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If you want to speak to your pharmacist privately, away from other customers, many will
have a quiet area. Ask the assistant or the pharmacist. Pharmacists will also tell you if you
need to see another health professional like a GP or practice nurse.
To find out where your late night pharmacy is visit www.nhs.uk or call NHS Direct*
on 0845 4647 (England and Wales only).
• Visit your nearest NHS Walk-in Centre (England only) or Minor Injuries Unit (England
and Wales only) for many problems such as sprains, cystitis, earache, cuts and minor
burns. To find out if there is one near you, call NHS Direct on 0845 4647 (England and
Wales only).
• If you are at work you may have an occupational health department that you can
contact. The occupational health service can be an excellent source of information and
advice. The type of service companies offer will vary, but they are all there to help you be
healthy at work and may be able to deal with your health problem on the spot.
Is it an emergency?
If the situation is critical or life threatening go to your nearest Accident and
Emergency (A&E) hospital department or call 999 for an ambulance. An emergency
is a critical or life-threatening situation such as:
• unconsciousness
• heavy bleeding
• suspected broken bones
• a deep wound, like a stab wound
• chest pains for 15 minutes or more
• breathing difficulties – if someone is struggling for breath or turning blue
• overdose, swallowing something harmful or poisonous
• rash that does not fade when you press a glass tumbler or finger against it.
If you are unsure what to do, call NHS Direct on 0845 4647 or your GP surgery.
Tip: your employer should have a first aid kit – make sure you know where yours is,
how to access it and find out who the first aider is.
* Children under 16 years old should not take aspirin. If you are asthmatic, have
ulcers or suffer from indigestion speak to a GP or pharmacist before taking
aspirin or ibuprofen.
• Keep all medicines secure, locked in a cool dry place, and out of the sight and reach
of children.
• Always read the label and patient information leaflet before taking medicines and only
take the recommended dose.
• Check the expiry date. Never use out-of-date medicines - take these to your pharmacist
who can destroy them safely.
• Keep all medicines in their original containers.
• Pharmacists can offer you expert advice on medicines and can let you know which
medicines are best for treating your symptoms. They can also tell you how to use your
medicine if you are unsure.
• Talk about your medicines with a health professional to make sure your medicine is
working and that you are happy with it. Other medicines you are taking or conditions (like
pregnancy) may affect whether a medicine is suitable for you.
• Ask your pharmacist for advice before giving over-the-counter medicines to children.
Buying medicines
When you are buying medicines for yourself (or others) be prepared to tell the pharmacist:
• your symptoms and how long you have had them
• what treatment, if any, has already been tried
• any other medicines (including the oral contraceptive, complementary medicines and
supplements like vitamins and minerals), either from your doctor, pharmacist,
complementary medicine practitioner or other health professional, you are taking or using
• if you are sensitive or allergic to any medicines
• any relevant medical history.
Here are some questions that you can ask a health professional, like a pharmacist or GP, to
help you understand your medicines better:
• what does this medicine do?
• how long will I need to use it?
• how and when should I take it?
• should I avoid any other medicines, drinks, foods or activities when I am taking
this medicine?
• what are the possible risks and side effects – and what should I do if they happen to me?
Benefits: helps to protect you against many cancers and heart disease. Helps you to
maintain a healthy weight and gives your body the essential nutrients that it needs to
make you feel well, give you energy and help you have healthy skin, hair and nails.
Tip: Make extra at meal times that you can easily take to work like soup, salad, pasta or
grilled chicken.
A dietitian can advise you on a healthy diet. You can contact a registered dietitian via your
local hospital or GP practice. For details of registered dietitians working in private practice in
your area see www.dietitiansunlimited.co.uk
Healthy Living
www.healthyliving.gov.uk
NHS 5 A DAY
www.5aday.nhs.uk
Benefits: helps reduce the risk of heart disease, stroke, Type 2 diabetes (diet or tablet
controlled diabetes) and some cancers. Getting active helps you to lose weight and
maintain a healthy weight, relieves stress, gives you energy and makes you feel good.
Sport England
www.sportengland.org
Benefits: helps prevent bladder and bowel problems, kidney stones and some cancers
(like colorectal). Improves oral health, concentration and physical performance. Helps
avoid dehydration headaches, makes you feel more alert, less irritable and it’s cheap!
Tip: tap water is cheap and good for you – you don’t have to rely on bottled
water. To make it really refreshing keep a bottle chilled in the fridge.
