I'm Worried Sick By My Brain Op

Apr 13 2008 Dr Gareth Smith

Q I NEED a brain operation because I have a meningioma on the front of it. Will this be a major op? I'm in my 70s and I'm considering not going through with it.

A ALL brain surgery is major but you would be surprised at the speed of most people's recoveries.

A meningioma is a non metastatic cancer, which means it doesn't spread to other parts of the body. But because it is growing on the surface of the brain inside the skull, it will slowly take up room.

If left untreated it may cause permanent disability so it is best to have it removed. You have a good few years in you yet so I advise you to have the operation.

Q I WAKE up every night with a terrible burning pain in my chest. My doctor gave me tablets to stop the acid in my stomach but the pain still happens. It goes away when I sit up. What can I do?

A IT sounds like you have gastrooesophageal reflux. This is when acid from the stomach flows back up the gullet and causes a burning pain. It is worse at night when you are lying down because gravity pushes the contents up.

Raise the head of your bed by 10 inches and use an extra pillow so you are sleeping at an angle. Avoid tea, coffee and cigarettes. Your GP can increase your medication if it is not helping.

Q I AM due to have a CT scan and I am terrified. I was told it is frightening and claustrophobic. What does it involve?

A DON'T listen to horror stories. A CT scan is painless. You lie on a bed and remain still while the bed slides into the scanner, which is a big metal cylinder.

A light is on so you shouldn't feel claustrophobic. It is a little noisy because the machine moves but there is nothing to fear. If you are concerned, the operator can talk to you via a microphone.

Q MY face and neck sweat very badly when I eat hot food. Is it safe to spray anti-perspirants on my face?

A NO, you will inhale them or damage your eyes. It sounds like you have facial hyperhidrosis, which is excessive sweating.

Botox injections in the forehead can control it as this stops the sweat glands working.

If it is severe and affects the scalp as well, medication can help, such as the anticholinergic drug called glycopyrrolate. This can cause dry mouth and eyes though.

Ask your GP for more advice and avoid spicy foods, caffeine and nicotine.