Blue Whale Yoga

Sunday, 19 August 2018

A hernia occurs when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall

A hernia commonly develops among your chest and hips. in many instances, it reasons no or only a few signs, although you could observe a swelling or lump to your tummy (stomach) or groin.
The lump can regularly be pushed returned in or disappears whilst you lie down. Coughing or straining may additionally make the lump seem.
kinds of hernia
some of the greater commonplace forms of hernia are defined beneath.
Inguinal hernias
Inguinal hernias occur when fatty tissue or a part of your bowel pokes through into your groin on the top of your internal thigh.
that is the maximum common kind of hernia and it particularly influences guys. it is frequently associated with growing older and repeated pressure on the abdomen.
Femoral hernias
Femoral hernias additionally occur whilst fatty tissue or a part of your bowel pokes via into your groin on the pinnacle of your inner thigh. they're plenty less common than inguinal hernias and generally tend to affect greater girls than men.
Like inguinal hernias, femoral hernias are also associated with getting older and repeated strain on the abdomen.
Umbilical hernias
Umbilical hernias occur whilst fatty tissue or a part of your bowel pokes through your abdomen near your stomach button (navel).
This type of hernia can occur in babies if the outlet inside the abdomen via which the umbilical wire passes would not seal properly after birth. Adults also can be affected, in all likelihood because of repeated stress on the stomach.
Hiatus hernias
Hiatus hernias occur when a part of the belly pushes up into your chest by way of squeezing through a gap inside the diaphragm (the skinny sheet of muscle that separates the chest from the stomach).
This sort of hernia may not have any significant signs, even though it can reason heartburn in a few humans.
it is now not exactly clean what reasons hiatus hernias, however it can be the end result of the diaphragm becoming weak with age or strain at the stomach.
different kinds of hernia
other kinds of hernia that can affect the stomach include:
incisional hernias – where tissue pokes thru a surgical wound for your abdomen that hasn't absolutely healed
epigastric hernias – wherein fatty tissue pokes through your abdomen, between your navel and the lower a part of your breastbone (sternum)
spigelian hernias – wherein a part of your bowel pokes via your stomach on the facet of your stomach muscle, below your navel
diaphragmatic hernias – in which organs to your stomach move into your chest thru a gap inside the diaphragm; this can additionally have an effect on babies if their diaphragm would not expand properly in the womb
muscle hernias – where part of a muscle pokes thru your stomach; in addition they occur in leg muscle tissues because the end result of a sports damage
while to are seeking for scientific recommendation
See your GP in case you assume you have a hernia. they'll refer you to hospital for surgical treatment, if vital.
You have to cross the twist of fate and emergency (A&E) branch of your nearest medical institution without delay when you have a hernia and you increase any of the following signs and symptoms:
surprising, intense ache
trouble passing stools (constipation) or wind
the hernia will become company or soft, or can not be pushed back in
these signs and symptoms could imply that either:
the blood deliver to a segment of organ or tissue trapped inside the hernia has become reduce off (strangulation)
a bit of bowel has entered the hernia and become blocked (obstruction)
A strangulated hernia and obstructed bowel are clinical emergencies and need to be handled as soon as feasible.
Assessing a hernia
Your GP will commonly be able to identify a hernia by using inspecting the affected region.
In a few cases, they will refer you to a close-by clinic for an ultrasound experiment to confirm the diagnosis or check the quantity of the trouble. this is a painless test in which excessive-frequency sound waves are used to create an photo of part of the interior of the body.
as soon as a prognosis has been showed, your GP or medical institution doctor will determine whether or not surgical operation to restore the hernia is important.
quite a number of things will be considered while identifying whether surgery is suitable, along with:
the form of hernia – some styles of hernia are more likely to turn out to be strangulated, or reason a bowel obstruction, than others
the content of your hernia – if the hernia includes a part of your bowel, muscle or other tissue, there can be a danger of strangulation or obstruction
your symptoms and the impact in your every day existence – surgery can be advocated in case your symptoms are extreme or getting worse, or if the hernia is affecting your capacity to carry out your normal sports
your popular health – surgery can be too much of a threat in case your trendy health is bad
even though maximum hernias might not get higher with out surgery, they may not always get worse. In some cases, the risks of surgical operation outweigh the potential benefits.
surgery for a hernia
There are two primary approaches surgery for hernias can be accomplished:
open surgical operation – in which one cut is made to allow the healthcare professional to push the lump back into the abdomen
keyhole (laparoscopic) surgery – that is a much less invasive, but more difficult, technique where numerous smaller cuts are made, permitting the surgeon to use numerous special units to repair the hernia
most people are able to move home the identical day or the day after surgical procedure and make a full recuperation inside some weeks.
if your doctor recommends having surgical procedure, it's important to be aware of the capability dangers, in addition to the possibility of the hernia routine.
ensure you discuss the benefits and dangers of the system along with your general practitioner in element earlier than having the operation.

Hereditary neuropathy with pressure palsies (HNPP)

