Doctor in Sinus Clinic
Nasal And Sinus Allergy Care
Functional Endoscopic Sinus Surgery
Surgery For Snoring And Sleep Apnoea.
Treatment of Nasal Disorders
Balloon Sinuplasty Treatment
Treating Deviated Nasal Septum
Submit a review for Sinus ClinicYour feedback matters!
Patient Review Highlights
Day by day my ear wax issue was increasing. I consulted Dr Jagdish Chaturvedi.His advice and counselling has helped me immensely. The ENT Evening Clinic is designed in such a manner that all requirements of patients are taken care of. As someone I knew, consulted Dr Jagdish Chaturvedi and they referred us. I had lost hope, but the ear wax treatment given by Jagdish Chaturvedi has helped me in quick recovery.
I read about Dr Jagdish on one of the social media platform. And I consulted him for my throat and voice problem. It was getting very difficult for me to cope us with my throat and voice problems. Not only he is very calm and composed, but is also a very understanding doctor. I am quite benefitted with his treatment that I am completely fine now.
I was shocked to experience the symptoms of throat ache. It's been more than a month now, and I have noticed considerable change in myself and Dr Jagdish has helped me in resolving the issue. He ensures that he listens to his patients. Finally with his treatment, I am completely cured from the pain.
Dr Jagdish is an ENT specialist. I consulted him as I was suffering from severe sneezing problem. He asked me several querries in order to know the problem and accordingly provided suitable treatment. The overall atmosphere in the ENT Evening Clinic is very soothing.
I found the answers provided by the Dr. Jagdish Chaturvedi to be very helpful, knowledgeable, well-reasoned, thorough and prompt. Thank you for the timely response. But I needed some more time to communicate with the doctor!
I was suffering from hearing problem and it was affecting my day to day life .I chose to consult Dr Jagdish. He treated me with a surgery and now I am perfectly fine. I owe him a big thank for the treatment he provided.
Nagalinga K R
I found the answers provided by the Dr. Jagdish Chaturvedi to be very helpful and helped me improve my health. Really a good suggestion I received for my problem....
Very good ENT surgeon. Helped me with my barotrauma case initially. My go-to doctor for any ENT or general health issues. Very supportive and caring doctor.
Found equipments that are made by doctor himself. These are cost effective and helpful in treating illnesses related to ENT
Tq sooo mch sir.....but sir that tube name plz... I think its candid
A quite common condition that may or may not cause a difficulty is the Deviated Nasal Septum. While most do not show any symptoms, some may experience noisy breathing, nasal congestion, or nose bleeding.
Nasal septum deviation is a physical disorder of the nose. It is a condition when the thin wall which is referred to as nasal septum located between the nasal passages is deviated or displaced to any one of the sides which makes one of the nasal passage reduce in size obstructing the air flow and causing trouble with breathing.
Causes of Deviated Nasal Septum
In cases of slight deviation of the nasal septum, it generally goes unnoticed since it does not result in any significant difficulties. In some cases, even if there is a slight difficulty in breathing, the individuals think that it might be due to a cough and cold which blocks the nose.
- One of the leading causes of deviated nasal septum might be due to the condition that was present at the time of the birth of the individual. A deviated nasal septum might occur during the fetal development which is apparent at the time of birth.
- The second cause of this condition might be as a result of an injury to the nose which causes the nasal septum to move out of its normal position. The injury might be caused by any accident, contact sports, active play, etc.
Symptoms of Deviated Nasal Septum
In most of the cases of the septal deformities, there are no visible symptoms, but in some cases, there arise some symptoms from which a deviated nasal septum can be confirmed. First and foremost, there is an obstruction in any one or both of the nostrils which make it very difficult to breathe. This might be more noticeable when the individual catches a cold or any allergies that cause the nasal passages to swell. Another prominent symptom is the bleeding of nausea which is caused when the surface of the septum becomes dry. In some cases, facial pain is experienced particularly in the area near the nose or inside the nose. A noisy breathing during the sleep can be another symptom of the deviated nasal septum.
Treatment of Deviated Nasal Septum
The treatment is usually carried out by Ear - Nose - Throat specialist (ENT). The first procedure for treatment is the decongestants which are the medication used for the reduction of the swelling of the nasal tissue that helps to allow free flow of air. Antihistamines are another type of medicines used to treat this condition which helps in the prevention of allergies that includes a runny nose, blocked nose or obstruction. Nasal steroid sprays are also used to reduce any kind of inflammation of the nasal passage. In extreme cases, surgical repair needs to be done. In such cases, Septoplasty which is a surgery used to repair or correct deviated nasal septum is performed.
