The Downside of Sunshine

I’ve had some troublesome red patches of skin on my face for a while. At first I thought these were related to the psoriasis I have on my scalp, inherited from my father. I stopped shaving and began to use aloe vera. Some of the patches improved a little. Then I tried pine tar soap, as recommended by the American Psoriasis Association. This helped the red patches under my beard, but didn’t seem to make much difference to the patches on the rest of my face. I went to the GP. She looked at my array of red patches and gave me steroid cream. It didn’t help, so I went back to see her. She gave me a much stronger steroid cream. But that didn’t help either. There was one large red patch on my forehead, about a centimeter across, that I was particularly worried about. I began to look at websites with photos of skin cancers. My large red patch did look suspicious. Then a friend told me about a new skin clinic that had opened near Newry. It was run by a GP who had worked in Australia and had since specialized in skin cancer. I booked an appointment. Dr Finbar examined me, checking the red patches on my face with a magnifier. Then came the verdict.

Actinic Keratosis he said, otherwise known as sun damage. Your skin cells have mutated in exposure to UV radiation. But I always wear sunscreen, I told him. Do you wear a hat too, he asked? Only recently, I said, pointing to my thinning hair. He explained that skin damage accumulated with age, and people who spent a lot of time outdoors for work or leisure were more at risk. I reflected on my five decades of mountaineering, running and cycling, and all my trips to tropical destinations. I suppose that had done it.

You have six patches of actinic keratosis on your face, he said. They are pre-cancerous and need to be removed. Do you want me to treat them now? Of course, I said. He picked up a small instrument, about the size of a mini torch, and froze the patches with liquid CO2. It did feel cold, but it wasn’t painful. He gave me a mirror. My red patches had become considerably larger. Then my face began to sting. He explained that the pre-cancerous skin would die off and healthy skin would grow underneath. I had to keep the areas clean and treat them with Vaseline twice a day. So now I have six scabs on my face. But the bad skin should be gone in a couple of weeks. He encouraged me to return in six months for a review. I’d certainly recommend Dr Finbar’s Skin Cinic. He also has a website with useful information about different skin conditions.

A Miracle Cure?

My troublesome guts have improved enormously. I no longer have to take Omeprazole or Gaviscon and I can eat a wide range of foods again. Several months ago I began working with a nutritionist based at Framar Health in Belfast. My first session with Sarah Trimble focused on allergy and food sensitivity testing. She confirmed my gluten intolerance and explained that I was sensitive to foods which are high in histamine (e.g. nuts, citrus fruits, tomatoes, chocolate, pickled foods, smoked meats, etc). This was very helpful, but not too surprising. I had been avoiding some of these foods for years, as they were on the High FODMAP list. She also recommended that I take a specific probiotic, to help rebalance my gut flora. The testing also indicated that I had an increased need for Magnesium and B vitamins. Sarah explained which foods I needed to eat to increase these nutrients, and suggested several supplements. I’ve followed all of her advice and it's helped me enormously. But the biggest single improvement in my gut health came from another source.

My dearest T used to have gut problems and she reads articles on gut health to keep informed. One of these explained that the symptoms of too much stomach acid (e.g. heartburn, acid reflux, belching) are much the same as the symptoms of too little stomach acid. There was also a simple test to determine which condition you have. I’d been treated by my GP for too much stomach acid for six years, so I took the test: two teaspoons of apple cider vinegar mixed with a little water before a meal. It was a revelation. The persistent and intractable gut problems that had been dogging me for ages disappeared almost overnight. I had too little stomach acid, not too much. This was probably a legacy of my stomach being in the wrong position for years after one of my cancer operations. Taking apple cider vinegar before every meal is a simple and natural solution. I rarely get heartburn, acid reflux or belching. Previously I had to take Gaviscon three or four times a day. Now it's only about once a month. You are what you eat, goes the old saying. I’ve become a new man.