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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

A wave of pink products washing over the beauty world can only mean one thing: Breast Cancer Awareness Month is back. This October, with the Barbie pink trend still going strong, there’s even more reason to snap up a rose-tinted treat for yourself or a loved one. From nail polish and make-up to skincare and hair tools, here’s our pick of this year’s best charitable beauty buys… 1. Mavala Limited edition Power of Pink Mini Colour Pink Pastel, £6.40, LookFantastic For the third year running, Mavala unveils its Power of Pink range of skincare and nail varnishes, with £1 from the sale of each product going to the Pink Ribbon Foundation. We love the Power of Pink Pastel polish, a cute ballerina-pink shade that suits everyone. 2. Trinny London Sherin Lip2Cheek, £26 Fans of TV presenter turned beauty entrepreneur Trinny Woodall’s eponymous brand love the versatility of the creamy Lip2Cheek pots, which can be used as blusher, lipstick or eyeshadow. Named after Trinny London customer Sherin, who is living with secondary breast cancer, this shade is a warm brown. For every pot sold, 10% of sales will be donated to Breast Cancer Now. 3. Bobbi Brown Powerful Pinks Crushed Oil Infused Gloss Duo, £38 Bobbi Brown’s luscious lip gloss duo, worth £50, brings together two botanical oil-infused pink hues, with proceeds going to the Breast Cancer Research Foundation (BCRF). Soft peachy-pink In The Buff is perfect for everyday wear while plummy Slow Jam is an ideal evening option. 4. Clinique Limited Edition Moisture Surge 100H Auto-Replenishing Hydrator, £40 If you’re yet to try Clinique’s incredible Moisture Surge, now’s the perfect time to experience the lightweight but ultra-hydrating day cream loved by beauty buffs. For every pot of the limited edition sold, £10 will be donated to the BCRF. 5. Philip Kingsley No Scent No Colour Duo Shampoo and Conditioner, £42.24 (was £48) Inspired by trichologist Philip Kingsley’s wife’s battle with breast cancer, these fragrance-free essentials were formulated for use during chemotherapy. Ideal if you’ve got sensitive skin or dandruff, they contain salicylic acid and green tea extract to promote scalp health. For every bottle sold, 50p will go to cancer charity Look Good Feel Better 6. Estee Lauder Pink Ribbon Advanced Night Repair Serum Limited Edition, £89 Devotees of Estee Lauder Advanced Night Repair – one of the first skincare serums, launched back in 1982, and still a bestseller – love its rejuvenating, collagen-boosting powers. For October, the usually brown bottle gets a hot pink transformation, with a 20% donation from sales going to BCRF. 7. Elemis Pro-Collagen Rose Micro-Serum, £90 Packed with rose-infused microdroplets, this dual-phase serum works to strengthen the skin barrier, hydrate the skin and reduce the appearance of fine lines. For every serum sold, Elemis is donating £10 to Look Good Feel Better in support of their workshops and services. 8. Jo Malone Peony & Blush Suede Cologne, £118 for 100ml A long-time supporter of BCA month, Jo Malone this year introduces a special edition of the classic Peony And Blush Suede Cologne, with £20 from every bottle sold going to the BCRF. Decorated with a floral print and a pink ribbon, the fragrance features notes of red apple, pink peony, jasmine and rose. 9. GHD Platinum+ Styler Pink Limited Edition, £239 For creating poker-straight strands or glossy waves, the GHD Platinum+ with hair-protecting technology is second to none. This marbled pink limited edition comes with a free zip-up pouch, with £10 for each sale going to Breast Cancer Now or €10 to the Irish Cancer Society. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 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 Many parents of under 5s on less than £50k ‘quit work due to childcare costs’ – survey

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