Benefits: improved smell, taste and circulation. Decreases your risk of many smoking
related illnesses including lung and other cancers, heart disease, osteoporosis and
stomach ulcers.
Think about making a quit plan which may include telling friends, relatives and work
colleagues so they can support you, or get someone you know to give up with you at the
same time. Going through the same experience together can be a great support and
encouragement to help you stay focused and positive.
Call the NHS Smoking Helpline free on 0800 169 0 169 to speak to a specialist
adviser and to find out about your NHS Stop Smoking Service, lines are open daily
from 7am to 11pm. You can also visit www.gosmokefree.co.uk or text ‘GIVEUP’ with
your full postcode to 8808. Remember - you are more likely to succeed in
quitting by using the NHS Stop Smoking service.
NHS Asian Smoking Helpline, Tuesdays 1pm – 9pm. Confidential free advice on
smoking and paan chewing. Callers can be referred to local services.
Urdu: 0800 169 0 881
Punjabi: 0800 169 0 882
Hindi: 0800 169 0 883
Gujarati: 0800 169 0 884
Bengali: 0800 169 0 885
If you are pregnant and want to give up smoking you can get specialist pregnancy
advice by calling the NHS Pregnancy Smoking Helpline on 0800 169 9 169.
Quitline 0800 00 22 00, QUIT also offers email support. Visit www.quit.org.uk for
more information.
Symptoms: tiredness, mood swings, skin problems, muscle tension, disturbed sleep
patterns, low self-esteem, anxiety, poor concentration, changes in eating patterns, poor
memory/forgetfulness. People vary in how much stress they can experience before it has
an effect on their health.
Your organisation should support you in finding ways to reduce the causes of work related
stress. There are also a number of things you can do for yourself which may help you deal
with stress:
• organise your work – if too much work and too little time is a problem speak to your
manager, if this is difficult you could speak to a staff representative or trade union
representative
• develop a network of people both in and outside of work who can support you
• change your work environment (for instance, list your priorities or develop a filing system)
• take regular breaks during the day and at lunch time, avoid long work hours and take
proper holidays
• exercise – going to the gym, a brisk walk, running or swimming are all good ways to take
your mind off things
• find out if your company has a counselling or occupational health service and use it
• if you feel distressed at work try and take some time out to calm down and have a break
• learn simple relaxation techniques that you can do at work such as deep breathing.
Useful contacts
If money and legal problems are causing you stress contact the Citizens Advice
Bureau for free and confidential advice. Visit www.citizensadvice.org.uk or look in
your phone directory to find your local office.
Information about stress is also available from the NHS Direct Online website at
www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV
(simply press the interactive button on your remote control).
Most acute back pain (pain which is short-lived) is caused by muscle or ligament strain
which is often a result of poor posture (both standing and sitting), bad lifting technique,
being unfit, being overweight, over-stretching or overuse of your back muscles. The pain is
most often caused when muscles in the back are strained or go into spasm because of
over-stretching or overuse. Even when there is a lot of pain it is unlikely that it is caused by
anything more serious, like infection, because this is quite rare. Most pain will lessen within
a week or so.
If you have back pain with any of the following symptoms you should go to your GP or call
NHS Direct on 0845 4647 (England and Wales only) or NHS 24 in Scotland on
08454 24 24 24 immediately:
• numbness or pins and needles in one or both legs or around your back passage, genital
area, or inside the tops of your thighs
• loss of bladder or bowel control
• feeling unsteady on your feet or both legs feel weak
• a high temperature
• sudden weight loss or night sweats
• back pain worsening over a period of time (more than four weeks) for no apparent reason.
Reverse this for putting the object down and remember not to twist your back, instead
turn with your feet. Try to use a lifting aid where possible and get some help instead of
struggling yourself.
Useful contacts
Information about back pain is also available from the NHS Direct Online website at
www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV (simply
press the interactive button on your remote control).
Symptoms: Aches, pains, numbness, tingling, swollen joints and restricted movements.
MSDs are problems, like back pain and tennis elbow, to do with our system of bones,
joints, tendons, ligaments, nerves and muscles – which is known as the musculoskeletal
system. The lower back, neck and upper limbs - like the hands, wrists, elbows and
shoulders (also known as upper limb disorders) are all particularly susceptible to MSDs.
Useful contacts
BackCare
Visit www.backcare.org.uk or call the Helpline on 0845 130 2704
Information on MSDs is available from the NHS Direct website at www.nhsdirect.nhs.uk and
on NHS Direct Interactive on digital satellite TV (simply press the interactive button on your
remote control).
