Category Archives: Uncategorized

Viral Gastroenteritis Diet

Self-care for adults:

BRAT diet

For vomiting, follow these instructions in order:

  1. Do not eat or drink anything for several hours after vomiting.
  2. Sip small amounts of water or suck ice chips every 15 minutes for 3-4 hours.
  3. Next, sip clear liquids every 15 minutes for 3-4 hours. Examples include water, sports drinks, flat soda, clear broth, gelatin, flavored ice, popsicles or apple juice. Do not drink citrus juices or milk. Increase fluids as tolerated.
  4. When you can tolerate clear liquids or diluted apple juice for several hours without vomiting and if you’re hungry, try eating small amounts of bland foods. Try foods such as bananas, rice, applesauce, dry toast, soda crackers (these foods are called BRAT diet). For 24-48 hours after the last episode of vomiting, avoid foods that can irritate or may be difficult to digest such alcohol, caffeine, fats/oils, spicy food, milk or cheese.
  5. When you can tolerate bland food, you can resume your normal diet.

Retake medications if vomiting occurs within 30 minutes of taking usual medication. If you vomited after taking oral contraceptive pills, use a back-up contraception method for the rest of the month.

If diarrhea is the only symptom, try Imodium, a non-prescription (over-the-counter) medication available at any pharmacy according to package directions. Follow a bland diet (see 4 above). After the passage of a soft, formed stool, you can resume a normal diet. Call for medical advice if you have no improvement within 48 hours after starting Imodium.

 

Warts and Verrucas

Topical treatment for warts and verrucas

Topical treatment includes wart paints containing salicylic acid or similar compounds, which work by removing the dead surface skin cells. I recommend Salactol Paint.
The paint is applied once daily. Treatment with wart paint usually makes the wart smaller and less uncomfortable; 70% of warts resolve within twelve weeks of daily applications.
• Soften the wart by soaking in a bath or bowl of hot soapy water.
• Rub the wart surface with a piece of pumice stone or emery board.
• Apply wart paint or gel accurately, allowing it to dry.
• Cover with plaster or duct tape.
If the wart paint makes the skin sore, stop treatment until the discomfort has settled, then recommence as above. Take care to keep the chemical off normal skin.

How about other methods?

Other methods have scientifically not proven more successful and are often not available on the NHS

Pitfalls

  • Not trying for long enough
  • Not being persistent with the treatment

 

Extended Hours GP Services in Bracknell – Phone Number Change

Phone number changes for cancelling ‘Extended Hours Clinics’ appointments- Bracknell and Ascot

A telephone number for residents to call when cancelling evening or weekend GP appointments, as part of Bracknell and Ascot’s ‘Extended Hours Clinics’ service, has changed.

The new number is 01344 233 300 and is available Monday to Friday 8.30am -6.30pm and during clinic opening times, Monday – Sunday inclusive of Bank Holidays.  Please note that the old number – 01344 637 808 – is no longer in use.

The change coincides with Berkshire Primary Care Ltd, who is commissioned by East Berkshire Clinical Commissioning Group (CCG) to provide the service, moving offices.

The clinics continue to run from Boundary House Surgery as usual.

The ‘Extended Hours Clinics’ are available for people who find it difficult to take time off work or have other commitments during daytime hours. The service offers a range of appointments with GPs, nurses, healthcare assistants and phlebotomists (blood tests).

People must be registered with a GP surgery locally to access the ‘Extended Hours Clinics’ and appointments can only be made in advance through their own GP practice, as the service cannot accept walk-in patients.

Appointments are for routine general practice issues only and not for urgent care. If urgent care is required, please call NHS 111 for advice.

Although residents need to book appointments through their individual GP practices, they are urged to call the cancellations line if they are no longer able to make the appointment.

The ‘Extended Hours Clinics’ in Bracknell and Ascot are part of a national initiative to improve access to general practice.

 

High Cholesterol – 8 Point Plan – What to do?

