Health Advice
- Weight Management
- Quit Smoking
- Acne
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- Pain
- Oral Care & Hygiene
- Aneurysm, abdominal aortic
- Tummy ache
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- First aid
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- Acupuncture
- Gallbladder, inflammation
- Leukaemia, acute lymphoblastic
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- Addiction
- Addison's disease
- Adenoids and adenoidectomy
- Frozen shoulder
- Agoraphobia
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- Alcohol misuse
- Alcohol poisoning
- Alexander technique
- Rhinitis, allergic
- Indoor allergy
- Mountain sickness
- Alzheimer's disease
- Lazy eye
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- Amniocentesis
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- Steroid misuse
- Iron deficiency anaemia
- Vitamin B12 or folate deficiency anaemia
- Anaesthesia
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- Angelman syndrome
- Anger management
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- Arteriography
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- Dog bites
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- Smell sense, loss of
- Antacid medicines
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- Wrist, broken
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- Hearing tests
- Bird flu
- B12 vitamin deficiency
- Skin rashes in babies
- Weaning
- Lumbago (low back pain)
- Septic arthritis
- Halitosis (bad breath)
- Weight loss surgery
- Barium enema
- Bartholin's cyst
- Pressure ulcers
- Bedbugs
- Nocturnal enuresis
- Behçet’s disease
- Facial paralysis
- Tongue pain or soreness
- Prostate enlargement
- Beta-blockers
- Bicarbonate test
- Binge eating
- Biopsy
- Bipolar disorder
- Spider bite
- Eye, black
- Bladder cancer
- Cystitis
- Bladder stones
- Blisters
- Blood donation
- Blood gases test
- Blood groups
- Coughing up blood
- Semen, bloody
- Urine, blood in the
- Vomiting blood
- Septicaemia
- Hypertension
- Low blood pressure
- Blood tests
- Blood transfusion
- Blushing
- Bromhidrosis (body odour)
- Bone cyst
- DXA scan
- Bone marrow donation
- Stem cell transplant
- Borderline personality disorder
- Bottle feeding
- Botulism
- Rectal cancer
- Polyps, bowel
- Leaky gut syndrome
- Orthodontics
- Brain abscess
- Head injury, severe
- Brain tumour, benign (non-cancerous)
- Brain tumour, malignant (cancerous)
- Brain tumours
- Breast abscess
- Breast cancer
- Male breast cancer
- Screening for breast cancer
- Nipple discharge
- Mastitis
- Breast lump
- Breastfeeding
- Shortness of breath
- Osteoporosis
- Fractured collarbone
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- Leg, broken
- Fractured nose
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- Toe, broken
- Tooth, broken or knocked out
- Smelly feet (bromodosis)
- Bronchitis
- Teeth grinding
- Thyroid eye disease
- Bulimia
- Burns and scalds
- Heart bypass
- Caesarean section
- Food poisoning
- Cancer
- Thrush
- Thrush, men
- Thrush, oral - adults
- Thrush, oral - babies
- Carbon monoxide poisoning
- Cardiovascular disease
- Cartilage damage
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- Rib, cervical
- Smear test
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- Chemotherapy
- Chest infection, adult
- Chest pain
- Herpes zoster virus
- Statins
- Kidney disease, chronic
- Leukaemia, chronic lymphocytic
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- Cirrhosis
- Claustrophobia
- Cluster headaches
- White coated tongue
- Gluten intolerance
- Herpes simplex virus
- Cold
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- Coma
- Combined contraceptive pill
- Pneumonia
- CT scan
- Concussion
- Hole in the heart
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- Conjunctivitis
- Constipation
- Contact dermatitis
- Corns and calluses
- Coronary heart disease
- Vegetative state
- Topical corticosteroids
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- Cosmetic surgery
- Cough
- Counselling
- Leg cramps
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- Undescended testicles
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- Cystic fibrosis
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- Date rape drugs
- Thyroiditis
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- Dehydration
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- Tooth decay
- Fluoride
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- Depression
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- Diabetes insipidus
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- Dialysis
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- Nutrition
- Rectal examination
- Double vision
- Nummular eczema
- Shoulder dislocation
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- Lightheadedness
- Down's syndrome
- Dry eye syndrome
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- Periods, painful
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- Dyspraxia (adults)
- Swimmer's ear
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- Ebola virus disease
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- Endoscopy
- Threadworms
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- Epidural
- Epilepsy
- Watering eyes
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- Impotence
- Tremor (essential)
- Ocular cancer
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- Falls
- Family planning
- Fever, childhood
- Fibromyalgia
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- Wind
- Seasonal flu
- Nail patella syndrome
- Food allergy
- Foot pain
- Frostbite
- Gallstones
- Stomach removal surgery
- Gastroenteritis
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- General anaesthetic
- Genetics
- Herpes, genital
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- Iron overload disorder
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- Haemophilus influenzae type b
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- Ingrown hairs
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- Hamstring injury
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- Tendon repair, hand
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- Hangover
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- Head and neck cancer
- Head injury, minor
- Nits
- Headaches
- Hearing and vision tests for children
- Myocardial infarction
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- Heart transplant
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- Heat exhaustion and heatstroke
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- Periods, heavy
- Hepatitis A
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- Herbal medicines
- Hernia, femoral
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- Hip replacement
- HIV and AIDS
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- Homeopathy
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- Thyroid, overactive
- Hypnotherapy
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- Underactive thyroid
- Irritable bowel syndrome
- Painkillers, ibuprofen
- Shoulder tendon, trapped
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- Inquest
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- Intensive care
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- knee-pain
- Knee replacement
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- Rubeola
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- Polyps, nose
- Nasopharyngeal cancer
- Natural family planning
- Nausea and vomiting in pregnancy
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- Night sweats
- Nightmares
- Rhinitis, non-allergic
- Type 2 diabetes
- Winter vomiting disease
- Obesity
- OCD (obsessive compulsive disorder)
- Sleep apnoea
- Occupational therapy
- Swollen ankles
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- Periods, irregular
- Organ donation
- Orthopaedics (orthopaedic surgery)
- Osteoarthritis
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- Paracetamol
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- Panic disorder
- Pins and needles
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- Ulcer, peptic
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- Physiotherapy
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- Poisoning
- Reflux in babies
- Potassium test
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- Roundworm
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- Sexual health clinics
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- Social anxiety disorder (social phobia)
- Vomiting in children and babies
- Sinus headache
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- Sleep paralysis
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- Tuberculosis (TB)
- Tension-type headaches
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- Thyroid cancer
- Tics
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- Total iron-binding capacity (TIBC or transferrin) test
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- Traction
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- Urinary tract infection
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- Vitamins, minerals and supplements
- Vomiting in adults
- Warfarin
- Weight loss (unexpected and unplanned)
- Whiplash
- Wisdom tooth removal
- X-ray
- Yellow fever
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Read moreNHS Choices - Treating an abdominal aortic aneurysm
(06/01/2015)
Treatment for an abdominal aortic aneurysm (AAA) depends on several factors, including the aneurysm's size, your age and general health.