Symptoms: fever, aches, sore throat, runny nose, blocked nose and cough. Cold and
flu symptoms are similar. However, flu symptoms are more severe, last longer and hit
you suddenly.
If you think you need a flu jab contact your GP surgery or if a nurse
visits you regularly, ask them. You can also ask your pharmacist.
Use this table to help you find the right remedy for cough, cold and flu
symptoms.
SYMPTOM REMEDY
High The three most common remedies for pain, fever and headaches
temperature, are paracetamol, aspirin* or ibuprofen*. Aspirin and ibuprofen
headache, aches also have anti-inflammatory properties (good for sprains, aches
and pains and pains).
Cough There are many cough medicines available. Ensure you get the
right variant for your type of cough (like dry or chesty).
Sore Throat Sore throat relief comes in the form of lozenges, pastilles and
sprays as well as traditional pain relief remedies such as
paracetamol and aspirin*.
Runny Nose The most common remedies for runny nose can be taken orally as
a tablet or as a liquid.
Colds and flu are caused by viruses. Antibiotics do not work on viruses so will
not cure colds and flu.
* Children under 16 years old should not take aspirin. If you are asthmatic, have
ulcers or suffer from indigestion speak to a GP or pharmacist before taking
aspirin or ibuprofen.
Headaches can have a whole variety of causes including looking at a computer screen for
too long, stress, poor eyesight or dehydration.
* Children under 16 years old should not take aspirin. If you are asthmatic, have
ulcers or suffer from indigestion speak to a GP or pharmacist before taking
ibuprofen or aspirin.
Information and advice on a wide range of health topics, including headaches and
hangovers, is available from the NHS Direct Online website at www.nhsdirect.nhs.uk and
on NHS Direct Interactive on digital satellite TV (simply press the interactive button on your
remote control).
Symptoms: blocked or itchy nose, sore, streaming and watery eyes, blocked ears,
sneezing, sinus pain, tickly throat and/or itchy palate, blisters or skin rashes – check out
Rashes on page 28 for more advice on dealing with these.
Hay fever and allergies happen when you come into contact with a substance that your
body is unusually sensitive to. With hay fever it is the pollen in the air, but allergies can be
caused by any substance – from specific kinds of foods to animal fur and dander. These
substances are called allergens which stimulate the release of histamine from cells in the
skin. This causes a reaction like swelling. Hayfever is one of the most common allergies.
Common allergens include: pollen, house dust mite, moulds, pets, insect bites, industrial
and household chemicals, some medicines and foods. Less common allergens include nuts,
fruit and latex. Certain drugs such as penicillin can cause allergic reactions.
Information about hayfever and allergies is also available from the NHS Direct Online website
at www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV (simply press
the interactive button on your remote control).
Useful contacts
MedicAlert
0800 5814 20
www.medicalert.org.uk
Sickness (vomiting) and diarrhoea is not usually a sign of anything serious. It is generally
caused by a bug (a virus or bacteria), perhaps in something you’ve eaten or by too much
food or alcohol. Some people also get travel sickness.
Symptoms: abdominal pain – often on the left hand side, diarrhoea, constipation,
bloating, feeling nauseous (sick) and/or loss or lack of appetite. Symptoms vary
greatly between people.
Irritable bowel syndrome (IBS) is a common digestive disorder. Although the causes of IBS
are not fully understood research shows that the bowel of people with IBS is more sensitive
than usual and this sensitivity sets off a reaction, causing the symptoms. Stress and lifestyle
are also major factors. One in ten people in the UK have IBS.
Information about IBS is also available from the NHS Direct Online website at
www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV (simply press
the interactive button on your remote control).
Useful contacts
Symptoms: change in your routine where you go to the toilet less often
than usual or have difficulty passing stools (poo) because they are hard or
small, stomach pains and cramps, feeling bloated, feeling sick, a sense of
fullness, headache, furred tongue, loss of appetite, fatigue and
depression.
Information about constipation is also available from the NHS Direct Online website at
www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV (simply
press the interactive button on your remote control).
Useful contacts
Symptoms: burning pain behind the breastbone that may be accompanied by a bitter
acidic taste in the mouth, bloated or gassy stomach, burping, general stomach
discomfort, feeling full and feeling sick.
Many of us are familiar with that feeling of bloating, discomfort or even pain after we’ve
overdone it with food or drink. Indigestion, also known as heartburn, is any symptom or
collection of symptoms caused by disruption of the body’s digestive system. Some people
will have symptoms every day and others only occasionally.
