Tick bite – first aid…

Did you know?

In the case of a tick bite, it is advisable to remove the tick within the first 24 hours in order to reduce the risk of Lyme disease.

How do we deal with tick bites?

You are more likely to see the tick, than feel the bite. That is why you should check for tick bites on yourself and your children after spending time in grasslands or woodlands. It is common knowledge that contracting Lyme disease is the main concern. There are special kits available from pharmacies to remove ticks, but you may also simply use tweezers or even a couple of credit cards. It is important to grasp the tick as close to the skin surface as possible, to gently pull upwards and to disinfect the area afterwards.

When shall I see a doctor?

Blood tests shortly after a tick bite are unreliable. You should look out for a circular red rash developing around the bite a couple of days later but it may even occur up to three months later. Blood tests at this stage may still be unreliable and you will normally be prescribed a three-week course of antibiotics to avoid the late stages of Lyme disease. Lyme disease can more rarely simply start with flu-like symptoms. In this case repeated blood tests at longer intervals will usually be necessary to confirm the diagnosis.

Is there anything else we should be aware of?

Another disease transmitted by ticks is tick-borne encephalitis, which does not occur in the UK but does occur in large parts of Central and Eastern Europe. Fortunately, there is a vaccination available against it, which is available at Roseneath Medical Practice.

by Dr Robert Arlt MD – GMC Reg: 6135708 
Consultant Paediatrician

Roseneath Medical Practice patients’ feedback

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‘…Excellent service in all respects – speed, care, thoughtfulness…’

‘…My entire experience with Roseneath Medical Practice was efficient, friendly, and professional, and I recommend them without reservation!…’

‘…Great team here. Very professional and unbelievable level of service and aftercare. You’ll never go back to your old Doctor again…’

‘…Really great service. Easy to get a quick appointment…’

‘…I have used this private practice on a few occasions and have found them to very professional and efficient. All the staff are very reassuring, friendly and helpful making you feel at ease…’

Coeliac disease

Did you know that untreated coeliac disease can lead to additional serious health problems?

coeliac disease

What is coeliac disease?

  • It is an autoimmune condition where the small intestine becomes inflamed and unable to absorb nutrients
  • It is caused by an adverse reaction to gluten , which is found in any food or drink containing wheat, barley, rye eg cereals, pasta, bread, cake, beer.
  • It is not an allergy or intolerance to gluten.
  • It is hereditary
  • It could result from environmental factors eg a digestive system infection in childhood

  • It is estimated that one in 100 people in UK have coeliac disease, and that nearly half a million people aren’t yet aware of their condition.

What are the symptoms?

  • diarrhoea  
  • abdominal pain
  • bloating
  • wind
  • indigestion 
  • nausea
  • constipation
  • hair loss
  • fatigue 
  • weight loss
  • itchy skin rash 
  • delayed growth/ puberty  

What are the risks of coeliac disease?

  • Malnutrition
  • Increased risk of other autoimmune diseases eg Type 1 diabetes, autoimmune thyroid disease
  • Lactose intolerance
  • Lymphoma and  bowel cancer
  • Unexplained infertility
  • Osteoporosis
  • Irritability and depression – children with coeliac disease are irritable
  • Low birthweight babies
  • Dental defects

How can coeliac disease be treated?

Currently the only treatment for coeliac disease is lifelong adherence to a strict gluten-free diet.

And the good news?

In most cases the symptoms can be reversed and the complications prevented by a gluten-free diet. Early diagnosis and treatment are key. See Dr Soori at Roseneath Medical Practice for full evaluation of your symptoms and same day blood tests to help identify if you may have coeliac disease. If required a specialist referral for a biopsy confirmation of the diagnosis can then be arranged.

Vitamin D deficiency

Did you know that as many as 1 in 5 adults and 1 in 5 children in the UK have low vitamin D levels?

Vitamin D deficiency

Why is vitamin D deficiency so common in the UK?

We gain some vitamin D from food, but most from sunlight.

What are the food sources of vitamin D?

  • Oily fish (such as salmon, mackerel and sardines), cod liver oil and other fish oils
  • Eggs
  • Meat
  • Mushrooms
  • fortified foods – such as most fat spreads and some breakfast cereals

Why is vitamin D important for our health?

  • For our bone and muscle health
  • Deficiency is associated with Diabetes, Heart disease, Breast cancer, Bowel cancer, Alzheimer’s disease

Who is at risk of Vitamin D deficiency?

  • Pregnant and breastfeeding women
  • Under 5 year olds
  • Over 65 year olds
  • People who have little or no exposure to the sun eg those who cover-up for cultural reasons, people who are housebound or who stay indoors for long periods of time.
  • People with darker skin (these groups are not able to make as much vitamin D as those with paler skin).

How does vitamin D deficiency present itself?

  • Many have no symptoms or only vague symptoms of tiredness or body aches
  • Proximal muscle weakness
  • Rib, hip, pelvis, thigh and foot pain are typical
  • Fractures
  • Extreme cases can cause rickets in children, osteomalacia in adults

How can you find out if you have vitamin D deficiency?

  • A simple blood test done by Dr Sumi Soori at Roseneath Medical Practice, with same day results.
  • This may be combined with further blood tests to look for changes linked to low vitamin D and possible referral for wrist x-ray in a child to check on bone development.

 

St Margarets Fair

Roseneath Medical Practice at St Margarets Fair – 8th July 2017

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Dr Soori and the Roseneath Medical team were at St Margarets Fair on Saturday 8th July, introducing themselves to some of the  local community and enquiring about patients’ hopes and expectations from a quality medical service. Thank you for having us!

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