We offer a range of clinics and services here at Knoll Medical Practice to support men’s health and help maintain a healthy lifestyle.
Male Pattern Baldness
Male-pattern baldness is the most common type of hair loss, affecting 6.5 million men in the UK.
It generally starts with a little thinning of the hair, followed by wider hair loss, allowing more of the scalp to become visible.
For a few men, this process starts as early as the late teens. By the age of 60, most men have some degree of hair loss.
Some men aren’t troubled by this at all. Others, however, suffer great emotional distress associated with a lack of self-esteem and, in some cases, depression.
PROSTATE CANCER IS THE MOST COMMON CANCER IN MEN IN THE UK, WITH OVER 40,000 NEW CASES DIAGNOSED EVERY YEAR.
Prostate cancer usually develops slowly, so there may be no signs you have it for many years.
Symptoms often only become apparent when your prostate is large enough to affect the urethra (the tube that carries urine from the bladder to the penis).
When this happens, you may notice things like an increased need to urinate, straining while urinating and a feeling your bladder has not fully emptied.
However, these signs do not mean you have prostate cancer. It is more likely they are caused by something else, such as benign prostatic hyperplasia (also known as BPH or prostate enlargement).
What is the prostate?
The prostate is a small gland in the pelvis found only in men. About the size of a Satsuma, it is located between the penis and the bladder. It surrounds the urethra, the tube that carries urine from the bladder to the penis.
The main function of the prostate is to help in the production of semen. It produces a thick white fluid that is mixed with the sperm produced by the testicles, to create semen.
Testicular Cancer
Although still rare compared to other cancers, testicular cancer is the most common cancer in men aged between 15-45 years with around 2,200-2,300 men being diagnosed each year. It is more common in Caucasian males.
If found at an early stage a cure rate of 98% is usually possible and even when testicular cancer has spread to other areas of the body cure can still be achieved. In fact according to recent research overall 96% of men diagnosed with any stage testicular cancer will be alive 10 years after treatment.
It is important to visit your GP as soon as you notice any lump or swelling on your testicle. Your GP will examine your testicles to help determine whether or not the lump is cancerous.
Symptoms
The earliest warning signs of testicular cancer usually include the following:
A change in size or shape of a testicle.
Swelling or thickening of a testicle.
A firm, smooth, initially painless, slow-growing lump or hardness in a testicle.
We offer a range of clinics and services here at Knoll Medical Practice to help manage chronic diseases.
Chronic Heart Disease
The most common symptoms of coronary heart disease (CHD) are chest pains (angina) and a heart attack.
You can also experience other symptoms, such as palpitations and unusual breathlessness. In some cases, people may not show any symptoms before they are diagnosed.
Angina
If your coronary arteries become partially blocked, it can cause chest pain (angina). This can be a mild, uncomfortable feeling similar to indigestion.
However, a severe angina attack can cause a painful feeling of heaviness or tightness, usually within the centre of the chest, which may then spread to the arms, neck, jaw, back or stomach.
Angina attacks are often triggered by physical activity or stressful situations. Although symptoms of Angina usually pass within 10 minutes, you can alleviate the symptoms by resting or using a nitrate tablet or spray.
Heart attacks
If your arteries become completely blocked, it can cause a heart attack (myocardial infarction). Heart attacks can cause permanent damage to the heart muscle and, if not treated straight away, can be fatal.
If you think you are having a heart attack, dial 999 for immediate medical assistance.
Although symptoms can vary, the discomfort or pain of a heart attack is usually similar to that of angina but often more severe. During a heart attack you may also experience the following symptoms:
Sweating
Light-headedness
Nausea
Breathlessness
The symptoms of a heart attack can be similar to indigestion. For example, they may include a feeling of heaviness in your chest, a stomach ache or heartburn. However, these symptoms can also be accompanied by a pain that affects the arms (particularly the left arm), the neck and the jaw.
A heart attack can happen at any time, including while you are resting. If heart pains last longer than 15 minutes, it may be the start of a heart attack.
