Dr Anisha

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04/11/2026

🚨 Could a blood test help spot several ABDOMINAL cancers earlier? 🩸

As a GP and bowel cancer survivor, I’m VERY interested in this trial, especially when symptoms are vague. Early diagnosis is crucial.

In England each year:
❌Around 71,000 people are diagnosed with bowel, ovarian, pancreatic, stomach or liver cancer.
❌These cancers cause almost 35,000 deaths.
❌Only around ONE IN FOUR pancreatic and stomach cancers are diagnosed early.

The government funded STRIDE-RCT will involve over 20,000 NHS patients across at least 200 GP practices in England.

🔎 WHO IS IT FOR?
People aged 45+ with abdominal symptoms such as persistent bloating, discomfort or bowel changes. These often have other causes, but may need investigation.

🧬 HOW DO THE TESTS WORK?
Different approaches look for:
• Tumour DNA: fragments shed by cancer cells, with chemical marks that may suggest where cancer started.
• Blood proteins: patterns associated with cancer and the body’s response.
• AI: patterns in blood results alongside information such as age and s*x.

🩸 WHAT HAPPENS?
Most tests need one or two tubes of blood alongside routine tests, with results expected within days.

❓WHICH CANCERS?
Bowel, small bowel, stomach, oesophageal, pancreatic, liver, bile duct, gallbladder, ovarian, endometrial, kidney, bladder and prostate.

⚠️ WHAT DO RESULTS MEAN?
• A positive signal does NOT confirm cancer. Further tests are needed; results may guide where to investigate.
• No signal does NOT rule cancer out. Persistent or worsening symptoms need follow-up.

📋 WHY A TRIAL?
To establish whether testing helps GPs diagnose cancer earlier and reduce unnecessary urgent referrals alongside clinical judgement.
Practices are randomly allocated to testing plus usual care or usual care for comparison.

📅 WHEN?
Testing is expected from April 2027. This is a government-funded trial, not a national rollout.

🔴 Don’t wait for a future test if you have symptoms, whatever your age. Go back if symptoms persist or worsen.

Questions / comments welcome ⬇️

01/11/2026

🔋 Always running on 1%? Aching muscles? Feeling weak?

📊 The UK National Diet and Nutrition Survey (2019–2023) found low vitamin D levels in:

▫️ 23% of 11–18-year-olds - nearly one in four!
▫️ 18% of adults aged 19–64
▫️ 12% of adults aged 65+

Vitamin D deficiency affects teenagers too, persistent tiredness shouldn’t automatically be dismissed as “just being a teenager”.

🦴 Vitamin D helps your body absorb calcium and supports healthy bones, teeth and muscles.

Deficiency can cause tiredness, bone aches and muscle weakness, but some people have no symptoms. These symptoms can also have other causes.

🤎 Black and brown skin contains more melanin, which reduces how much vitamin D the skin makes from the same amount of sunlight. This increases the risk of deficiency, particularly in the UK.

🇬🇧 NHS advice:
💊 Adults and children over four should consider 10 micrograms (400 IU) daily during autumn and winter.
📅 People with darker skin should consider this dose throughout the year. Year-round supplementation is also recommended for people with very little sun exposure or usually covered skin.

Confirmed deficiency may need a different treatment dose. Persistent symptoms deserve a GP assessment.

☀️ Comment SUN and I’ll send you my FREE vitamin D guide, covering:

✅ Symptoms and risk factors
✅ Black and brown skin
✅ Food sources
✅ Supplement advice for different ages
✅ How to take vitamin D and when to seek help.

📌 Save this and share with someone who needs the reminder.

Follow for relatable, evidence-based health advice.

Sources: NHS; NDNS 2019–2023; BAPEN.

31/10/2026

October… gosh, you’ve felt like the longest month ever.

Full of painting, glimmers of joy, moments of fear, and everything in between. A month of finding our feet, little adventures, and so much gratitude for the people who’ve brought light into our days. ❤️

📸 1–9: Our recent New Forest getaway for a change of scene - G’s first trip since his op. Fabulous time The Pig Hotel, walks through the New Forest and along the Saltern marshes, Lymington. A little escape that meant so much.

📸 10–11: Women Who Rise Michelle Ford Kindling Talent an inspiring evening hearing from women who’ve reinvented themselves.

📸 12–13: Our little visitors, always bringing joy. ❤️

📸 14: Celebrating at Judith Greeves . 🥂

📸 15: The Bowelbabe Fund Fund Rebel Ball. ✨

📸 16: My new appointment to Bowel Cancer UK Clinical Advisory Board, and a quick trip to Parliament for the Sleep Apnoea APPG.

