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HomeHealth Tips

Small habits,
big difference.

Practical advice written by the doctors who see you in clinic, for the conditions that actually turn up in Negombo. No miracle cures, no scare stories.

Written by
Our own clinicians
Reviewed
By our clinical team
Dengue
A year round risk here
Not a substitute
For seeing a doctor
Empty standing water weeklyCheck your blood pressure yearlyFinish the antibiotic courseDrink water before you feel thirstyFever in a baby is never routine
Prevention

Dengue starts
in your own
garden

The mosquito that carries dengue breeds in clean, still water, close to where people live. It does not travel far. Almost every case we treat was infected within a hundred metres of home, school or work.

Twenty minutes once a week, walking your own compound and tipping out water, does more than any spray. Eggs survive dry for months, so scrubbing the container matters as much as emptying it.

Walk your compound once a week and tip out anything holding water
Scrub the container, do not just empty it: eggs survive dry for months
Check the places people forget: gutters, plant pot trays, discarded tyres, coconut shells, bottle caps
Cover water storage tanks and barrels with a tight lid or mesh
The mosquito bites in daylight, so repellent in the morning and late afternoon matters most
Screens and long sleeves protect children at school hours, not just at night
One infected neighbourhood container is enough: coordinate with the people next door
01 / The library

Everything worth reading

24 of 24 articles

Dengue & fever · Start here

Fever on day four is the day that matters

Dengue has a cruel pattern. Around day four the fever often breaks and people feel better, which is precisely when plasma starts leaking and the platelet count falls. Every severe case we admit involves someone who relaxed on the day they should have come in.

Emergency team4 minute read

Take away

  • Get a full blood count on day three of any fever in dengue season
  • Paracetamol only, never ibuprofen or aspirin
  • Feeling better on day four is not proof of recovery
  • Bleeding gums, black stools or severe abdominal pain means come now

Dengue & fever

Fever on day four is the day that matters

Dengue often feels better around day four, just as the platelet count is falling. That is the day to be checked, not the day to relax.

Emergency team

Dengue & fever

Twenty minutes a week against dengue

A walk around your own compound, tipping and scrubbing anything that holds water, beats any spray or coil.

Community health

Dengue & fever

Paracetamol yes, ibuprofen no

In a suspected dengue fever, anti-inflammatory painkillers raise bleeding risk. Stick to paracetamol and fluids.

Physicians

Diabetes

The rice portion conversation nobody enjoys

You do not have to give up rice. You do have to change how much, what goes with it, and what order you eat it in.

Dietitian

Diabetes

Check your feet every night

Diabetic nerve damage means an ulcer can start without pain. A sixty second look under a light prevents amputations.

Wound clinic

Diabetes

HbA1c: the number that cannot be talked around

A fasting sugar shows this morning. HbA1c shows the last three months, including the days you would rather forget.

Physicians

Heart & pressure

High blood pressure has no symptoms. That is the problem

Most people feel completely well at 160/100. By the time it causes symptoms, it has usually caused damage.

Physicians

Heart & pressure

Salt hides in the things you would not suspect

Dried fish, papadam, packet soup, biscuits and bread carry more salt than the pinch you add at the table.

Dietitian

Heart & pressure

Chest pain: what makes it an emergency

Pressure rather than a sharp catch, spreading to jaw or arm, with sweating or breathlessness. Do not drive yourself.

Emergency team

Children

Fever in a child: when to wait, when to come in

Under three months, any fever is a hospital visit. Above that, it is how the child behaves that matters, not the number.

Paediatrics

Children

Dehydration in a child, spotted early

Fewer wet nappies, no tears when crying, a dry mouth and unusual sleepiness. Oral rehydration beats plain water.

Paediatrics

Children

Reading a growth chart without panicking

A child on the third centile who is following their own line is usually fine. A child crossing lines downward is not.

Paediatrics

Children

Keeping the vaccination card safe

A missed dose is easy to catch up, but only if you know which one. Photograph the card and keep it in your phone.

Vaccination clinic

Women

Iron deficiency is not just being tired

Heavy periods, pregnancy and a rice heavy diet make anaemia common here. A full blood count settles it in a day.

Physicians

Women

Breast self examination, done properly

Once a month, a week after your period, same time each cycle. You are learning what normal feels like for you.

Women's health

Women

Folic acid before pregnancy, not after

The neural tube closes in the first month, often before you know you are pregnant. That is why it starts beforehand.

Obstetrics

Kidney

Painkillers and your kidneys

Regular anti-inflammatory tablets for aches quietly damage kidneys, especially with diabetes or high blood pressure.