Unlike angina, the symptoms of a heart attack are not usually relieved using a nitrate tablet or spray.
In some cases, you may have a heart attack without any symptoms, called a silent myocardial infarction. This is more common in people with diabetes.
Heart failure
Heart failure can also occur in people with CHD when the heart becomes too weak to pump blood around the body, which can cause fluid to build up in the lungs that makes it increasingly difficult to breathe.
Heart failure can happen suddenly (acute heart failure) or gradually over time (chronic heart failure).
Normally, the amount of sugar in the blood is controlled by a hormone called insulin, which is produced by the pancreas. The pancreas is a gland behind the stomach. When food is digested and enters your bloodstream, insulin moves any glucose out of the blood and into cells, where it is broken down to produce energy.
However, in people with diabetes, the body is unable to break down glucose into energy. This is because there is either not enough insulin to move the glucose, or because the insulin that is there does not work properly.
Our specialist diabetes team will provide you with support, regular reviews and the day-to-day care of your needs.
All Diabetic patients are entitled to an annual review. The Practice will normally contact you if yours is due. The review takes place in two parts – a data collection appointment and where appropriate, a follow up care plan appointment. If you feel you have been missed, or require a more urgent review, then please contact the Practice to arrange an appointment.
At the initial data collection appointment, your blood pressure, weight, urine, feet and well-being will be checked. It is necessary for you to bring an early morning urine sample with you. Following your initial appointment, a care plan booklet will be sent to you and if necessary, an appointment with your GP or one of our specialist nurses will be arranged.
For more information please visit the websites below:
High blood pressure often causes no symptoms, or immediate problems, but it is a major risk factor for developing a serious cardiovascular disease (conditions that affect the functioning of the heart and the circulation of blood around the body), such as a stroke or heart disease.
Our respiratory clinics are primarily intended for patients with Asthma and COPD.
Asthma is caused by inflammation of the airways. These are the small tubes, called bronchi, which carry air in and out of the lungs. If you have asthma, the bronchi will be inflamed and more sensitive than normal. Our practice nurses have specialist asthma qualifications. During their clinics they monitor your overall condition, offer advice, answer any queries and ensure your treatment is effective.
Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out. This is referred to as airflow obstruction. Breathing difficulties are caused by long-term damage to the lungs, usually because of smoking.
Asthma and COPD Clinics
We hold clinics to diagnose and to help patients to manage their asthma or COPD.
We like to see all our patients who have been diagnosed with these conditions at least once a year, depending on the severity of your condition, we may invite you to come to the clinic more often in order to ensure we give you the care you require.
While it is commonly believed that depression only effects adults, around 10% of children in Great Britain aged between 5 and 16 have a recognisable mental disorder; with about 4% of children suffering from an emotional disorder such as anxiety or depression.
The problem for many is that depression is difficult to spot and often regarded as teenage mood swings. However, if your child is appearing to have an extreme emotional response to a life event or has lost interest in activities which previously interested them they may be suffering from an emotional disorder.
If you are worried about your child’s mental health please visit your GP, who will be able to offer a range of support to help both you and your child. There are a range of talking therapies which are highly effective in dealing with both short term and long term depression, for more information on these therapies please view the NHS Talking Therapy Guide.
While it is commonly believed that depression only effects adults, around 10% of children in Great Britain aged between 5 and 16 have a recognisable mental disorder; with about 4% of children suffering from an emotional disorder such as anxiety or depression.
The problem for many is that depression is difficult to spot and often regarded as teenage mood swings. However, if your child is appearing to have an extreme emotional response to a life event or has lost interest in activities which previously interested them they may be suffering from an emotional disorder.
If you are worried about your child’s mental health please visit your GP, who will be able to offer a range of support to help both you and your child. There are a range of talking therapies which are highly effective in dealing with both short term and long term depression, for more information on these therapies please view the NHS Talking Therapy Guide.
One of the most important things that a parent can do for their child is to make sure that they have all their routine childhood vaccinations. It’s the most effective way of keeping them protected against infectious diseases.
