Summer can leave your skin feeling dry, sensitive and uneven. Prolonged sun exposure, heat, chlorine, salt water and air conditioning can all affect the skin barrier, contributing to dehydration, irritation, pigmentation and a dull complexion.

While skincare cannot reverse ultraviolet damage that has already occurred, a gentle routine can help restore hydration, support the skin barrier and reduce further damage.

Common Post-Summer Skin Concerns

After the summer months, you may notice:

• Dryness, tightness or flaking
• Increased sensitivity or redness
• Uneven skin tone and dark spots
• Rough or dull-looking skin
• New or changing moles and freckles
• Acne caused by heat, sweat or heavier sunscreens

Some changes may improve with appropriate skincare, while others should be assessed by a dermatologist.

1. Simplify Your Skincare Routine

If your skin feels irritated, temporarily reduce the number of products you use. Choose a mild, fragrance-free cleanser and avoid washing your face with very hot water, which can make dryness and sensitivity worse.

Products containing strong exfoliating acids, retinoids or physical scrubs may need to be paused until the skin is no longer red, sore or peeling. Reintroduce active ingredients gradually rather than using several at once.

2. Restore Moisture and Support the Skin Barrier

Regular moisturising can help reduce water loss and support the skin’s natural protective barrier. Look for ingredients such as:

• Ceramides
• Glycerin
• Hyaluronic acid
• Squalane
• Petrolatum

Apply moisturiser while the skin is slightly damp, particularly after washing or showering. If your skin is very dry, a richer cream may be more effective than a light lotion.

3. Treat Peeling Skin Gently

Peeling is a sign that the skin has been damaged. Do not pull away loose skin or use harsh scrubs to speed up the process.

Instead, keep the area moisturised, avoid further sun exposure and allow the skin to heal naturally. If you have blisters, do not deliberately burst them, as they help protect the skin underneath while it heals.

Seek medical advice if the skin is severely blistered or swollen, or if you develop fever, dizziness, nausea or other signs of significant sunburn. The NHS provides further guidance on treating sunburn.

4. Continue Using Sunscreen

Sunscreen is not only for holidays. Ultraviolet radiation can affect the skin throughout the year, including on cloudy days.

Use a broad-spectrum sunscreen with an SPF of at least 30 on exposed skin. Apply it generously and remember commonly missed areas such as the ears, neck, chest and hands. When spending time outside, combine sunscreen with shade, protective clothing and a hat.

Consistent sun protection can help prevent additional damage and reduce the risk of dark spots becoming more noticeable.

5. Introduce Exfoliation Carefully

Once your skin is fully healed and no longer sensitive, gentle exfoliation may help improve rough texture and dullness. However, frequent or aggressive exfoliation can weaken the skin barrier and cause further irritation.

Start with a mild product once a week and monitor how your skin responds. Avoid exfoliating skin that is sunburnt, peeling, inflamed or broken.

A dermatologist can recommend appropriate ingredients and strengths for your skin type, particularly if you have acne, rosacea, eczema or persistent pigmentation.

6. Address Dark Spots Professionally

Post-summer pigmentation may appear as freckles, sunspots or uneven patches. Some skincare ingredients can gradually improve their appearance, but pigmentation does not always have the same cause.

Before starting strong brightening products or cosmetic treatments, it is advisable to have the affected area assessed. A dermatologist can determine whether a mark is harmless and recommend a personalised treatment plan where appropriate.

7. Check Your Moles and Skin

The end of summer is a useful time to examine your skin, including areas that are difficult to see, such as your scalp, back and the soles of your feet.

Speak to a doctor or dermatologist if you notice:

• A new or unusual mark
• A mole that changes in size, shape or colour
• Irregular or blurred borders
• Multiple colours within the same mole
• A lesion that itches, crusts or bleeds
• A sore that does not heal

The NHS recommends seeking medical advice for changing or unusual moles. Skin cancer can affect people of every skin tone, so changes should not be ignored.

When Should You See a Dermatologist?

Consider booking a dermatology consultation if you have persistent redness, itching, acne, pigmentation or dryness that does not improve with gentle skincare. You should also arrange an assessment for any new, changing or concerning mole or skin lesion.

A dermatologist can examine your skin, identify the cause of your symptoms and recommend suitable medical or skincare treatments.

Book a Dermatology Consultation at Dottore London

If your skin has changed after the summer, our dermatology specialists can provide a comprehensive assessment and personalised advice.

Whether you are concerned about pigmentation, persistent irritation, acne, sun damage or a changing mole, early professional evaluation can help you understand the next steps.

Book your dermatology consultation with Dottore London today.

This article provides general information and should not replace individual medical advice, diagnosis or treatment.

Book a consultation

Summer holidays often mean swimming, air travel, air conditioning and sudden changes in temperature. While these are all part of the season, they can also contribute to ear, nose and throat symptoms that become noticeable during or shortly after returning home.

Blocked ears, facial pressure, persistent nasal congestion, earache and reduced hearing should not always be dismissed as a common cold. Understanding the possible causes can help you recognise when symptoms may require an ENT assessment.

Why are ENT problems common after summer?

Several factors can affect the ears, nose and throat during the summer months:

• Frequent swimming and water remaining inside the ear canal
• Air travel and changes in cabin pressure
• Prolonged exposure to air conditioning
• Allergens, dust and environmental irritants
• Viral respiratory infections contracted while travelling
• Sudden changes between hot outdoor temperatures and cool indoor environments

For most people, symptoms are mild and improve naturally. However, persistent, recurrent or severe symptoms should be assessed by a doctor.

