The Reliance GP Blog


Gastro Outbreak – how to eat and treat

Missy Tysoe May 16, 2017

Gastro Outbreak – how to eat and treat

Update August 4 2017: Over 1900 cases reported to emergency departments in NSW. Read more here.

A local nursing home has been in lockdown after an outbreak of gastroenteritis on the Central Coast. Doctors at Reliance have treated an increased number of patients over the last two weeks, and provide some quick facts below to help you stay safe from the virus, and how to treat the virus.

Gastro is a virus that causes vomiting and diahhrea, and may lead to severe dehydration. Gastroenteritis can be caused by a number of different germs including:

  • viruses (for example norovirus, rotavirus, hepatitis A)
  • bacteria (for example Salmonella, Campylobacter, Shigella)
  • parasites (for example Giardia, Cryptosporidium)
  • Toxins (produced by bacteria, found in food etc)

Gastro should only last a few days and is usually treated by rest and keeping up fluids. It doesn’t usually require medication.


  • nausea and/or vomiting
  • diarrhoea, sometimes containing blood
  • stomach pain/cramps
  • fever
  • generally feeling unwell, including tiredness and body aches.


  • Drink plenty of clear fluids, for example juice diluted 1 part to 4 parts water, to prevent dehydration. Avoid undiluted fruit juice and soft drinks as they may increase dehydration and diarrhoea. Rehydration drinks that replace fluids and salts are available from chemists. Intravenous fluids may be needed in severe cases of dehydration.
  • Drink plenty of fluids such as plain water or oral rehydration drinks (available from pharmacies) to avoid dehydration. Dehydration is especially dangerous for babies and the elderly.
  • Avoid anti-vomiting or anti-diarrhoeal medications unless these are prescribed or recommended by a doctor. Probiotics can aid recovery of the gut. 

If you experience severe or prolonged symptoms you should visit a doctor, call 43041333 to book an appointment. Or book online through appointuit app It is advised to see a doctor if you suspect your baby has been infected, as small children are more suspectiple to dehydration and other complicvations resulting from the illness.


Gastro Outbreak – how to eat and treat

BRAT Diet – treating a stomach bug

While you have the infection

When you catch a bug that causes acute infectious gastroenteritis (gastro), your stomach and intestinal tract become inflamed, causing diarrhoea, nausea, vomiting, abdominal cramping and pain. This commonly reduces appetite and sufferers will not feel like eating. It is important to keep fluids up and slowly try to eat small meals to regain your energy. Reliance doctors recommend the BRAT diet, which stands for “bananas, rice, apple sauce and toast”. Bland foods  are typically recommended to avoid irritating the stomach. The banana and rice portions of this diet are higher in fibre, leading to more solid stools and a decrease in the frequency of diarrhoea


  • Start on a BRAT diet – bananas, rice, apple sauce and toast” and after 24 hours move to resume eating a normal diet with a mix of fruits, vegetables, meat, yogurt, and complex carbohydrates.
  • Drink plenty of water or electrolyte drinks (sports drinks)
  • Raw foods such as meats, poultry and eggs can contain bacteria that cause gastroenteritis. Keep raw foods separate from cooked and ready-to-eat foods (for example salads) to prevent cross-contamination. Store raw meat below ready-to-eat food in the refrigerator and use separate chopping boards and knives for raw and ready-to-eat foods.
  • Cook foods thoroughly to a temperature of 75 °C or until meat juices run clear and are not pink.
  • Keep cold food below 5 °C and hot food above 60 °C.
  • Avoid caffeine and alcohol for several days, as these can worsen dehydration.
  • Avoid preparing or handling food for other people until symptoms have resolved. If you must prepare or handle food, thoroughly wash your hands beforehand to reduce the risk of spreading the infection to others.


  • Wash and dry your hands thoroughly after going to the toilet.
  • Immediately remove and wash any clothes or bedding contaminated with vomit or diarrhoea using detergent and hot water.
  • After an episode of diarrhoea or vomiting, clean contaminated surfaces (for example benches, floors and toilets) immediately using detergent and hot water. Then disinfect surfaces using a bleach-based product diluted according to the manufacturer’s instructions.
  • Clean carpet or soft furnishings contaminated with diarrhoea or vomit immediately using detergent and hot water and then steam clean.
  • Wash and dry your hands thoroughly after changing nappies, going to the toilet, cleaning up vomit or diarrhoea, or handling animals, and before eating or drinking. If hand-washing facilities are not available use an alcohol-based gel.


