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Clinics
Baby
Clinic
Tuesday 2:00 to 3:30pm
Antenatal
Clinic
Tuesday 10:00am to 12 noon or Friday 2:00 to 5:00pm
Management
Of Common Ailments
Colds And Flu
Even in this day and age there is still no magic cure for the common cold. Go
to bed, take plenty of drinks. If you have a headache or are feverish, take aspirin
or paracetamol. Do not bother to take antibiotics as these will have no effect!
Anti flu vaccinations are available during the winter months for all patients
over 65 and patients with the following illnesses: CHD, hypertension, asthma,
COPD, diabetes, chronic renal disease, immunosuppression and patients who work
in an at-risk environment.
Coughs
The cough that often accompanies a cold is a helpful reflex action which prevents
mucus entering the air passages and causing a chest infection. Using cough medicines
in these circumstances may suppress this protection and do more harm than good.
Steam inhalation is probably the best treatment. This will also help a dry cough
in the absence of a cold, but here the addition of a soothing cough linctus from
the chemist may be useful particularly at night.
It may be wise to contact your GP if:
1. A cough continues more than a week after a cold has cleared up.
2. A cough produces yellow or green spit or blood.
3. A cough is accompanied by pain in the chest or shortness of breath.
3. There is undue worry about the patient, especially if a child.
Sore Throats
Four out of every five sore throats are caused by viruses and therefore antibiotics
are useless. If your throat is sore but you are otherwise okay there is no need
to see the doctor. Simply give children paracetamol syrup and fluids (aspirin
should NOT be given to children under 16).
For adults, gargling with soluble aspirin is the most effective remedy. Dissolve
two aspirins in one inch of warm water in a glass. Take sips of the solution and
gargle with each sip for as long as you can without swallowing.
If you are very hot and unwell and can see white spots on your tonsils you may
have a true tonsillitis and you should come and see us at the surgery.
Earache
This often occurs with a cold or a sore throat. Paracetamol or aspirin may be
all that is required, but if repeated doses are needed every four hours or the
painkiller is not working, contact your doctor.
Diarrhoea And Vomiting
In adults, diarrhoea is usually caused by a viral infection and is therefore unable
to be treated directly. The symptoms can usually be eased by the traditional kaolin
and morphine mixture or by medicines containing codeine.
Holiday diarrhoea is often due to bacteria. Again, kaolin and morphine can be
taken.
Consult your doctor if the symptoms persist for more than a few days.
Diarrhoea in very young children and babies needs careful attention. Most babies
have loose bowel action during their first six months due to their predominantly
liquid diet. Sudden bouts of unusually watery diarrhoea should be treated by taking
the baby off solids and feeding them a cooled solution of boiled water with a
teaspoon of sugar and half a teaspoon of salt to the pint. If the symptoms persist
for more than 24 hours, or are accompanied by vomiting or weakness, consult your
doctor.
Meningitis
This is a serious illness that can be life-threatening. Often the symptoms are
similar to many minor illnesses, eg fever, vomiting, drowsiness, impaired concentration,
aching limbs.
The major symptoms that suggest meningitis are as follows:
• Dislike of bright lights
• Very severe headache
• Stiff neck - can patient kiss their knees?
• Rash - characteristic of the most serious form of meningitis - can develop
anywhere on the body - pinprick red/purple spots developing rapidly into larger
purple marks that do not fade when a glass is pressed on them
• A patient who appears very ill - quite different from their usual behaviour
when they are unwell
Head Lice
These creatures, contrary to popular belief, prefer clean hair and are, therefore,
not a sign of poor personal hygiene. Medicated head lotion can be obtained from
the chemist without prescription.
Back Pain
Back pain causes 13 million working days to be lost in Britain each year. The
spine supports the whole weight of the upper body so it is understandable that
it sometimes goes wrong.
Because of the complex nature of the spine it is advisable to consult your doctor
if back pain persists for more than a few days. If, as is usual, the pain has
been caused by abuse ie lifting too heavy weights etc, be sensible and take things
easy. Take care to sit as upright as possible with a support for the small of
the back.
Take aspirin or paracetamol which will not only relieve the pain but will help
to relieve inflammation. Your doctor may well prescribe stronger drugs, heat treatment,
gentle exercise or some kind of supportive corset.