Thus, when you experience symptoms, deviated nasal septum can be diagnosed and treated effectively.
In case you have a concern or query you can always consult an expert & get answers to your questions!
You may feel congestion or fullness all over your face, pain around eyes, forehead, and face, and may have a runny nose or nasal congestion. The condition may be chronic sinusitis and knowing the symptoms will help you manage the condition effectively.
Chronic sinusitis is a condition where the cavities around the nasal passages, i.e., the sinuses become swollen and inflamed and stays like that for about 12 weeks. It is a persisting condition, and one or more sinuses are affected in this condition.
What causes chronic sinusitis?
There are quite a few causes that can lead to chronic sinusitis. Some of them are:
- A damaged nasal septum may cause the blockage of the sinus passages, thereby leading to chronic sinusitis.
- The growth of nasal polyps in the sinus passages causes the blocking of the passages and thus may lead to chronic sinusitis.
- Infections in the respiratory tract which can be viral, bacterial or fungal like cold and cough may cause the inflammation of the tissues in the nasal passage and thus block the passage for mucous movement. Such a condition also leads to chronic sinusitis.
- Other causes include some medical conditions like any immune system related diseases such as HIV or any complications of cystic fibrosis, gastroesophageal reflux, etc.
- Sometimes allergic conditions may also lead to the inflammation of the tissues of the nasal passage and result in the same.
Know The Symptoms To Self-diagnose
There are four primary symptoms related to chronic sinusitis out of which a person requires to be confirmed of the presence of at least two symptoms for the doctor to suspect chronic sinusitis. These are:
- Congestion of the nasal passage causing breathing difficulties through the nose.
- Discharge of highly viscous or thick, discolored mucus from the nose and also drainage of such down the back of your throat.
- Swelling, tenderness, and pain around the eyes, cheeks, nose, and forehead.
- A cough or reduced taste and smell sensations in the adults.
There are quite a few ways by which your doctor is going to diagnose the problem, some of which are:
- Observing the nasal passage by nasal endoscopy, that is by inserting an endoscope with a fiber-optic light. This process is also called Rhinoscopy.
- Details of your nasal area can also be observed using the images obtained from a CT or MRI scan.
- If any of the above tests fail, a tissue culture test of your nasal passage and sinus is done to identify the infection you are affected with.
Allergy tests may also be done if the doctor suspects the condition to be caused by any allergies.
Various medications, immune-therapies, and even surgeries are opted for reducing the inflammation or for making way for the mucus to move out. The treatment is chosen depending on the severity of the situation.
In case you have a concern or query you can always consult an expert & get answers to your questions!
An effective treatment procedure for the condition called eustachian tube dysfunction is balloon tuboplasty. It is a modern surgical procedure which places a small balloon-like device in the blocked eustachian tube. The procedure offers long term relief to patients and has proven very effective in opening the blocked eustachian tube.
What is eustachian tube dysfunction?
The back of the throat and the middle of the ear is connected via the eustachian tube. This tube is filled with air and opens up while yawning or chewing. It does so to maintain or equalize air pressure on both sides of the ear drum. If the eustachian tube does not perform optimally, it prevents air from passing and obstructs while regulating air pressure. The blockage causes severe ear pain, ringing in ears and/or hearing loss. Common causes of blockage are sinus, common cold or ear or nose infection.
Balloon Tuboplasty procedure
If the occurrence of the obstruction is rare, then it is not a cause of worry, but if it is frequent, then surgical placement of tubes in eardrums might be required. In this procedure, a modified PTA catheter is introduced into a eustachian tube with the help of a special micro endoscope that allows the catheter to be placed in the right position. After the catheter has been positioned properly within the eustachian tube, the balloon present on its distal end is inflated.
The pressure is kept unchanged for 2 minutes, and then the balloon is deflated. After deflation, the catheter is removed under endoscopic vision. The results attained by using this technique show that the procedure for dilation of eustachian tube is very safe, simple and effective. Moreover, it confirms that balloon tuboplasty is favorable for those patients with stenosis of the ear tube. For assessment of objective and subjective parameters concerning postoperative results a specific scale identified as ETS is used.
Success rate of balloon tuboplasty
This modern procedure has proven to have an astounding success rate based on results obtained from clinical studies. Also, tympanogram normalization rate was found to be greater than control subjects treated with medical management alone. The improvement in the quality of life measures is also found to be higher. Moreover, zero risk or reported adverse effects concerning device or procedure was found.
