Back pain is
usually due to excessive strain on muscles, ligaments and small
joints. Anti-inflammatory painkillers such as ibuprofen
usually work best. Hot/cold packs are available that can be
placed in the microwave or freezer and applied to the affected
area.
Try to keep as mobile as possible. Ask your doctor for
individual advice if the pin is severe, lasts more than two days,
or if you develop numbness, weakness, pins and needles or problems
emptying your bowels or bladder.
If pain has an
obvious cause such as lifting heavy weights, be sensible and take
things easy. Take care to sit upright as possible with support for
the small of the back.
Aspirin or Paracetamol will not
only relieve the pain but will relieve the inflammation. Your
Doctor may well prescribe stronger drugs, gentle exercise and
physiotherapy.
Burns: Immerse
the area in cold, running water, or soak a clean towel in cold
water and hold against the burn until pain eases. Dress the
burn with a clean, non-stick, non-fluffy material such as sterile
gauze. In an emergency, wrapping cling film round a large
burn helps to prevent fluid loss. Burns easily become
infected - seek medical advice for all but the most superficial
burns.
- Don't use adhesive plasters
- Don't apply butter, oil or grease
- Don't burst any blisters
- Don't try to remove any clothing stuck to the burn
- Don't use fluffy dressings (e.g. cotton wool)
Suffering from a
cold, flu or hayfever can be irritating and draining at the
best of times, but having a constantly streaming or blocked nose
can rally leave you feeling miserable. Here are some tips on
how to survive:
- To help clear your sinuses, breathe in steam from a bowl of hot
water with a few drops of eucalyptus oil.
- To help soothe your throat and ease your sinuses, try a
comforting hot drink made with water, lemon juice and honey.
- To help contain the spread of germs, use tissues rather than
fabric hankies and dispose of them in a plastic bag not long after
use.
- Take plenty of fluids, paracetamol or (if over 12 years of age)
aspirin.
You should be improving after seven
to ten days and be better in two weeks. We recommend you come to
see us if the illness persists any longer than this.
Coughs: These
can be soothed by a drink made with honey and fresh lemon juice in
hot water. If particularly irritating, steam inhalations or your
favourite cough medicine can be worthwhile.
If you bring up coloured phlegm and
are feeling short of breath or have a wheeze, we may need to
examine your chest.
Most Cuts &
Grazes can be treated at home. Minor cuts and grazes
should be treated as follows:
- Clean the wound thoroughly
- Cover with a plaster containing an antiseptic pad to ensure that
infection is prevented.
Contrary to popular
belief, leaving a wound uncovered to dry and form a scab actually
slows down the healing process.
Larger bleeding wounds
can by treated by:
- Firstly controlling the bleeding
- Call an ambulance
- Apply pressure with a clean pad
- Apply a sterile dressing or large plaster to protect
- Wait for medical help
In children, diarrhoea
is best treated by drinking plenty of fluids (but avoid milk
which can make diarrhoea persist). Electrolyte powders or
fizzy tablets are important to make up salt solutions that replace
lost minerals. Paracetamol will reduce abdominal cramps if
necessary.
Adults may take anti-diarrhoeal
medicines such as loperamide or codeine if symptoms are
disabling. Drink plenty of fluids and only eat a light diet.
If diarrhoea, vomiting
or abdominal pain are severe or persistent, seek medical advice,
especially for young children or the elderly who can quickly
become dehydrated.
Earache is
usually due to inflammation, infection or increased pressure in
the middle ear. Most infections are due to a viral infection
that gets better on its own.
Steam inhalations
containing decongestant oils such as tea tree, eucalyptus or
menthol blends are helpful.
In children, the
treatment of choice is paracetamol elixir which can also reduce
fever. If a discharge occurs, cover the ear with a clean dry
pad and contact your doctor who may prescribe antibiotics if a
bacterial rather than a viral infection is suspected. Also
seek medical advice if symptoms seem to be getting worse rather
than better, or if there is a high temperature.
Fits: Do not
move, do not forcibly restrain and do not put anything in the
mouth. Place in the recovery position - on his/her side and ensure
he/she has a clear airway. Do not give anything to drink.
A tension headache
feels like a severe continuous pressure on both sides of your
head. It may resemble a tight constricting band, a heavy
weight pressing down on top of your head, or seem more like a
non-specific ache.
Aspirin, paracetamol,
codeine or ibuprofen usually solve the problem quickly.
Seek medical advice if
headaches are severe, recurrent, or are associated with dizziness
or visual problems.
If you suffer an acid
burning pain in the area of the breastbone you are most probably
suffering from heartburn - although many people mistake
this pain for indigestion. The pain of heartburn can feel
like a burning sensation behind the breastbone or spreading
upwards from your stomach towards your throat. you may also
have noticed that certain situations - such as lying down in bed
at night, or eating rich or spicy food - are more likely to
trigger this pain.
