Skin problems are very common throughout life and GP's have seen them all (well perhaps not every one!). Indeed, lots of GP's will remember having zits themselves!

There are many good treatments for acne but the better ones need to be prescribed by a doctor so this is one occasion when an appointment with your GP is better than with the Practice Nurse.

• “My asthma keeps me awake at night and stops me playing sport”

Practice Nurses often know a lot about how to get better control of asthma and can spend time demonstrating different puffers to help find the best one for you. Obviously the GP will need to write your prescriptions but most will work as a team with their nurse so you get the help you need but keep your consultation costs down.

• “I’m going on my OE next year, do I need any immunisations?”

As you may remember from when you were young the Practice Nurse is usually the one who gives immunisations, but as well as childhood vaccinations she can advise you on requirements for overseas travel. Simply phone for an appointment at your GP surgery, but remember don’t leave it to the last minute!

• Can I get sick from having a piercing or a tattoo?

Yes you can, so you need to be assured that it’s done using clean and hygienic instruments, in a clean and hygienic place. If there’s any blood from previous clients on the needles or sharp instruments used to penetrate the skin, there’s a risk of transmission of infections such as hepatitis C or HIV.

• If I go to a rave or dance party, how do I know if I have heatstroke?

Heatstroke can be dangerous, even fatal. It can occur when people dance in hot spaces, and don't drink enough water- you need to sip about 600mls of water each hour. Signs of heatstroke are: not sweating, cramps in the legs, arms and back, headache, dizziness, fatigue, vomiting, dark yellow/brown urine and not much of it, sudden tiredness, irritation and confusion

If any of these things happen you must cool down quickly. Go to a chill-out area. Take off some clothing and splash yourself with cold water or ice on the neck, head, wrists and armpits etc. and sip water. Seek medical help asap, and if someone you’re with collapses and is unconscious don’t give water but call an ambulance immediately....... phone 111.