Sinusitis after the summer holidays

Sinusitis is the inflammation or swelling of the lining of the sinuses. It often develops following a cold or another viral respiratory infection. Allergies and changes in air quality may also contribute to inflammation and congestion.

Common symptoms include:

• Pain, pressure or tenderness around the cheeks, eyes or forehead
• A blocked or runny nose
• Reduced sense of smell
• Headache
• Thick yellow or green nasal mucus
• Toothache or pressure in the upper teeth
• Bad breath
• Cough
• A feeling of pressure in the ears

Most acute cases of sinusitis are caused by viral infections and usually improve without antibiotics. Treatment depends on the cause, severity and duration of the symptoms and may include symptom management, saline nasal rinses or medication recommended by a healthcare professional.

You should arrange a medical assessment if your symptoms are severe, continue to return, do not improve, or remain predominantly on one side of the face.

Ear infections and “swimmer’s ear”

Otitis externa, commonly known as swimmer’s ear, is an inflammation or infection of the external ear canal. It can develop when water remains trapped inside the ear after swimming, creating a moist environment in which bacteria or fungi can grow.

It can also be caused or aggravated by irritation from cotton buds, fingers, earphones or other objects placed inside the ear.

Symptoms may include:

• Ear pain or discomfort
• Itching inside the ear
• Redness or swelling
• Watery or thicker discharge
• A feeling that the ear is blocked
• Reduced or muffled hearing
• Discomfort when moving the jaw

Avoid putting cotton buds or other objects into the ear, as this may damage the skin of the ear canal and worsen the inflammation. If an infection is suspected, a doctor can examine the ear and recommend the most appropriate treatment.

Blocked ears after flying

During take-off and landing, changes in air pressure can affect the middle ear. The Eustachian tube normally helps equalise this pressure, but it may not work effectively if you have a cold, sinus inflammation, nasal congestion or allergies.

This can cause:

• Pressure or fullness in the ear
• Popping or clicking sounds
• Ear pain
• Muffled hearing
• Temporary dizziness
• Ringing in the ear

In many cases, symptoms improve after swallowing, yawning or chewing. However, persistent pain or hearing loss after a flight should be assessed, particularly if it is accompanied by discharge, severe dizziness or sudden hearing changes.

Middle-ear infections

A middle-ear infection, or otitis media, occurs behind the eardrum. It is more common in children, partly because their Eustachian tubes are smaller and more easily blocked, but it can also affect adults.

Possible symptoms include:

• Earache
• Fever
• Irritability or disturbed sleep in children
• Pressure or fullness inside the ear
• Temporary hearing difficulty
• Fluid or discharge from the ear
• Problems with balance

Many uncomplicated ear infections improve within a few days. Nevertheless, babies, people who are generally unwell and anyone with persistent, recurrent or worsening symptoms should receive medical advice.

When should you see an ENT specialist?

Consider arranging an ENT consultation if you experience:

• Ear pain that does not improve within a few days
• Recurrent ear or sinus infections
• Persistent nasal congestion or facial pressure
• Discharge or bleeding from the ear
• Ongoing blocked ears after flying
• Persistent or unexplained hearing changes
• Recurrent dizziness, tinnitus or balance problems
• Sinus symptoms lasting several weeks
• Symptoms affecting only one side of the face or nose
• Symptoms that interfere with sleep, work or daily activities

Seek urgent medical assistance if you or your child develops sudden hearing loss, significant swelling around the ear, severe dizziness, a very high temperature, marked facial or eye swelling, severe headache, confusion or difficulty breathing.

How can an ENT consultation help?

During an ENT consultation, the specialist will discuss your symptoms, medical history, recent travel, swimming and any previous infections or treatments.

Depending on your symptoms, the examination may include:

• Inspection of the ear canal and eardrum with an otoscope
• Examination of the nose, throat and sinuses
• Assessment of nasal obstruction or inflammation
• Hearing tests where clinically appropriate
• Additional investigations or referral when required

Treatment is then personalised according to the underlying cause. Antibiotics are not automatically required, as many sinus and ear infections are viral or inflammatory rather than bacterial.

Protecting your ears and sinuses after summer

A few simple precautions may help reduce the risk of further problems:

• Dry the outside of your ears gently after swimming
• Do not insert cotton buds or other objects into the ear canal
• Avoid swimming while you have an active ear infection
• Manage allergies according to medical advice
• Stay hydrated
• Avoid smoking and exposure to irritants
• Seek advice before flying if you have severe nasal or sinus congestion
• Do not use leftover antibiotics or ear drops without medical guidance

Book an ENT consultation at Dottore London

If post-summer ear, nose or throat symptoms are continuing, an ENT consultation can help identify the cause and determine the appropriate treatment.

At Dottore London, you can arrange a private ENT consultation in London with Dr Cerovac.

Contact our team to book an appointment at our clinic in Holborn:

Dottore London
24–25 Hand Court
London WC1V 6JF

This article is intended for general information and does not replace an individual medical assessment.

For the first time, adults in the UK have access to an oral GLP-1 medication for weight loss. The Medicines and Healthcare products Regulatory Agency (MHRA) has approved a tablet form ofPost-Summer ENT Problems: Sinusitis, Ear Problems and Infections

Summer holidays often mean swimming, air travel, air conditioning and sudden changes in temperature. While these are all part of the season, they can also contribute to ear, nose and throat symptoms that become noticeable during or shortly after returning home.