Ideally, children should have their jabs at the right age to protect them as early as possible and minimise the risk of infection.
Find out which jabs your child needs, when they need them, and what the benefits of each jab are.
Please call the surgery to make an appointment.
For more information please visit the websites below:
We offer all newborn babies a neo-natal check at around 8 weeks post birth. Our GPs will perform the relevant checks, alongside the mother’s post-natal checks and aim to schedule the appointment for the same day as baby’s first immunisations, with the Nurse.
In most cases, the Practice will contact new mums to arrange for this to happen. On rare occasions where we are unaware of the birth, please feel free to give us a call and arrange an appointment.
Cancer Screening
We offer a range of clinics and services here at Knoll Medical Practice to help with cancer screening.
Bowel Cancer
Bowel cancer is a term used to describe cancer in the colon, rectum or the small bowel.
The symptoms of bowel cancer can include:
Bleeding from the back passage (rectum) or blood in your stools
A change in normal bowel habits to diarrhoea or looser stools, lasting longer than 4 to 6 weeks
A lump that your doctor can feel in your back passage or abdomen (more commonly on the right side)
A feeling of needing to strain in your back passage (as if you needed to pass a bowel motion)
Losing weight
Pain in your abdomen or back passage
A lower than normal level of red blood cells (anaemia)
Because bowel tumours can bleed, cancer of the bowel often causes a shortage of red blood cells. This is called anaemia and may cause tiredness and sometimes breathlessness.
Bowel cancer screening
How do I get a screening kit?
If you are aged 60-69 years, you will be sent your screening invitation automatically through the post. All you need to do is make sure that your GP has your correct address.
‘People aged 70 years and over or under the age of 60, who wish to be screened, should request a kit. Simply telephone the free helpline on 0800 707 60 60.’
Macmillan Cancer Support
Have questions about cancer? Visit www.macmillan.org.uk or call 0808 808 000 free (Monday to Friday 9am – 8pm).
Breast Screening
The National Breast Screening Programme was introduced in 1988 as an early detection service for breast cancer. It states that all women who are aged between 50 – 70 years of age will be routinely invited for free breast screening every three years. The programme is very successful and currently saves around 1,400 lives per year.
Breast screening aims to find breast cancer at an early stage, often before there are any symptoms. To do this, an x-ray is taken of each breast (mammogram). Early detection may often mean simpler and more successful treatment. When women are invited for their mammogram depends on which GP they are registered with, not when their birthday is.
The screening office runs a rolling programme which invites women by area. The requirement is that all women will receive their first invitation before their 53rd birthday, but ideally when they are 50. If you are under 50 and concerned about any aspect of breast care, please contact the surgery to make an appointment with your GP.
Cervical screening test
Cervical screening, or smear test, is a method of detecting abnormal (pre-cancerous) cells in the cervix in order to prevent cervical cancer. The cervix is the entrance to the womb from the vagina. Cervical screening is recommended every three years for women aged 25 to 49 and every five years for women aged 50 to 64 or more frequently if smear results indicates abnormal changes.
Cervical screening is not a test for cancer; it is a test to check the health of the cells of the cervix. Most women’s test results show that everything is normal, but for 1 in 20 women the test will show some abnormal changes in the cells of the cervix.
Most of these changes will not lead to cervical cancer and the cells may go back to normal on their own. However, in some cases, the abnormal cells need to be treated to prevent them becoming cancerous.
Our nurses are qualified to carry out cervical screening and tests in the form of cervical smears. In order to have a cervical smear the patient must have received a letter requesting that they have a cervical smear and the appointment must please be made for when the patient is not menstruating.
These appointments typically take around 15 minutes. For any further information or to book an appointment, please call the surgery.
We now offer a service called Social Prescribing to refer people to a link worker.
‘Social Prescribing’ is a system where healthcare professionals are able to refer patients to local, non-clinical services to meet their wellbeing needs. What you can take part in will depend on what’s available locally, and how local services work together. Social prescribing is more than just delivering activities and sessions for a number of weeks; it’s about having a lasting impact on the people who attend.