📸 17: A little autumning. 🍁

📸 18: Work, GP life, flu clinics, and delivering talks and a podcast on women’s health.

📸 19: More autumning. Because those colours deserve a moment. 🍂

📸 20: Rehearsals for my TEDxChichester talk - less than two weeks to go! Equal parts excitement and nerves.

Thank you, October. We’re coming out intact, and I couldn’t be more grateful. ✨

29/10/2026

🚨 Bowel cancer symptoms aren’t always obvious. Don’t miss the quieter changes.

As a GP and someone diagnosed with stage 3 re**al cancer at 39, this is personal.

Over 48,000 people are diagnosed with bowel cancer every year in the UK, and it remains our second biggest cancer killer.

❌And younger people are affected too. UK bowel cancer rates in people aged 25–49 have increased by more than 50% since the early 1990s.

💩 Symptoms to get checked include:
🔴 Blood in your poo or bleeding from your bottom
🔄 A change in your usual bowel habit, diarrhoea, constipation or going more often
😴 Unexplained tiredness, iron deficiency or anaemia
⚖️ Losing weight without trying
🤕 Persistent tummy pain, discomfort or bloating

Re**al cancer can also cause less obvious changes:
👉 Urgency a needing to poo NOW
👉 Feeling you haven’t fully emptied your bowels
👉 Feeling you need to go again, even when you’ve just been, sometimes called tenesmus
👉 A persistent change to narrower or ribbon-like poos

Poo shape alone cannot tell you whether you have cancer. These symptoms often have other causes, but new, persistent or unusual changes deserve a conversation with your GP.

You don’t need to have every symptom, visible bleeding or weight loss. And you don’t need to be screening age to ask for help.

If symptoms continue after an initial assessment, go back. Early diagnosis can make bowel cancer easier to treat. ❤️

✅Follow for relatable, evidence-based health advice, and symptoms worth knowing about.

**alCancer KnowYourNormal

28/10/2026

Insta / TikTok says you’ve got “ferritin face”. But can you diagnose low iron from a selfie? 🩸👀

Not quite.

“Ferritin face” is an internet label, not a medical diagnosis. And iron supplements aren’t a guaranteed glow-up.

Here’s what’s true:

🔹 Iron deficiency anaemia can make you look paler than usual.
🔹 Iron deficiency can contribute to increased hair shedding, nail changes and cracks at the corners of your mouth.
🔹 Dark circles have MANY possible causes, including genetics, allergies, pigmentation and lack of sleep.
🔹 You can have low iron stores without being anaemic so a normal blood count doesn’t tell the whole story.

Ferritin is a marker of your stored iron. We interpret it alongside your symptoms, medical history and, sometimes, other blood tests.

If you’re persistently exhausted, unusually breathless, losing more hair or craving ice, speak to your GP. If iron is low, finding out WHY matters just as much as replacing it.

💬 Comment IRON and I’ll send you my FREE, updated ferritin guide, including:

✓ What your results can mean.
✓ Symptoms and possible causes.
✓ The truth about “ferritin face”.
✓ Food combinations and tablet timing to help iron absorption.
✓ Questions to ask your GP.

Please get advice before starting high-dose iron. Your face deserves kindness, and your symptoms deserve proper assessment. 🤍

✅Follow for more relatable, up-to-date health information.

25/10/2026

Your brain wants to sleep. Your legs have booked a bloody rave. 🪩🦵

Sound familiar?

Restless legs syndrome affects up to 1 in 10 adults, including mild cases, and it’s more than being a bit fidgety.

Typical clues include:
🔹 An irresistible urge to move your legs.
🔹 Crawling, fizzing, tingling or pulling sensations.
🔹 Symptoms that worsen when you rest, especially at night.
🔹 Movement bringing temporary relief.

And here’s the link to my ferritin reel: low iron stores can contribute, even when you’re NOT anaemic. But iron isn’t the only possible factor, pregnancy, kidney disease and certain medicines can also play a part.

If it’s regularly stealing your sleep, speak to your GP. There are treatments, and you don’t have to keep putting up with it.

💬 Comment LEGS and I’ll send you my FREE evidence-based guide, covering:

✓ Possible causes and triggers.
✓ Blood tests your clinician may consider.
✓ What ferritin results can mean.
✓ Practical tips and treatment options.
✓ Questions to take to your appointment.

Please get advice before starting iron supplements or changing prescribed medication.

✅Follow for more relatable, up-to-date health information. 🤍

Address

200 Gray's Inn Rd
London
WC1X 8XZ

Website

http://www.dranisha.co.uk/

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