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