High temperature: Children
get a temperature because of infection. Most infections are mild
and due to viruses so they do not need antibiotics. The following
advice should help bring the temperature down:
- Always keep a supply of
Paracetamol at home (e.g. calpol) Do not give aspirin to children
under the age of 12
- Dress the child in loose clothing and cool the room down
- Give plenty of cool drinks such as water or squash
- If this does not work or if the child is particularly ill,
contact the Doctor
Irritable bowel
syndrome (IBS), in which symptoms such as abdominal pain,
bloating and intermittent constipation and diarrhoea occur should
only be diagnosed by a doctor.
If you are told you
have IBS, a number of treatments are available from the pharmacy
to help. these include fibre supplements and mebeverine
which helps to relax smooth muscles in the intestinal wall adn
eases colicky pains and associated diarrhoea. Peppermint oil
also helps to relieve bowel spasms.
Migraine causes
a severe throbbing headache, usually on one side of the head and
centred around one eye. Abdominal symptoms such as nausea
and vomiting can also occur.
When symptoms starts
it helps to lie down in a darkened, quiet room. Take a
simple painkiller such as aspirin or paracetamol or a more
powerful blend of paracetamol with codeine or dihydrocodeine.
Some products also
contain an anti-emetic to stop you feeling sick. Herbal
extracts containing the herb Feverfew (tanacetum parthenium) are
also effective. If attacks are frequent or disabling,
consult your doctor.
Minor infections:
use an antiseptic solution or wipe to help keep the area clean,
and dress with a sterile dressing or plaster. If redness,
swelling and pain increases, seek medical advice.
Motion sickness
Travel sickness occurs when motion detectors in the inner ears are
stimulated while information from the eyes suggests the body is
stationary. This is most likely to happen when
travelling in a closed space such as a car, where you tend to
focus on a nearby object.
Prevention tips
include keeping a window open to let fresh air circulate and only
giving light meals before and during travel. Avoid reading
or other close activities in a car or bus, and look out of the
window at the horizon.
A variety of travel
sickness treatments are available from pharmacies.
Muscle aches and pains
are commonly due to sports injuries or rheumatic problems.
Anti-inflammatory painkillers such as ibuprofen will help to
reduce inflammation. Ibuprofen may be combined with codeine
for more effective pain relief.
A sports gel
containing an anti-inflammatory painkiller may be rubbed directly
into the area and sinks down to deliver pain relief exactly where
it is needed. Hot or cold packs may also help.
Nausea can be
helped by over the counter remedies designed to settle an upset
stomach - your pharmacist can advise on which is likely to suit
you best. medicines should not be taken for morning sickness
during pregnancy however.
Nose bleeds: Sit
in a chair, lean forward with your mouth open and pinch your nose
just below the bone for approximately 10 minutes, by which time
the bleeding should have stopped. Avoid hot drinks or blowing your
nose for 12 hours. If the symptoms persist consult your Doctor.
Period pain is
linked with the formation of hormone-like chemicals in the lining
of the womb that trigger muscle cramps. Anti-inflammatory
painkillers such as aspirin or ibuprofen can help.
Combination products such as paracetamol plus codeine or
dihydrocodeine are also effective.
Some products contain
hyoscine - a medicine that helps to relax uterine muscles.
If period pain is excessive, consult your doctor as you may need
investigations to find out the cause.
Sore throats:
If over 12 years of age gargle with Soluble Aspirin, otherwise
Soluble Paracetamol, drink plenty of fluids and use lozenges or
boiled sweets if they help.
Sprains: cold
helps to constrict blood vessels and minimise swelling and
bleeding. Apply ice wrapped in a towel for around five
minutes at a time. If possible, elevate the affected area to
reduce swelling or apply an elasticated compression bandage.
Take a simple analgesic (e.g. paracetamol or codeine) or an
anti-inflammatory (e.g. ibuprofen by mouth or via sports gel) to
reduce pain. Rest until pain subsides then gently exercise
to prevent stiffening.
Stings: if a
bee leaves its sting and poison sac lodged in the skin, remove it
gently by scraping with a fingernail or a sterile needle - don't
grasp with fingers or tweezers or you may force more poison into
the wound.
Wash the area with
soap and water and, as bee stings are acid, apply a little baking
soda mixed with water.
Wasp stings are
alkaline, so apply a little wine vinegar or lemon juice to relieve
pain. Reduce itch and swelling by applying an ice pack (e.g.
a bag of frozen peas) wrapped in a clean cloth for a few minutes
at a time. Then, apply antihistamine, local anaesthetic or
1% hydrocortisone cream.
Sunburn: Treat
as other burns with cold water to remove the heat. Calamine Lotion
will relieve the irritation. Paracetamol may also help. Children
are particularly vulnerable to sunburn so put a hat on them, dress
in lightweight clothing to cover arms and legs and use a sun
barrier cream on exposed areas. Over exposure to the harmful
effects of sunlight can cause cancer in later life.
Unconsciousness:
Do not move a patient who may have a broken neck or back. If this
is not the case turn the patient carefully into the recovery
position - on his/her side and ensure he/she has a clear airway,
cover with a blanket to keep warm. Call an ambulance and your
Doctor.
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