps there are features that are more worrying than others, for example if the lump is hard or involves retraction of the nipple or puckering of skin.

It may be worth discussing with your GP if they found any of these features when examining your breast lumps and if they have any concerns about what they found or suspected anything other than lipoma.

I’ve had a cough for a fortnight and I get very wheezy and short of breath with it. I also have asthma. I have been using my inhaler more than twice a day and taking paracetamol but it doesn’t seem to be helping. 

There are a number of causes of coughs. Many are viral and run their course while some need treatment – for example antibiotics. Any cough can worsen asthma and it sounds like your asthma is affected. It’s important you see your GP so they can take a history and examine you to exclude and treatable causes of this cough.

Tell them about the increased usage of your inhaler.

It may be that your asthma management needs to be adjusted in the short term to get over this.

It’s worthwhile having a regular review of your asthma to ensure your medicines are still the right ones for you. Your GP will be able to tell you how this is done.