Blocked ears, facial pressure, persistent nasal congestion, earache and reduced hearing should not always be dismissed as a common cold. Understanding the possible causes can help you recognise when symptoms may require an ENT assessment.

Why are ENT problems common after summer?

Several factors can affect the ears, nose and throat during the summer months:

• Frequent swimming and water remaining inside the ear canal
• Air travel and changes in cabin pressure
• Prolonged exposure to air conditioning
• Allergens, dust and environmental irritants
• Viral respiratory infections contracted while travelling
• Sudden changes between hot outdoor temperatures and cool indoor environments

For most people, symptoms are mild and improve naturally. However, persistent, recurrent or severe symptoms should be assessed by a doctor.

Sinusitis after the summer holidays

Sinusitis is the inflammation or swelling of the lining of the sinuses. It often develops following a cold or another viral respiratory infection. Allergies and changes in air quality may also contribute to inflammation and congestion.

Common symptoms include:

• Pain, pressure or tenderness around the cheeks, eyes or forehead
• A blocked or runny nose
• Reduced sense of smell
• Headache
• Thick yellow or green nasal mucus
• Toothache or pressure in the upper teeth
• Bad breath
• Cough
• A feeling of pressure in the ears

Most acute cases of sinusitis are caused by viral infections and usually improve without antibiotics. Treatment depends on the cause, severity and duration of the symptoms and may include symptom management, saline nasal rinses or medication recommended by a healthcare professional.

You should arrange a medical assessment if your symptoms are severe, continue to return, do not improve, or remain predominantly on one side of the face.

Ear infections and “swimmer’s ear”

Otitis externa, commonly known as swimmer’s ear, is an inflammation or infection of the external ear canal. It can develop when water remains trapped inside the ear after swimming, creating a moist environment in which bacteria or fungi can grow.

It can also be caused or aggravated by irritation from cotton buds, fingers, earphones or other objects placed inside the ear.

Symptoms may include:

• Ear pain or discomfort
• Itching inside the ear
• Redness or swelling
• Watery or thicker discharge
• A feeling that the ear is blocked
• Reduced or muffled hearing
• Discomfort when moving the jaw

Avoid putting cotton buds or other objects into the ear, as this may damage the skin of the ear canal and worsen the inflammation. If an infection is suspected, a doctor can examine the ear and recommend the most appropriate treatment.

Blocked ears after flying

During take-off and landing, changes in air pressure can affect the middle ear. The Eustachian tube normally helps equalise this pressure, but it may not work effectively if you have a cold, sinus inflammation, nasal congestion or allergies.

This can cause:

• Pressure or fullness in the ear
• Popping or clicking sounds
• Ear pain
• Muffled hearing
• Temporary dizziness
• Ringing in the ear

In many cases, symptoms improve after swallowing, yawning or chewing. However, persistent pain or hearing loss after a flight should be assessed, particularly if it is accompanied by discharge, severe dizziness or sudden hearing changes.

Middle-ear infections

A middle-ear infection, or otitis media, occurs behind the eardrum. It is more common in children, partly because their Eustachian tubes are smaller and more easily blocked, but it can also affect adults.

Possible symptoms include:

• Earache
• Fever
• Irritability or disturbed sleep in children
• Pressure or fullness inside the ear
• Temporary hearing difficulty
• Fluid or discharge from the ear
• Problems with balance

Many uncomplicated ear infections improve within a few days. Nevertheless, babies, people who are generally unwell and anyone with persistent, recurrent or worsening symptoms should receive medical advice.

When should you see an ENT specialist?

Consider arranging an ENT consultation if you experience:

• Ear pain that does not improve within a few days
• Recurrent ear or sinus infections
• Persistent nasal congestion or facial pressure
• Discharge or bleeding from the ear
• Ongoing blocked ears after flying
• Persistent or unexplained hearing changes
• Recurrent dizziness, tinnitus or balance problems
• Sinus symptoms lasting several weeks
• Symptoms affecting only one side of the face or nose
• Symptoms that interfere with sleep, work or daily activities

Seek urgent medical assistance if you or your child develops sudden hearing loss, significant swelling around the ear, severe dizziness, a very high temperature, marked facial or eye swelling, severe headache, confusion or difficulty breathing.

How can an ENT consultation help?

During an ENT consultation, the specialist will discuss your symptoms, medical history, recent travel, swimming and any previous infections or treatments.

Depending on your symptoms, the examination may include:

• Inspection of the ear canal and eardrum with an otoscope
• Examination of the nose, throat and sinuses
• Assessment of nasal obstruction or inflammation
• Hearing tests where clinically appropriate
• Additional investigations or referral when required

Treatment is then personalised according to the underlying cause. Antibiotics are not automatically required, as many sinus and ear infections are viral or inflammatory rather than bacterial.

Protecting your ears and sinuses after summer

A few simple precautions may help reduce the risk of further problems:

• Dry the outside of your ears gently after swimming
• Do not insert cotton buds or other objects into the ear canal
• Avoid swimming while you have an active ear infection
• Manage allergies according to medical advice
• Stay hydrated
• Avoid smoking and exposure to irritants
• Seek advice before flying if you have severe nasal or sinus congestion
• Do not use leftover antibiotics or ear drops without medical guidance

Book an ENT consultation at Dottore London

If post-summer ear, nose or throat symptoms are continuing, an ENT consultation can help identify the cause and determine the appropriate treatment.

