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Holidays are great – but travelling can take its toll on your body and mind, particularly when flying long distances. “When you consider that pressure, temperature and oxygen levels fluctuate in the aircraft, add in the fact that humidity levels are lower than sea level – it’s not surprising flying can upset some of your body’s normal functions,” says Dr Chun Tang, medical director and GP at Pall Mall Medical. “Not forgetting, most people feel varying degrees of stress before take-off too.” So, if your summer holiday is set to include a hefty flight, what are some of the key things to think about when it comes to health and wellbeing? Dehydration “Airplanes can dehydrate you because half of the air circulating in the cabin comes from the outside, and when you’re at a higher altitude there is hardly any moisture in the air,” says Tang. If you want to help mitigate the impact of dehydration while flying, consider what you eat and drink both before and during. “Eat something light, like a salad and fruit. Avoid salty fast food, especially before flying, as this can cause bloating and dehydration,” suggests Tang. “Many people like to have an alcoholic drink in the departure lounge prior to flying, but you are just dehydrating yourself further. Avoid coffee too and stick to fresh juices and water. “After you’ve flown, tempting as it is to go and get an alcoholic beverage, keep drinking water to restore hydration.” Germs Tang explains: “When you fly, you’re exposed to more germs because you’re near others – that’s why it’s common to catch a cold or sniffle following a flight. Your tray table, seatbelt and other surfaces that are frequently touched will also be covered with germs. “Carry a small bottle of hand sanitiser and cleaning wipes with you,” he suggests, “and wash your hands frequently during travel.” Sleep Jet-lag is a pain and can easily ruin the start and end of a trip. So, how can you mitigate its impacts and keep your sleep cycle solid? “Exposure to light is incredibly important for regulating your body clock. When it’s dark outside, you’re more likely to fall asleep,” says Tang. “If you’re travelling west to the USA or South America, for example, you should seek light in the evening time. If you’re headed east, then you want to restrict light exposure if you’re arriving at night-time and seek it out in the morning. “Studies show that blue light from your smartphone or tablet can keep you awake, so avoid these when you’re trying to get some sleep,” he adds. Ears Tang says another possible “side-effect of flying can be stress on your ears due to pressure changes in the cabin”. This is why it’s often advised that people avoid flying if they have an ear infection, for example.“When the outside pressure changes quickly during take-off and landing, you may feel your ears pop. Sometimes this imbalance can cause motion sickness because your brain is receiving conflicting messages,” says Tang. “Try swallowing or yawning to open the eustachian tubes [which connect the middle ear and throat] during take-off and landing.” Circulation Deep vein thrombosis (DVT) is a very real concern for many people when flying. These blood clots, which usually affect the legs, can be extremely serious. “One of the most common causes of DVT is prolonged periods of inactivity when travelling long distances,” says Professor Mark Whiteley, leading venous surgeon and founder of The Whiteley Clinic. “When people significantly reduce the activity in their legs, the blood flow becomes very sluggish in the deep veins – therefore putting people at a higher risk of a clot forming. “It is important to keep as active as possible when flying by regularly stretching and going for a walk up and down the cabin aisle, at least once per hour if it is a long flight,” he adds. “I would also advise wearing properly fitted flight stockings. This speeds up the flow of blood in the veins and therefore reduces the risks of the blood clotting.” Anyone can potentially get DVT, but if you have a history of blood clots or may be at increased risk, always speak with your doctor before travelling. What if I have a pre-existing condition? “If you have pre-existing health conditions, then it’s best to check with your GP on any specific aspects of flying that may impact you,” says Tang. “You’ll also need to ensure that you have purchased adequate travel insurance that will cover you should you require any medical attention while abroad.” Another important consideration is to make sure any medication you will need is stored in your hand luggage/carry-on bag, and not in the hold (in case it goes missing). Some countries may also have restrictions on certain medications – ensure you speak with your doctor well in advance of travelling. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live How do heterosexual celebrities become LGBTQ+ icons? More help with childcare costs for families on universal credit from end of June Menopause and menstruation guidance launched for workplaces to support employees

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Naomi Watts has admitted that going through menopause in her mid-thirties felt like “the end of her worth”. Watts, now 55, said she thought of menopause as “equating to the end” of her career, when she experienced it three years after her breakthrough performance in David Lynch’s 2001 psychological thriller Mulholland Drive. In an interview with Times Radio on Thursday, the two-time Oscar-nominated actor added that the lack of conversation around menopause – or the end of menstruation – “told me that you don’t matter anymore”. She continued: “So I kind of spent a lot of time spinning out and turning in on myself, feeling panicked about the end of my career, the end of my worth. If I can’t bring children into the world, my partner will probably leave me. What do I mean? Where’s my purpose?” Watts has been advocating for greater awareness and sensitivity around the subject, with the actor launching her own menopausal beauty brand Stripes last October. In the interview, she noted that, while women come together to discuss their periods, first kisses, or experiences with getting pregnant, the conversation around menopause has remained shrouded in secrecy and shame. However, Watts acknowledged that she wouldn’t have spoken about her own experiences when she was younger. Opening up about her decision to talk about going through early menopause publicly, she said: “Maybe it was just the right timing, maybe that the average age of menopause is 51. Maybe I just had to get past that milestone to actually admit that that was me. However, Watts added, her outlook has since changed because she “got on top of the education” and has a better understanding of it. “I’ve also got my friends,” she continued, underscoring the importance of having a community. “We can moan about it if we have to, laugh about it and share our experiences openly. “I think when the conversation is off the table, that’s the worst part of it,” Watts said. The Impossible actor has previously said that going through early menopause was “incredibly isolating”, with the NHS estimating that premature menopause – before the age of 40 – affects one per cent of women in the UK. The symptoms are the same as perimenopause, or the years of transition leading up to menopause. These usually include changes in the pattern and/or frequency of menstrual cycles, anxiety, mood changes, hot flushes, and hair loss or thinning. Read More ‘It was the most isolating experience’: Meet the women with early menopause Smoking causes 150 cancer cases every single day in UK, study finds Millions of women able to get contraceptive pills over the counter next year Smoking causes 150 cancer cases every single day in UK, study finds Millions of women able to get contraceptive pills over the counter next year Woman with cystic fibrosis had weeks to live – now she’s climbing mountains

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