Rashes can happen because of heat, sweat and friction or an allergic reaction (see page 22).
Insect bites become itchy and reddened and stings can be painful. Most insect bites cause
itching and swelling which usually clears up after a few days.
Spots are caused by the skin producing extra grease, which blocks the pores, causing
bacteria to be trapped beneath the surface. Spots can happen because of hormonal
changes like adolescence or menstruation. They can also appear because of stress.
Acne, is a more severe and prolonged amount of spots, usually on the face and neck, and
often happens during puberty and adolescence. Acne can be distressing and may need
medical treatment.
Information about skin problems is also available from the NHS Direct Online website at
www.nhsdirect.nhs.uk and on NHS Direct Interactive on digital satellite TV (simply press the
interactive button on your remote control).
Useful contacts
Symptoms: painful raised blisters around the mouth that can take up to 10 days to
form and heal. The virus is highly contagious and can be passed on by kissing and
touching another person’s mouth or other part of their body.
One in four people get recurrent cold sores. Cold sores are caused by the herpes simplex
virus and can not be treated by antibiotics. Some people think this is a form of sexually
transmitted infection (STI) but you can catch a cold sore without sexual contact. Many
people are carriers of the cold sore virus without knowing as it can lie dormant. The virus
stays in the system and can be triggered by things like stress, feeling run down, fighting off
other infections and exposure to the sun.
Mouth ulcers
Symptoms: painful, white blisters in the mouth or on the tongue. Mouth ulcers
happen for many reasons like friction on dentures, stress, bacterial or fungal infection,
lack of sleep, being run down and not getting enough vitamins and minerals.
Tip: if you frequently get cold sores or mouth ulcers, your lifestyle may be
triggering them. Check out Healthy Eating on page 6 and Stress on page 12,
which may be underlying causes.
Symptoms: flaky, red, itchy, sore skin between the toes that will eventually crack and
peel. Sometimes looks white, inflamed and weepy.
Athlete’s foot is a skin disease caused by a fungus that you often get between the toes.
The fungus most commonly attacks skin on the feet because shoes create a warm, dark,
and humid environment, encouraging the fungus to grow. It is commonly picked up from
showers and changing room floors in gyms and swimming pools.
It is important to treat athlete’s foot as soon as possible so that is doesn’t spread. The more
it spreads the harder it is to treat. Most cases of athlete’s foot can be treated successfully
within four weeks.
Larger cuts should be covered with gauze or a non-stick dressing held in place with tape
or a bandage and grazes should be left open to the air in order to heal.
If you have a deep cut and are losing a lot of blood, apply pressure to stop the bleeding,
lift the limb if possible and get medical help or call NHS Direct on 0845 4647 (England
and Wales only) or NHS 24 in Scotland on 08454 24 24 24 if you are unsure.
Burns are caused by dry heat, such as hot objects, flames or the sun. Scalds are caused by
steam, hot liquid or hot fat.
For more information about medicines speak to your pharmacist, doctor, nurse or
contact NHS Direct.
Health advice and information is available around the clock from NHS Direct.
You can use:
• NHS Direct Online at www.nhsdirect.nhs.uk;
• NHS Direct Interactive on digital satellite TV – simply press the ‘Interactive’ button
on your remote control;
• The NHS Direct telephone service. Call 0845 4647* (England and Wales only)
For health advice and information in Scotland contact NHS 24. You can use:
• NHS 24 Online at www.nhs24.com;
• The NHS 24 telephone service. Call 08454 24 24 24 (Scotland only);
• Textphone Users. Call 1 8001 08454 24 24 24.
* Calls cost a maximum of 4 pence per minute from a BT landline. The cost of calls
from mobiles and other networks may vary. Your service provider may charge a
minimum cost per call. A confidential interpretation service is available in many
languages. For patients’ safety, calls to NHS Direct are recorded.
www.dpp.org.uk
This leaflet contains general information produced by DPP: Developing Patient Partnerships which can be used as the first step to help you decide the best course of
action to take when you or your family are not well. In the absence of any examination it is not possible to reliably diagnose and treat a medical condition. Diagnosis can
only be carried out by a suitably qualified health professional after a consultation. The advice and guidance in the leaflet is the responsibility of DPP.
© DPP: Developing Patient Partnerships, 2008, Tavistock House, Tavistock Square, London WC1H 9JP. Registered Charity No. 1075105. Company No. 3700340. All rights
reserved. No part of this publication may be reproduced in any material form without the written permission of the copyright holder.