Physicians

Kidney

Drink before you are thirsty, especially outdoors

Repeated dehydration in field and outdoor work is linked to chronic kidney disease. Thirst arrives late.

Physicians

Kidney

Protein in your urine is the earliest warning

Kidneys lose function for years without symptoms, and a simple urine test finds it long before swelling or tiredness do. With diabetes or high blood pressure, ask for it yearly.

Nephrology

Living well

Finish the antibiotic course, even when you feel better

Stopping early leaves the toughest bacteria alive. That is how a simple infection becomes a resistant one.

Pharmacy

Living well

Thirty minutes of walking is not a compromise

For blood pressure, sugar and mood, a brisk daily walk does most of what an expensive gym membership would.

Physiotherapy

Living well

Sleep is not a luxury for the young

Under six hours a night pushes blood pressure, appetite and blood sugar the wrong way, quietly and steadily.

Physicians

Living well

Sitting is the new smoking, and offices are the worst

Standing and moving for two minutes every half hour undoes a surprising amount of what a desk day does to you.

Physiotherapy

Living well

Betel and areca nut: the habit worth stopping first

Chewing is the leading cause of mouth cancer in Sri Lankan men, and it does harm with no tobacco added. Any ulcer or white patch that has not healed in three weeks needs looking at.

ENT surgery

02 / When to come in

Wait, or walk
in tonight

Open a symptom for the honest answer. When in doubt, come in. We would rather see you and send you home.

03 / Screening by age

The checks
worth doing

Most useful screening is cheap and boring. This is what our physicians actually order, and roughly how often, for someone with no symptoms and no family history.

A family history of diabetes, heart disease or cancer moves everything earlier. Ask us rather than guessing.

Health check packages
Blood pressure
Every adult, from your twenties onward
Yearly
Blood sugar and HbA1c
From 30 in South Asians, earlier with family history or excess weight
Yearly
Lipid profile
From 35, or earlier with diabetes, smoking or family history
2 to 3 years
Weight and waist measurement
Every adult; waist matters more than the scale here
Yearly
Full blood count
Women of reproductive age, and anyone persistently tired
Yearly
Kidney function and urine protein
Anyone with diabetes, high blood pressure, or outdoor manual work
Yearly
Cervical screening
Women from 25 to 65
3 to 5 years
Breast examination and mammogram
Clinical examination from 30; mammogram discussion from 40
Yearly / as advised
Eye examination
Everyone from 40; annually with diabetes from diagnosis
1 to 2 years
Dental check
Every adult and child, with a dental practice of your choice
Yearly
ECG and cardiac risk
From 40, or earlier with symptoms or family history
As advised
04 / First aid at home

The four minutes
before you reach us

Burns

Cool water, twenty minutes

Hold the burn under cool running water for a full twenty minutes, then cover loosely with cling film or a clean cloth. Come in for anything larger than a palm, or any burn on the face, hands or across a joint.

Never: ice, toothpaste, butter, or breaking blisters

Choking

Five back blows, five thrusts

If they cannot cough or speak, lean them forward and give five firm blows between the shoulder blades, then five abdominal thrusts. Alternate, and have someone call the ambulance while you continue.

Never: reach blindly into the mouth to fish it out

Bleeding

Press hard, keep pressing

Press firmly on the wound with a clean cloth and hold it, raising the limb above the heart if you can. Ten uninterrupted minutes of pressure stops most bleeding.

Never: lift the cloth every minute to look

Snake bite

Still, low, and straight to hospital

Keep the person calm and as still as possible, keep the bitten limb below heart level, remove rings and tight clothing, and bring them in immediately. Note the time of the bite.

Never: cut, suck, apply a tourniquet, or chase the snake

Keep in the house

  • Digital thermometer
  • Paracetamol, adult and syrup
  • Oral rehydration sachets
  • Sterile gauze and tape
  • Crepe bandage
  • Antiseptic solution
  • Plasters, assorted
  • Blunt scissors and tweezers
  • Disposable gloves
  • Your medicine list, printed
  • Torch

Save these numbers

05 / Straight answers

Things we get
asked, and the
honest answer

06 / Still unsure

Reading is
not the same
as asking.

Nothing on this page replaces a doctor who can examine you. If something has been worrying you for a fortnight, book the consultation.

General information only, written for a Sri Lankan reader and reviewed by our clinical team. It cannot account for your history, medicines or examination findings, and it is not a diagnosis. Always speak to a doctor about your own situation.

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