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54.  Health:  illness  and  disease


               A    Common  problems





                                                                                        J
                    She’s  sneezing.  |  She’s  coughing.   She’s  got  a   She’s  blowing   She’s  got
                                                      a  sore  throat.   her  nose.   a  temperature.

                    What's  the  matter?   How  do  you  know?  (the  symptoms)  —  Cause  of  illness
                    I’ve  got  a  cold     a  sore  throat,  sneezing,  a  cough   a  virus
                    I’ve  got  flu  (U)  (more   symptoms  for  a  cold  +  aching   a  virus
                    serious  than  a  cold)   muscles  and  a  temperature,  e.g.  39.5
                    I’ve  got  hay  fever  (U)   sneezing,  runny  nose,  sore  eyes   allergic  reaction  to
                                                                              pollen  from  grass
                    I've  got  diarrhoea  (U)   I  keep  going  to  the  toilet   often  food,  or  a  virus
                    I  feel  sick          I  want  to  vomit  (=  be  sick)   many  e.g.  food,  alcohol
                    I’ve  got  a  hangover   headache,  feeling  sick         too  much  alcohol
                    Note:  For  these  illnesses,  you  can  either  buy  something  from  the  chemist,  or  go  to  your
                    doctor,  who  may  give  you  a  prescription  (=  a  piece  of  paper  with  an  order  for  some
                    medicine)  that  you  get  from  the  chemist.

                   Aches  and  pains

                    Nouns:  We  only  use  ache  with  the  following:  I’ve  got  toothache  (U),  a  stomach-ache,
                   backache  (U),  earache  (U)  and  a  headache.  For  other  parts  of  the  body  we  use  pain,
                    e.g.  |  woke  up  in  the  night  with  a  terrible  pain  in  my  chest.
                    Verbs:  You  can  use  ache  for  some  things,  e.g.  my  back  aches;  but  hurt  is  more  common  to
                    describe  real  pain,  and  it  can  be  used  with  or  without  a  direct  object:
                    She  hurt  her  foot  when  she  jumped  off  the  bus  and  fell  over.  (also  injured  here)  or
                    She  hurt  herself  when  she  jumped  off  the  bus  and  fell  over.
                    l  hit  my  leg  against  the  table  and  it  really  hurts.  (=  gives  me  a  terrible  pain)
                    Adjectives:  The  only  common  adjective  is  painful  (#  painless):
                    I  had  an  injection  yesterday  and  it  was  very  painful.
                    A:  Did  it  hurt  when  you  had  your  filling?  (=  when  the  dentist  fills  a  hole/cavity  in  the  tooth)
                    8:  No,  it  was  painless.


                    Serious  illnesses

                    Doctors  believe  smoking  is  the  major  cause  of  lung  cancer...
                                                                                               heart
                    He  had  a  heart  attack  and  died  almost  immediately.
                    Hepatitis  is  a  liver  disease.
                    Asthma  (chest  illness  causing  breathing  problems)  has                stomach
                    become  more  common.                                 liver

                    Note:  Illness  and  disease  are  often  used  in  the  same  way,
                    but  disease  is  used  for  a  serious  condition  caused  by  an
                    infection  e.g.  a  liver  disease.  Illness  is  a  more  general  word.

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