Free upon Thames January/February 2017 www.familiesonline.co.uk Issue 114 RECRUITING NOW Successful ‘business mum’ is seeking 5 working partners to work part-time from home, alongside & without compromising family commitments or current career. 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Our maths and English tutors have one goal: to unlock a love of learning. We’ll prepare an individualised, inspiring programme to help them achieve their version of amazing. Explore fearless learning for your child by calling 030 3003 4006 to find your nearest centre and book a free trial. explorelearning.co.uk /explorelearning @exploretutors 2 www.familiesonline.co.uk January-February 2017 January-February 2017 www.familiesonline.co.uk 3 FAMILY HEALTH FAMILY HEALTH and WELLBEING and WELLBEING Early is Common skin rashes Rashes in children are very common but nonetheless can be frightening to parents. Although most rashes are harmless it is always in children helpful to understand more about them. by Dr Sumi Soori Symptoms: Itchy spots which then turn into fluid-filled blisters which crust over and then drop off. Treatment: To alleviate symptoms use lotions such as calamine lotion and cooling gels and best paracetamol for fever. by Dr Michael Nigro BDS (Rand) Measles Infective/contagious: A highly infectious When it comes to orthodontic treatment illness but now rare in the UK due to the MMR for children, starting early is always best. vaccine. Symptoms: A rash of red/brown blotches, It is important that children usually starts on the head or upper neck have regular dental check-ups and then spreads, plus a fever with cold-like with a dental practice that symptoms. has up-to-date knowledge of Treatment: Paracetamol/ibuprofen to alleviate orthodontic treatments so any symptoms and fluids to keep hydrated. You problems can be addressed as Scarlet fever Treatment: Emollients, steroid creams and must take your child to visit a doctor if you early as possible. Infective/contagious: Highly contagious antihistamines to alleviate symptoms but the suspect measles to reduce the spread of Patients have historically bacterial infection. condition usually clears spontaneously without infection to others. undergone treatment far too Symptoms: Initially often a sore throat, fever treatment by three months. late due to a lack of knowledge. and headache, followed by a distinctive rough, Meningitis Many adults may recall having pink-red rash on the chest and stomach which Slapped cheek Infective/contagious: A contagious infection teeth removed and then a brace may spread. (fifth disease/parvovirus B19) of the protective membranes that surround fitted, but in the majority of these We recommend Treatment: Antibiotics. Infective/contagious: viral infection. Children the brain and spinal cord (meninges), but cases that was probably not the where the child is on the facial position. Patients who bite correctly can attend school unless feeling unwell. Once vaccinations are available for Meningitis B, C ideal treatment approach. Many development scale. Jaws that and whose joints are in the correct assessing Ringworm the rash appears, the infection is no longer and ACWY strains. of those who had that form of are too narrow or bites that are position do not grind or clench children as Infective/contagious: Highly infectious contagious. Symptoms: Small, red pinprick rash at first orthodontic treatment may find incorrect at that point need to be their teeth in their sleep. In their fungal skin infection. Symptoms: Distinctive bright red rash on which then quickly spreads over the body and that they grind their teeth at corrected. The treatment we use early teens a fixed brace may be young as six for Symptoms: Characteristic red inflamed or both cheeks. turns into red/purple blotches. Please seek night. That’s because the bite was is removable braces that gently needed to make minor corrections silvery patch on the skin, can be itchy and Treatment:: Usually no treatment is required immediate medical advice if, upon pressing never corrected to begin with. enlarge the jaws and guide them but this is generally a simple short orthodontics. scaly and can affect the skin all over the body, as it clears spontaneously in one to three the side of a clear glass firmly against the skin, We recommend assessing into the correct bite position. treatment, lasting about six months. including the scalp. weeks. the rash doesn’t fade. children as young as six for Waiting until the child is older will Treatment: Antifungal medication and orthodontics. Those diagnosed as be too late. extra antifungal shampoo if scalp affected. Urticaria (hives/weals) not developing dentally correctly Jaws that are the correct size Dr Michael Nigro BDS (Rand) is a Senior Partner Infective/contagious: No. Possible triggers extra begin treatment as soon as the can accommodate all the adult at Roseneath Dental Practice in Richmond and has Scabies include allergens (food or latex), irritants Dr Sumi Soori MBBS, MRCGP, adult upper front teeth appear, teeth – alleviating the need provided high-quality dentistry to the local community Infective/contagious: Caused by mites. This (medicines or nettles) and physical factors such DRCOG is a Private General usually around the age of seven. to extract healthy adult teeth. for over 20 years. Roseneath Dental Practice offers a is a contagious condition, spread through as heat or exercise. Often a cause can’t be Practitioner at Roseneath The reason for this is that at that When the bite is correct the FREE consultation for all new patients. prolonged periods of skin-to-skin contact with identified. Medical Practice, who has a point we can establish exactly jaw joint is in its happy ‘neutral’ For more information, visit www.roseneath.co.uk an infected child or adult. Symptoms: Raised, itchy rash that can affect strong interest in Paediatrics Symptoms: Small red blotches, usually on the one part of the body or be spread across large and Women’s health. The palms of the hands or the soles of the feet. areas of the body. Practice is open to new patients and offers Treatment: Must be treated with specific Treatment: Antihistamines. FREE initial consultation. For more medication for all members of the household. information go to Hand, foot and mouth disease www.roseneath.co.uk Impetigo Infective/contagious: Contagious infection. Infective/contagious: Highly infectious Symptoms: Mouth ulcers and spots and bacterial skin infection. blisters on the palms of the hands and soles of Symptoms: Sores and blisters – typically sores the feet. around the nose and mouth that burst to leave Treatment: No specific treatment other than richmond practice a yellow/ brown crust, or less commonly in the soft foods and fluids. The condition will resolve PRIVATE DOCTORS‘ SERVICE skin between the waist and neck. spontaneously after approximately seven to Treatment: Antibiotics, either cream or oral. ten days. During this time your child should be The family doctor. kept away from school or nursery. Molluscum contagiosum Redened. Infective/contagious: Highly infectious viral Cellulitis skin infection, spread by close physical contact. Infective/contagious: An infection of the FREE NEW Symptoms: Usually none, maybe an deeper layers of skin and underlying tissue. CONSULTATION EXTENDED occasional itch. Symptoms: Affected skin will be red, painful, FOR ALL NEW OPENING HOURS Treatment: Usually no need as this will resolve swollen and hot. Often affects legs, but can DENTAL INCLUDING within 18 months without treatment, however occur anywhere on the body. Often associated PATIENTS SUNDAYS some lesions may require freezing treatment. with a fever. Treatment: Antibiotics. Pityriasis rosacea GP · Paediatrician · Gynaecologist CORNER OF MOUNT ARARAT & PARADISE ROAD CORNER OF MOUNT ARARAT & PARADISE ROAD Infective/contagious: No evidence of being Chickenpox RICHMOND - SURREY - TW10 6PA RICHMOND - SURREY - TW10 6PA of infective origin or contagious. Infective/contagious: Viral infection, 020 8940 5009 E: [email protected] E: [email protected] Symptoms: Raised itchy, scaly patches usually contagious but can be prevented through Clinical excellence hassle-free W: www.roseneath.co.uk T: 020 8940 9955 W: www.roseneath.co.uk T: 020 8940 9955 in older children.