The eustachian tube balloon dilation procedure does have associated risk factors. Associated risks may include tissue and mucosal trauma or carotid artery injury. Before opting for this procedure, it is highly advised to consult highly reputed doctors and know the details of the procedure and whether you are the right candidate for such a procedure. Being aware of all possible risks and benefits shall help you make an informed decision and achieve beneficial results. Consult an expert & get answers to your questions!
Rhinitis is an irritable medical condition where the mucous lining of a person's nose swells up. The term is more of a category and less of a definitive way to describe something specific. Rhinitis involves a host of other conditions that affect the mucous membranes of your nose. If you were not aware, common cold is also a kind of rhinitis. Rhinitis can cause acute touchiness in the inner lining of the nose leading to continuous discharges from one's nose. It can also lead to clogging of your nose or inflammation of the internal tissues.
Rhinitis can be divided under two main types; allergic and non- allergic rhinitis. Allergic rhinitis, popularly known as hay fever is caused due to contact with allergens that are usually undamaging. However, in case of non- allergic rhinitis the symptoms take after that of the allergic type but no particular causal factor can be identified.
Factors that can increase your propensity to suffer from rhinitis of any kind are:
- Pollen from flowers
- Inhaling certain substances can be harmful; smell of certain chemicals is bad too.
- Both active as well as passive smoking can be detrimental
- High levels of air pollution contributes to the risk
- Weather conditions affect your health; a windy yet humid weather can aggravate rhinitis.
Common symptoms of rhinitis can be listed as below:
- A person suffering from this condition might catch a cold all of a sudden.
- People, usually little children, might even face high fevers.
- Your nose tends to be runny. After the infection subsides, chances of a thick, sticky discharge are more.
- Exhaustion is also felt in combination with headaches and teary eyes.
- The nature of your nasal discharge tells the doctor if you are suffering from an allergy or from a viral infection.
A few preventive measures to aid you against rhinitis:
- Rhinitis can be communicable and in most cases it is so. Therefore a person should not share his or her utensils and other personal things such as towels or handkerchiefs with any other person.
- One should not be in close proximity of another infected person.
- Hands are the most common sources of infection. One must wash his or her unclean hands before touching the face. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
Any ailment can cause a breakdown of one's overall well-being due to the onslaught of related symptoms, and sinus problem is no different. Sinusitis refers to inflammation or swelling of the tissue that lines the sinus, which are passages filled with air and lie in the nasal tract.
Sometimes, these passages get blocked with germs, fluid and other elements that can give rise to infections and allergic reactions. Here are the ways in which this condition can affect your health:
- Related ailments: One of the most common outcomes of sinus blockage is common cold, which can happen when the passages do not get proper movement of air. Further, it can also cause allergic rhinitis which is also known as hay fever and comes with its own set of symptoms like a runny nose, blocked nose and ears, watery eyes and other signs. A build-up of nasal polyps can also take place in the blocked path of the sinus, while the nasal cavity can also shift, causing a deviated septum.
- Pain: We have many sinuses that are located in various parts of our head, including the areas above and below the eyes. As a part of the sinus attack, one may experience pain and fluid fullness in these areas. These regions can ache when there is a sinus infection. This pain can also be caused by the dull pressure exerted by inflammation, and the pain can then travel down to jaws, teeth and even between eyes.
- Headaches: The constant pressure and persistent pain in the various areas containing the sinus can lead to long term headaches which will be at their worst in the mornings. This is due to the fact that the fluids have been accumulating throughout the night. These headaches can get worse if there is a change in the temperature.
- Congestion: Congestion is also a common symptom of sinus infection. The swollen sinuses can lead to constrictions in the nasal passage, which can obstruct normal breathing. This will lead to congestion, which can also affect the senses of taste and smell.
- Cough and discharge: A patient suffering from a sinus infection may end up blowing his or her nose more often than normal. This will usually happen because a yellowing greenish discharge will drain into the nasal passages on a regular basis during the infection. When this discharge bypasses the nasal tract and reaches the throat, it can also cause persistent coughing. It is best to ask for medical intervention and practice steaming to relive the painful symptoms of this condition. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
Tonsillitis is a disorder of the tonsils present on the back of your throat. The tonsils acts as a defensive mechanism in the body as they prevent the body from infections. This is a contagious condition and can occur at any age. It is widely prevalent among school going kids.
