These self care guides are intended to provide you with advice and information about how you may treat yourself for common illnesses. They are not intended to be a substitution for expert medical advice or treatment. If you are not sure if you need to see a medical provider, or if your symptoms persist, please contact us.
Bites and Stings
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Most insect bites or stings are mild and have small localized reactions of redness, itching and/or minor swelling and can be managed with self-care. However, there are times when some bites or stings cases serious reactions or transmit disease causing other medical problems.
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Ticks should be removed with tweezers by grasping as close to the skin as possible and pulling straight up in a slow and steady motion. Do not be alarmed if a piece of the head breaks off and stayed in the skin as disease cannot be transmitted without the body.
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While grasping the stinger with your fingertips or tweezers might be the first instinct, this method could squeeze out additional venom and therefore is not recommended. Alternatively, scraping the skin in the opposite direction of the stinger entry point is the best removal technique.
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- Remove stinger or tick, if needed.
- Wash the area with soap and water.
- Apply a cool compress or ice to help reduce pained swelling.
- Apply a lotion or cream to help with symptoms. Products with hydrocortisone and pramoxine or lidocaine help with pain while calamine lotion, colloidal oatmeal or baking soda help decrease itch.
- Over the counter remedies like acetaminophen (Tylenol) or ibuprofen (Advil or Motrin) for pain or an antihistamine like Benadryl or cetirizine (Zyrtec) for itch may be helpful.
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- If the bite or sting site does not improve in 48 hours
- Redness, pus, swelling or blister develops at the site
- Fever develops
- Rash, fever or joint pain develop after a tick bite
- If you have any concerns or questions about your bite or sting.
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- Difficulty breathing, swelling of the lips, eyelids or throat
- Dizziness or confusion
- Rapid heartbeat
- Hives
- Nausea, cramps or vomiting
Burns
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First degree burn—This minor burn affects only the outer layer of the skin (epidermis). It may cause redness, swelling and pain. It usually heals with first-aid measures within several days to a week. Sunburn is a classic example.
Second degree burn—This type of burn affects both the epidermis and the second layer of skin (dermis). It may cause red, white or splotchy skin, pain, and swelling. And the wound often looks wet or moist. Blisters may develop, and pain can be severe. Deep second-degree burns can cause scarring.
Third degree burn—This burn reaches into the fat layer beneath the skin. Burned areas may be charred black or white. The skin may look waxy or leathery. Third-degree burns can destroy nerves, causing numbness.
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To treat minor burns, follow these steps:
- Cool the burn. Run cool (not cold) tap water over the burn for 10 to 15 minutes or until the pain eases. Don’t use ice. Putting ice directly on a burn can cause further damage to the tissue.
- Remove rings or other tight items from the burned area. Try to do this quickly and gently, before the area swells.
- Don’t break small blisters. If blisters break, gently clean the area with mild soap and water, apply an antibiotic ointment, and cover it with a nonstick gauze bandage.
- Apply moisturizer or aloe vera lotion or gel. This may soothe the area and prevent dryness as the wound heals.
- If needed, take an over-the-counter pain reliever.Nonprescription products include ibuprofen (Advil, Motrin IB, others), naproxen (Aleve) and acetaminophen (Tylenol, others).
Whether your burn was minor or serious, use sunscreen and moisturizer regularly once the wound is healed.
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Minor burns can be cared for at home, but make an appointment if you experience:
- Large blisters
- Signs of infection, such as oozing from the wound, increased pain, redness and swelling
- A burn or blister that doesn’t heal in several weeks
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- Burns that cover the hands, feet, face, groin, buttocks, a major joint or a large area of the body
- Deep burns, which means burns affecting all layers of the skin and even other tissues
- Burns caused by chemicals or electricity
- Difficulty breathing or burns to the airway
Concussion/Head Injury
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A concussion occurs when there is trauma to the brain that alters brain function. It can happen from directly hitting your head, or indirectly if the head and upper body are abruptly shaken. In most cases the effects are temporary.
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Due to an external force, the brain, which is usually padded by cerebral spinal fluid, slides back and forth, hitting the inside of the skull. This injury can cause bruising or swelling around the brain.
