• the diarrhoea lasts more than a week (more than two days in a
Contact your doctor immediately if:
• you know you have a heart problem and have a nitrate spray or
If any of these symptoms are present, particularly loss of
It is sometimes possible to be ill even though you do not actually
Contact your doctor if:
• you pass little or no urine over 12 hours (six hours in babies) or
tablets, but after using these your symptoms do not settle
consciousness (even for a short period of time), you should go to
feel unwell. You should contact your doctor during normal surgery
• you think you have picked up a stomach bug from overseas
the Accident and Emergency (A&E) department of your local
hours within ten days if you notice any of the following:
• if breathing is accompanied by a pain in the chest, or shortness
Diarrhoea is unpleasant but rarely dangerous. Its most usual cause
Call 999 for an Ambulance if:
hospital or call 999 for an ambulance.
• feeling very tired for no apparent reason
is a sudden change of diet; over-eating; over-drinking or it can
• the chest pain is severe and lasts for more than 10 minutes; and
• losing significant weight for no apparent reason
• if your cough lasts more than two weeks;
follow travel to a foreign country. Many attacks are caused by
• feeling very thirsty a lot of the time for no apparent reason
• you have a high temperature and a cough lasting more than
Meningitis
• changes in colour, texture or size to a mole on your skin
Diarrhoea is often accompanied by a colicky (cramplike) pain in
Most people become very worried when they hear the word
• if a child with these symptoms is not swallowing.
the tummy. It may also be preceded by vomiting.
‘meningitis’. In fact, single cases are rare and clusters are even
• loss of blood when you cough, vomit, pass water or from your
• you become breathless. If you are in any doubt, contact your
rarer. The illness develops very quickly. Specific symptoms of
Call 999 for an Ambulance if: What you can do:
meningitis include one or more of the following:
• changes to your voice - hoarseness or huskiness for no apparent
• you have severe breathing difficulties;
• you notice that your child’s lips are bluish in colour.
• drink plenty of clear fluids (water or squash)
• cold hands and feet when the rest of the body is burning;
• take paracetamol for colic-like tummy pains
Head Injury, Colds & Flu
• take rehydration medicine available from your pharmacist
Sore Throats Severe Symptoms
A cold usually begins gradually, it makes you feel generally unwell
Most sore throats are caused by a viral infection which antibiotics
A severe head injury, if not correctly treated, can cause serious
and achy, and then produces a runny or blocked nose. After a day
cannot cure. The sore throat will usually disappear in a few days. Burns & Scalds
damage to the brain. This type of head injury always requires
or two your nose runs with a clear liquid which then becomes
The rash usually starts as small red or purple pin pricks which then
urgent medical attention. The symptoms of a severe head injury
thick and yellow. You may also have a sore throat, sneezing, a
What you can do: What you can do:
join to form red and purple blotches.
cough and a slight temperature. Symptoms may last 7-14 days. A
• to help relieve the pain on swallowing and if there is a
• immediately run cold water on the burn and keep it there for 10
• a lasting headache which worsens, or is still present over six
cold is a viral illness which cannot be treated with antibiotics.
temperature, take regular painkillers, such as paracetamol
minutes (this will help to cool the burn and relieve the pain)
If you think you or your child has meningitis, you should
• do not remove clothing or anything else that sticks to the burn
contact your doctor immediately or call 999 for an
• extreme difficulty in staying awake, or still being sleepy several
What you can do: ASPIRIN MUST NOT BE GIVEN TO CHILDREN Ambulance. UNDER 12 YEARS OF AGE
• alternate paracetamol and aspirin every 3 hours; this will ease
Contact your doctor if:
• unconsciousness, either for a short or extended period of time.
