The Nelson Medical Practice

Kingston Road, London, SW20 8DA

South West London CCG Member Practice

111 Out of hours
GP services only, call: 020 3826 0826
All other Health Centre Services, call: 0203 668 3300
GP services only
email address: swlccg.enquiriesnelson@nhs.net

Ear, nose and throat health


Ears not only let us hear, but they also play a role in maintaining our balance, which is vital to our ability to function in daily life. Therefore it is important to care for your ears. Here are some tips on keeping your ears healthy:

  • Protect your ears – from loud noises and blows to your ear
  • Don’t stick anything in your ears – including cotton buds.
  • Prevent too much water getting your ears – especially when you go swimming as this can cause swimmers ears.

For more information on the ears visit Patient UK.

Hearing loss

Hearing loss can be temporary or permanent and can affect all age groups. Ageing, ear infections and loud noises all cause hearing loss. If you think you have reduced hearing make an appointment with one of our practice nurses who will have a look in your ear and if needed refer you to have a hearing test.

Wax is a common cause of hearing loss if you think you may have wax in your ears see your local pharmacist and follow these instructions: wax leaflet.

For more information on hearing loss visit NHS.


Tinnitus is the medical name indicating “ringing in the ears,” which includes noises ranging from loud roaring to clicking, humming, or buzzing. There is no cure for tinnitus but there are ways to make tinnitus less intrusive.

For more information on Tinnitus visit NHS and British Tinnitus Association.

Ear Wax

We recommend that you use ear drops then a bulb syringe that you can buy online or from your pharmacy which allows you to self-manage ear wax. View more information on ear wax. If this does not work then it might be appropriate for you to make an appointment with one of our nurses for ear-syringing (you must have used ear drops for at least 3 days before the appointment.


Labyrinthitis is swelling and inflammation of the labyrinth, part of the inner ear that helps control your balance. The inflammation may cause you to feel dizzy, like you are spinning or whirling. Labyrinthitis may also cause temporary hearing loss or a ringing in your ears or tinnitus, and it may also make you feel sick. Labyrinthitis can happen after a viral infection or, more rarely, after an infection caused by bacteria. Labyrinthitis usually goes away on its own after three to eight weeks. Sometimes the effects are more severe and longer-lasting, which can be debilitating for the person concerned.

For more information on Labyrinthitis visit NHS.

Benign paroxysmal positional vertigo (BPPV)

Vertigo is the feeling that you are spinning or the world is spinning around you. Benign paroxysmal positional vertigo is caused by a problem in the inner ear. It usually causes brief vertigo spells that come and go. For some people, BPPV goes away by itself in a few weeks. But it can come back again. BPPV is not a sign of a serious health problem.

You can help your vertigo symptoms at home by doing these exercises.

For more information on BPPV visit Patient UK.

Meniere’s disease

Meniere’s disease is a disorder of the inner ear that affects hearing and balance. It is characterized by episodes of vertigo, low-pitched tinnitus, and fluctuating hearing loss. For more information visit NHS.


Your nose is important to your health. It filters the air you breathe, removing dust, germs, and irritants. It warms and moistens the air to keep your lungs and tubes that lead to them from drying out. Your nose also contains the nerve cells that help your sense of smell.

Many problems besides the common cold can affect the nose. They include

  • Deviated Septum – a shifting of the wall that divides the nasal cavity into halves
  • Nasal Polyps – soft growths that develop on the lining of your nose or sinuses
  • Nosebleeds
  • Rhinitis – inflammation of the nose, the main symptom is a runny nose.

Nasal douching

ENT consultants recommend sinus washing, as part of your daily routine (like brushing your teeth), to patients suffering from allergies and other sinus ailments. Nasal douching keeps the sinus passages clear of congestion, allergens and everyday debris. In fact, it’s more effective than saline sprays in preventing and alleviating symptoms.

If you suffer from rhinitis or sinusitis why not try some nasal douching. Here is how you can do it at home.


Your throat carries food to your oesophagus and air to your windpipe and larynx, where your voice box is located. This area is vulnerable to a number of diseases and conditions that can impact your health. Keep your throat healthy by stopping smoking, reduce alcohol intake, maintain your oral health.

If you have a hoarse voice or a sore throat for more than 3 weeks please consult with your doctor.