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- Headache
- Being easily bothered by noise or light
- Confusion or feeling “in a fog”
- Dizziness or “seeing stars”
- Feeling irritable, anxious, or depressed
- Nausea and/or Vomiting
- Problems with sleep
- Changes to speech
- Delayed reaction or response to questions
- Appearing dazed
- Feeling very tired
- Being easily bothered by noise or light
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Follow the treatment plan as advised by your provider. Often rest and avoidance of screen time is the most important way to allow for recovery. Make sure you are cleared by a provider before resuming physical activities and mental stimulation.
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Your symptoms will probably start to go away after about a week. Most people start to better in a week or 2, and are back to normal in 3 months. A few people have symptoms that last longer that a provider may suggest medicines or treatments for.
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- Seizure/jerking of arms or legs
- Repeated vomiting
- Cannot be fully woken up
- Sudden and persistent change in your behavior
- Cannot walk normally
- Trouble speaking, slurred speech/change in vision
- Confusion or disorientation
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- Anyone who experiences a head injury should be evaluated by a healthcare provider.
- Suffering a second concussion shortly after the first can be fatal.
- The American Academy of Neurology warns coaches, trainers, athletes and parents against the “toughing it out” or “playing hurt” attitude.
- Follow the recommendations of your health care provider!
Conjunctivitis (Pinkeye)
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Conjunctivitis, also known as pink eye, is an inflammation of the conjunctiva. Inflammation makes blood vessels more visible and gives the eye a pink or reddish color. Most cases of conjunctivitis are mild and get better on their own, even without treatment.
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The four main causes of conjunctivitis include viruses, bacteria, allergens and irritants. Most cases in adults are viral.
Symptoms may include:
- Redness or swelling of the white of the eye or inside the eyelids
- Increased amount of tears
- Eye discharge which may be clear, yellow, white or green
- Itchy, irritated, and/or burning eyes
- Increased sensitivity to light
- Gritty feeling in the eye
- Crusting of the eyelids or lashes
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- If you wear contact lenses, remove them and keep them out until the redness is gone.Discard disposable (daily, weekly, monthly) lenses and contact lens case.
- Do not rub eyes, rubbing eyes can make symptoms worse.
- Place a cool compress over your eyes for comfort as well as to remove discharge.
- Avoid touching your eyes. Wash hands frequently.
- Do not use eye make-up when you have symptoms. Discard recently used mascara.
- Avoid sharing towels, bedding, or other personal items such as make-up.
- Over the counter medications: CAUTION: Always follow package instructions.
- Lubricant eye drops (Thera Tears, Refresh, Systane)
- Antihistamine eye drops (Visine A, Naphcon A, Zaditor)
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- Moderate to severe pain in your eye(s)
- Sensitivity to light or blurred vision
- Intense redness in the eye(s)
- A weakened immune system, for example from HIV, autoimmune disorder or cancer treatment
- Symptoms that get worse or don’t improve
- Pre-existing eye conditions that may put you at risk for complications or severe infection
Constipation
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Having fewer than three bowel movements a week is, technically, the definition of constipation. However, how often you “go” varies widely from person to person. Some people have bowel movements several times a day while others have them only one to two times a week.
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Common lifestyle causes of constipation include:
- Eating foods low in fiber.
- Not drinking enough water (dehydration).
- Not getting enough exercise.
- Changes in your regular routine, such as traveling or eating or going to bed at different times.
- Eating large amounts of milk or cheese.
- Resisting the urge to have a bowel movement.
- Many drugs can cause constipation. Ask your doctor or pharmacist if you have any questions or concerns.
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Symptoms of constipation include:
- You have fewer than three bowel movements a week.
- Your stools are dry, hard and/or lumpy.
- Your stools are difficult or painful to pass.
- You have a stomach ache or cramps.
- You feel bloated and nauseous.
- You feel that you haven’t completely emptied your bowels after a movement.
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- Drink two to four extra glasses of water a day. Avoid caffeine-containing drinks and alcohol, which can cause dehydration.