At Dottore London, you can arrange a private ENT consultation in London with Dr Cerovac.

Contact our team to book an appointment at our clinic in Holborn:

Dottore London
24–25 Hand Court
London WC1V 6JF

This article is intended for general information and does not replace an individual medical assessment.

Book a consultation

For the first time, adults in the UK have access to an oral GLP-1 medication for weight loss. The Medicines and Healthcare products Regulatory Agency (MHRA) has approved a tablet form of semaglutide (Wegovy) for weight management, offering an alternative to the weekly injections that have become widely known over the past few years.

This is an important milestone in obesity treatment, but it is equally important to understand who the medication is for, how it works, and why it should always be used under medical supervision.

What is the new GLP-1 tablet?

The newly approved medication contains semaglutide, a GLP-1 receptor agonist. Until now, semaglutide for weight management in the UK was only available as a weekly injection. The new approval means eligible patients can now receive the same active ingredient in a once-daily tablet.

The tablet is a prescription-only medicine and has been approved after meeting the MHRA’s standards for safety, quality and effectiveness.

How does it work?

GLP-1 medications mimic a naturally occurring hormone that is released after eating.

They work by:

• Reducing appetite
• Helping you feel fuller for longer
• Slowing stomach emptying
• Reducing food cravings

These effects can help patients consume fewer calories and achieve clinically meaningful weight loss when combined with healthy lifestyle changes. However, the medication is not a substitute for a balanced diet or regular physical activity.

Who is eligible?

According to the MHRA, the tablet may be prescribed to adults who have:

• A Body Mass Index (BMI) of 30 or above, or
• A BMI between 27 and 30 together with at least one weight-related medical condition, such as hypertension, obstructive sleep apnoea or type 2 diabetes.

Treatment should always be part of a comprehensive weight management plan that includes dietary advice, exercise and ongoing medical follow-up.

How is the tablet taken?

Unlike the weekly injection, the tablet is taken once every day.

To ensure proper absorption, it should:

• Be taken on an empty stomach after at least 8 hours of fasting
• Be swallowed whole with a small amount of water
• Be followed by at least 30 minutes without eating or drinking

Following these instructions is essential to ensure the medication works effectively.

What are the possible side effects?

As with injectable GLP-1 medications, the most commonly reported side effects affect the digestive system and may include:

• Nausea
• Vomiting
• Diarrhoea
• Constipation

These symptoms are often more noticeable when treatment begins or when the dose is increased, and they usually improve over time. Any concerning or persistent symptoms should be discussed with your healthcare professional.

Is the tablet available on the NHS?

Although the medication has been approved for use in the UK, it is not currently available through the NHS.

Before NHS availability, the treatment will need to undergo assessment by the National Institute for Health and Care Excellence (NICE), which evaluates both clinical effectiveness and cost-effectiveness. At present, access is through private prescription only.

Is medication alone enough?

Weight loss medications can be highly effective for carefully selected patients, but they are not a cure for obesity.

Long-term success depends on addressing the wider factors that influence weight, including:

• Nutrition
• Physical activity
• Sleep quality
• Psychological wellbeing
• Management of underlying medical conditions

For many patients, combining medical treatment with sustainable lifestyle changes provides the best opportunity for maintaining weight loss over time.

How Dottore London can help

At Dottore London, we believe every patient’s weight management journey should begin with a comprehensive medical assessment.

Our clinicians evaluate your medical history, current health, lifestyle and treatment goals before recommending the most appropriate approach. For some patients, lifestyle interventions may be sufficient. For others, prescription medications such as GLP-1 therapies may form part of a personalised treatment plan.

If you are considering medical support for weight management, our experienced team can help you understand your options and determine whether treatment is suitable for you.

Book a consultation

If you would like to discuss weight management with one of our specialists, contact Dottore London to arrange a personalised consultation. Together, we can develop a safe, evidence-based plan tailored to your individual health needs.

Most people assume that if they had high blood pressure, they would know about it. In reality, the opposite is often true.

High blood pressure (hypertension) is one of the most common health conditions worldwide and affects around one in three adults in the UK. Yet many people live with it for years without experiencing any symptoms at all. In fact, one of the greatest challenges in hypertension is that most people feel completely well.

This is why hypertension is often referred to as the “silent killer”. Unlike many medical conditions, it rarely causes symptoms until significant damage has already occurred. Many people discover they have high blood pressure only during a routine health check, a pharmacy visit, or an assessment for an unrelated medical problem.

The greatest danger is therefore not usually a single high blood pressure reading. The real concern is blood pressure that remains elevated for months or years without being recognised or adequately treated.

Every heartbeat generates pressure within the arteries. When that pressure is consistently too high, it places extra strain on blood vessels throughout the body. Over time, this can damage several organs simultaneously. The heart may become enlarged and less efficient, the arteries supplying the brain become more vulnerable to stroke, and the kidneys, whose function depends on thousands of delicate blood vessels, may gradually lose their ability to filter the blood effectively. The eyes can also be affected and there is growing evidence that long-standing hypertension contributes to cognitive decline and some forms of dementia.

The encouraging news is that much of this damage is preventable. Early diagnosis and appropriate treatment can substantially reduce the risk of future complications.

