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Blisters

Blisters

A blister is a raised area of skin that is filled with a clear liquid, or occasionally blood, over which the skin is intact. They form when that area has been damaged by pressure, chemicals that have been applied to the area, burns, insect bites, allergies, fungal or viral infections.

If no further damage occurs to that area then the skin over the fluid stays intact and unbroken and the fluid is gradually re-absorbed back into the surrounding tissue.

Blisters formed from pressure often occur on the feet, from new footwear or after a sporting activity, and from changing from casual summer shoes to more formal, constricting footwear. Blisters also occur from overuse, such as on the hands after repetitive actions with tools and devices, like from the handle of a spade after digging in the garden.

If the blister has been caused by friction or pressure, try to relieve the pressure by using padded dressings and bandages and soft footwear or protective gloves when undertaking activities that may cause further damage. 

When the skin has been damaged by a burn or from irritant substances, then it is important to cool the area or rinse away the irritant with cool water – if possible hold the blistered area under a running cold water tap, or use wet towels over the burned or damaged area, changing them frequently to ensure the irritant has been removed and the area cooled.

If blisters are as a result of an infection, bite or allergy, then consult your community pharmacist. They will be able to give you specific advice to treat the underlying condition and to prevent further blisters occurring.

The most important treatment for a blister is to avoid breaking the skin over the blister. The fluid that is contained in the blister will disappear over the next few days and no infection should arise if the skin surface is not further damaged. These blisters are generally only painful when pressure is applied to them.

If the blister breaks then there is a risk of infection developing. They are also generally much more painful and take longer to heal. It is important to gently clean and cover the area with a clean dressing, and observe the blister and surrounding skin for any signs of redness, blood or infection developing.

If you have an area that is prone to developing blisters then you can use protective dressings that pad and protect the area to prevent blisters occurring. Your community pharmacy has a range of dressings that are specifically designed to speed healing, as well as to prevent, protect and treat blisters. 

In order to prevent blisters and other skin damage remember to protect the skin with socks, soft comfortable footwear that is neither too large or too tight, and use gloves to protect your hands from friction and pressure damage, as well as from irritant chemicals.

Your community pharmacist is able to give you help and advice if you need to seek further help to treat the damaged or infected areas of skin affected by blisters.

Swallowing difficulties (dysphagia)

Causes of swallowing difficulties

Swallowing difficulties can happen at any age. There are a wide range of causes for them, including:

  • some medicines, such as antipsychotics
  • heartburn and acid reflux
  • cancer, such as mouth or throat cancers
  • nervous system or brain disorders
  • muscle disorders
  • blockages or structural issues with your mouth, throat or oesophagus.

Symptoms of swallowing difficulties

Symptoms of swallowing difficulties may include:

  • coughing or choking when eating or drinking
  • bringing food back up, may be through your nose
  • the feeling that food is stuck in your throat
  • having issues chewing your food
  • problems with dribbling.

Swallowing difficulties can cause weight loss, dehydration and chest infections.

Diagnosing swallowing difficulties

Let your healthcare provider know if you have swallowing difficulties. They will ask you about your symptoms and check if any other health conditions you have may be the cause.

Your healthcare provider may refer you to a specialist for tests. These may include a:

  • gastroscopy—a camera is passed down through your mouth to look at your throat and stomach
  • swallowing study—your throat and stomach are x-rayed as you swallow small amounts of food.

Treating swallowing difficulties

How your swallowing difficulties are treated depends on the cause and how severe it is. Treatments may include:

  • medicines to treat acid reflux
  • swallowing therapy with a speech and language therapist
  • making changes to what you eat and drink, such as softer foods and using thickener in drinks
  • using special spoons, plates and cups
  • surgery to widen your oesophagus.
  • using special medication lubricants eg Gloup to help make it easier to swallow tablets etc. For more information click here.

Self care for swallowing difficulties

As well as seeing your healthcare provider, the following tips may help you to get food or liquids into your stomach.

  • Sit upright in a chair—at a table is best.
  • Have regular small meals instead of the main large meals.
  • Eat or drink small mouthfuls at a time.
  • If your voice is gurgly when you eat or drink, give a small cough to make sure your airway is clear.
  • Wet food will be easier to swallow as dry food can catch in your throat.
  • If your food has 2 consistencies, such as fruit in juice and cereal in milk, try to mix it into 1 consistency, or eat the solid and liquid portions separately.
  • Concentrate on eating and avoid talking.
  • Hot, ice-cold or fizzy liquids are easier to swallow than room temperature liquids.
  • If you are told to have thickened liquids, avoid ice-cream and jelly as they thin before swallowing.
  • Drink from the top half of you cup to avoid tipping your head back.

 

Have a look at our range of Gloup medication lubricants here which can help with difficulties swallowing tablets... 

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