Tonsillitis may be classified into two types:
- Chronic tonsillitis: This type of tonsillitis tends to last for an extended duration with symptoms of bad breath and tenderness in the lymph nodes.
- Recurrent tonsillitis: This is a form of acute tonsillitis which repeats itself over a year.
Causes: Tonsils prevent various virus and bacteria from entering the body through the mouth by producing antibodies. The tonsils, however, may become vulnerable to these infections. A virus that causes common cold or the bacteria that causes strep throat may result in tonsillitis. The most common cause of this disorder is the strep bacteria. School going children are especially vulnerable to this disorder because they are most prone to various infections.
The various viruses that may cause tonsillitis are:
- Herpes simplex virus
- Epstein-Barr virus
- Influenza virus
- Parainfluenza virus
The various symptoms of tonsillitis are
- Swallowing difficulties
- A sore throat
- The sore throat may result in bad breath
- You may experience fever and chills
- Pain in the head, ear and stomach
- You may experience stiffness in the neck and the jaw
- Swollen tonsils with possible redness
- Changes in voice
- Symptoms of cold
Treatment: The treatment for tonsillitis is usually antibiotics and in some cases, tonsillectomy. The antibiotics help in getting rid of the bacterial infection. Surgery is only done in cases where tonsillitis is chronic in nature. It is important that you drink fluids and restrict smoking to prevent tonsillitis. If you wish to discuss about any specific problem, you can consult an ENT specialist.
Adenoidectomy is a surgical procedure to remove the adenoid. The adenoid is a gland which is present on the roof of the mouth; its role is to produce antibodies to protect the body against infections. Usually the adenoid glands diminish during your adolescence and disappear by the time you are an adult. Respiratory and throat infections that are chronic in nature, are the main causes of infection in the adenoid glands.
Reason for the removal of adenoids
Throat infections that occur frequently can lead to the enlargement of the adenoid glands. When these glands become enlarged, it results in breathing problems and blockage of the Eustachian tubes. Blocked Eustachian tubes can cause infections in the ear which, in turn, causes severe hearing problems.
The surgical procedure is performed under general anesthesia in an outpatient mode. The removal of the adenoid glands takes place through the mouth. Initially, a small instrument is put inside the mouth to keep it open. After this, the adenoids are located in the mouth, following which they are scrapped off with a curette or by applying heat to the area by the process of diathermy (a technique to stimulate circulation by heating up a part of the body with the application of localized heat currents). Once the procedure is completed, you will be discharged on the same day.
Post-surgery, you may experience a sore throat for a few weeks. You must drink plenty of fluids to prevent dehydration. Keeping yourself hydrated also helps relieve symptoms of post-surgical pain, if any. Oily and spicy foods should also be avoided as it may cause pain inside the mouth. Applying ice can also relieve pain symptoms. However, don’t apply ice directly wrap it in a cloth and then apply it on the neck. Do not undertake any stressful or strenuous activity for 7-10 days post-surgery to further facilitate the recovery process. Post-surgery, the risks of throat and ear infections are greatly reduced. Breathing through the nose also becomes relatively easier. If you wish to discuss about any specific problem, you can consult an ENT specialist.
A broken nose, often referred to as a fractured nose or a nasal fracture, it is a crack or break in the bones of your nose. The bone that is more prone to getting fractured is the one over the bridge of the nose.
There can be a lot of reasons for a broken nose. Common causes include falling down on your face or the nose being hit by a blunt object. Your nose may look twisted and you might have trouble breathing. A nasal fracture can cause pain in the nose and is usually accompanied by bruising and inflammation around the nose.
Any activity that tends to increase the possibility of facial injuries can also increase the possibility of a nasal fracture. The common risk factors include playing contact sports like soccer or rugby without proper face protection. Riding a two wheeler without a helmet or not using seat belt in a four wheeler can cause a nasal fracture if the vehicle meets with an accident. Physical fights can also result in a broken nose.
Symptoms and complications:
The common symptoms of a nasal fracture are:
- Pain in the nasal region. You may feel pain just by touching your nose.
- Swelling around the nasal region can also be observed.
- Your nose and the region below the eyes may be bruised.
- Sometimes you may experience breathing problems as well, since your nasal passage can be blocked due to a nasal fracture.
- Loss of shape of your nose along with bleeding and discharge of mucus from it are common signs of a nasal fracture.
There can be a lot of complications that can occur due to a broken nose. The complications may vary according to the nature of injury.
