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The Elmdene & Bean Surgeries
 The Elmdene & Bean Surgeries
national health service
OVER 65 FLU JABS ARE AVAILABLE NOW. PLEASE CONTACT THE PRACTICE

Chickenpox

On the first day a rash appears as small red patches about 3-4mm across. Within a few hours, small 
blisters appear in the centre of these patches. During the next three or four days further patches will 
appear and the earlier ones will turn 'crusty' and fall off.
Calamine lotion may be applied to soothe the often severe itching. Cool baths may also help.
The most infectious period is from two - three days before the rash appears and up to five days after 
this date Children may return to school as soon as the last 'crusts' have dropped off.

German Measles (Rubella)

The rash appears during the first day and usually covers the body, arms and legs in small pink patches
about 2-4mm across and doesn't itch. No other symptoms are usually present apart from occasional
aching joints. It is infectious from two days before the rash appears, until the rash disappears in about 
four or five days from that date.
The only danger is to unborn babies and, therefore, it is important that all contacts are informed in order 
that anyone who may be pregnant can contact their Doctor.
Immunisation can prevent this disease.

Measles

The rash is blotchy and red and appears on the face and body around the fourth day of illness.

It is at its most infectious from two or three days before the rash appears until eight to ten days after that date.

Immunisation can prevent this disease.


Meningitis

This is a rare illness that is most common in babies, children under four years and teenagers, and

requires urgent attention. It is important to be aware of the symptoms which we have listed below.

 

Signs and symptoms in BABIES and VERY YOUNG CHILDREN are:

Difficulty waking

Repeated vomiting.

Refusing feeds.

Pale or blotchy skin, especially with red or blue/black bruises that don't go white when you press on them. 

Tight or bulging soft spot on the top of your baby's head. 

If you are in any doubt contact your Doctor immediately.

 

Signs and symptoms in OLDER CHILDREN and ADULTS are:

A high temperature. 

A constant headache.

Vomiting.

Drowsiness or confusion.

Dislike of bright lights.

Stiffness of the neck (moving their chin to the chest will be particularly painful). 

A rash of red/blue spots or bruises that don't go white when pressed with a tumbler.

If you are in any doubt contact your Doctor immediately.


Mumps

Symptoms are: Swelling of the gland in front of one ear often followed, after a couple of days by 
swelling in front of the other ear. It is infectious from two or three days before the swelling appears 
until eight to ten days after that date
If the pain is severe you should consult your Doctor. Immunisation can prevent this disease.
 

How To Look After a Childs With a Temperature
A child will develop a fever because of an infection. Usually the child will get over such an infection 
without the need for antibiotics. Most childhood infections are caused by viruses and these do not 
respond to antibiotics. The following advice will help to bring your child's temperature down and make 
them feel better. 
1. Always keep a supply of paracetamol syrup (Calpol, Disprol) at home. If you wait until you need it,
    there will be none close at hand. 
2. If your child feels hot or appears unwell -
a) Give the maximum dose of paracetamol stated for a child of that age.
b) Dress your child in cool clothes. A lot of heat is lost through a child's head, so leave it uncovered.
c) Cool down the room by opening doors and windows.
d) Sponging your child down with a tepid flannel will make them feel better as well as bringing their 
     temperature down. Using tepid water is more effective than using cold water.
e) Repeat the dose of paracetamol every four hours as necessary, up to the maximum daily dose stated.
f)  A child with a fever is likely to be restless at night. Offer cool drinks and sponge them down
    if they wake.
 
g) If your child does not improve after giving paracetamol and sponging, or appears particularly ill,
    call the Doctor.
 
  3. Very rarely, a child under five years will have a convulsion with a high temperature.
    They will shake all over and become very still. It usually subsides in less than five minutes.
     Lay the child on their side and stay with them while it lasts. If there is another adult in the house,
     ask them to phone a Doctor. If not, call when the convulsion has passed.

 


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