Do you really need to go to the doctor?

Save yourself an unnecessary trip to the doctor. Also, find out when a common cold and other conditions can NOT be treated at home.

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Written By: Dr Anitha Anchan | Updated : June 27, 2016 5:54 PM IST

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Lots of common ailments need no medical attention. Most of them get resolved on their own. For the rest, you could save yourself time and trouble by safely dealing with them at home through self-care and over-the-counter medication.

A word of caution though! Beware of indulging in self-medication. Do not take pills based on the suggestion of chemists, friends or just by yourself depending upon your past experiences.

Here how to decide when to see a doctor for few common symptoms and ailments:

Sore throat

A sore throat gets cured by itself. You can soothe it on its way to recovery by some natural remedies.

When to seek help

  • Severe pain
  • Difficulty swallowing

Cough

Cough occurs with common cold or a viral throat infection. Though they disrupt our lives most coughs go away completely or at least improve significantly within a period of two weeks. Simple ingredients in your kitchen along with over-the-counter medication can give an almost instant relief from cough.

When to seek help:

  • Any type of cough which does not improve after 2-3 weeks
  • High-pitched whooping sound (barking sound) while coughing
  • Cough accompanied by uncontrolled wheezing sound and breathing difficulty
  • Cough accompanied with chest pain and stomach pain
  • Cough that produces greenish or rusty mucus along with other symptoms like fever, fatigue and chills
  • Coughing up blood

Fever

Fever is the body s natural response to an infection. It is an indication that your immune system is working hard to eliminate the disease causing bacteria or virus from the body. Fever up to 38 degree (102 F) might be considered as a safe, beneficial level and does not require medication. Body temperature between 102 F and 104 F may be brought down with medications.

When to seek help:

  • Fever that doesn t get better
  • Fever that rises above 104 F
  • Fever accompanied by other symptoms like vomiting, diarrhoea, fatigue, rash, headache, ear pain, etc.
  • Body temperature of 100.4 F (38 degrees C) or above in infants younger than 3 months and 102.2 F (39 degrees C) or above in infants between 3 and 6 months

Nausea and Vomiting

It is not very uncommon to experience nausea and vomiting once in a while due to overeating, acidity, motion sickness, food intolerance, stress, fear, viral infections, etc. Nausea due to these conditions is temporary and you don t have much to do about it as it goes away once the situation is resolved. Nausea and vomiting in early pregnancy (morning sickness) are very common. Avoiding foods and smells that trigger morning sickness, eating small portions frequently, consuming fluids, etc. can help ease morning sickness. Babies throwing up once or twice in the course of a day, but are otherwise healthy and playful is a reason not to worry.

When to seek help:

  • Persistent vomiting
  • Vomiting accompanied with fever and diarrhoea
  • Very severe nausea and vomiting during pregnancy (hyperemesis gravidarum)
  • Vomiting associated with head injury
  • Babies throwing up after every feed
  • Blood stains in the vomit

Headache

Head region is one of the most common sites of pain in the body. All headaches are not serious. Often headaches can be eliminated by lifestyle modifications and relaxation techniques with or without pain relievers.

When to seek help:

  • Change in the type of headache as compared to the ones experienced earlier
  • Increase in the severity of the headaches
  • Headaches which do not reduce even after medications
  • Early morning headaches
  • Headaches accompanied with severe vomiting
  • Sudden onset headache with weakness, dizziness or loss of consciousness
  • High fever and stiffness in the neck along with a headache
  • Headache associated with vision changes, speech difficulties, numbness or tingling, etc.
  • Headaches occurring after a head injury
  • Headaches triggered by bending, coughing or exertion

Red, swollen eye

Red, swollen eyes may be caused by seasonal allergies, a sty, conjunctivitis, etc. Sty usually resolves on its own. Avoiding the allergen can help relieve red, itchy, burning eyes due to allergy. Most cases of conjunctivitis are mild. Viral conjunctivitis gets better on its own, even without treatment. Warm compress helps ease the pain and break up some of the crust that may form on the eyelashes. Over-the-counter medications can help with itching and irritation.

When to seek help:

  • No improvement in symptoms
  • Yellow or green discharge from the eye
  • Red eye accompanied with high fever, chills
  • Severe eye pain or blurred vision

Common cold

A cold has no cure and it takes about seven days to resolve. There s no need to take any medicines if you rest well and try some natural remedies for common cold. Over the counter medication can help reduce the symptoms.

When to seek help:

  • Suddenly your symptoms become worse
  • Cold is accompanied by high fever and chills
  • Trouble breathing or chest pain

Sinus infection

There are several natural ways you can get rid of the fluid build-up and inflammation associated with sinusitis.

When to seek help:

  • Symptoms last longer than 10 14 days
  • Having a cold that gets worse after 7 days
  • Severe headache, unrelieved by over-the-counter pain medicine
  • Sinus problem accompanied by fever

Toothache

If hot, cold, sweet or very acidic foods and drinks, or breathing in cold air, makes your teeth or a tooth sensitive or painful then you have sensitive teeth. In most cases, using desensitizing toothpaste can relieve the sensitivity. During a sinus infection, the pressure from the sinuses is referred as a dull ache to upper back teeth due to their close proximity to the teeth. Treating the sinus problem helps resolve the toothache.

When to seek help:

  • Ache that lasts for more than a couple of days
  • Toothache that disturbs sleep
  • Throbbing pain in the tooth all day
  • Tooth pain associated with swelling of the gums or face
  • Toothache associated with fever

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References:

1. De Ronne N. [Management of fever in children younger than 3 years]. J Pharm Belg. 2010 Sep;(3):53-7. Review. French. PubMed PMID: 21090380.

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