This is why regular blood pressure checks are so important. Knowing your blood pressure numbers is not about creating anxiety; it is about giving yourself information that can help protect your future health. A blood pressure measurement takes only a few minutes, but the benefits of early detection can last a lifetime.

Treating High Blood Pressure Is About More Than a Number

One of the most common misconceptions I encounter in clinic is that treatment decisions are based solely on the blood pressure reading itself. In reality, doctors look at the bigger picture.

Two people can have exactly the same blood pressure reading but very different levels of cardiovascular risk. A healthy 35-year-old non-smoker may require a different approach from a 70-year-old person with diabetes, high cholesterol or established cardiovascular disease, even if their blood pressure measurements are identical.

For this reason, treatment is not based simply on a number. Instead, clinicians assess overall cardiovascular risk – the likelihood of developing conditions such as heart attack, stroke, heart failure or kidney disease in the future.

Factors such as age, smoking status, cholesterol levels, diabetes, kidney function, family history and evidence of existing damage to the heart, kidneys or blood vessels all contribute to this assessment. In simple terms, the goal of treatment is not merely to lower blood pressure but to reduce a person’s overall risk of developing cardiovascular disease and its complications.

When Should You See a Hypertension Specialist?

Most people with high blood pressure can be managed by their GP or primary care team. However, specialist assessment can be particularly valuable when blood pressure is difficult to control, develops at a young age, or when there is concern that an underlying condition may be contributing. A hypertension specialist does much more than prescribe additional medication.

One important role is determining whether there may be a specific reason why blood pressure is elevated. Although most hypertension develops as a result of a complex interaction between genetics, ageing and lifestyle factors, approximately 5–10% of people have an identifiable and potentially treatable cause. Examples include hormonal disorders, kidney disease, narrowing of the arteries supplying the kidneys, and obstructive sleep apnoea.

Identifying an underlying cause can sometimes transform treatment and significantly improve blood pressure control. Even when no specific cause is found, specialist assessment can help tailor treatment to the individual, optimise investigations and ensure that treatment targets are appropriate for that person’s overall cardiovascular risk.

Measuring Blood Pressure: Why One Reading Is Not Enough

Blood pressure is not a fixed number. It changes throughout the day in response to physical activity, stress, sleep, emotions and many other factors. For this reason, a single reading rarely tells the whole story. Some people experience the so-called “white coat effect”, where blood pressure rises temporarily in a healthcare setting. Others may have normal readings in clinic but elevated blood pressure during everyday life.

Home blood pressure monitoring has therefore become an increasingly important part of modern hypertension care. It often provides a more accurate picture of a person’s usual blood pressure than occasional measurements taken in a clinic. In some situations, a 24-hour ambulatory blood pressure monitor may also be recommended to better understand blood pressure patterns throughout the day and night.

Can High Blood Pressure Be Prevented?

Although not all cases of hypertension can be prevented, lifestyle plays an important role in both prevention and treatment.

Maintaining a healthy weight, eating a balanced diet rich in fruit and vegetables, reducing salt intake, remaining physically active and limiting alcohol consumption can all contribute to lower blood pressure and better cardiovascular health.

Many people are surprised to learn that most dietary salt comes not from the salt shaker but from processed foods, restaurant meals and everyday staples such as bread and breakfast cereals. Small, sustainable dietary changes can therefore have a meaningful impact. Good sleep is also increasingly recognised as an important part of cardiovascular health.

Conditions such as obstructive sleep apnoea can both contribute to hypertension and make it more difficult to control. Smoking does not usually cause hypertension directly, but when combined with high blood pressure it dramatically increases the risk of heart attack, stroke and vascular disease.

Lifestyle changes remain the foundation of blood pressure management and can significantly enhance the effectiveness of medication when treatment is required.

What If Lifestyle Changes Are Not Enough?

Many people with high blood pressure will require medication in addition to lifestyle measures. This should never be viewed as a personal failure.

Blood pressure is influenced by a complex interaction of genetics, ageing, hormones, kidney function and environmental factors. Even individuals who maintain a healthy weight, exercise regularly and follow an excellent diet can develop hypertension.

Modern blood pressure medications are highly effective, extensively studied and generally very well tolerated. The purpose of treatment is not simply to lower a reading on a monitor. The goal is to reduce the long-term risk of heart attack, stroke, heart failure, kidney disease and dementia, while helping people maintain their health and quality of life for years to come.

The Bottom Line

Over the years, one of the most striking things I have learned as a hypertension specialist is how often high blood pressure goes unnoticed. Many of the people I see in clinic feel perfectly well and are surprised to discover that their blood pressure has been elevated for years.

The problem with hypertension is not usually what it does today. It is what it can do silently over the next five, ten or twenty years if left untreated.

The good news is that high blood pressure is both detectable and treatable. Whether through lifestyle changes, medication, or a combination of both, effective blood pressure control can substantially reduce the risk of heart attack, stroke, heart failure, kidney disease and other complications.

If there is one message I would like readers to take away, it is this: know your numbers. A simple blood pressure check takes only a few minutes, but it could be one of the most important investments you make in your future health.

After all, the most dangerous blood pressure is often the one you do not know about.

Written by Dr Luca Faconti, Specialist in Hypertension and Internal Medicine in London

As temperatures rise and the days become longer across the UK, spending more time outdoors becomes part of daily life. While sunlight can positively impact mood and vitamin D levels, it is also important to understand the risks associated with UV (Ultraviolet) radiation and how to properly protect your skin.

