Experiencing persistent dry eyes alongside constant fatigue could be a sign of broader health concerns, a general practitioner has advised. Dry eye disease occurs when eyes do not produce sufficient tears or tears evaporate too quickly, leading to discomfort. While often an isolated issue, such as blepharitis (eyelid inflammation) or tear duct problems, its combination with fatigue warrants further investigation.

Dr. Ellie Cannon, a Mail on Sunday columnist and GP, explained that this pairing of symptoms can be characteristic of autoimmune conditions like lupus, which affects joints, and Sjogren's syndrome. These conditions are typically assessed through blood tests at a doctor's office to detect inflammation markers. Although lupus and Sjogren's syndrome are not curable, their symptoms can be managed with treatments such as eye drops and medication.

Environmental factors can also contribute to dry eyes. Extended exposure to central heating, air conditioning, and prolonged screen use can reduce blinking frequency, leading to eye dryness. Additionally, certain medications, including antihistamines used for hay fever and beta-blockers, can have dry eyes and fatigue as potential side effects.

In separate advice, Dr. Cannon addressed concerns about insect bites, particularly for individuals with sensitive skin. Prevention strategies include wearing long sleeves and trousers with fitted cuffs to minimize exposed skin. The application of insect repellent before venturing outdoors is recommended, with Avon Skin So Soft dry oil spray noted for its informal use against midges, though it is not medically licensed for this purpose.

Some individuals find that daily vitamin B supplements may reduce the severity of reactions to bites, though this is not clinically proven and results vary. For those prone to allergies or eczema, taking an antihistamine on days spent gardening can help mitigate inflammatory responses. Maintaining well-moisturized skin is crucial, as intact skin is more resilient to bites and subsequent infections from scratching. Any signs of infection in broken or weeping skin should be monitored, and a GP consulted if necessary.