In general, if you have a large aneurysm (5.5cm or larger) you will be advised to have surgery, either to strengthen the swollen section of the aorta or to replace it with a piece of synthetic tubing.
This is because the risk of the aneurysm rupturing is usually greater than the risk of having it repaired.
If you have a small (3.0-4.4cm) or medium (4.5-5.4cm) aneurysm, you will be offered regular scans to check its size.
You will also be given advice on how to slow its growth and reduce the risk of it rupturing – for example, stopping smoking – and perhaps medications to reduce your blood pressure and cholesterol level.
If you have a large AAA
If you are diagnosed with an AAA that is 5.5cm or larger, you will be referred to a vascular surgeon (a surgeon who specialises in diseases of the blood vessels), who may recommend an operation.
The surgeon will discuss treatment options with you, taking into account your general health and fitness, as well as the size of your aneurysm.
If it's decided that surgery isn’t suitable for you, it’s still possible to reduce the risk of the aneurysm bursting, and you will have regular scans to check its size – in the same way people with small or medium aneurysms are treated.
See below for more information on treating small and medium aneurysms.
There are two surgical techniques used to treat a large aneurysm:
- endovascular surgery
- open surgery
Although both techniques are equally effective at reducing the risk of the aneurysm bursting, each has its own advantages and disadvantages.
The surgeon will discuss with you which is most suitable.
Endovascular surgery
Endovascular surgery is a type of "keyhole" surgery where the surgeon makes small cuts in your groin.
A small piece of tubing called a graft– made of metal mesh lined with fabric – is then guided up through the leg artery, into the swollen section of aorta, and sealed to the wall of the aorta at both ends.
This reinforces the aorta, reducing the risk of it bursting.
This is the safest of the two types of surgery available. Around 98-99% of patients make a full recovery, and recovery time from the operation is shorter than if you have open surgery.
There are also fewer major complications, such as wound infection or deep vein thrombosis (DVT).
However, the way the graft is attached is not as secure as open surgery. You’ll need regular scans to make sure the graft hasn’t slipped, and in some patients, the seal at each end of the graft starts to leak and will need to be resealed. You will need to have surgery again if either of these occurs.
Open surgery
In open surgery, the surgeon cuts into your stomach (abdomen) to reach the abdominal aorta and replaces the enlarged section with a graft.
This type of graft is a tube made of a synthetic material.
Because the graft is stitched (sutured) into place by the surgeon, it’s more likely to stay in place, and will usually work well for the rest of your life.
The risk of complications linked to the graft after surgery is lower than in people who have endovascular surgery.
Open surgery isn’t usually recommended for people who are in poor health as it is a major operation. It is slightly more risky than endovascular surgery, with 93-97% of patients making a full recovery.
The main risk of open surgery is death or heart attack, and recovery time is longer than with endovascular surgery.
There is also a greater risk of complications, such as wound infection, chest infection and DVT.
Making a decision about treatment for a large aneurysm
If you or a relative is faced with making a decision about treatment for a large AAA, the AAA repair decision aid may help you weigh up the pros and cons of each option.
If you have a small or medium AAA
If you are diagnosed with a small (3.0-4.4cm) or medium (4.5-5.4cm) aneurysm, you won’t be referred to see a vascular surgeon, as it’s unlikely you’d benefit from surgery.
You’ll be invited back for regular scans to check the size of the aneurysm, in case it gets bigger – every year if you have a small aneurysm and every three months if you have a medium aneurysm.
You will also be given advice on how to prevent the aneurysm from getting bigger, including:
- stopping smoking
- eating a balanced diet
- ensuring you maintain a healthy weight
- taking regular exercise
If you smoke, the most important change you can make is to quit. Aneurysms have been shown to grow faster in smokers than in non-smokers.
Read more about stopping smoking and nicotine replacement therapies (NRTs) that can make it easier to stop smoking.
Your GP will be sent your test result and may decide to change your current medication or start you on a new one, especially if you have:
- high blood pressure – which you will probably be treated for with a medication called an angiotensin-converting enzyme (ACE) inhibitor
- high cholesterol – which you will probably be treated for with a medication called a statin
Treating a ruptured AAA
Emergency treatment for a ruptured AAA is based on the same principle as preventative treatment. Grafts are used to repair the ruptured aneurysm.
The decision on whether to perform open or endovascular surgery is made on a case-by-case basis by the surgeon carrying out the operation.