Hereditary neuropathy with strain palsies (HNPP) is an inherited circumstance that reasons numbness, tingling and muscle weak spot in the limbs.
It influences the peripheral nerves, which join your mind and spinal twine to your muscle tissues and cells that discover touch, pain and temperature.
HNPP can affect both men and women. signs and symptoms usually begin on your teenage years or 20s to 30s, although they can expand in youth or later in existence.
signs and symptoms of HNPP
HNPP maximum usually affects your legs, feet, elbows, wrists or palms.
symptoms can consist of:
numbness, tingling, muscle weak point
pain inside the limbs
loss of sensation within the hand (just like carpal tunnel syndrome)
muscle weakness, making it difficult to boost the front part of the foot (foot drop) or the wrist (wrist drop)
signs and symptoms vary in severity, and an episode can ultimate from numerous minutes to months.
HNPP is not life threatening and the general public have slight signs and symptoms. Many human beings absolutely recover after an episode and don't have similarly signs.
once in a while the affected nerve simplest partially heals, causing lengthy-time period nerve signs and symptoms and muscle problems. but even though this takes place, signs are normally moderate and unlikely to result in a severe disability.
Getting clinical advice
See your GP when you have any signs of HNPP. Your GP will ask about your signs, family history, and may perform a physical examination.
If HNPP is suspected, you may be referred to a neurologist for in addition checks. you may also be offered a genetic check to confirm the diagnosis.
remedy of HNPP
there's no cure for HNPP, however there are things you can do to assist control your situation.
if you begin to enjoy symptoms, try to keep away from:
extended sitting together with your legs crossed
leaning on your elbows, resting the backs of your fingers on a chair, or having a person relaxation to your arm
repetitive movements of your wrists or elbows
it can additionally help to:
make a be aware of what triggers your signs so that you can exchange the way you do certain activities
see an occupational therapist for advice on a way to perform every day activities
shed pounds if you're obese
wear ankle or wrist helps, and protective elbow and knee pads, to save you the nerves getting worse
add a foam bed topper for your mattress to reduce stress for your affected nerves
in case you're laid low with nerve pain, there are medications you can take.
read more approximately medicines for nerve ache.
causes of HNPP
HNPP is just one of many inherited situations that harm the peripheral nerves, inclusive of Charcot-Marie-tooth sickness.
it is due to mutations inside the PMP22 gene, which affect the improvement of myelin, a substance that protects nerve cells.
because the myelin is weak, just the slightest pressure, stretch or repetitive motion at the nerve causes sections of the myelin to be misplaced, leading to muscle weak point (stress palsies).
aid for humans residing with HNNP
when you have HNPP, support is to be had that will help you have the first-rate viable quality of existence.
it would assist to speak with others who've the equal circumstance, or hook up with a charity.
you can locate the subsequent hyperlinks beneficial:
Hereditary spastic paraplegia is a fashionable time period for a set of rare inherited disorders that purpose weak spot and stiffness within the leg muscular tissues. signs progressively worsen over time.
it is also called familial spastic paraparesis or Strümpell-Lorrain syndrome.
it is hard to recognize exactly how many humans have hereditary spastic paraplegia as it's regularly misdiagnosed. it is thought to affect approximately three in every one hundred,000 humans.
symptoms of hereditary spastic paraplegia
The severity and development of signs and symptoms will vary from character to character.
approximately ninety% of humans with hereditary spastic paraplegia have a natural form. Their symptoms are especially restrained to lower limb weak point and involuntary spasms and muscle stiffness (spasticity).
The ultimate 10% have a complex or complex form of the condition. this indicates they have other signs and symptoms further to the muscle weak spot and spasticity. they'll have a wide range of signs and symptoms.
pure hereditary spastic paraplegia
the principle symptoms of pure hereditary spastic paraplegia are:
a slow weakness within the legs
improved muscle tone and stiffness (spasticity)
urinary troubles – which include a feel of urgency even if the bladder is not complete
a loss of sensation inside the ft (once in a while)
children may additionally expand leg stiffness and troubles on foot, which includes stumbling and tripping, specially on uneven ground. that is as it's difficult for them to bend their toes upwards due to having weak hip muscles.
a few humans may additionally in the end need to apply a strolling cane or a wheelchair to assist them get round. Others won't need to apply any kind of mobility device.
complicated hereditary spastic paraplegia
In complicated hereditary spastic paraplegia, additional signs and symptoms may consist of:
nerve damage in the toes or different extremities (peripheral neuropathy)
troubles with stability, co-ordination and speech (ataxia)
eye troubles – including damage to the retina (retinopathy) and damage to the optic nerve (optic neuropathy)
ichthyosis – a condition that reasons significant and continual thick, dry, "fish-scale" skin
studying and developmental issues
hearing loss
speech, breathing or swallowing troubles
What reasons hereditary spastic paraplegia?
most of the people with pure hereditary spastic paraplegia can have inherited a defective gene from one in all their mother and father.
humans with the complex form of the condition will have normally inherited a defective gene from both dad and mom.
The gene abnormality causes the lengthy nerves in the backbone to become worse. those nerves commonly manage muscle tone and movement within the decrease body.
Diagnosing hereditary spastic paraplegia
Hereditary spastic paraplegia is recognized following an intensive clinical examination and the identity of ordinary signs.
different conditions that purpose mobility troubles and muscle stiffness and weak spot, consisting of multiple sclerosis and cerebral palsy, want to be ruled out first.
a number of specialized checks may be used in the course of analysis, inclusive of (MRI scans of the brain and spine, cerebrospinal fluid analysis, nerve conduction assessments and an EMG.
In some instances, genetic testing may also be wished.
Treating hereditary spastic paraplegia
It isn't viable to save you, gradual or opposite hereditary spastic paraplegia, however some of the signs and symptoms can be managed so that every day activities turn out to be less complicated.
for instance:
muscle relaxants such as baclofen, tizandine and botulinum (Botox) injections can be used to help relieve spasticity
ordinary physiotherapy is important for helping improve and preserve muscle power and range of motion
occupational therapy can help the individual carry out their day by day activities extra effortlessly and regain as a lot independence as feasible
ankle-foot orthosis may be worn at the lower leg to assist straighten and manage the ankle and foot and enhance strolling
surgical treatment may on occasion be had to release tendons or shortened muscle tissues
headaches of hereditary spastic paraplegia
feasible complications of hereditary spastic paraplegia include:
shortening and hardening of the calf muscle mass – having ordinary physiotherapy may assist save you this
bloodless feet – this is fairly common and happens because of the deterioration of the nerves within the backbone
intense tiredness (fatigue) – this may be due to the more attempt wished for strolling and the symptoms interrupting sleep
again and knee pain – caused by the muscle weak spot and on foot troubles
pressure and despair
The outlook for humans with hereditary spastic paraplegia varies. some humans are severely affected and want a wheelchair, whilst others have slight signs and do not want to apply a mobility useful resource.
The condition does not typically affect lifestyles expectancy, and most people are capable of lead pretty impartial and lively lives.
national Congenital Anomaly and uncommon sicknesses Registration service
if you or your infant has hereditary spastic paraplegia, your scientific group can also skip statistics approximately you/your infant directly to the country wide Congenital Anomaly and uncommon sicknesses Registration provider (NCARDRS).
The NCARDRS enables scientists identify more powerful methods of treating or stopping uncommon conditions. you may choose out of the sign up at any time.
Charcot-Marie-teeth uk
Hereditary Neuropathy basis
information about you
if you have HNPP, your scientific team will advise the country wide Congenital Anomaly and rare sicknesses Registration service (NCARDRS).
This allows scientists search for better approaches to prevent and deal with this situation. you could choose out of the register at any time.

