Back
Pain
The best
answer is of course prevention – learn to sit, bend and lift correctly and
keep generally fit. Most backache is caused by muscular strain. Rest the
back as much as possible by lying flat or sitting upright with a support
for the small of your back. Paracetamol or Nurofen may be helpful. If
the pain is very severe or persists for more than a few days see your
doctor.
Burns
Apply cold water to the affected area
immediately and apply a clean dry dressing. If the burn is severe or
widespread seek medical help as soon as possible.
Colds and
Flu
Colds and flu are of course very common at
all ages and are caused by viruses; they usually start with a watery runny
nose, dry throat, high temperature, aches and pains which often last 4-5
days before beginning to improve. Rest, plenty of drinks, warm bathing
and regular Paracetamol (Calpol, Panadol) will help control the symptoms.
Steam inhalations and simple cough medicines (honey, glycerine and lemon)
will relieve nasal congestion, catarrh, and chesty cough which often come
on 2-3 days from the start of the cold, and can last a week or more after
the high temperature has settled, particularly in smoking households.
Constipation
This is a common condition and often
reflects poor intake of fibre and fluids. If it occurs, increasing these
in your diet, i.e. fruit, vegetables and bran, will help. If symptoms
persist, especially if any weight loss, blood or mucous in stools is
evident, then contact your doctor.
Cystitis
This can
present with burning and frequency of urination. It is advisable to drink
plenty of fluids and some treatment from the chemists can help alter the
acidity of your urine, which relieves symptoms. Should your symptoms not
settle easily you will need to see your doctor; be sure to bring a
specimen of your urine with you so he can test it to see if you are going
to need any antibiotic treatment or not.
Diarrhoea and
Vomiting
Diarrhoea and vomiting can come
on very suddenly and severely with associated fever and tummy cramps but
usually begins to settle within 24-36 hours. The only effective treatment
is plenty of clear fluids, ideally electrolyte solutions (Dioralyte-rehydration)
from the chemist. In small children and babies you may need to telephone
for advice if the symptoms persist.
Fever
A high temperature is the body’s
natural response to infection. It makes the patient feel hot and cold and
shivery. They feel unwell and may have a headache or vomit. Ways to
reduce a high temperature include keeping the room cool and keeping
clothing and bedding to a minimum, drinking plenty of cool fluids, taking
regular Paracetamol which lowers the temperature, and bathing in water
slightly below normal temperature but not luke warm. This is like
concentrated sweating and helps to take the heat away from the body.
Head
Lice and
Worms
Both these problems are easily
dealt with by treatment available from the chemist. Head lice prefer
clean hair and are not a sign of poor hygiene.
Indigestion
and
Heart
Burn
These symptoms are usually not
serious and can be easily settled in the case of indigestion with antacids
which can be obtained over the counter. If the pain is not settling
easily you should see your doctor.
Insect
Bites and
Stings
Wasps
- apply vinegar to
neutralise the sting as soon as possible.
Bees
-
scrape away the sting and
apply a little bicarbonate of soda solution as soon
as possible.
For insect bites in general, keep some
anti-histamine tablets in the house to use when necessary, or Calamine to
relieve the irritation. If you get severe swelling as a reaction to the
insect bite, you ought to seek medical help.
Minor
Cuts and Grazes
Wash the
wound thoroughly. To stop bleeding apply firm pressure to the wound for
five minutes with a clean handkerchief or dressing. Make sure that
your tetanus booster is
up to date – that you have had one within the last ten years.
Nappy
Rash
Simple redness of the nappy area can be due to ammonia accumulating in the
nappy and can be dealt with by a good barrier cream, such as Sudocrem, and
leaving the area exposed as often as you are able to. If the area also
seems to be a little spotty, or red in the skin creases, this might be due
to thrush and you should see your doctor to get hold of anti-thrush
treatment such as Canesten.
Nose
Bleeds
Sit on a chair bending forward, slightly with your head over a bowl and
squeeze the nose firmly below the bone for ten minutes whilst breathing
through your mouth. Avoid the temptation to blow the nose or sneeze if
possible. If symptoms do not settle, or if they recur, consult your
doctor.
Rashes
Fine
pinhead type rashes often accompany viral infections such as sore throats
and colds.
Chickenpox is usually a bigger spot with a central water blister. Measles
and German
Measles are rarely seen now following the vaccination programme with
MMR.
There is little to be done for these rashes except to follow the advice
given for “colds and
flu” above. The
general condition of the patient is the most important factor
therefore if feeling very poorly with rash then inform the doctor.
Sore Throats
Almost always caused by viruses with fever, headache and swollen glands
commonly also present; lubricate and soothe the throat with hot and cold
drinks, honey or yoghurt with regular Paracetamol for pain relief and
temperature. Adults (over 12) will often benefit from gargling with
soluble Aspirin.
Sprains
First apply an ice cold compress
to reduce the swelling. Rest the area and apply a firm crepe bandage
until all discomfort has subsided.
Sunburn
Avoid exposure to strong sun and
always use a good sunscreen with a high protection factor, especially for
children. If sunburn has occurred then cool the skin with water, apply
Calamine lotion, and painkillers such as Paracetamol may help.
Thrush
This is an infection of women
“down below”. It presents with white discharge, redness and itching.
Suitable treatments are available over the counter. Plain yoghurt can be
applied to the inflamed area as emergency treatment!
Toothache
It is always wisest if you have
got toothache to contact your dentist rather than your doctor. Simple
painkillers such as Paracetamol or Nurofen can be very effective in
relieving discomfort. There is always an emergency dentist available over
the 24 hour period.
Verrucae and
Warts
These are caused by viruses for
which there is no cure. The majority will disappear over the first year
without any treatment. If causing a lot of problems you can get wart
paints or creams over the counter from the chemist, or if this fails you
may discuss the problem with your doctor.