"First, see a doctor. There are effective medications which work almost instantly. Second, exercise and if necessary lose weight."

Ahhh... I did, I did and I did. (Lost a hundred pounds.)

"... at least in your area, which I gather is rural..."

Ahhh... one of the largest hospitals in the province is less than a two minute drive from me. Another large hospital (the "French" hospital) is about a ten minute drive.