- Add fruits, vegetables whole grains and other high-fiber foods to your diet. Eat fewer high-fat foods, like meat, eggs and cheese.
- Eat prunes and/or bran cereal.
- Get moving, exercise.
- Check how you sit on the toilet. Raising your feet, leaning back or squatting may make having a bowel movement easier.
- Add an over-the-counter supplemental fiber to your diet (like Metamucil®, Citrucel®, and Benefiber®).
- If needed, take a very mild over-the-counter stool softener or laxative (such as docusate [Colace®] or Milk of Magnesia®). Stimulant laxatives, like bisacodyl (Dulcolax®) or senna (Senokot®), are other options. Do not use laxatives for more than two weeks without calling your medical provider. Overuse of laxatives can worsen your symptoms.
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Symptoms are present for more than 3 weeks or do not improve after 1 – 2 weeks with self care.
Cough, Sore Throat, Runny Nose
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The common cold is a viral infection of your upper respiratory tract — your nose and throat. A common cold is usually harmless, although it may not feel that way at the time.
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Most sore throats and cold symptoms are caused by a virus and typically resolve in 1-2 weeks. They are spread by tiny air droplets that are released when sick person sneezes, coughs or blows their nose. Symptoms will vary because there are over 100 viruses that can cause a “cold.” Medications can be used to improve symptoms but time is the only intervention that will resolve symptoms. ANTIBIOTICS WILL NOT HELP!
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- Sore throat
- Nasal congestion or runny nose
- Post-nasal drip
- Cough
- Fever
- Headache
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- Rest and stay hydrated. Drink plenty of fluids; water, juices, non-caffeinated tea.
- If you smoke, stop, especially when ill.
- Increase humidification by taking a warm shower or using a humidifier or vaporizer.
- Irrigate nasal passages (Saline spray) to promote drainage of mucus.
- Gargle with warm salt water, 1/2 tsp of salt in 4 ounces of warm water, several times a day.
- Hard candies, throat lozenges, ice chips, jello, and popsicles may be soothing for a sore throat.
- Over the counter medications: CAUTION: Always follow package instructions.
- Ibuprofen or acetaminophen (Motrin or Tylenol); fever, discomfort, inflammation
- Pseudoephedrine (Sudafed); congestion (check for interactions with other medications you are on)
- Guiafenesin (Mucinex or Robitussin); cough, congestion
- Dextromethorophan (robitussin DM or Delsym); cough
- Oxymetazoline (Afrin) or Fluticasone (Flonase): ear fullness or sinus pressure
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- Fever higher than 100.5 F.
- Symptoms improve but then get worse.
- Symptoms do not improve after 1 to 2 weeks
Cuts and Scrapes
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A cut or scrape is a break or opening in the skin. It can also be called a laceration, abrasion, road rash, etc. It may be deep, smooth, or jagged. It may be near the surface of the skin, or deeper. A deep cut can affect tendons, muscles, ligaments, nerves, blood vessels, or bone.
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Wounds heal in stages. The smaller the wound, the quicker it will heal. Blood will start to clot within a few minutes and will stop the bleeding. This will form a scab. The scab helps protect the wound from infection while new skin grows underneath. The scab will fall off on its own. Scars form because the new skin grows back differently than the original skin. Scars are more likely with deeper wounds.
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- Sore throat
- Nasal congestion or runny nose
- Post-nasal drip
- Cough
- Fever
- Headache
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- Wash your hands. This helps avoid infection
- Stop the bleeding. Small wounds usually stop bleeding on their own. If not, apply direct, firm pressure with a clean cloth, tissue, or piece of gauze and elevate the wound. If blood seeps through the dressing, put another dressing on top and keep applying pressure.
- Clean the wound. Use clear water to rinse the wound. If dirt or debris remains in the wound, use tweezers cleaned with alcohol to remove the particles. Do not use stronger cleaning solutions such as hydrogen peroxide, iodine, or rubbing alcohol. They can irritate the wound.
- Apply an antibiotic ointment. A thin layer of antibiotic ointment will help reduce infection, keep the wound clean and moist, and help reduce scarring.
