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Bites and Stings


Seek medical attention if:

- you have a known allergy to bites and stings

- the sting cannot be removed

- there is infection around the affected area

- you experience shortness of breath or fever


Most bites and stings can be treated with Antihistamine tablets which can be purchased, without a prescription, from the chemist.



Worried about losing your memory?

If memory loss is beginning to affect everyday life you should seek advice. Make an appointment to visit your GP who will listen to your concerns and possibly arrange for further investigation.

Useful information can be found at alzheimers.org.uk/memoryworry

If you are concerned about the memory of someone close to you, encourage them to visit their GP. You might start the conversation by gently asking the person if they've been feeling any different from usual or are struggling with anything.






Burns and Scalds


These always require immediate attention. Cool the affected area with cold water for at least 10 minutes, and then cover with a light, non-fluffy material or a polythene bag. Do not burst any blisters and do not apply any creams or ointments, save for mild sunburn.


Cuts, Grazes and Bleeding


Seek medical attention if:

- the cut is deep and the edges cannot be pulled together

- you have a deep or dirty cut - this may need a tetanus booster

- severe redness or swelling develops after a few days, which may indicate infection

- there is severe bleeding from the wound

Never use a tourniquet


Seek medical attention if:

- the burn is larger than a 10p coin

- the burn is on the face

- the skin is broken


Severe burns will need urgent medical attention. Cool the area and seek medical assistance ASAP or go straight to the local accident and emergency.




Ear Wax

Please see our leaflet on the treatment of Ear Wax.





Contact the surgery if:

- you may have a bladder infection

- the attack lasts for more than a day or two, or if you have repeated attacks

- you are pregnant

- there is blood in the urine

- there is vaginal soreness, irritation or discharge

- you have increased thirst


Take a urine sample of your 1st visit to the toilet in the morning with you to the GP, in a sterile container.










Sprains, Strains and Bruises


Seek medical attention if:

- you think there may be a broken bone, immobilise the area with padding and seek aid immediately

- symptoms do not improve

- bruising remains after several days




Contact the surgery if:

- you also have a high fever

- you think you may have picked up a stomach bug abroad

- it persists for more than a week (with children under one year, if it persists longer than two days)

- there is blood in the diarrhoea or it is red in colour

- the baby is drowsy or confused, or refuses drink for a few hours, is being sick all the time, or has a fever


Remember to wash your hands after going to the toilet, and always clean under the toilet seat.










Nits / Lice


Lice are small insects of up to 1/4 inch. Head lice are found close to the scalp, in the hair, where the female lays her eggs which look like tiny, white pips. The eggs stick to the hair. They are usually contracted by hair to hair contact. Pubic lice are another form of lice. Lice also live in beards and moustache's.


It can take 1-2 weeks after infection before itching commences. Lice can be seen and combed out. Whilst lotion can kill eggs of nits and lice, dead nits often stay stuck to the hair unless combed out.


Consult your GP if the condition does not improve after treatment.



Coughs and Sore Throat


You should consult your GP if:

- swallowing becomes difficult

- you cough up mucus with blood in it

- your breathing is painful, wheezy, loud or if you are short of breath

- you have a high temperature and a cough, and this goes on for more than five days

- a child, also has a high fever and appears unwell


Steam inhalation and raising the head slightly at night will help ease the symptoms.











Cold and Runny Nose


You should contact the surgery if:

- there is a high fever for more than 3 days

- if the nasal mucus becomes green or yellow, and lasts for over a week

- if a baby continues to cry or refuses to feed on two occasions


The cold will normally clear after 5 to 10 days. Keep your room well ventilated. Avoid smoking and sleep with your head slightly raised. Aspirin and Paracetamol are helpful. DO NOT give young children Aspirin.


Flooding advice


General advice includes:

- avoid contact with floodwater and wash your hands regularly

- swallowing floodwater or mud can cause diarrhoea, fever or abdominal pain. Mention the flood if you see your GP within 10 days for abdominal complaints

- ensure good ventilation if using portable indoor heating appliances to dry out indoor spaces. Do not use petrol or diesel generators or other similar fuel-driven equipment indoors: the exhaust gases contain carbon monoxide, which can kill.


Further information:


Flooding advice

Flooding FAQ

Flooding and mental health









Difficult Decisions

In Buckinghamshire, your local NHS is committed to getting the best for the entire population of the county. We must make sure that we get the best healthcare we can with the funds available. We are not able to spend more on health than our budget. This means that to afford new advances in care we must look at which treatments are used locally and which are not.

Please see the attached for a list of 'Items not normally recommended for prescribing locally'.