A 32-year-old woman dies and another 12 in hospital after eating sardines in a Bordeaux restaurant.

People can go years with no idea they have something wrong with their heart. Symptoms can be vague and subtle and many heart conditions are ‘hidden’ – meaning they’re not obvious from the outside. “Hidden heart conditions often go undiagnosed for too long, until something goes wrong or it’s too late,” says Sindy Jodar, senior cardiac nurse at the British Heart Foundation (BHF). “That’s why it is important to never ignore the signs of heart disease and get yourself checked, just to be sure.” While some warning signs are easy to spot – such as severe chest pain and collapse – there are also many little indicators that something could be wrong with your heart or circulatory system. These won’t necessarily mean you have a heart problem, but it’s always best to have them investigated. From tiredness and nausea to fainting, here are some of the less obvious symptoms everyone needs to know about… 1. Feeling unusually tired Dr M Adil U Khan, a GP at Pall Mall Medical, says you should not “ignore or downplay unusual levels of tiredness”. While it’s normal to feel exhausted if you’ve been very busy or lacking sleep, he adds: “Feeling unusually tired, especially if it’s not related to exertion, should be investigated.” It could be due to something like anaemia, a virus, or even linked to mental health. It could also be related to your heart, so it is important to have it investigated. 2. Subtle discomfort “Look out for subtle discomfort in different areas of your body, including discomfort or pain in the jaw, neck, back, or stomach, which can be associated with a heart problem,” says Khan. If symptoms are out of the norm for you and aren’t going away, it’s always best to get them checked. 3. Unusual swelling Perhaps you have noticed your ankles look particularly puffy, or maybe it’s your general tummy area that’s constantly swollen for no apparent reason. “Unexplained swelling, known as oedema, in the legs, ankles or abdomen, may also be signs of heart failure,” explains Khan. 4. Vomiting and a choking sensation Sudden vomiting or a choking sensation in your throat is something to be wary of too. “While not every bout of nausea means there could be something serious happening, feeling sick combined with other aches and pains, such as severe chest pain, should ring an alarm bell,” says Jodar. Yes, it could be a stomach bug, but if you are having sudden spells of vomiting and nausea more regularly and you’re not sure why, don’t delay in get things checked out. 5. Fainting If you experience sudden fainting, this is a big indicator of something being awry. “If fainting or any other symptom becomes a problem, consult a healthcare provider and schedule an appointment with a doctor or cardiologist,” says Khan. “Discuss your symptoms, medical history and risk factors with them. “Your healthcare provider will assess your vital signs and perform a physical examination. Depending on your symptoms and risk factors, you may undergo diagnostic tests like ECGs, echocardiograms, stress tests, blood tests, or more specialised cardiac assessments,” he adds. 6. Shortness of breath Struggling to catch your breath is not a trivial matter. “Anyone experiencing shortness of breath during everyday activities or at rest should see their doctor,” says Khan. This is especially the case if it’s accompanied by chest pain – even if it doesn’t seem especially severe. Khan adds: “Mild chest discomfort should always be investigated, but some people mistake this for indigestion or muscular pain.” 7. Unusual sweating “Feeling hot, clammy and quite sweaty when you haven’t been doing strenuous exercise shouldn’t be ignored,” adds Jodar. “If this is combined with chest pains, it’s important you get yourself looked at.” 8. Heart rate irregularities Does your pulse sometimes feel jumpy or too fast? Get it checked with your doctor. Khan says: “Smartwatches and fitness trackers can provide valuable data about your heart rate and may detect irregularities to some extent. They can help track general trends in heart rate, especially during physical activity or rest. “However, they are not a substitute for medical-grade monitoring and evaluation… Any concerning symptoms should be evaluated by a healthcare professional for a comprehensive assessment and diagnosis,” Khan adds. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Breast Cancer Awareness Month: 9 brilliant beauty buys supporting good causes Smokers 2.6 times more likely to give birth prematurely Female students ‘more than twice as likely’ to be affected by poor mental health, research shows

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Spring has always been a transformative season for me. As the the weather improves, so, too, does my mood. But there has always been one thing that makes the move from winter much, much worse: my hay fever. Like one in 10 children and one in four adults, according to the Met Office, I have always suffered with hay fever. With that number rising year on year too, it’s likely that if you don’t get symptoms yourself, you’ll know someone who does. For me, the worst symptom has always been unbearably itchy, watery eyes, although the constant sneezing isn’t that much fun either. Other symptoms include itchy mouth, ears and throat, coughing, a blocked nose and many more. For a few years I took prescription strength Loratadine (Clarityn), which worked for a while, up to a point. The symptoms reduced but I was always able to tell when it was a day with high pollen in the air because my eyes would still itch and the sneezes would come and go. If it was the best the doctor could do, then I’d just have to put up with the remaining symptoms, which were reduced. Eventually, Loratadine stopped being as effective. I mentioned it in passing to my GP when I was there for an appointment about something else. “We’ll try something different,” she said. Enter Fenofaxidine. It seems too much to say that Fenofaxide changed my life but, in hay fever terms, it was a total gamechanger. The medication stopped my symptoms instantly. No more sneezing, no more itchy eyes, no more hay fever. Obviously, I’m not a medical professional but it didn’t stop me telling everyone I know with hay fever to speak to their doctor about it. My mum, also a lifelong sufferer, saw the same effects as I did. So when I saw an advert last year for Allevia (a brand name for over-the-counter Fenofaxidine), I knew the potential its declassification could have on hayfever sufferers in the UK. I wasn’t surprised when it sold out after going viral on TikTok last year. One review said: “This actually works. I’m impressed. My eyes are not bulging because they are itching. I feel good, I can enjoy the sun,” she said. Hay fever isn’t life or death, nor should it be treated as such, but for someone whose mood is so dramatically increased by spending time outside it has made quite a big difference to me – the simple pleasure of being able to enjoy the sun. Read More The popular £4 hay fever tablet that ‘cures all symptoms’ Festival checklist 2023: Camping gear, clothing, beauty and more essentials Why do we get hay fever and what are the symptoms?

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