- Cover the wound. Once the bleeding has stopped and the wound is clean, cover with a bandage until a scab has formed. Bandages help keep the wound clean and prevent infection.
- Change the dressing. Keep the dressing clean and dry. Change at least once a day.
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- The wound is on your face.
- Bleeding is severe or will not stop after 10 minutes of direct firm pressure.
- Wound edges are jagged or gape open, it is deep, or you can see fat or muscle.
- Wound does not close easily; (proper closure with stitches must be within a few hours of the injury.)
- Dirt or debris remains in the wound or the wound was caused by something very dirty or rusty.
- You do not know or it has been more than 5 years since your last Tetanus shot.
- The wound is from an animal or human bite.
- The injured area feels numb or does not work the right way.
- You notice signs of infection: redness, swelling, warmth, red streaks, pus, body aches, or fever.
Headaches
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An ache or pain in any area of the head. A headache can present by itself or with other symptoms. Pain can be sharp, throbbing, pressure-like on one or both sides of the head. It may be accompanied by nausea and/or vomiting, light or noise sensitivity. It can develop suddenly or gradually and last from hours to days. Headaches rarely halt daily activities.
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There are several types of headaches, including tension-like, migraine, cluster, sinus, and muscle contraction. Headaches can also be a symptom of other conditions, including but not limited to an upper respiratory infection, stress, dehydration or lack of sleep. Many headaches will improve with self-care. Not all headaches require medical evaluation.
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Treatments for headaches may vary depending of the cause. Recommendations for self-care include:
- Hydration Drink 6-8 glasses of water daily. Avoid excess caffeine and alcohol, which can dehydrate.
- Nutrition Eat well-balanced regularly scheduled meals, especially breakfast.
- Take an over-the-counter pain reliever. Nonprescription products include ibuprofen (Advil, Motrin IB, others), naproxen (Aleve) and acetaminophen (Tylenol, others).
- Get enough sleep. It is recommended to get 7-8 hours of sleep per night.
- Using ice for 10-15 minutes can help relieve a headache.
- Check your posture. Poor posture and prolonged sitting can increase stress to muscles in the back and neck, which can lead to headaches.
- Manage your stress level. Take time for relaxation, mindfulness and exercise.
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Headaches can be cared for at home, but make an appointment if you experience:
- Continued headache despite self-care
- Headaches that awaken you from sleep
- A change in headache pattern
- Other symptoms that concern you
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- Headache plus severe neck pain and stiffness with a fever >100.4°F
- Headache plus severe nausea or vomiting and neurological changes, including difficulty speaking or moving.
- Worsening headache despite self-care
- Recent head injury or head trauma with worsening headache
- Worst headache in one’s life
Influenza
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Influenza, or the flu, is a virus that infects the respiratory system, including your nose, throat and lungs. This is different from “the stomach flu” that causes nausea, vomiting and diarrhea.
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The influenza virus spreads in the form of droplets in the air when someone who is infected coughs or sneezes. You can inhale the virus directly or touch a surface that is infected and transfer it to your face or mouth. People are contagious one day before symptoms develop and for 5-7 days after.
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- Sudden onset
- Fever greater than 100.4 degrees F
- Extreme fatigue
- Generalized muscle aches
- Chills
- Dry cough
- Sore throat
- Nasal congestion or runny nose
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- Get a yearly flu shot!.
- Avoid close contact with those who are sick.
- Wash your hands regularly and thoroughly.
- Don’t share utensils that might spread germs.
- Eat healthy meals and get plenty of sleep.
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- Stay home or in your dorm room for at least 24 hours after your fever is gone except to get medical care. Have a friend get your meals for you.
- If you need to be in a common area or around people, maintain a distance of 6 feet from people (or wear a mask).
- Drink plenty of fluids (such as water, broth, sports drinks) to keep from becoming dehydrated.
- Cover your mouth and nose with your elbow when coughing or sneezing.
- Avoid touching your eyes, nose and mouth. Do not share utensils, water bottles, etc.
- Take medications for symptom relief as needed for fever and pain such as Tylenol (acetaminophen) and/or ibuprofen and cough medicine. CAUTION: Always follow package Instructions.