Herceptin is the brand name of a medicine called trastuzumab

it is used to deal with some types of * breast most cancers, oesophageal cancer and* belly cancer.
How Herceptin works
Herceptin can assist manipulate the increase of cancer cells that comprise excessive quantities of HER2 (human epidermal growth issue receptor 2).
HER2 is located in all human cells. It controls cellular growth and restore.
however high degrees of HER2 are located in some varieties of breast, oesophageal and belly most cancers, which enables the most cancers cells grow and live on.
these are known as HER2 wonderful cancers. about one in five breast and belly cancers are HER2 high-quality.
Herceptin works via blocking off the results of HER2 and inspiring the immune system (the body's herbal defences) to assault and kill the most cancers cells.
whilst Herceptin is used
Herceptin may be used to treat:
early HER2 fantastic breast cancer, following surgical operation and/or radiotherapy and chemotherapy, to lessen the risk of the most cancers coming again
advanced HER2 fine breast cancer that has spread from the breast (metastatic breast cancer), to sluggish the growth of the cancer and growth survival time
advanced HER2 nice stomach cancer that has unfold out of the stomach (metastatic belly most cancers)
superior HER2 nice gastro-oesophageal most cancers, affecting the place where the oesophagus (meals pipe) meets the belly
if you have breast, oesophageal or belly cancer, checks could be done to check if your most cancers is HER2 positive before Herceptin is offered.
How Herceptin is given
Herceptin is given during visits to a medical institution or sanatorium.
it may accept in two methods:
through infusion – in which the medicine is fed slowly into your bloodstream via a drip; the primary treatment normally takes about 90 mins and in addition remedies take approximately half-hour
by subcutaneous injection – an injection under the skin of the thigh that takes a few minutes (this can simplest be used for breast cancer)
the first time you have Herceptin you'll want to stay in sanatorium for around six hours so that you can be monitored for any facet results. further remedy periods commonly only require up to two hours in hospital.
if you have breast most cancers, you'll have remedy each one or 3 weeks. stomach and oesophageal cancer is generally treated once each three weeks.
Early-level breast most cancers would require remedy for a year. For breast, oesophageal or belly cancer that has unfold, remedy is used for as lengthy as it helps.
facet results of Herceptin
Herceptin often causes side results, although a lot of these becomes much less intense through the years.
the following facet results have an effect on round 1 in 10 humans:
a response to the medicine – this could cause chills, a high temperature, swelling of the face and lips, headache, hot flushes, feeling ill, wheezing and breathlessness
tiredness and trouble snoozing (insomnia)
diarrhoea or constipation
a low number of contamination-fighting white blood cells, which increases your danger of infections
loss of urge for food and weight loss
ache in your muscle groups, joints, chest or tummy
a runny nostril
sore, red eyes (conjunctivitis) or watery eyes
shaking (tremors)
a cough
increased or reduced blood strain
coronary heart troubles – you will have ordinary exams to test for this (see below)
Your physician or care group can be able to offer a full list of feasible aspect effects. go to cancer research uk for greater records approximately the facet results of Herceptin.
tell your medical doctor in case you revel in difficult aspect consequences, as there can be medicines available to deal with them.
coronary heart monitoring on Herceptin
coronary heart troubles can now and again develop whilst you are on Herceptin and they may be critical.
earlier than remedy starts offevolved, you may have a check to see how well your heart is operating – as an example, an ultrasound scan of your coronary heart (echocardiogram) or a multi-gated acquisition (MUGA) test.
Your coronary heart may also be frequently checked at some point of remedy.
it is important to tell your medical doctor in case you get any of the subsequent signs of a coronary heart hassle while on Herceptin:
shortness of breath in the course of the day or night time
swollen ankles
in case you broaden a trouble together with your coronary heart in the course of treatment, it's going to usually improve when you have a brief ruin from Herceptin.
Who may not be capable of have Herceptin
Herceptin shouldn't be used to treat people with breast, oesophageal or belly cancer that isn't always HER2 effective.
it may additionally not be appropriate if:
you've got a pre-present heart condition, inclusive of heart failure, severe angina or a hassle with the heart valves
you have poorly managed high blood pressure (hypertension)
you're pregnant
you are breastfeeding
avoid turning into pregnant even as taking Herceptin and for as a minimum seven months after remedy stops, as it is able to damage a growing toddler.
additionally avoid breastfeeding till at least seven months after treatment stops, as the medication can get into breast milk and can be dangerous for infants.
Hereditary haemorrhagic telangiectasia (HHT) is an inherited genetic disease that influences the blood vessels. it's known as Osler-Weber-Rendu syndrome.
humans with HHT have a few blood vessels which have not advanced properly and occasionally reason bleeding, referred to as arteriovenous malformations (AVMs).
when AVMs form within the lining of the nose or the gut, they are able to effortlessly bleed. common bleeding can result in anaemia and on occasion greater serious problems.
signs and symptoms of HHT
the standard signs and symptoms of HHT consist of:
everyday nosebleeds
visible crimson spots in positive places at the body
signs and symptoms commonly begin in adolescence or in the teenage years, however can begin at any age.
See your GP if you have these signs and symptoms on the way to check out the cause.
Nosebleeds are regularly the first signal of HHT. they will be frequent and chronic, however can enhance with age.
They manifest due to the odd blood vessels inside the lining of the nose.
The loss of blood can result in iron-deficiency anaemia, if the iron is not changed thru the weight-reduction plan and with iron supplements.
purple or crimson spots under the skin (telangiectasia)
abnormal blood vessels (telangiectasia) can also seem simply beneath the skin, which show as red or crimson spots.
those often begin to appear when between the a while of 20 and 30 and also you usually increase extra as you get older.
Telangiectasia commonly shape at the fingertip pads, the lips, and the liner of the nostril or the gut. once in a while, they are able to shape on the ears and face.
odd blood vessels (AVMs) in the frame
AVMs can shape in the body organs and tissues. Many humans with AVMs inside the body may not have any symptoms.
but, AVMs inside the lungs can result in low blood oxygen stages and AVMs in the mind can purpose seizures or complications.
If AVMs within the frame bleed, this may boom the risk of a stroke.
read approximately treating AVMs within the body.
reasons of HHT
human beings with HHT have a defective gene, which is commonly inherited from one in every of their parents.
This gene generally provides instructions for making sure proteins found inside the lining of the blood vessels. In HHT, the gene cannot produce this protein, or the protein it produces is ordinary.
You only need to have one copy of the defective gene to broaden HHT.
treatment for HHT
there is no therapy for HHT, however there are powerful remedies and life expectancy is typically very good.
a few humans can be dealt with via their GP and others want to be under the care of a specialist.
There are multiplied dangers for the duration of pregnancy for girls with HHT, which includes a mild elevated hazard of a main bleed or a stroke. inform your midwife or GP if you have HHT on your family and also you emerge as pregnant.
Iron dietary supplements
when you have everyday nosebleeds you'll in all likelihood lose plenty of iron through this loss of blood, in particular if you also bleed from telangiectasia in the intestine.
it's essential to update the misplaced iron with iron supplements. dietary adjustments by myself might not be sufficient.
study about:
the importance of iron
how anaemia is dealt with with iron dietary supplements and iron-rich meals
remedy of nosebleeds
humans with intense nosebleeds may also need emergency nasal packing, where the nostril is full of ribbon gauze or a unique nasal sponge.
read about how nosebleeds are dealt with.
some people may also need to look an ear, nostril and throat expert for remedy. Laser therapy may also help.
extra extreme cases may be treated with skin grafting or other surgery.
Blood transfusion after lack of blood
If numerous blood has been misplaced from bleeding within the frame or after nosebleeds, a blood transfusion can be wished.
examine about blood transfusions.
Laser treatment for telangiectasia
Telangiectasia on the skin or in the lining of the nose can from time to time be progressed with vascular laser or extreme pulsed mild (IPL) remedy:
for the skin, you'll usually want a referral to a dermatologist - this could be expensive if treatment isn't always to be had at the NHS as two to 4 treatments a 12 months may be necessary
for the nostril, you may need a referral to an ear, nose and throat (ENT) specialist - these treatments are typically to be had at the NHS
Laser and IPL machines produce slender beams of light aimed at the seen blood vessels within the pores and skin. the warmth from the lasers makes the veins decrease so they are not seen. This must go away minimal scarring or damage to the surrounding location.
Laser treatment may be uncomfortable, but most of the people do not want neighborhood anaesthetic.
Treating AVMs inside the frame
AVMs in the frame might also require professional treatment. Your HHT expert will explain any tactics to you in more element.
as an example, AVMs within the lung are typically treated, despite the fact that they're now not inflicting any obvious troubles. they are treated by using embolisation, a manner that blocks the blood supply to the AVM. A tiny plug is inserted within the artery offering the abnormal blood vessel.
Embolisation is favored to open surgical procedure and is normally performed under sedation (which facilitates relax you all through the technique).
For brain AVMs, embolisation, surgery and stereotactic radiotherapy (precisely turning in radiation to the blood vessel) are feasible treatment alternatives. Liver AVMs may additionally require exclusive sorts of specialist remedies.
but, these remedies are not continually suitable. Your specialist will give an explanation for why many AVMs, consisting of the ones within the liver and in the mind, can be better left on my own. The dangers of remedies might also outweigh the capability advantages.
records approximately you
when you have HHT, your scientific crew may also skip information approximately you on to the national Congenital Anomaly and rare disease Registration carrier (NCARDRS).
This allows scientists search for better approaches to save you and deal with this condition. you can opt out of the sign in at any time.