At Dottore London, we believe prevention and awareness are essential when it comes to long-term skin health.

What Is UV Radiation?

Ultraviolet (UV) radiation is a form of invisible energy produced naturally by the sun. Prolonged exposure to UV rays can damage skin cells, accelerate skin ageing, and increase the risk of developing skin cancer.

There are three main types of UV radiation:

• UVA Rays
  These penetrate deep into the skin and are primarily responsible for premature ageing, wrinkles, and long-term skin damage.
• UVB Rays
  These affect the outer layers of the skin and are the main cause of sunburn. UVB exposure also plays a major role in the development of skin cancer.
• UVC Rays
  These are the most harmful rays but are absorbed by the Earth’s atmosphere and do not usually reach the ground.

Discover more about our Dermatologist

Why UV Protection Matters in the UK

Many people associate sun damage with hot countries or summer holidays abroad, but UV radiation can still be strong in the UK — even on cloudy or cooler days.

Between mid-March and mid-October, UV levels in the UK are often high enough to damage the skin, particularly during the middle of the day.

Repeated exposure without adequate protection can lead to:

• Premature skin ageing
• Pigmentation and sun spots
• Eye damage
• Weakened immune response in the skin
• Increased risk of melanoma and non-melanoma skin cancers

According to health experts, the majority of melanoma skin cancer cases could be prevented through safer sun exposure habits and by avoiding sunbeds.

How to Protect Yourself from UV Radiation

Protecting your skin does not mean avoiding the outdoors — it means adopting healthy and consistent habits.

Wear Sunscreen Daily

Use a broad-spectrum sunscreen with at least SPF 30 and apply it generously to exposed skin, even when it is cloudy. Reapply every two hours, especially after sweating or swimming.

Avoid Peak Sun Hours

UV rays are strongest between 11am and 3pm. Whenever possible, seek shade during these hours.

Wear Protective Clothing

Sunglasses with UV protection, hats, and lightweight long-sleeved clothing can help reduce direct exposure.

Avoid Sunbeds

Artificial UV radiation from sunbeds significantly increases the risk of skin cancer and premature ageing.

Monitor Your Skin

Keep an eye on new moles or changes in existing marks, freckles, or lesions. Early detection is one of the most important factors in successful treatment outcomes.

When Should You Book a Skin Check?

It is important to speak with a specialist if you notice:

• A mole changing shape, size, or colour
• Persistent itching or bleeding
• New or unusual skin lesions
• Areas of skin that do not heal properly

Professional skin assessments can help identify concerns early and provide peace of mind.

At :contentReference[oaicite:1]{index=1}, our dermatology specialists provide comprehensive skin evaluations and personalised advice to help you protect your skin all year round.

Get in Touch

If you would like to book a skin check or speak with our team, we are here to help.

Phone: +44 (0)20 8616 8380
Email: info@dottorelondon.com

April is Stress Awareness Month, a good opportunity to pause and ask a simple question: could your physical, mental or sexual health issues actually be connected to chronic stress?

I’m Dr Alessio Platania, a Neuropsychosomatic GP and Clinical Sexologist based in London. I work with people whose “mysterious symptoms” (like gut issues, fatigue, chronic pain, brain fog, skin reactions, mood changes, and sexual difficulties) are often different faces of the same underlying problem: chronic stress.

What chronic stress really is

Stress is the body’s normal response to a stimulus or threat. When your brain perceives danger, it releases hormones like cortisol and adrenaline to prepare you to fight, run away, or protect yourself from it.

Thousands of years ago, that “threat” might have been a wild animal. Today, it is more likely to be a difficult boss, ongoing financial pressure, caring responsibilities, or an argument with someone close to you, but your body cannot tell the difference. The same survival system switches on as if you’d just encountered a lion.

For people with trauma histories or those who are neurodivergent, even everyday situations like crowded spaces, noises in the environment and social interactions can be intensely stressful because their nervous systems are already working harder to process the world.

In the short term, this stress response can be useful: it keeps you alert and focused. But when it lasts too long or is triggered too often, the body can become stuck in a state of high alert.

Over time, chronic stress can literally reshape how your nervous system regulates concentration, pain, digestion, fatigue, sleep, mood, and the immune system. It becomes harder to rest, recover, and feel safe, while symptoms start to feel more intense, more frequent, and more unpredictable.

How chronic stress shows up in the body

People living with chronic stress rarely present with “just stress.” Instead, they arrive with a mixture of physical and psychological symptoms across different body systems.

Common experiences include headaches, muscle tension, chest tightness, fatigue, brain fog, poor sleep, or changes in appetite. Emotionally, many people describe feeling irritable, overwhelmed, tearful, or unable to switch off, even when they are exhausted.

The gut is particularly sensitive. The gut and brain are connected through the gut–brain axis, and long-term stress can disrupt digestion, contributing to weight changes, reflux, bloating, cramps, constipation, diarrhoea, and conditions such as irritable bowel syndrome (IBS).

The skin and immune system can also be affected. Chronic stress is associated with flare-ups of allergies, eczema, psoriasis, and other inflammatory or autoimmune conditions, as well as food intolerances.

For some, stress contributes to widespread pain, leading to syndromes such as fibromyalgia, where people may experience chronic pain, sleep disturbance, and cognitive difficulties. It can also worsen conditions like postural orthostatic tachycardia syndrome (POTS), where the autonomic nervous system struggles to regulate heart rate and blood pressure when changing position.