- Rest!
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- Fever > 103 not responding to medication.
- Difficulty breathing or shortness of breath.
- Pain or pressure in the chest or abdomen
- Sudden dizziness
- Confusion
- Severe or persistent vomiting
- Flu-like symptoms improve but then return with fever and worse cough
Nausea, Vomiting, and Diarrhea
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The symptoms of nausea, vomiting and diarrhea, which is often called “the stomach flu” or gastroenteritis, are often caused by a virus in the intestines. This is different from influenza (the flu), which is a respiratory infection.
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It is usually caused by a coming in contact with a sick person or ingesting contaminated food or water. Symptoms can vary and tend to appear 1-3 days after you are infected. Most symptoms resolve within 48-72 hours, however, some symptoms can linger for up to 10 days. There is no “cure”, so managing symptoms while your body heals is best.
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- Loose and watery stool
- Nausea, vomiting or both
- Abdominal cramping
- Generalized body aches
- Headache
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- Don’t try to eat or drink anything while you are vomiting frequently.
- When your stomach begins to settle, try SIPS of clear liquids only, limit to 4- 8 ounces per hour initially. If you are doing well with sips, try to start drinking larger amounts slowly.
- Examples of clear liquids are: ice, water, soft drinks, tea, Kool-Aid, ice popsicles, sports drinks, Jell-O.
- When you are tolerating fluids well and have not had any vomiting for at least 8 hrs. You can try the BRAT diet: Bananas, Rice, Applesauce and Toast. You can also try plain bagels, saltine crackers and baked potatoes. No cream soups, meats, vegetables or salads.
- When you are doing well on the BRAT diet for at least 24 hrs., gradually begin eating a regular diet. Avoid any dairy products, spicy and fried foods as well as caffeine, alcohol, and nicotine for another day or so.
- Try over-the-counter medications: Bonine or Dramamine Less Drowsy (meclizine 25 mg.) every 6-8 hours as needed for nausea. Pepto Bismol or Immodium AD may be effective for diarrhea. Tylenol is a good choice for fever or aches because it is gentle on the stomach. CAUTION: Always follow package instructions. (Health Service can provide some of these).
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- Unable to keep clear liquids down for >24 Hours.
- Vomiting for more than 2 days.
- Vomiting blood or have bloody diarrhea.
- Fever > 101 F.
- Signs of dehydration: excessive thirst, dizziness, severe weakness, dark yellow or little to no urine.
Nosebleed
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A nosebleed (epistaxis) is the loss of blood from the tissue that lines the inside of your nose.
The location of the nose in the middle of the face and the large number of blood vessels close to the surface in the lining of your nose make it an easy target for injury and nosebleeds.
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The most common cause of nosebleeds is dry air. Dry air can be caused by hot, low-humidity climates or heated indoor air. which cause the nasal membranes to dry out. Other common causes of nosebleeds include:
- Nose picking.
- Colds (upper respiratory infection) that cause repeated sneezing, coughing and nose blowing.
- Blowing your nose with force.
- Inserting an object into your nose.
- Injury to the nose and/or face.
- Allergic and non-allergic rhinitis (inflammation of the nasal lining).
- Blood-thinning drugs (aspirin, NSAIDS)
- Cocaine and other drugs inhaled through the nose.
- Chemical irritants (chemicals in cleaning supplies, chemical fumes at the workplace, other strong odors).
- High altitudes. The air is thinner (lack of oxygen) and drier as the altitude increases.
- Frequent use of nasal sprays and medications to treat itchy, runny or stuffy nose
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- Sit upright and lean your body and your head slightly forward. This will keep the blood from running down your throat, which can cause nausea, vomiting, and diarrhea. (Do NOT lay flat, tilt your head backward or put your head between your legs.)
- Breathe through your mouth.
- Use a tissue or damp washcloth to catch the blood.
- Use your thumb and index finger to pinch together the soft part of your nose. Make sure to pinch the soft part of the nose against the hard bony ridge that forms the bridge of the nose. Squeezing at or above the bony part of the nose will not put pressure where it can help stop the bleeding.
