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If you have back pain because of heavy lifting or staying in an awkward position for a while, be sensible and take things easy. Take up any position that is comfortable for you. If you find you do need to lie down for relief, do not stay in bed for more than two days. Ibuprofen or paracetamol can be bought over the counter from a pharmacy and help to relieve pain and inflammation. If pain persists for more than a few days, consult the surgery. If you developed back pain because of something that you did at work, make sure that you let your employer know about it.
Apply cold water from a tap to the affected area as soon as possible and continue until there is less pain, sometimes for up to 15 minutes. Paracetamol may help with the pain. The skin may blister or burn. If the skin is broken, apply clingfilm or a loose dry dressing and consult the surgery.
Prevention is the best management for burns. Make sure that any source of heat is used carefully and kept out of reach of children. Use a high sun protection factor sun cream and sun hat and spend only small amounts of time each day in the sun. This is especially important for children. This will also help to reduce the chance of developing skin cancer such as melanoma in the future.
This viral infection is common in children. Small red patches 3-4 millimetres across appear on the first day, and within a few hours blisters appear in the centre of them. As older blisters turn crusty, crops of newer ones appear. After about five days, no more new blisters appear. The rash may be very itchy, and cool baths and calamine lotion can help. Infectiousness is highest from 2 days before to 5 days after the rash appears. Children may return to school after new blisters stop appearing and the older crusts have fallen off.
Adults may have a more severe form of chickenpox and should consult the surgery if they think they have caught this infection. If you are pregnant and have been in contact with someone who has chicken pox, please consult the surgery.
Colds are caused by viruses. There is still no cure for colds and antibiotics will not affect them If you have caught a cold, drink plenty of fluids. If you have fever or a headache with the cold, you may try ibuprofen or paracetamol if you are not allergic to them.
Most sore throats are caused by viruses and antibotics will not cure them. There is no need to see a doctor if your only symptom is a sore throat. Children should be given paracetamol and fluids. Adults may find gargling with soluble aspirin helpful if there is no history of aspirin allergy. If you are hot, shivery and unwell in yourself, you may have a bacterial infection and need antibiotics--in this case, please consult the surgery.
Cover your mouth and nose when coughing or sneezing and dispose of used tissues carefully to prevent the virus from spreading to other people.
This usually caused by a virus, and antbiotics will not cure the condition. If you are an adult, you may use over the counter anti-diarrhoeal medication on the advice of your pharmacist. Drink small amounts of fluids every half an hour whether or not you vomit shortly afterwards. If you pass blood or mucus in the motions or the diarrhoea continues for more than 5-6 days, please speak to the Duty Doctor or Nurse Practitioner.
Most babies have loose motions while they are on a mainly liquid diet in the first six months of life. If babies or young children have sudden bouts of unusually watery diarrhoea, offer them small amounts of any liquids every half an hour. If a rash develops or blood is passed or your child becomes unwell in himself/herself, please consult the surgery.
Make sure that you wash your hands carefully after dealing with any body fluids to prevent the spread of infection.
These creatures like to live on clean heads and lay their eggs on hair. They spread from other people and cause itching. Apply ordinary hair conditoner for 1 hour, then rinse it out. Then comb the hair every 2 to 3 days with a nit comb, which you can buy from your Pharmacy, to remove dead lice and eggs. After a week, if you can see live lice, which have hatched from the eggs, you will need to reapply the lotion and then comb again for a week.
These may look like small pimples, bumps or large blisters. They are usually itchy and are commonly found on the lower legs, arms and other uncovered areas. Do not try to pluck out bee stings--these should be scraped away. Do not pop the blisters. If a blister has popped, cover the area with a clean, dry dressing. Do not scratch the affected area. You may take over the counter antihistamines for the next 10 to 14 days to reduce the reaction.
Nosebleeds usually come from a fragile blood vessel just inside the nostril on the ridge of gristle down the middle. Pinch the fleshy parts of the nostrils together hard between your thumb and middle finger for about 10 minutes, breathing through your mouth instead. This should stop the bleeding. If the bleeding comes back and persists in spite of doing this, please contact the surgery.
Wash the wound thoroughly with running water. Apply a clean handkerchief or dressing firmly to the wound for about five minutes to stop bleeding. Cover with a clean, dry dressing.
Rest the affected part for 48 hours, keeping affected ankles level with your hips, for example by lying on a sofa with your feet up. You my apply ice for 15 to 30 minutes at a time to the injured part unless you have a poor circulation or problems with sensation in it. Remember to wrap the ice in a towel first to avoid giving yourself an ice burn. You may take over the counter paracetamol or ibuprofen on the advice of your Pharmacist.
IN ALL CASES, IF IN DOUBT, PLEASE CONTACT US OR NHS DIRECT FOR ADVICE.
You may ring NHS Direct for nurse-led, confidential help at any time on 0845 4647.
NHS Direct will be able to give you advice on what to do if you are feeling ill, health concerns, local health services and self-help and support groups.
They are also online at www.nhsdirect.nhs.uk (off site link opens in a new window)
Cherrymead Surgery, High Wycombe, Buckinghamshire - Telephone - 01494 445150