Sexual health is another area that is often quietly affected. Chronic stress can lead to changes in libido, difficulties with arousal, pain during sex, and challenges with erections or orgasms.

For neurodivergent people (for example ADHD/Autism), chronic stress can manifest as increasing sensory overload, emotional dysregulation and burnout.

How I approach diagnosis

Assessment does not start with a blood test; it starts with listening. I want to understand when symptoms began, what was happening in your life at the time, what makes them better or worse, and how they affect your day-to-day functioning.

There is no single blood test or scan that “proves” stress, but we sometimes use indirect markers such as heart rate variability (HRV) to help us understand how the nervous system is regulating itself.

At the same time, it is essential to rule out medical conditions that might contribute to or mimic these symptoms, such as anaemia, vitamin deficiencies, thyroid and other hormonal problems, gut inflammation, or autoimmune disease.

The key is to look at the whole picture rather than dismissing symptoms just because standard tests are normal. Many of my patients have been told “Everything looks fine” while clearly not feeling fine at all. Chronic stress and dysregulation of the nervous system often sit in that gap.

Treatment

Treatment for chronic stress-related conditions is usually not a single pill or quick fix. It can be a lengthy stepwise process, depending on which body systems are most affected and how long symptoms have been present.

My approach is holistic and tailored to the person. For some people this might include education about how stress affects the body, nutritional support for gut and brain health, evidence-based supplements, and medications where appropriate.

For others, the focus may be on improving sleep, pacing daily activities, gently increasing movement, and using tools such as vagus nerve neuromodulation to help the nervous system come out of constant “fight or flight.”

Mind–body work and regulation

I also almost always integrate mindfulness and somatic therapy. These are not about pretending symptoms are “all in your head” or ignoring what you feel.

Instead, they are about helping you reconnect mind and body, notice early signs of stress, and learn ways to bring your system back towards safety.

Mindfulness and body-based approaches can reduce reactivity to symptoms, increase body awareness, and gradually build your capacity for regulation and recovery.

If stress is affecting sexual function, it is important to be able to talk about that openly. Sexual difficulties related to stress are very common and often highly treatable when we address both the psychological and physical components together.

What you can do about it

There are also simple, realistic steps you can start at home, even before deciding whether to see a doctor. These are not a substitute for medical assessment, but they can create more “space” in your system and make any future treatment work better.

Start small with movement: gentle, regular activity such as walking, stretching, yoga, or Qigong can help discharge some of the stress response and improve sleep and mood, without pushing your body into more exhaustion.

Protect your sleep window by keeping a regular sleep–wake time, reducing screens and stimulating activities in the hour before bed, and avoiding heavy meals or large amounts of caffeine late in the day. Good-quality sleep is one of the most powerful regulators of the stress system.

Simple breathing practices can also help. A slow exhale that is slightly longer than the inhale, repeated for a few minutes, can signal to the body that it is safe enough to move out of high alert.

Reducing “background stress” where possible is equally important. Giving yourself permission to say no to non-essential demands can make a significant difference over time.

Keeping a stress and symptoms diary can help you notice patterns without blaming yourself, and can also provide useful insights during a consultation.

Finally, offering yourself some kindness matters. Chronic stress often comes with self-criticism and the feeling that you “should be doing better.” Small acts of self-compassion can reduce the overall stress load.

When to seek help

The most important message is this: chronic stress is real, and it can affect every part of the body, not just your mood.

If you are living with ongoing gut symptoms, pain, fatigue, sleep problems, skin reactions, sexual difficulties, or burnout, it is not “just in your head,” and you do not have to manage it alone.

Speaking to a doctor who will take the time to look at the whole picture — your body, your nervous system, your life story, and your environment — can be the first step in helping your system gradually recover.

If you’d like support

I offer consultations in London and online for people dealing with chronic stress, complex physical symptoms, sexual health concerns, and neurodivergent burnout.

Together, we can map out what is happening in your body, understand why, and build a plan that feels realistic and compassionate.

If this resonates with you, Stress Awareness Month might be a good moment to start listening to what your body has been trying to tell you.

A constantly blocked nose is more than just annoying — it can affect your sleep, concentration, and overall wellbeing. Many people live with this condition for months or even years without understanding the real cause.

So what’s actually behind a chronic blocked nose?

The most common causes

1. Allergies (Allergic rhinitis)

One of the most common causes, especially in cities like London where pollen, pollution, and dust mites are widespread.

Typical symptoms:

• Alternating nasal blockage
• Frequent sneezing
• Itchy nose and eyes
• Watery eyes

Symptoms often worsen during certain seasons or in specific environments.

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2. Sinusitis (acute or chronic)

Sinusitis is inflammation of the sinuses, which can become chronic if not properly treated.

Typical symptoms:

• Facial pressure (forehead, cheeks)
• Thick mucus (yellow/green)
• Headaches
• Reduced sense of smell

When symptoms last longer than 12 weeks, it is considered chronic sinusitis.

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3. Deviated septum

A very common structural condition where the nasal septum is off-center, making airflow difficult.

Typical symptoms:

• Constant blockage (often one side)
• Difficulty breathing, especially at night
• Snoring or poor sleep quality

Medication alone may not solve the issue — specialist evaluation is often needed.

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How to identify the cause

Symptoms often overlap, making self-diagnosis difficult.