Go to your nearest accident and emergency department if:
• you have severe breathing difficulties
• the burn is large, covers a joint, is not painful to touch, is on a
• straw coloured or blood stained fluid coming from the nose or
• ask your pharmacist for advice on what over-the-counter
• the problem lasts for more than three days
child, or if there is sickness, shivering or a temperature; and
ears. This is cerebrospinal fluid which normally surrounds the
medication would best treat your symptoms
• cover the burn area with ordinary kitchen cling film
• if you have children, ensure you have paracetamol suitable for
• your temperature rises above 38.6°C or 101°F
• severe dizziness or loss of balance.
children under 12 years and do not give children under 12
Chest Pains
If you are taking other medicines, always check with your
Diarrhoea
Getting pains in the chest may be a symptom of a heart attack or
• bleeding from the scalp that cannot be quickly stopped.
pharmacist. Many cold and flu products already contain
Contact your doctor if:
it can be caused by other problems. Stabbing chest pain when you
• not being able to use part of the body, such as weakness in an
With the NHS these days, there are lots of choices.
paracetamol. Using several products together is very dangerous. If
• contact your doctors immediately if there is any blood with the
twist is usually your chest wall muscle and you can treat this with
By making the right choice at the right time,
you already have cold or flu medicine in the house, check that it
simple painkillers. Shooting pains which last a few seconds are
you get the best possible treatment.
• a baby, or child with diarrhoea is drowsy or refuses to drink for
usually not a cause of concern. If chest pain happens with a cough
or fever, it can be a sign of pleurisy, in which case you should
Keep this by your phone,
contact your doctor during normal surgery hours.
• ringing or deafness in one or both ears.
• having a seizure or fit (when your body suddenly moves
on a notice board or with your key contact numbers.
Printed on paper manufactured from a sustainable source using vegetable based inks. Design & Production www.marketingforhealth.co.uk 01282 877929 [ref 35297 - 06/08]
Look after yourself Visit the chemist NHS Direct Contact your Visit an Urgent Visit the Emergency A well stocked medicine cabinet will help you
If you are concerned, pharmacists (sometimes called
NHS Direct can help with a 24 hour advice and
practice Care Centre Department treat many everyday illnesses at home.
chemists) can offer advice on medicines and how to
health information service at any time, especially if:
Minor illnesses or accidents can happen at any time
take them. They can also offer advice on common
Your GP Surgery
This Unit can be accessed directly by people who
You should only go to A&E or call
complaints such as coughs, colds, aches and pains,
Of course, sometimes we all need to go to the
have sustained a minor injury, as the name suggests
and other health issues, such as healthy eating and
• you find it difficult to get to another service. if immediate emergency care is needed.
doctors. Your local GP surgery provides a range of
- it is not an Accident and Emergency Department or
What You Should Have in Your Medicine
an out of hours GP surgery. The Unit is staffed by
A&E departments tell us that many people who go to
It is staffed by nurses and professional advisors,
Emergency Nurse Practitioners, who see, treat and
A&E don’t need to - wasting valuable time and
You can talk to your pharmacist in confidence - even
discharge patients and are able to request X rays if
resources needed for real emergencies. It is often
• Paracetamol for pain, fever and headaches
• what to do if you or a family member feels ill
• referral to a specialist or a hospital
very obvious if someone is seriously ill and needs
pharmacies now have a quiet area away from other
immediate emergency care. The emergency services
• Oral rehydration sachets if you have sickness or
customers where you can speak to the pharmacist in
• local health services (such as doctors, dentists or
In recent years, many more nurses have been trained
This service is not for General Practice problems.
in East Lancashire are located at Royal Blackburn
to give advice, take tests and diagnose and treat
As a general rule if you can transport yourself then
Hospital signposted off Junction 5 of the M65.
• Indigestion remedy (for example, antacids for
• self-help or support organisations.
illness that used only to be dealt with by doctors.
visit your nearest urgent care centre.
An emergency is ‘a critical or lifethreatening
heartburn, feeling bloated and trapped wind)
So if you’ve got a cough, cold or think
These nurses are very highly skilled health
you’ve got the ‘flu it’s the best place to go. They can
You can call NHS Direct any time, Urgent Care Centre locations:
give you all the advice and medicines you need,
day or night on
without you necessarily having to go to your doctor
Out of Hours
• A selection of plasters and dressings
0845 46 47
There is a local G.P. out of normal surgery hours
service. This service is only for urgent medical
Open 24 hours a day, all year round.
If you do not pay for prescriptions you will not have
problems that cannot wait to be treated until
The UK probably has the best emergency services in
to pay for any medicines supplied through the
the world. Please help us to help you by:
Out of hours contact number: ‘Getting the right treatment - in the 08452 262626 right place’ Self Care Pharmacists NHS Direct Urgent Care Accident & Emergency
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