Hepatitis C is a virus that can infect the liver

If left untreated, it could every so often cause serious and potentially existence-threatening damage to the liver over a few years.
however, with cutting-edge remedies it's generally viable to treatment the infection, and the general public with it'll have a ordinary existence expectancy.
it's estimated around 215,000 human beings within the uk have hepatitis C.
you can turn out to be infected with it in case you come into touch with the blood of an inflamed man or woman.
signs and symptoms of hepatitis C
Hepatitis C regularly does not have any considerable symptoms till the liver has been significantly broken. this means many human beings have the infection with out realising it.
whilst signs and symptoms do arise, they can be flawed for another circumstance. signs can encompass:
flu-like signs, along with muscle aches and a high temperature (fever)
feeling worn-out all the time
lack of appetite
tummy (stomach) pain
feeling and being unwell
The only way to understand for sure if those signs and symptoms are caused by hepatitis C is to get examined.
examine extra about the signs of hepatitis C.
How do you get hepatitis C?
The hepatitis C virus is usually unfold through blood-to-blood contact.
some ways the contamination can be spread encompass:
sharing unsterilised needles – specially needles used to inject leisure drugs
sharing razors or toothbrushes
from a pregnant female to her unborn baby
thru unprotected sex – although that is very rare
in the united kingdom, most hepatitis C infections occur in people who inject drugs or have injected them inside the beyond. it's predicted around half of of individuals who inject tablets have the contamination.
examine extra approximately the reasons of hepatitis C.
Getting examined for hepatitis C
are trying to find clinical recommendation if you have continual symptoms of hepatitis C or there may be a hazard you are infected, even though you have no signs and symptoms. A blood test may be carried out to see if you have the infection.
Your neighborhood GP, sexual fitness sanatorium, genitourinary medication (GUM) health center or drug remedy carrier all provide trying out for hepatitis C.
Early prognosis and remedy can assist prevent or restrict any harm on your liver, as well as assist ensure the contamination isn't exceeded on to different humans.
examine extra about checking out for hepatitis C.
treatments for hepatitis C
Hepatitis C may be handled with drug treatments that forestall the virus multiplying inside the frame. those commonly want to be taken for numerous weeks.
until currently, most of the people could have taken major medicinal drugs referred to as pegylated interferon (a weekly injection) and ribavirin (a tablet or pill). pill-handiest remedies at the moment are available.
these new hepatitis C medicinal drugs were determined to make treatment greater effective, are simpler to tolerate, and have shorter remedy publications.
They include simeprevir, sofosbuvir and daclatasvir. using the brand new medicines, greater than 90% of people with hepatitis C may be cured.
however, it's vital to be conscious which you may not be resistant to the infection and need to take steps to reduce your danger of turning into infected again.
examine more approximately treating hepatitis C and living with hepatitis C.
headaches of hepatitis C
If the contamination is left untreated for many years, some people with hepatitis C will expand scarring of the liver (cirrhosis). over the years, this will motive the liver to stop working properly.
In excessive instances, lifestyles-threatening troubles including liver failure – in which the liver loses most or all of its features – or liver cancer can sooner or later develop.
Treating hepatitis C as early as possible can help lessen the threat of these problems happening.
examine greater about the headaches of hepatitis C.
stopping hepatitis C
there's no vaccine for hepatitis C, however there are methods to reduce your chance of turning into infected.
these consist of:
no longer sharing any drug-injecting system with different people – including needles and other gadget which includes syringes, spoons and filters
no longer sharing razors or toothbrushes that might be infected with blood
The chance of getting hepatitis C thru intercourse could be very low. but, it may be better if blood is gift, which includes menstrual blood or from minor bleeding at some stage in anal intercourse.
Condoms are not generally vital to prevent hepatitis C for lengthy-time period heterosexual couples, but it's an amazing idea to use them when having anal intercourse or intercourse with a new associate.
herbal medicines are those with active ingredients made from plant elements, inclusive of leaves, roots or flora. however being 'natural' does not always imply they're secure so one can take.
herbal drugs, similar to conventional medicines, will have an impact at the body and can be probably dangerous if now not used effectively.
They must therefore be used with the equal care and appreciate as conventional drugs.
in case you're consulting your health practitioner or pharmacist about fitness matters, or are approximately to undergo surgery, always inform them about any natural drugs you're taking.
capability issues with natural drug treatments
if you're taking or plan to take any natural medicines, be aware of the following:
they will cause troubles in case you're taking other drugs. they could result in reduced or more desirable consequences of the drugs(s), along with capacity facet consequences.
you may enjoy a bad reaction or facet effects after taking a herbal medicine.
now not all herbal medicines are regulated. treatments in particular organized for individuals do not need a licence and those manufactured out of doors the UK may not be concern to regulation.
proof for the effectiveness of natural drugs is generally very confined. even though a few people locate them helpful, in many instances their use has a tendency to be primarily based on conventional use as opposed to medical research.
positive organizations of human beings must be specifically cautious of taking natural medicines.
Who should keep away from herbal medicines?
Taking a natural remedy might not be suitable for:
people taking other medicines
humans with extreme health conditions, which includes liver or kidney ailment
human beings because of have surgical treatment
pregnant or breastfeeding girls
the elderly
children – as with as with any drugs, natural drug treatments ought to be saved out of sight and reach of kids
communicate for your doctor or pharmacist for recommendation before trying a herbal medicine if you fall into this sort of agencies.
herbal drug treatments and surgical procedure
it's important to tell your physician in case you take any natural drug treatments before undergoing surgery.
that is because:
some herbal medicines might intervene with anaesthesia and other medicines used before, all through or after techniques
some natural drug treatments may also intervene with blood clotting and blood strain, which may growth the hazard of bleeding throughout or after surgical operation
Your physician might also therefore suggest you to stop taking any herbal medicines at some stage in the weeks main up to your operation.
What to look for while shopping for a herbal medication
if you want to attempt a herbal remedy, look out for a traditional herbal registration (THR) marking at the product packaging.
this indicates the medication complies with exceptional requirements referring to safety and manufacturing, and it presents facts about how and whilst to use it.
however you need to be aware that:
THR products are supposed for conditions that may be self-medicated and don't require medical supervision, including coughs, colds or widespread aches and pains
the use of THR products for extra critical conditions can be dangerous, specifically in case you postpone in search of medical advice
claims made for THR products are based on conventional usage and no longer on evidence of the product's effectiveness
a THR mark would not imply the product is completely safe for anyone to take
you could discover THR-registered merchandise in your local health keep, pharmacy or grocery store.
dangers of buying natural medicines on-line or via mail order
The risks of acquiring faux, substandard, unlicensed or infected drug treatments are multiplied through buying drugs online or by using mail order.
Unlicensed herbal drug treatments synthetic outside the UK might not be problem to regulation. they'll be copies of licensed drug treatments, but made in unlicensed factories with out a best manipulate.
a few web sites might also look like legitimate, but are fronted by way of bogus doctors or pharmacists.
herbal products sold on-line may additionally include banned components and toxic materials. you can find a listing of banned and restrained herbal substances at the website.
natural slimming merchandise and sexual fitness products, as an example, are quality averted because they have been found to comprise risky elements, including pharmaceutical ingredients, which are not stated at the label.
Reporting facet consequences
you could record any side impact or damaging reaction to a herbal medicinal drug using the Yellow Card Scheme run with the aid of the drugs and Healthcare products Regulatory enterprise (MHRA).
this will assist the MHRA become aware of new side effects or risks related to drugs, together with herbal remedies.
You must document unfavorable reactions or side results if:
you think the aspect effect or adverse response become because of a conventional medicine or natural medicinal drug you had been taking
the side impact happens whilst you are taking a couple of medicinal drug or natural medicinal drug
it is crucial to consist of as a lot element as feasible, particularly any logo call or producer's info referring to the natural medicinal drug.
within the beyond, Yellow Card reports had been used to pick out interactions among St John's wort and different drugs, and to highlight using dangerous materials like mercury, lead and arsenic in unlicensed Ayurvedic and conventional chinese language medicines.