- Keep pinching your nose continuously for at least 5 minutes (timed by clock) before checking if the bleeding has stopped. If your nose is still bleeding, continue squeezing the nose for another 10 minutes.
- If you’d like, apply an ice pack to the bridge of your nose to further help constrict blood vessels (which will slow the bleeding) and provide comfort.
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Call your medical provider immediately or have someone drive you to the nearest emergency room or call 911 if:
- You cannot stop the bleeding after more than 15 to 20 minutes of applying direct pressure on your nose.
- The bleeding is rapid or the blood loss is large (more than a cup).
- You are having difficulty breathing.
- You have vomited because you’ve swallowed a large amount of blood.
- Your nosebleed has followed a blow to your head or serious injury (fall, car accident, smash to your face or nose).
Poison Ivy
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Poison Ivy causes contact dermatitis or an itchy skin rash to those who are sensitive to the oleoresin in the plant. The peak season is in spring when the plants are tender. Poison Ivy can be recognized by the glossy green leaves, which grow in groups of three. It generally grows as a low shrub, but can be a trailing vine. In the Fall the leaves turn orange/red.
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The oleoresin is sticky and easily attaches to the skin, clothing and pets. You can experience poison ivy directly by touching the plant or indirectly by coming in contact with an object that has the oil from the plant on it.
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Rash might include:
- Redness/Itching/Blisters
- Often the rash may look like a straight line. This is because of how the plant brushes against the skin.
- The rash usually develops over 48-72 hours, but can appear at varying times, and it can last 2-3 weeks
- The various timing of the blisters give the appearance of the rash spreading, however, once the oleoresin has been washed off the skin or clothing, it will no longer spread.
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- Wash exposed skin, clothing, and equipment with warm soapy water.
- Use cool water compresses to relieve itch
- Warm salt water compresses (1/2 tsp salt to 1 pint of water) applied four times a day will help dry weeping blisters. Domeboro solution may be helpful too. Use as directed. This is available in drug stores without a prescription.
- Calamine lotion will help dry small blisters and relieve itching.
- Oral antihistamines help relieve itch: Benadryl or Chlor-trimeton, use either as directed on package labeling. Both medications may cause drowsiness and alcohol should be avoided. (use only at bedtime)
- Zyrtec, Claritin, and Allegra are oral antihistamines that do not cause drowsiness in most people, so can be used during the day. (Can be obtained at Health Services)
- Avoid scratching rash as this may lead to infection.
- For extensive involvement, or rash that is near the eyes or genitals, may require a prescription.
Seasonal Allergies
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Allergies occur when your body reacts to a foreign substance. As a part of your immune system response, antibodies are made, which normally helps protect you from illness or infection. However with allergies, your immune system mistakes a substance as harmful, even though it is not. This reaction triggers an inflammatory response on the skin, sinuses or airway.
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- Monitor pollen and mold counts.
- Keep windows and doors shut at home and in your car during allergy season.
- Stay inside midday and during the afternoon, when pollen counts are highest.
- Take a shower, wash your hair and change your clothes after you’ve been working or playing outdoors.
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- Runny nose and nasal congestion
- Watery, itchy, red eyes (allergic conjunctivitis)
- Sneezing
- Cough
- Itchy nose, roof of mouth or throat
- Swollen, blue-colored skin under the eyes (allergic shiners)
- Postnasal drip
- Fatigue
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- Having other allergies or asthma
- Having atopic dermatitis (eczema)
- Having a blood relative (such as a parent or sibling) with allergies or asthma
- Living or working in an environment that constantly exposes you to allergens
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- Avoid allergen; pollen counts are often highest in the morning.
- Try over-the-counter medication: CAUTION: Always follow package instructions.
- Fluticasone propionate (Flonase): helps with nasal inflammation, itchiness and runny nose.
- Antihistamines: Examples include Loratadine (Claritin) and Cetirizine (Zyrtec). They help with itching, sneezing and runny nose by blocking histamine, which is a chemical in the body that causes inflammation and allergic reactions. May cause drowsiness.
