coughingIn some people, irritating stomach acid may flow back into the oesophagus, and sometimes up to the throat / back of nose.  This causes irritation and muscle spasm in the throat.  Some of the possible symptoms are coughing, laryngeal spasm, burning or soreness (“heartburn”), throat clearing, variable huskiness, excessive mucus, post nasal drip, bad taste and a sensation of a lump in the throat ( Globus Pharyngeus). In fact 5-12% of people may get reflux without the typical “heartburn” symptoms.

The following instructions are to help neutralise the acid in the stomach, to reduce the production of acid and to prevent acid from coming up the oesophagus.

  • Take an antacid in liquid form (Mylanta etc) or Tablets (eg Quickeze) after meals and at bedtime.  If symptoms persist, despite also taking antacid midway between meals, consult your general practitioner. Further medication may be required eg. Omeprazole Read the rest of this entry »

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Trouble SleepingPart of the problem in recognising whether you have poor sleep when you have had a sleep disorder for some time, is identifying whether your sleepiness levels are abnormally high or not. The most widely used method to determine sleepiness levels by practitioners and sleep clinics worldwide is the Epworth Sleepiness Scale.  It is a subjective assessment of how sleepy you are, but it is well validated within sleep research to be an effective tool in identifying excessive sleepiness.

It is recommended that you fill in the following scale with a spouse or family member to help answer the questions.  (A combined score 11+ indicates the presence of excessive daytime sleepiness… Hypersomnolence). Read the rest of this entry »

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ADVICE FOR PATIENTS FOLLOWING AN EPISODE OF EPISTAXIS (Nose Bleeds)

Now that the bleeding from your nose has settled these instructions should be followed to prevent further bleeding: Read the rest of this entry »

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nasal sprayNORMAL SALINE:

1 teaspoon of salt (Rock or Kosher salt can be used)
½ teaspoon of baking soda (Sodium Bicarbonate)
In 500 – 600 mls water (+/- warm, +/- boiled)

Your Surgeon may wish to add Antibiotics etc

METHODS:
Solution can be applied via:

1.  NeilMed Sinus rinse Bottles
2.  Sniffed from a cupped hand three times daily
3.  Spray bottle … for example, empty/old “Beconase” bottles can be washed and refilled.  15 – 20 sprays three times a day.
4.  Syringe 20 mls three times daily +/- MAD device
5.  Nose pipe Read the rest of this entry »

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Jun. 4, 2008

Dr Mike RobertsMBChB (Otago 1990)
FRACS – Otolaryngology, H&N Surgery (2000)
Member: NZSORL, Australasian Academy of Facial Plastic Surgeons (AAFPS).
Visiting Consultant Nelson and Wairau Hospital.

After completing his medical degree in Otago/Christchurch, Mike Roberts spent time in Perth (Western Autralia), Christchurch and Tauranga gaining experience in a variety of surgical specialities, before undertaking advanced surgical training in Otolaryngology (ENT) in Wellington, Otago and Christchurch.
Two years consultant work in Edinburgh were followed by a return to Nelson.
Mike’s areas of special interest are Paediatric ENT, General Otolaryngology-Head & Neck Surgery, Sleep/Snoring medicine and Facial Plastics.

It is appropriate for potential patients to contact Mike Roberts directly.

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