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Inside Health

Ovarian cancer screening, BP tables, Cough, Vegetarianism, Gallstones

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 18 September 2012

⏱️ 29 minutes

🧾️ Download transcript

Summary

Ovarian cancer is known as the silent killer - because its symptoms can often be vague - bloating, abdominal discomfort and feeling full after eating. An American medical body says that screening all women for this cancer does not save lives - and may cause more harm than good. The US Preventive Services Task Force were responding to the latest results from the PLCO study - which included 80,000 women over 55. There was no difference in outcome between the women who were offered screening and those who just carried on as normal. Around a thousand of the women who were screened had surgery after testing positive - only to find they didn't have cancer. And 1 in 7 of them had at least one serious complication following their unnecessary surgery. Professor Usha Menon from University College London says that screening could be used in women with abdominal symptoms to help spot the cancer.

One Inside Health listener got in touch about his risk of developing cardiovascular disease - after his GP based his risk on his very high blood pressure reading - despite the fact that he's managed to reduce it by taking medication and exercising more. Dr Margaret McCartney says that charts in the the British National Formulary's charts are often used to assess these risks - but that other resources like QRISK can be used instead.

A niggling dry cough or a constant feeling like you need to clear your throat may have been diagnosed as a post-nasal drip. But cough expert Professor Alyn Morice says many people plagued by these symptoms are in fact affected by a "leaky" valve at the top of their stomach - creating a mist of partly-digested food which triggers the cough reflex.

The benefits of a vegetarian diet are often publicised - but how much does not eating meat improve your health? Dr Kamran Abbassi searches the medical literature and finds that there are modest benefits to cardiovascular risk, blood pressure and Body Mass Index. For parents who may be anxious when their children announce they want to turn veggie - one Vietnamese study found no difference between the growth rates of vegetarian and meat-eating children.

Another listener Georgina Abrahams emailed to ask about treating gallstones. Does the gallbladder need to be removed surgically or can dietary changes help to alleviate symptoms? At least 1 in 10 of us will develop gallstones at some stage. Professor Hugh Barr is an upper gastrointestinal specialist in Gloucester. He explains how a low fat diet can help to prevent gallstones - which are usually deposits of cholesterol - but that once they're causing symptoms surgery is the most effective solution.

Transcript

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0:00.0

Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down. And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Lina. I'm excited. You're dead to me, the comedy podcast that takes history seriously. Listen first on BBC Sounds. Hello, I'm Dr Mark Porter and thank you for downloading this edition of Inside Health.

0:37.7

I hope you enjoy it.

0:39.2

Hello and welcome to Inside Health.

0:41.3

In today's program, Goulstones, I corner a specialist for an insider's view on alternatives to surgery.

0:48.0

Annoying coughs.

0:49.3

If you or someone you live or work with is constantly clearing their throat, then we may have the solution.

0:54.8

And vegetarianism, our resident skeptic, Dr Cameron Abassi, looks at the health implications of turning veggie.

1:01.9

But first, the recent announcement by a US medical advisory body

1:05.2

that screening for cancer of the ovary does not save lives

1:09.1

and may actually cause more harm than good.

1:12.2

The US Preventive Services Task Force reaffirmed its opposition to screening

1:16.4

after reviewing the latest results from the prostate lung colorectal

1:20.5

and ovarian cancer screening trial.

1:23.1

The ovarian part of this PLCO study involved nearly 80,000 women over 55, randomly allocated to

1:30.4

undergo either annual screening for cancer of the ovary or just carry on as normal. More than 10 years

1:36.0

in, the latest figures suggest no difference in death rates between the two groups. Just over

1:41.7

1,000 women in the screened group underwent surgery after testing positive,

1:46.2

only to find out they didn't have cancer, and one in seven of them had at least one serious

1:52.1

complication following their unnecessary surgery. Here in the UK, the larger collaborative

1:57.3

trial of ovarian cancer screening known as UK Cetox is still ongoing and may

2:02.9

welcome to a different conclusion. Yusha Menon is Professor of Gynecological Cancer at University

2:08.5

College London and Principal Investigator for UK Cotox. So was she surprised by the American

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