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Men should not drink more than 28 units of alcohol (14 pints of beer)
per week. Women should not drink more than 21 units of alcohol (21
glasses of wine) per week.

This is an illness which should not be underestimated. Whilst mild in
most people, it can sometimes lead to very severe attacks of sudden
wheezing and breathlessness, which, though usually easily controlled,
can lead on to respiratory failure and death. Asthma is usually
controlled by means of inhalers. Blue inhalers control symptoms. Brown,
red or orange inhalers prevent the illness getting severe, important if
there are
frequent or bad attacks. For inhalers to be effective, they must be used
correctly. The preventative care nurse can teach inhaler technique on a
variety of devices. All asthmatics should be seen in the asthma clinic
regularly if only to 'brush up' on this technique from time to time.
We advise a yearly influenza vaccination for all asthmatics needing
regular 'preventer' treatment.

Raised blood pressure increases the risk of heart disease and strokes
(and can cause other problems such as kidney damage). There are no
symptoms in most people, therefore it is advisable to check blood
pressure routinely over the age of 30. You will be asked to see the
doctor if your blood pressure is found to be raised on a routine check.

This is a serious illness and, if not controlled, causes blindness,
leads to heart attacks, strokes and damaged circulation, which could
cause leg ulcers and amputations.
Our practice runs a regular diabetic clinic which involves an
appointment with the nurse and a doctor. All diabetic patients should
receive regular appointments to attend this clinic. Some diabetic
patients will also be under hospital care. Regular attendance at clinics
is extremely important in order to maintain good control of this
condition and to prevent the development of complications. Diabetic
patients should have annual influenza vaccinations.

The current recommendations are to take at least 20 minutes of
exercise at least three times per week. Any exercise is better than
none.

This requires careful management to avoid a second attack. Raised
cholesterol should be lowered by dietary means and usually also with
drug treatment. Blood pressure must be kept under control. A healthy
diet and regular exercise are important. You should stop smoking. A very
small daily dose of aspirin stops blood clots forming and may prevent
further heart attacks. You should have influenza vaccinations every
year.
All patients within our practice who have a diagnosis of heart attack or
angina will be sent an appointment every year to attend the coronary
heart disease clinic, run by the nurse.

Heart disease and strokes are the most common cause of death in this
country. The risk of these can be lowered by stopping smoking, taking
regular exercise, losing weight and by eating a diet high in fibre and
low in saturated fat.

Smoking causes lung cancer, chronic bronchitis and emphysema,
hardening of the arteries (arteriosclerosis), leading to gangrene and
amputations, heart attacks and strokes. It also causes stomach ulcers
and indigestion and makes you more prone to sinusitis. It contributes to
other forms of cancer, particularly of the womb and bladder.
Smoking cessation appointments can be booked with us; please ask at
reception.

It is possible to be ill without feeling ill. There are warning signs
which tell us if there is something wrong. If you notice something
like this, contact your doctor within 10 days.
- The signs are:
Losing weight by 7lbs or more without any reason
Feeling thirsty for no reason
A change in a mole (itching, bleeding, rapid increase in size,
thickening, change in colour)
Husky or hoarse voice lasting more than three weeks
Indigestion or acid belching lasting more than a month
Any change in a breast or nipple
Feeling excessively tired for no reason
Blood loss when coughing, vomiting or going to the toilet
A change in bowel habit lasting six weeks or more
Serious Warning Signs In Children - Get Medical Advice Immediately
- Violet spots which don't fade when pressed
Fever greater than 40 degrees (centigrade)
Breathing problems: gulping, gasping, wheezing, difficulty speaking
or drinking
Pain on breathing in
Weakness, drowsiness or confusion
Child does not react to their surroundings or when spoken to
Child cannot sit up or bend the head forwards

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Dr B G R Clear Hill and Partners
Billericay
Health Centre
Stock Road
Billericay
Essex
CM12 0BJ
Tel: 01277 658071
Fax: 01277 631892
Monday
to Friday
8.30am - 6.30pm
SATURDAY SURGERY
8.30am to 11.30am
(Pre booked appointments only)
NHS Direct
(Available 24 hours)

Tel: 0845 4647
or visit
NHS Direct Online
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