Basingstoke & North Hampshire Hospital
North Hampshire ENT Partnership - Hampshire Clinic
Basing Road Old Basing Basingstoke Hampshire RG24 7AL
T 01256 377733 F 01256 354483 E info@ent-hampshire.com www.ent-hampshire.com
The North Hampshire ENT Partnership consultants are
Jonathan Blanshard FRCS (ORL)Appointed to North Hampshire Hospital in 1996. Special interest in ear surgery including middle ear reconstruction and also voice problems.
Paul Spraggs FRCS (ORL)Appointed to North Hampshire Hospital in 1998. Special interest in head and neck surgery and facial plastic surgery.
Many preparations are available which reduce acid refl ux and the
In some people, stomach acid may come up into the throat or gullet
(oesophagus). This may occur at any time of day or night but is most common after meals and when lying down.
Available ‘over the counter’ at your chemists are antacids to neutralise acid in the stomach, Gaviscon which helps protect the
Some people do not experience any symptoms from such refl ux
lining of the stomach and gullet, and Zantac which reduces acid
of acid, while others may experience any of the following common
production. There are many other medicines available and the
symptoms, alone or in combination: a sensation of a lump in the
Pharmacist will be able to advise you appropriately, allowing for any
throat, excessive catarrh/mucus, constant throat clearing, recurrent
coughing, sore throat, hoarse voice, heartburn and indigestion.
If you take antacids or Gaviscon these will be best taken 30 to 45
The following instructions are recommended to reduce production
of acid, prevent acid coming up into the gullet and throat, and neutralise stomach acid. You should progressively adopt enough of
Other medicines are available only with a prescription from your
these recommendations to achieve relief from your symptoms. This
Doctor and you may be prescribed these in the ENT clinic. It is
process will take time as the irritated gullet and throat heals and you
important to try to follow the advice in this leafl et, in addition to taking
should allow at least four to six weeks of careful treatment before you
The North Hampshire ENT Partnership www.ent-hampshire.com
British Association of Otorhinolaryngologists www.entuk.org
Obesity is a major factor in promoting refl ux of acid. If you are
Smoking stimulates stomach acid production and refl ux, in addition
overweight your symptoms will be helped if you can reduce your
to directly irritating the throat, and therefore if you are a smoker you
weight by careful dieting. You should avoid tight clothing across the
stomach. Avoid slumping, bending or stooping as much as you can.
Acid refl ux occurs more often at night, while lying fl at, and causes irritation of the gullet and throat that continues to bother you during
An easy way to reduce this, is to sleep on a bed which is raised
Some medicines may increase acid production and /or reduce
slightly at the head end. To do this, use wood, bricks or even
the body’s natural defence against stomach acid. These include
telephone directories under the legs of the bed to raise it by 4 to 10
Progesterone, Theophylline, anticholinergics, beta-blockers, Aspirin
inches. Pillows are unlikely to help since they generally elevate the
and ‘Aspirin-like’ non-steroidal anti-infl ammatory drugs (such as
head only. Acid refl ux will occur less if you sleep on your right side or
Do not stop taking any of your regular medications without discussing this fi rst with your doctor.
Avoid eating large meals. It is better to eat smaller more regular meals. Sit up straight during and for a period after eating. Take your evening meal at least two hours before going to bed and try not to eat anything else after this.
Certain foods may irritate the throat, gullet and stomach and stimulate acid production. These include caffeinated and de-caffeinated coffee, tea, fi zzy drinks, alcohol, citrus drinks and fruit, and spicy foods. You may be aware of other foods that cause the same symptoms; avoid these too.
HOW TO USE MICROSOFT OUTLOOK WEB ACCESS E-MAIL Please follow these steps prior to attending so that I can address your questions and concerns accordingly: Click on “ Staff E-Mail ” User Name “gboe\first initial last name no spaces all lowercase” For example: gboe\rlasalle Click on the first e-mail title in your “Inbox” If you wish to delete it, click on the
Surveillance des bactériémies : un outil pour améliorer la qualité des prescriptions antibiotiques et pour la lutte contre les infections nosocomiales. S. Nguyen, S. Dekeyser, C. Plane, B. Quesnel, MC. Delabre, C. Ducrond, E. Beclin, F. Dufossez, D. Descamps – Bactériémies: infections sévères et fréquentes– 2 types de bactériémies:• Communautaires • Et (notion r
Basingstoke & North Hampshire Hospital
North Hampshire ENT Partnership - Hampshire Clinic
Basing Road Old Basing Basingstoke Hampshire RG24 7AL
T 01256 377733 F 01256 354483