Hepatitis A is a liver infection caused by a virus

this is unfold within the poo of an infected character.
it's uncommon inside the uk, however positive businesses are at multiplied risk. This consists of travelers to elements of the sector with terrible stages of sanitation, guys who've intercourse with guys, and people who inject drugs.
Hepatitis A can be unsightly, but it's now not normally serious and most of the people make a full recovery inside more than one months.
some people, especially young kids, won't have any signs. however hepatitis A can every now and then closing for plenty months and, in uncommon cases, it can be existence-threatening if it reasons the liver to stop running well (liver failure).
A hepatitis A vaccine is available for people at a high risk of infection.
signs and symptoms of hepatitis A
The signs and symptoms of hepatitis A broaden, on common, around 4 weeks after turning into inflamed, although now not everybody will experience them.
signs and symptoms can encompass:
feeling tired and normally unwell
joint and muscle pain
a high temperature (fever)
lack of appetite
feeling or being ill
ache in the upper-right a part of your tummy
yellowing of the pores and skin and eyes (jaundice)
dark urine and light stools
itchy pores and skin
The signs will normally pass inside more than one months.
examine extra about signs of hepatitis A.
whilst to get medical advice
See your GP for advice if:
you've got signs and symptoms of hepatitis A – a blood take a look at can usually confirm whether you have the infection
you might were uncovered to the hepatitis an epidemic lately but you don't have any symptoms – treatment given early on may be capable of prevent the contamination developing
you observed you might want the hepatitis A vaccine – your GP can endorse you about whether you have to have the vaccine (see underneath)
even though hepatitis A isn't always usually severe, it's critical to get a proper analysis to rule out greater extreme conditions with comparable signs and symptoms, which include hepatitis C or cirrhosis (scarring of the liver).
it can additionally be important to test your buddies, family and any sexual companions, in case you've spread the contamination to them.
How you could get hepatitis A
Hepatitis A is maximum sizeable in parts of the world where standards of sanitation and meals hygiene are commonly bad, which includes components of Africa, the Indian subcontinent, the some distance East, the middle East, and central and South the united states.
you may get the infection from:
consuming meals organized by someone with the contamination who hasn't washed their arms well or washed them in water infected with sewage
consuming infected water (together with ice cubes)
consuming uncooked or undercooked shellfish from contaminated water
close touch with someone who has hepatitis A
less normally, having intercourse with a person who has the infection (this is specifically a chance for guys who've intercourse with men) or injecting drugs the usage of infected system
someone with hepatitis A is most infectious from round weeks earlier than their signs and symptoms seem till approximately a week after the symptoms first increase.
examine greater approximately the reasons of hepatitis A.
Vaccination against hepatitis A
Vaccination against hepatitis A isn't robotically presented within the uk because the chance of contamination is low for the majority.
it is simplest recommended for people at an elevated chance, along with:
near contacts of someone with hepatitis A
human beings making plans to tour to or stay in components of the arena in which hepatitis A is sizeable, in particular if tiers of sanitation and food hygiene are predicted to be poor
humans with any form of long-term (chronic) liver ailment
guys who have sex with other men
folks who inject illegal capsules
individuals who can be exposed to hepatitis A thru their task – this includes sewage employees, team of workers of institutions where degrees of private hygiene can be poor (which includes a homeless shelter) and people working with monkeys, apes and gorillas
The hepatitis A vaccine is commonly available without cost on the NHS for every body who desires it.
study extra approximately the hepatitis A vaccine.
remedies for hepatitis A
there's currently no cure for hepatitis A, but it'll commonly bypass on its very own inside a couple of months. you could generally appearance after yourself at domestic.
even as you're ill, it's a good idea to:
get masses of relaxation
take painkillers which includes paracetamol or ibuprofen for any aches and pains – ask your GP for advice approximately this, as you may want to take decrease doses than everyday or avoid positive medications till you've got recovered
hold a groovy, nicely-ventilated surroundings, put on loose garb, and keep away from warm baths or showers to lessen any itching
consume smaller, lighter meals to assist lessen nausea and vomiting
avoid alcohol to reduce the stress on your liver
stay off work or faculty and keep away from having sex till at the least per week after your jaundice or different signs and symptoms began
preparation precise hygiene measures, along with washing your arms with soap and water regularly
talk to your GP if your signs are particularly difficult or have not started out to improve within more than one months. they can prescribe medicines to help with itchiness, nausea or vomiting, if vital.
read greater approximately treating hepatitis A.
Outlook for hepatitis AHepatitis B is an infection of the liver resulting from a deadly disease this is unfold thru blood and body fluids.
It regularly doesn't reason any obvious signs and symptoms in adults and usually passes in a few months with out treatment. but in kids, it often persists for years and can eventually purpose extreme liver damage.