- Decongestants: pseudoephedrine (Sudafed). Note: can increase blood pressure, cause insomnia or headache.
Sprains and Strains
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A sprain is an injury that causes a stretch or tear in a ligament. Ligaments are strong bands of tissue that connect bones to a joint.
A strain is a stretch or tear of a muscle or tendon. Tendons are bands of tissue that attach muscles to bones. People often call a strain a “pulled muscle”.
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A twisting or severe stretching of a joint is the usual cause of a sprain. Sprains commonly occur in knee, ankle, and finger joints.
The usual cause of a muscle strain is the forceful stretching of a muscle during physical activity. This might occur when you run, jump, throw or lift a heavy object.
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Sprain
- Swollen, painful joint
- Difficulty moving the injured joint
- Skin of the joint may look red initially and then bruised
Strain
- Burning or popping sensation in the joint at the time of injury
- Pain in the injured muscle at rest or with use
- Area of the injury may be swollen and/or bruised.
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Rest – avoid activities that cause pain
Ice – apply ice packs on the area for 20 to 30 minutes, every 3 to 4 hours for 2 to 3 days until pain and swelling go away.
Compression – wrap an elastic bandage (ACE® wrap) around the injured joint or muscle
Elevation – keep the injured joint or muscle elevated at or above the level of your heart as much as possible. If possible, elevate onto the chair in front of you when seated in class.
An inti-inflammatory medication (ibuprofen) or other pain reliever (acetaminophen) may help reduce pain and swelling after the injury. Always follow package instructions.
Depending on the extent of the injury, you may need to see a healthcare provider to assess the need for a brace, sling, splint, or crutches as well as the need for an X-ray to rule out a fracture or other injury.
Tick Encounters
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Ticks are tiny bugs most likely found in shady, damp, brushy, wooded or grassy areas, including your own back yard.
There are a variety of ticks and not all carry disease or the same diseases.
- The nymph deer tick (aka black-legged tick) are the size of a poppy seed and are most active May through July. They latch on at shoe level and crawl to dark, warm places on the body such as behind the knees, pelvic area, buttock, under breasts, behind ears, and underarms, for example.
- The adult deer ticks are active in late summer and fall and latch on at knee height before crawling up.
- Dog ticks and deer ticks are highly endemic to New England, but the deer tick is most problematic because it can transmit Lyme and other diseases that can make a person quite ill.
- Dog (or wood) ticks can also transmit disease but this is less likely to occur in our region. These latch on similar to adult deer ticks.
- A tick needs to be attached for approximately 24 hours to transmit Lyme disease.
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- When out in high tick areas, cover yourself, tuck pants into socks and use permethrin treated clothing, especially your shoes. Be sure to spray the inside 10 inches of your pant or shorts legs—ticks will die from contact to this substance before they can bite you.
- Make sure your outdoor pets are treated with repellent. You can also spray a dog’s collar and leash (not directly on the animal) with permethrin to reduce exposure. Check them for ticks before entering the home.
- Bug repellents such as Deet or picaridin sprays work well, but only for a short period of time—approximately 6-8 hrs.
- Conduct daily body tick checks—remember if you find a tick attached before 24 hours from time of exposure, risk of disease transmission is low.
- If you find a tick attached to yourself or your pet, remove it with pointy tweezers by grasping as close to the skin as possible and pulling straight up in a slow and steady motion. Avoid squeezing the body of the tick during removal as this could express germs into the skin.
- Save the tick or take a picture for identification. If you remove a tick from your body and are unsure what type of tick it is, take a picture with your phone and send it to TickSpotters.org for a personalized risk assessment and education.
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- Fever or chills
- Headache, muscle or joint aches
- Fatigue
- Rash—often with a bullseye appearance
- Severe headache and neck stiffness
- Heart palpitations
- Dizziness or shortness of breath
- Facial droop, nerve pain
- Mental status change
The information presented here is not intended to be used for the diagnosis of a health problem or as a substitute for consulting a licensed medical professional. When using an Over-the-Counter medication please be sure to follow the package instructions. Contact Health Services if you have any additional questions, concerns or to make an appointment.