  • Avoid contact with people who have gastroenteritis symptoms.
  • Do not go to work or school for at least 24 hours after symptoms have finished, or 48 hours if you work in or attend a high risk setting, such as health care, residential care or child care, or handle food as part of your job.

How gastroenteritis is spread?

You might get it from food, water or contact with an infected person (or contact with vomit/faeces). Infectious gastro can be easily spread.

Gastro is spread when germs come into contact with your mouth. This can be by:

  • drinking or eating something contaminated with germs or toxins
  • contact with an ill person, or microscopic amounts of faeces (poo) or vomit from an ill person. This may occur directly by close personal contact, or indirectly by touching contaminated surfaces such as taps, toilet flush buttons, toys or nappies. The germs then pass from your hands to your mouth
  • handling pets and other animals.

When people get gastroenteritis they often assume that the last meal they ate gave them food poisoning, but often it  symptoms usually begin 1 to 2 days after you have taken in the germ, depending on which type you have been infected with.

Gastroenteritis prevention

To reduce your risk of catching or spreading gastro, wash your hands well after using the bathroom or changing nappies, and before preparing or eating food.

If you have gastro, it’s best to stay home (away from work, school or childcare) until the symptoms have been gone for at least 24 hours.

See a doctor immediately if you experience;

  • gastro for more than 2-3 days,
  • dark urine, or trouble passing urine
  • light headedness,
  • or a temperature.

Call 43041333 to book an appointment. Or book online through appointuit app


NSW Health


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Reliance crowned ‘Business of the Year’ at annual CCBEA

Missy Tysoe August 30, 2016

Reliance Health wins Business of the Year 2016

Blog (9)

29 August 2016

Reliance GP Super Clinic took out the prestigious ‘Business of the Year’ award at the annual Central Coast Business Awards, held at Mingara Recreation Club on Saturday night.

Hundreds of people from various industries and organisations flocked to the finals, where the crème de la crème of the local business world were recognised for their contribution to the regional economy and wider community.

Reliance was listed as a finalist in three categories; Excellence in Business Ethics, Excellence in Business Growth and Employer of Choice – earning an aggregate total that saw them take the overall honours.

Based in West Gosford, Reliance expanded with a second practice having opened in May this year, and another site is set to open in Erina in the coming months.

Reliance GP Super Clinic is the most comprehensive healthcare provider on the Central Coast; with over 25 GPs and an extensive range of allied health practitioners and Specialists all under the one roof, and a business model based on growth through education and training.

The Clinic’s business model saw an increase of 100% in the last 12 months at the West Gosford practice alone, and plans to double the figure in the future, says Dr. Rodney Beckwith. “Our model aims to manage demands from a changing local demographic and evolving patient needs.”

In 2016 Reliance opened 3 specialised clinics for specific high volume needs; a sleep study clinic for sleep related illness including sleep apnoea, a flu clinic, a skin cancer clinic for specialised skin checks & procedures, with plans to open a women’s health  and wellbeing clinic which will cover obstetrics, women’s health, emotional wellbeing and clinical cosmetics.

Reliance has a stringent recruitment process for both professional, management and admin staff, with ongoing training and education at the forefront of the organisation’s success. Reliance hold education sessions weekly which is attended by all professionals.  CEO, Julie Abdilla believes in fostering shared knowledge and experience which fits in well with the ‘Inclusivity of relationships culture’ within the practices.

In addition to internal training, Reliance hosts seminars open to the extended professional community of General Practitioners.

Reliance participates in fundraising events for causes such as cancer research, childhood disease, autism awareness and local hospital funding – in addition to sponsorship of local sporting clubs and teams.

Dr Beckwith explains that the community sponsorship evolved to encourage a healthier community, having been selected as the Central Coast ambassador for the Children’s Medical Research Institute. “Our contribution to medical research not only serves the charity but also the wider community in finding cures for illness that affect so many lives”, states Beckwith.

At the beginning of the year Reliance contributed towards the sponsorship of a local Surf Life Saving Club, claiming that local partnerships generate exposure and allow health professionals to communicate important health and safety messages in the community. North Avoca SLSC Club President Mathew Slattery explains “The financial contribution from Reliance provides rescue equipment, surf rescue education and development, training subsidies, first aid and advanced resuscitation training.”

