Antibiotics

Antibiotics are relatively new agents developed in the 1940s as dyes for commercial use and also the original observation of antibacterial effects from Penicillium notatum moulds. The Antibiotic era started and new agents were developed for a long time until about the 1960s when development of new agents stagnated. Antibiotics have pretty much been the same until this century when new agents have been developed. This has largely been spurred on by the observation that resistant organisms have been on the increase causing higher death rates. We are still winning, as it were. With careful use of antibiotics for actual bacterial infection rather than viral infections (the most common “flu or cold” cause) will extend their useful life hopefully into mid this century.

As useful as antibiotics are, they cause side effects, the most common being gastric upset possibly leading to vomiting and or diarrhoea. Some people develop a condition called thrush. This is an opportunistic fungal infection which can be treated. Taking pro-biotics with your Antibiotics may reduce this if you are susceptible. Your chemist has a selection. Tip – chose those variety that are refrigerated and have the longest expiry date will ensure the maximum useful organisms.

https://www.healthnavigator.org.nz/medicines/a/antibiotics/

Sun exposure and skin damage

Overwhelming evidence showing the benefit of keeping out of the sun especially at peak times in summer (10am-2pm), by covering up with clothes or using sun block of as higher SPF rating as possible. Rates of melanoma (one of the most aggressive types of skin cancers known) in Australasia are amongst the highest in the world. This risk is increased if “burning” occurs in childhood under 14 year old. This potentially sets up a much higher risk in later life – this could be as early as 20 year olds developing melanoma. Damaged skin in later life will be dry, “baggy saggy”, irregularly pigmented skin and have moles. It is important to ensure regular checks if there is a high risk of melanoma, especially if there are relatives who have developed melanoma at any age. Belmont Medical Centre is proud to be able to provide technology to enhance diagnosis and recording of suspicious moles. We can also provide a lesion removal service to treat and diagnose them.

https://www.melanoma.org.nz/

https://dermnetnz.org/topics/melanoma/

Allergy

Allergies are unfortunately very common, These range from hayfever to life threatening anaphylaxis. Common skin rashes, blocked or runny nose due to contact with allergen like pollen, grass, dust mite protein, chemicals are a nuisance but rarely do they cause major problems. Some of these could trigger an asthma attack which could be life threatening. A good management plan can lessen the risks. The other increasingly common reactions involve food. Some people are intolerant like milk lactose intolerance causing bloating and wind. Some people are allergic, like milk protein causing a severe reaction resulting in swelling of the airways and possibly welts on the skin.

The cause is the body’s over reaction to certain proteins in food which for some reason has become “the enemy”. There are many theories as to why, treatment is usually symptom control and avoidance. Conventional treatment is avoidance, maintaining skin and body health, and reducing the immune system responsiveness usually with medications.

http://www.allergy.org.nz/

https://www.allergy.org.au/patients/information


Colds and Influenza

Traditionally over winter we can catch viral infections which make us sick. This could be runny nose, headache and fever lasting 3 days (coryza, common cold) and including lethargy, body ache and prolonged coughing (influenza ,recent widely publicised strains have been “Corona” and “bird flu”,). Both colds and flu start very similarly and so makes influenza the more serious of the 2 and hard to diagnose in the beginning. Treatment for common cold and influenza is conservative with symptom control (for fever, aches, runny nose and cough). However, as we age the body does not cope as well and the damage to the airways can put people into hospital for supportive treatment.

The best weapon we have against either of these viral infections is avoidance. This involves not catching the virus by avoiding coughing people (at least get out of the direction of cough and cover your nose and mouth), regular hand washing with soap and water. Cleaning hands and surfaces (door handles, phones, tables for example) regularly with alcoholic wipes or solution is useful to reduce viral exposure. Staying at home if your are sick to stop the spread of the virus. If the virus has made it into the body, a chemical messenger called interferon is produced to make the body fight the virus. It is the interferon which gives the terrible symptoms. Immunisation (flu shot) before the flu season starts will assist your body to kill the virus before it spreads. influenza infection.

http://www.fightflu.co.nz
http://www.moh.govt.nz/influenza-a-h1n1

Chronic Conditions

There are a great number of conditions including asthma, obstructive airways, diabetes, hypertension to name a few. We have structured clinical pathways to help you achieve the best outcome for your condition. We actively encourage patient participation in the management and look forward to helping you. Please ask if you qualify for very heavily subsided management programs we provide.

https://www.diabetes.org.nz/

https://www.asthmafoundation.org.nz/your-health/living-with-copd?gclid=EAIaIQobChMIvZ-ig_vy6AIV1DUrCh0aygftEAAYAyAAEgIcevD_BwE

https://www.heartfoundation.org.nz/

Pregnancy

Since 1996 the maternity system changed and as GP’s we do not provide this service anymore. We are generally the first port of call for pregnancy and we do provide any advice and management to complement your lead maternity carer (LMC) for pregnancy and non pregnancy issues. In general in the second trimester (13-14 weeks on til birth you will have a LMC). BOOK NOW

https://www.findyourmidwife.co.nz/

https://www.health.govt.nz/your-health/pregnancy-and-kids/pregnancy

Paediatric

All our staff are parents with children and can remember what is was like having sick children. We offer a full range of preventative and acute treatment options for children and are always happy to discuss anything that worries you and give you some resources to support you and your new family. BOOK NOW

https://www.starship.org.nz/patients-and-families

Senior Health

We will keep a close eye on any problems which may occur. The most common are falls, consequences of multiple medications for increasing number of medical problems and sore joints. We will initiate programs which will minimise falls and try to regularly review medicines and problems to maximise benefits of treatment. We are happy to talk about anythings you are worried about. BOOK NOW

https://www.healthnavigator.org.nz/healthy-living/s/senior-health/

https://www.ageconcern.org.nz/

http://www.superseniors.msd.govt.nz/

https://www.timetoscreen.nz/bowel-screening/

Female Health

Like men common problems can include high cholesterol, high blood sugars, obesity, infections, cancers. Women tend to have higher rates in breast cancer, cervical cancer compared to men. We would like to be proactive and work with women and the New Zealand Guidelines to ensure early detection of breast and cervical cancers through screening. We have interests in menopause, sexual infections, incontinence and contraceptions options, just to mention a few. BOOK NOW

https://www.timetoscreen.nz/cervical-screening/

https://www.healthnavigator.org.nz/health-a-z/c/cervical-screening/

https://www.timetoscreen.nz/breast-screening/

https://www.timetoscreen.nz/bowel-screening/

Male Health

Common problems can include high cholesterol, high blood sugars, obesity, prostate issues, erectile dysfunction, infections, cancers and many more. Men are at higher risk of strokes and heart attacks due to their male genetics and roles in life. We want to work with you to make sure that any possible risks are reduced so that you can have a long and event free future. We suggest a general check at any age but in particular from 40 years old onwards. BOOK NOW

http://menshealthnz.org.nz/

https://www.healthnavigator.org.nz/healthy-living/m/mens-health/

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