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Tel:  01865 374242

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Please note: This is general advice only and NOT a substitute for seeing your doctor.
If you have any further concerns please seek attention from your GP.

Click on the links below for more information:

Back Pain Burns Chickenpox Choking Colds
Cuts & Grazes Fever Head Lice Influenza Insect Bites
Nosebleeds Sprains Sunburn Vomiting & Diarrhoea Medication Information

Back Pain
Back pain causes 13 million working days to be lost in Britain each year. The spine, made up of 24 bones and associated cartilage and tendons, supports the whole weight of the upper body and therefore it is understandable that it sometimes goes wrong. Because of the complex nature of the spine, it is advisable to contact your doctor if severe back pain persists for more than a few days. It is important to keep moving and avoid prolonged sitting. Take care to sit as upright as possible with a support for the small of the back. Take paracetamol or other painkillers as recommended by your pharmacist, which will help to relieve the pain.

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Burns
Apply large quantities of cold water to the affected area as soon as possible and maintain this until the pain subsides. This may take as long as 15 minutes! If you are worried, consult your doctor or attend casualty.

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Colds
Even in this day and age there is still no magic cure for the common cold. Decongestants may help and these can be bought at the chemists. Steam inhalations with menthol are soothing.

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Chickenpox
On the first day a rash appears as small red patches about 3-4mm across. Within a few hours of these developing, small blisters appear in the centre of these patches. During the next three to four days further patches will appear and the earlier ones will turn ‘crusty’ and fall off. Oily calamine lotion may be soothing. You do not develop shingles from contact with someone who has chickenpox. In general this is not a serious illness. However, pregnant women who have never had chickenpox and people taking immuno-suppressant drugs should seek medical advice if they have come into close contact with a case of chickenpox.

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Minor Cuts and Grazes
Wash the wound thoroughly with water. To stop bleeding apply a clean handkerchief or dressing firmly to the wound for about five minutes. Cover with a clean dry dressing.

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Vomiting And Diarrhoea
This is usually caused by a viral infection and occasionally by food poisoning. It normally lasts about 24-48 hours.

The mainstay of treatment is to drink clear fluids to prevent dehydration (eg water, diluted fruit juice or rehydration mixtures from your pharmacist).

Drugs to stop diarrhoea or vomiting are generally not needed and in any case should always be avoided in children as they can be dangerous. If vomiting occurs then give small amounts of liquid frequently and no solid food until appetite returns.

Contact your doctor if vomiting is persistent or if diarrhoea lasts for more than a few days. Babies and young children are most at risk of dehydration, so call your doctor earlier than you would for an adult.

If your child has a high temperature, then paracetamol (Disprol or Calpol) may be given.

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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, but unfortunately these are not 100% effective and often need to be combined with intensive combing and use of hair conditioner.

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Influenza (Flu)
This is a viral illness characterised by fever, severe fatigue, headache and aching all over. The symptoms may include those of a cold, cough or sore throat (it can last for seven to ten days). Antibiotics have no effect except if there is a complication. Go to bed and take plenty of fluids and paracetamol or aspirin. We offer influenza vaccines each Autumn to those patients 65 years and over and other patients who have any of the following:

  • Chronic lung disease, including asthma
  • Chronic heart disease
  • Chronic renal disease
  • Diabetes
  • Weak immune system

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Insect Bites
These usually require no treatment. Antihistamine tablets can be obtained from the chemist without prescription and will usually relieve most symptoms.

Note: bee stings should be scraped away rather than ‘plucked’ in order to avoid squeezing the contents of the venom sac into the wound.

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Fever
What to do if your child has a high temperature:

  • Paracetamol (Calpol, Disprol) - can be taken whether or not the patient is on antibiotics.
  • Cold fluids - clear fluids, small sips, frequently.
  • Light clothing - vest and pants/nappy, no duvet.
  • Cool room - open windows if necessary, fire off.
  • Tepid sponge - cool bath or sponge all over, use moderately cool water.
  • Contact a doctor if this does not help or if you are worried.

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Nosebleeds
Sit in a chair, leaning 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 blowing your nose if possible to prevent a recurrence.

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Sprains
Firstly, apply a cold compress, containing ice if possible, for 15 to 30 minutes to reduce the swelling. Apply, firmly, a crepe bandage and rest the sprain for about a day, then gradually get back to normal.

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Sunburn
Treat as for other burns with cold water to remove the heat. Paracetamol will help the pain. Children and fair skinned people are particularly susceptible to sunburn and great care should be taken to avoid overexposure to the harmful effects of the sun. Repeated sunburn is known to increase the risk of skin cancer.

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Choking
The commonest causes of choking are things such as food or other objects put into the mouth which become accidentally inhaled, causing blockage to the upper airways.
Such objects are best removed by the ‘Heimlich Manoeuvre’. This is performed by standing behind the patient, grasping one’s hands together around the patient and pulling forcefully back, compressing the patient just below the ribs and breast bone. This forcefully expels air from the chest and hopefully the obstructing object.
In babies and toddlers, it is best to check that the mouth and throat are clear and to turn the infant upside down, slapping the back of the chest forcefully once or twice, repeating if necessary.

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General Information about Medications
Paracetamol, Disprol, Calpol. Choose a mixture that is sugar-free for children to help avoid tooth decay. Paracetamol (or Calpol/Disprol) can be given when antibiotics are being used and are indicated for reducing a high temperature (fever), or for relieving pain (eg sore throat or earache).
Aspirin should not be given to children below 16 years old.

Remember, always keep medicines and tablets out of reach of children, preferably in a locked cupboard.

Take any old or unnecessary medicines or tablets back to the pharmacist.
If you are pregnant, check with your pharmacist or doctor before taking any drugs. The exception is paracetamol which may be taken.


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Gosford Hill
Medical CENTRE

167 Oxford Road
Kidlington
Oxford OX5 2NS

Tel: 01865 374242

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0845 3301272

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