Hepatitis B is less commonplace within the united kingdom than other elements of the sector, however positive agencies are at an elevated chance. This consists of people initially from high-threat nations, individuals who inject drugs and people who've unprotected sex with more than one sexual companions.
A hepatitis B vaccine is to be had for human beings at excessive danger of the situation.
signs of hepatitis B
Many people with hepatitis B won't experience any signs and can fight off the virus with out realising they had it.
If signs and symptoms do increase, they tend to occur or 3 months after publicity to the hepatitis B virus.
symptoms of hepatitis B include:
flu-like signs and symptoms, together with tiredness, a fever, and general aches and pains
lack of urge for food
feeling and being ill
tummy (stomach) pain
yellowing of the skin and eyes (jaundice)
these signs and symptoms will normally pass within one to three months (acute hepatitis B), even though every now and then the infection can final for six months or more (persistent hepatitis B).
when to get scientific advice
Hepatitis B can be serious, so you should get medical recommendation if:
you watched you may had been uncovered to the hepatitis B virus – emergency treatment can assist prevent infection if given within some days of exposure
you have symptoms associated with hepatitis B
you are at a high risk of hepatitis B – excessive-danger corporations consist of people born in a rustic in which the contamination is commonplace, infants born to moms infected with hepatitis B, and people who have ever injected capsules
you can visit your nearby GP surgical treatment, drug carrier, genitourinary medication (GUM) hospital or sexual fitness sanatorium for help and recommendation.
A blood check can be done to test when you have hepatitis B or have had it within the beyond. The hepatitis B vaccine will also be advocated to lessen your hazard of contamination.
treatments for hepatitis B
remedy for hepatitis B relies upon on how lengthy you have been inflamed for:
if you've been uncovered to the virus in the beyond few days, emergency remedy can help forestall you becoming inflamed.
if you've simplest had the infection for a few weeks or months (acute hepatitis B), you may only want treatment to relieve your signs even as your body fights off the infection.
in case you've had the contamination for greater than six months (continual hepatitis B), you'll be presented remedy with drugs which can preserve the virus under manage and reduce the risk of liver harm.
chronic hepatitis B frequently calls for long-term or lifelong remedy and normal monitoring to check for any in addition liver problems.
How hepatitis B is spread
The hepatitis B virus is found within the blood and bodily fluids, inclusive of semen and vaginal fluids, of an inflamed character.
it is able to be spread:
from a mom to her newborn toddler, particularly in countries where the infection is not unusual – study greater about hepatitis B in pregnancy
within families (infant to child) in countries where the contamination is commonplace
by means of injecting tablets and sharing needles and other drug device, including spoons and filters
by way of having sex with an infected person with out the usage of a condom
by having a tattoo, frame piercing, or medical or dental remedy in an unhygienic surroundings with unsterilised gadget
via sharing toothbrushes or razors infected with inflamed blood
Hepatitis B isn't unfold by using kissing, retaining hands, hugging, coughing, sneezing, or sharing crockery and utensils.
stopping hepatitis B
A vaccine that offers protection against hepatitis B is available for all babies born within the united kingdom on or after August 1 2017. it's also available for humans at excessive chance of the infection or headaches from it.
This consists of:
infants born to hepatitis B-infected moms
near own family and sexual partners of someone with hepatitis B
humans travelling to a part of the world wherein hepatitis B is sizable, which include sub-Saharan Africa, east and southeast Asia, and the Pacific Islands
families adopting or fostering children from excessive-danger countries
folks who inject tablets or have a sexual accomplice who injects drugs
individuals who alternate their sexual partner regularly
men who've sex with guys
male and female intercourse people
those who work somewhere that places them vulnerable to touch with blood or frame fluids, along with nurses, prison personnel, medical doctors, dentists and laboratory workforce
humans with continual liver sickness
humans with persistent kidney ailment
human beings receiving regular blood or blood merchandise, and their carers
The hepatitis B vaccine is given to babies as part of the ordinary infant vaccination time table and to folks who are at high threat of growing the contamination.
You do no longer want to pay for the vaccine if your infant is eligible to get hold of it as a part of the habitual infant vaccination time table or if born to a hepatitis B-infected mom. Others may additionally ought to pay for it.
examine extra approximately hepatitis B vaccination.
Outlook for hepatitis B
The sizable majority of people infected with hepatitis B in maturity are able to combat off the virus and fully get better within one to three months. most will then be proof against the infection for existence.
babies and youngsters with hepatitis B are more likely to increase a chronic infection. continual hepatitis B influences round:
90% of toddlers with hepatitis B
20% of older children with hepatitis B
5% of adults with hepatitis B
For the majority, hepatitis A will pass within two months and there can be no lengthy-term results. once it passes, you normally increase existence-long immunity against the virus.
For round 1 in every 7 humans with the infection, the signs may come and go for up to six months earlier than finally passing.
existence-threatening headaches along with liver failure are uncommon, affecting much less than 1 in every 250 human beings with hepatitis A. people maximum at hazard include people with pre-current liver problems and aged people.