That’s why you may need:

• A full clinical assessment
• Allergy testing
• An ENT specialist consultation

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When should you be concerned?

Don’t ignore the issue if:

• Your nose has been blocked for more than 2–3 weeks
• You struggle to sleep or breathe properly
• Over-the-counter treatments don’t work

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How Dottore London can help

At Dottore London, we provide a tailored and patient-focused approach:

✔️ Accurate diagnosis
✔️ Access to ENT specialists
✔️ Personalised treatment plans
✔️ Care in both Italian and English

Book your consultation today:
https://www.dottorelondon.com/contact-us/

Our Pediatrician, Dr. Luca Molinari, explains what the recent meningococcal disease cases in Kent mean for families and whether children’s vaccination schedules need to change.

Following the recent reports of invasive meningococcal disease in Kent, many families have been asking whether this affects their child’s vaccination schedule. Cases like these are uncommon, and public health teams act quickly to identify close contacts and offer antibiotics and, where appropriate, vaccination to those directly exposed. For the wider community, the overall risk remains low, and current national recommendations have not changed. 

Read the official BBC article here

In the UK, babies are routinely offered the MenB vaccine at 8 weeks, 12 weeks and 1 year. This schedule is designed to protect infants during the period when they are most at risk of MenB disease. 

Teenagers are routinely offered the Meningococcal vaccine at school in Year 9, usually at 13 to 14 years of age, and anyone who missed it remains eligible for catch-up vaccination up to their 25th birthday. This vaccine helps protect against meningococcal groups A, C, W and Y. 

Outside these routine groups, meningitis vaccines on the NHS are generally offered only to people with specific medical risk factors or in defined exposure settings. Families who would like to explore additional protection can also discuss private Meningococcal vaccination with their doctor. This is best considered on an individual basis, depending on age, health background and specific concerns. 

The key message for parents is to keep their child’s routine vaccinations up to date. The recent Kent cases are understandably concerning, but at present they do not change the national vaccination schedule for the wider public. If you are unsure whether your child is fully protected, speaking to your GP or a trusted clinician is the best next step. 

Get in touch with our team for more information

When thinking about mental health support, one of the most common questions is: Which approach is right for me? Psychotherapy and hypnotherapy are two widely used options. Both aim to improve emotional well-being, yet they work in different ways and respond to different needs.

Understanding their differences is not about deciding which one is better, but about finding the path that best fits your personal situation, experiences, and goals.

Psychotherapy is the most familiar approach for many people. It is based on conversation and on a gradual process that helps individuals make sense of their thoughts, emotions, and behaviours. Through regular sessions, people gain deeper self-awareness and learn strategies to cope with challenges such as anxiety, stress, depression, or relationship difficulties. It is a structured journey that unfolds over time.

Hypnotherapy takes a different route. It uses a state of deep relaxation and focused attention to work with subconscious processes. During a session, the person remains aware and in control, but more open to exploring internal patterns and responses. This can support change in areas such as fears, habits, emotional blocks, and recurring behaviours, often in a more targeted way.

The key difference lies in how change happens.
Psychotherapy focuses on conscious understanding and emotional processing, while hypnotherapy works more directly with internal mechanisms that are not always immediately accessible at a conscious level.

There is no universal answer when choosing between the two. Some people benefit from a reflective and ongoing therapeutic journey, while others seek a more focused approach to a specific issue. In many cases, these methods can also complement each other.

At Dottore London, the starting point is always the individual. Specialists support each person in identifying the most suitable path, offering personalised care based on personal needs, timing, and goals.

Reaching out for support is already a meaningful step; choosing the right approach is the next one.

National Obesity Awareness Week is an important moment to pause and reflect on a growing public-health challenge that affects millions of people in the UK.

Raising awareness means moving away from stigma and towards informed, evidence-based care. It also means helping individuals understand when professional medical support can make a meaningful difference.

Why Obesity Awareness Matters

Obesity is associated with an increased risk of conditions such as type 2 diabetes, cardiovascular disease, hypertension, joint problems and hormonal imbalance. However, awareness is not about fear — it is about early intervention, understanding and prevention.

The National Obesity Awareness Week encourages:

• Better understanding of obesity as a medical condition

• Education around sustainable, long-term weight management

• Access to professional, supervised treatment pathways

• Compassionate and personalised care rather than quick-fix solutions

For many people, repeated dieting without medical guidance can lead to frustration, metabolic slowdown and weight regain. This is where a structured, clinical approach becomes essential.

A Medically Supervised Approach to Weight Management

At Dottore London, weight management begins with medicine — not restrictive diets. Our programme is

designed to identify why weight loss may be difficult and to build a personalised strategy based on clinical

evidence.

Our Weight Management Programme follows a multidisciplinary model, led by experienced healthcare

professionals who work together to support every aspect of the patient journey.

Clinical Leadership and Specialist Care

• Dr Andrea Pucci

Consultant in Obesity and Endocrinology, responsible for medical assessment, hormonal and

metabolic evaluation, and therapeutic strategy where clinically appropriate.

• Dr Erica Ascenza

Specialist Dietitian providing personalised nutritional plans based on medical findings, lifestyle and

long-term sustainability.

• Dr Silvia Riva

Cognitive Behavioural Therapist supporting behavioural change, emotional eating and the

psychological aspects of weight management.

This integrated approach ensures that treatment is not generic, but tailored to the individual’s physiology, habits and goals.