  1. Take it seriously. Cholsterol clogs up your blood vessels. It is a major cause of heart attacks, strokes and cancers including bowel cancer. And remember, having your Cholesterol tested every year and doing nothing about it is like weighing yourself every week. Absolutely no point.
  2. Adjust your diet: What is bad?
    1. Butter, Ghee
    2. Hard margarines
    3. Lard, dripping and goose fat
    4. Fatty meat and meat products such as sausages
    5. Full fat cheese, milk, cream and yogurt
    6. Coconut and palm oils and coconut cream
  3. Adjust your diet. What is good?
    1. Porridge, Oatbran, Oat breakfast cereals, Oatcakes, Bread made with 50% oat flour or oat bran
    2. Pearl barley, Adzuki beans, black beans, black-eyed peas, butter beans, cannellini beans, chickpeas, edamame beans, kidney beans, lima beans, mung beans, navy beans, pinto beans, split peas, white beans
    3. Red lentils, green lentils
    4. Vegetables rich in soluble fibre such as okra, aubergine, citrus fruits, turnip, sweet potato and mango
    5. Unsalted soya nuts (also called roasted edamame beans)
    6. Soya alternative to milk, yoghurt, Soya mince/chunks, Tofu
  4. Start exercising. Cardiovascular = sweat producing exercise. Three times a week for 45 minutes or 5 times a week for 30 minutes.
  5. Try to loose weight. Slimming reduces cholesterol.
  6. Cook from fresh. Don’t buy ready made products.
  7. Stop smoking and drink sensibly. Help is available for both.
  8. Inform yourself, be Cholesterol wise:
    1. Know your numbers! https://heartuk.org.uk/health-and-high-cholesterol/cholesterol-tests—know-your-number
    2. Ask your doctor for your Cholesterol Results
    3. Read more, inform yourself i.e. https://www.nhs.uk/conditions/high-cholesterol/
    4. And read even more about what to do https://heartuk.org.uk/cholesterol-and-diet
    5. Calculate your risk on https://qrisk.org/three/index.php

Dr M Kittel, 2018

 

Toenail Cutting Service from Age UK

Letter to our surgery with the promotion of a new service

This letter was faxed to us, recently. Toenail cutting was not available locally for some time. I hope perhaps this new service may help some of the members of this website, their relatives or friends. I have not been able to confirm it is a free service, but would assume so with age UK being a charity.

 

Get Your Flu Jab early, this year

Why to get your Flu Jab early this year

Summary

Australia experienced the worst flu outbreak on record this summer (which is the Australian Winter). The observation was that flu hit them very hard and very early. Public Health England is now warning hospitals to clear wards for high levels of admissions with flu this winter.

Who is affected?

The main strain is H2N3 and children and old people are particularly vulnerable, but there are still significant amounts of H1N1 (Swine Flu) around and that affects young adults, particularly with chronic conditions like Asthma.

How can I protect myself?

  1. Get the flu jab early
  2. Isolation of patients with flu / keeping away from patients with flu (don’t see the doctor unless you are seriously ill)
  3. Wash your hands
 

Free & Subsidised Exercise Opportunities in Bracknell

We have received feedback from a number of participants, who have advised us on how much fun these classes are.

Sportivate (16-25 year olds – 8 week courses)

Get fit for FREE in a supported environment with people aged 16 – 25.

Bracknell College Sports Hall – Mondays 6-7pm from October 24th to December 12th

To sign up please click here. (You need to complete the survey to sign up)

Back to Fitness classes (Open to all – 8 week courses)

Get fit for FREE in a supported environment. Open to all and 100% beginner friendly.

The Parks Community Centre – Tuesdays 6pm – 7pm from 8th November to 13th December

New Priestwood Community Centre – Thursdays 9:30am – 10:30am from 10th November to 15th December

To sign up please click here. (You need to complete the survey to sign up)

Fit 4 All (Open to all – Ongoing)

Get fit in a supported and beginner friendly environment including tea & coffee, all for just £2 per session. Feel free to sign up here or turn up on the day.

Great Hollands Community Centre –  Fridays 10:30 – noon (inc half hour social/refreshments time)

Priestwood Community Centre – Mondays 10am -11:30am (inc half hour social/refreshments time)