Henoch-Schönlein purpura (HSP)

reasons a spotty rash. it is not generally critical, however can every so often lead to kidney issues.
take a look at in case you or your baby has HSP
the main symptom of HSP is a rash of raised crimson or crimson spots. The spots appear like small bruises or blood spots.
Spotty rash on legs
The rash normally appears on the legs or bottom
purple spots on legs
There may be plenty of spots or only a few
Spotty rash on backside
you can additionally have pain to your knees, ankles or tummy
Ask for an pressing GP appointment if:
you or your baby have a rash that does not fade whilst a glass is pressed in opposition to it (glass take a look at) – but you don't feel unwell
this will be HSP.
name 999 or visit A&E if:
a rash doesn't fade whilst a tumbler is pressed towards it and you experience very ill – as an example, it's painful to have a look at shiny lighting or you've got a stiff neck
this may be something critical like meningitis.
See what a rash that does not fade looks as if
a way to do the glass check
Press the side of a clean glass firmly in opposition to the pores and skin.
take a look at a few instances to peer if you may nevertheless see the spots thru the glass.
The rash may be tough to see on darkish pores and skin. take a look at paler regions like the hands of the arms and the soles of the feet.
What happens if you have HSP
there's no treatment for HSP. It typically passes in some weeks and you may generally simply relaxation at home till you experience higher.
HSP cannot unfold to others, so:
your toddler can go back to highschool or nursery once they sense properly sufficient
you could move returned to work as quickly as you sense up to it
treatment to alleviate your symptoms
Paracetamol can help ease any ache.
do not take ibuprofen with out talking for your physician due to the fact it can harm your kidneys.
normal take a look at-u.s.for kidney issues
you will have regular test-united statesfor 6 to 12 months to test how well your kidneys are running.
you may usually be requested to offer a sample of pee and feature your blood stress checked at each appointment. this will be finished at home, at your GP surgical procedure, or in health facility.
remedy in health center
you could need to enter health center if HSP affects your kidneys.
In medical institution, you'll be given strong medicines like steroids to help ease your signs and symptoms.
lengthy-lasting consequences of HSPHepatitis is the term used to describe irritation of the liver. it is normally the result of a viral infection or liver damage as a result of drinking alcohol.
There are several one-of-a-kind varieties of hepatitis, maximum of which are outlined below.
a few sorts will bypass with none serious problems, even as others may be long-lasting (persistent) and purpose scarring of the liver (cirrhosis), loss of liver function and, in a few instances, liver cancer.
symptoms of hepatitis
brief-term (acute) hepatitis often has no substantial signs, so that you won't realize you have it.
If signs do develop, they are able to consist of:
muscle and joint pain
a high temperature (fever) of 38C (100.4F) or above
feeling and being sick
feeling unusually tired all of the time
a preferred sense of feeling unwell
loss of appetite
belly (tummy) pain
dark urine
faded, gray-colored poo
itchy pores and skin
yellowing of the eyes and pores and skin (jaundice)
See your GP when you have any chronic or difficult signs which you think might be due to hepatitis.
lengthy-time period (continual) hepatitis additionally won't have any obvious symptoms till the liver stops operating nicely (liver failure) and might best be picked up during blood assessments.
inside the later ranges it is able to cause jaundice, swelling inside the legs, ankles and toes, confusion, and blood on your stools or vomit.
Hepatitis A
Hepatitis A is resulting from the hepatitis an endemic. it's generally caught by using eating food and drinks contaminated with the poo of an infected individual and is maximum commonplace in nations wherein sanitation is terrible.
Hepatitis A normally passes within a few months, despite the fact that it could now and again be intense and even life-threatening. there's no precise treatment for it, apart from to relieve signs together with ache, nausea and itching.
Vaccination in opposition to hepatitis A is usually recommended if:
you are at high risk of infection or excessive effects of infection
you're travelling to a place where the virus is not unusual , consisting of the Indian subcontinent, Africa, important and South the usa, the far East and japanese Europe.
examine greater approximately hepatitis A.
Hepatitis B
Hepatitis B is caused by the hepatitis B virus, which is spread in the blood of an infected individual.
it's a commonplace infection international and is usually unfold from inflamed pregnant women to their infants, or from baby-to-child touch. In uncommon cases, it could be unfold via unprotected intercourse and injecting capsules.
Hepatitis B is unusual within the united kingdom and most cases have an effect on people who became inflamed even as developing up in part of the world where the infection is greater commonplace, along with Southeast Asia and sub-Saharan Africa.
maximum adults infected with hepatitis B are capable of fight off the virus and absolutely recover from the contamination within more than one months.
but, most of the people infected as kids increase a protracted-time period contamination. this is referred to as persistent hepatitis B and it can result in cirrhosis and liver most cancers. Antiviral medicinal drug may be used to deal with it.
inside the united kingdom, vaccination in opposition to hepatitis B is recommended for human beings in high-risk corporations, which include healthcare workers, folks who inject drugs, men who have intercourse with men, children born to mothers with hepatitis B, and people traveling to elements of the arena in which the contamination is more commonplace.
In 2017, hepatitis B vaccine was brought to the recurring immunisation programme so that each one youngsters can gain from protection from this virus.
examine extra about hepatitis B.
Hepatitis C
Hepatitis C is resulting from the hepatitis C virus and is the maximum commonplace kind of viral hepatitis within the united kingdom. it is typically unfold thru blood-to-blood contact with an inflamed man or woman.
within the united kingdom, it's most normally unfold via sharing needles used to inject tablets. bad healthcare practices and hazardous scientific injections are the principle manner it’s unfold outside the United Kingdom.
Hepatitis C often causes no substantive signs, or best flu-like signs, so many humans are unaware they're infected.
round one in 4 humans will fight off the infection and be free of the virus. inside the ultimate instances, it will stay within the frame for many years. this is called persistent hepatitis C and may cause cirrhosis and liver failure.
chronic hepatitis C can be handled with very effective antiviral medicines, however there is presently no vaccine to be had.
study more about hepatitis C.
Hepatitis D
Hepatitis D is because of the hepatitis D virus. It handiest affects individuals who are already infected with hepatitis B, as it needs the hepatitis B virus as a way to survive in the body.
Hepatitis D is commonly spread via blood-to-blood touch or sexual touch. it's uncommon inside the united kingdom, but is greater huge in other elements of Europe, the center East, Africa and South the usa.
long-term infection with hepatitis D and hepatitis B can increase your chance of growing serious problems, including cirrhosis and liver cancer.
there may be no vaccine specifically for hepatitis D, but the hepatitis B vaccine (see above) can assist protect you from it.
Hepatitis E
Hepatitis E is because of the hepatitis E virus. The number of instances in Europe has increased in latest years and it is now the maximum commonplace motive of brief-time period (acute) hepatitis within the united kingdom.
The virus has been mainly associated with the consumption of raw or undercooked red meat meat or offal, however additionally with the wild boar meat, venison and shellfish.
Hepatitis E is normally a slight and brief-term infection that doesn't require any remedy, but it may be extreme in some humans, inclusive of the ones who've a weakened immune device.
there's no vaccine for hepatitis E. when travelling to parts of the arena with terrible sanitation, in which epidemic hepatitis E may be not unusual, you could reduce your risk by way of practicing top meals and water hygiene measures.
The British Liver agree with has greater information about hepatitis E.
Alcoholic hepatitis
Alcoholic hepatitis is a sort of hepatitis because of ingesting excessive quantities of alcohol over a few years.
The circumstance is not unusual in the uk and many people do not comprehend they've it as it would not typically reason any signs, although it is able to reason sudden jaundice and liver failure in a few human beings.
stopping drinking will commonly allow your liver to get better, however in case you retain to drink alcohol excessively, there is a hazard you could finally increase cirrhosis, liver failure or liver cancer.
you may lessen your hazard of developing alcoholic hepatitis through controlling how tons you drink. it is encouraged that you don't frequently drink greater than 14 units of alcohol every week.
examine more about alcohol-related liver ailment and the health dangers associated with alcohol.
Autoimmune hepatitis
Autoimmune hepatitis is an extraordinary motive of long-time period hepatitis wherein the immune machine attacks and damages the liver.
ultimately, the liver can come to be so broken that it stops operating properly.
remedy for autoimmune hepatitis involves very powerful drugs that suppress the immune system and decrease inflammation.
it is now not clean what causes autoimmune hepatitis and it is now not acknowledged whether or not anything may be executed to save you it.
most of the people with HSP make a full healing. Any kidney problems commonly get higher with out treatment.
however once in a while HSP can be extreme and final several months, in particular in adults.
there's additionally a small hazard the kidneys can be completely damaged (chronic kidney disease). that is why it is vital to have regular test-ups