A finalist in the Employer of Choice category, Reliance offers a variety of health and wellness initiatives to staff, such as gym memberships, fresh fruit delivery, monthly rewards and recognition, and allied health programs. Ms Abdilla explains the motivation behind the extensive program is “to provide a happy and healthy environment for our team”.

Melissa Tysoe-Burt | Marketing & Events 

Reliance Connect – Health News

Missy Tysoe August 22, 2016

Reliance Connect is our official Reliance Newsletter, delivering medical news, clinic updates, health topics, competitions and more, to our valued patients.

Contact to subscribe and receive our next issue.

Click here to view the June issue.

Click here to view the July issue.

Winter is a good time for a skin check: Skin Cancer Clinic Now Open

Missy Tysoe June 28, 2016

Winter is a good time for a skin check

Reliance Skin Cancer Clinic now Open


Did you know?

  • Australia has among the highest rate of skin cancer in the world.
  • About 2 in 3 Australians will be diagnosed with some form of skin cancer before the age of 70.

One of the most important things you can do for your health this winter is to get your skin checked. While many people take on-board the sun-smart, slip slop slap message during summer, it is often neglected during the winter.

Skin cancers can develop at any time so sun protection measures and skin checks should not be neglected during the colder months. Skin lesions from sun damage during summer months won’t show up overnight. It may take months or years for the damage to develop into a skin cancer. During summer we are far more likely to notice moles or unusual spots as more of our skin is exposed. In winter, we are heavily clothed and as a result often less likely to notice suspicious moles

Additionally, winter may prove to be the most ideal time for a full skin check. As most people are covered up during the winter months, this minimises sun exposure to skin lesions and moles. This can allow for better dermoscopy viewing (a distinct magnifying light, which allows a doctor to closely examine spots on the skin).

What to look out for?

Any change or sudden appearance of freckles, moles, sores or spots, even just reddened areas may be an indication of skin cancer and you should see a doctor. Reliance Medical Practice now offers a comprehensive Skin Cancer Clinic at our West Gosford and Wyong sites and we welcome new patients. The doctors involved in the Reliance Skin Cancer Clinic are highly qualified and experienced in this area.

By checking regularly you will get to know when something has changed. Change is one of the important things to look for, a change could involve a change in colour, change in shape (e.g. it used to be perfectly round and now it looks like a map of Australia), change in surface pattern (e.g. it used to be smooth and it is now rough), or if it becomes a sore that won’t go away.

Talking to your doctor:

To get the most out of your visit to your doctor:

  • visit a skin cancer clinic with doctors who specialise in this area ie Reliance Skin Cancer Clinic
  • request a longer appointment if you have a number of issues to discuss
  • prepare your questions beforehand
  • take a friend or relative for support, or to write down answers to your questions if possible
  • ask your doctor to explain again, if you don’t understand the answers
  • ask your doctor to give you a written summary of your treatment plan


Be skin smart this winter

Remember to protect your skin this winter by applying 30+ sunscreen to exposed areas of skin such as the face and hands and don’t forget your lips and ears, and wear protective sunglasses or googles for work, sports and anytime outside. If you notice a spot on the skin that looks different from the others or is changing, bleeding or itchy, it should be examined by a doctor.

Protect you and your loved ones skin and book an appointment with your GP today. Call 02 4304 1333 or visit

Reliance Medical Practice

Reliance Skin Cancer Clinic- West Gosford and Wyong

Download the pdf here.

Melissa Tysoe | Marketing & Events Assistant | Reliance GP Super Clinic

Reliance in the Media: Kidz on the Coast Magazine

Missy Tysoe June 10, 2016

Reliance Medical Practice recently featured in local “Kidz on the Coast” magazine.

The article featured news about the opening of our new Wyong practice. Click to view here: KIDZontheCoast_Reliance.

  • Easy online booking available anytime

    For your convenience and ease we have an online booking system to enable fast access to our services 24/7. If you are booking from a smartphone or tablet, download the Appointuit app to enable online booking. Try it here today

    Make an appointment

  • This development is supported by financial assistance from the Australian Government under the GP Super Clinics Program.

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