You can ease most heel pain yourself at home

If it doesn't go away, see a GP.

How you can ease heel pain yourself
Try these things:

take ibuprofen or paracetamol
put an ice pack (or bag of frozen peas) in a towel under the heel for up to 20 minutes every 2 to 3 hours
wear shoes with a medium heel (2 to 3cm) – both men and women
gentle stretching exercises
try heel pads
put weight on the foot – avoid walking or standing for long periods
go barefoot or wear flat shoes
See a GP if:
you see no improvement after treating at home
the pain gets worse
you're finding it difficult to walk
What happens at your appointment
A GP will examine you to work out what's causing your heel pain.

Most heel pain is caused by plantar fasciitis. This is when the ligament that runs from under the heel along the sole of the foot becomes swollen over time.

Referral to a foot specialist
Your GP might refer you to a foot specialist (podiatrist or chiropodist) or a physiotherapist who can recommend things like exercises and the right shoes to wear.

NHS physiotherapy and podiatry may not be available everywhere and waiting times can be long.

You can also pay to see a podiatrist or physiotherapist privately.

Find a registered podiatrist

Find a registered physiotherapist

Go to a minor injuries unit or A&E if you have:
severe pain after an injury
your foot is a funny shape
a snap, grinding or popping noise at the time of injury
difficulty moving your ankle or foot
These could be signs of a broken bone or ruptured Achilles tendon.

Find a minor injuries unit

Common causes of heel pain
Your symptoms might give you an idea of what's causing your heel pain. But don't self-diagnose – see a GP if you're worried.

Main symptoms Possible causeIf you're feeling like you want to die, it's important to tell someone.

Help and support is available right now if you need it. You don't have to struggle with difficult feelings alone.

Phone a helpline
These free helplines are there to help when you're feeling down or desperate.

Unless it says otherwise, they're open 24 hours a day, every day.

Samaritans – for everyone
Call 116 123

Campaign Against Living Miserably (CALM) – for men
Call 0800 58 58 58 – 5pm to midnight every day
Visit the webchat page

Papyrus – for people under 35
Call 0800 068 41 41 – Monday to Friday 10am to 10pm, weekends 2pm to 10pm, bank holidays 2pm to 5pm
Text 07786 209697

Childline – for children and young people under 19
Call 0800 1111 – the number won't show up on your phone bill

The Silver Line – for older people
Call 0800 4 70 80 90

Talk to someone you trust
Let family or friends know what's going on for you. They may be able to offer support and help keep you safe.

There's no right or wrong way to talk about suicidal feelings – starting the conversation is what's important.

Who else you can talk to
If you find it difficult to talk to someone you know, you could:

call your GP – ask for an emergency appointment
call 111 out of hours – they will help you find the support and help you need
contact your mental health crisis team – if you have one
Is your life in danger?
If you have seriously harmed yourself – for example, by taking a drug overdose – call 999 for an ambulance or go straight to A&E.

Or ask someone else to call 999 or take you to A&E.

Tips for coping right now
try not to think about the future – just focus on getting through today
stay away from drugs and alcohol
get yourself to a safe place, like a friend's house
be around other people
do something you usually enjoy, such as spending time with a pet
See more tips from Rethink.

Worried about someone else?
If you're worried about someone, try to get them to talk to you. Ask open-ended questions like: "How do you feel about...?"

Don't worry about having the answers. Just listening to what someone has to say and taking it seriously can be more helpful.

Very bad pain taking first steps after waking or after period of not moving, difficulty raising toes off floor Plantar fasciitis
Tenderness and pain at back of heel and along Achilles tendon, pain in calf when standing on tiptoes Achilles tendonitis
Swelling, feels hot, pain on squeezing heel bone, hurts to walk and you've had an injury heel fracture
Pain at back of heel, can raise toes without pain bursitis
Numbness or tingling in foot when moving or resting peripheral neuropathy or tarsal tunnel syndrome