The common complications are:
- Clotting and collection of blood. Due to a heavy injury to your nose, the blood tends to clot in large quantities and sometimes can cause blockages in the nostrils. This condition is specifically referred to as septal hematoma and needs a quick surgical procedure to prevent any sort of breathing problems.
- Another complication that can result due to a nasal fractures nasal cartilage fracture or a deviation in the septum.
- Sometimes the impact of the blow, which has caused a fracture in the nose can also result in a neck injury. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Remember the sensation similar to that of a warm liquid flooding your tongue when you smell a deliciously baked chocolate cake? Or a freshly baked brown bread early in the morning? That is your saliva. The salivary glands present in the inner linings of the lips, cheeks and the mouth produce saliva. Saliva protects one from tooth decay, keeps the mouth moist and helps in the digestive process. Any disease that affects the saliva gland comes under the domain of ‘salivary gland disorders’.
There are three salivary glands in humans known as the Submandibular, Parotid and the Sublingual gland. The most common disorder that affects salivary glands is that of ‘blocked salivary glands’. Sialothiasis is a disorder wherein, calcium stones are formed in the salivary glands, which obstruct these glands. Obstruction of the salivary glands leads to an infection called sialadenitis, caused by strep or staph bacteria.
Sjogren’s syndrome is another condition which affects the salivary glands. In this condition, the antibodies in the body target the cells that produce saliva. This occurs mostly in women who suffer from autoimmune disorders. Viral infections are also common; flu virus and mumps are a few examples.
The symptoms of salivary gland disorders are problem specific; for Sialolithiasis, you will feel a painful lump below the tongue, which tends to aggravate when you eat. In case of Sialadenitis, there will be an odorous pus-filled discharge along with a lump beneath the chin. For viral infections, the symptoms will include muscle pain, swelling and fever. Symptoms of Sjogren’s syndrome are dry eyes and mouth, joint pain, fatigue and tooth decay.
Like the symptoms, the treatments for salivary gland disorders are also problem specific. For salivary gland tumors, surgery is required. If it is a malignant tumor, then radiation therapy will be prescribed which may cause dry mouth syndrome (Xerostomia). For bacterial and viral infections, anti-bacterial and anti-viral medications are required for treatment, respectively. It is also important that you take good care of your oral health for an even more effective treatment. Brushing and flossing your teeth on a regular basis will help keep salivary gland disorders at bay. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
An eardrum rupture or perforation is a little gap or tear in your eardrum and the tympanic membrane. The tympanic membrane is a thin tissue that partitions the canal of the middle ear and outer ear. This layer vibrates when sound waves enter your ear. The vibration proceeds through the bones of the center ear. Since this vibration allows you to listen, your hearing can be affected if your eardrum is harmed. A ruptured eardrum is additionally called a perforated eardrum. Permanent hearing loss could be an end result in some cases.
A ruptured eardrum, similar to thunder; can happen all of a sudden. You may feel a sharp pain in your ear, or an ear infection that you've had for some time all of a sudden leaves. In some cases, the person may not feel any signs of the rupture.
Some of the causes for such a perforation are:
- Infection: Ear infections are a major reason for eardrum rupture, particularly in children. Liquids tend to deposit behind the eardrum in such cases.
- Exercises: Exercising can bring about pressure changes in the ear and lead to a punctured eardrum. This is known as barotrauma, and takes place when the pressure outside the ear is not the same as the pressure inside the ear. Activities that can bring about barotrauma include scuba diving or flying on plane.
- Other activities: Wounds can likewise burst your eardrum. Any injury to the ear or side of the head can bring about a crack.
Diagnosis: Your specialist can use a few approaches to find out whether you have a ruptured eardrum:
- A liquid test in which your specialist tests liquids that might spill from your ear from infection.
- An otoscope exam in which a specific gadget with a light is used to investigate your ear channel
- An audiology exam, in which your specialist tests your listening to range and eardrum limit
- Tympanometry, in which your specialist uses a tympanometer to test the pressure changes in your ear.
Treatment: The treatments are as follows:
- Patching: In the event that your ear does not recuperate by itself, your specialist may fix the eardrum. Fixing includes setting a sedated paper patch over the tear in the film.
- Antibiotics: Anti-toxins can clear up contaminations that may have prompted your eardrum break. They additionally shield you from growing new diseases from the aperture. Your specialist may endorse oral antibiotics or eardrops.
- Surgery: In uncommon cases, surgery might be required to fix the gap in the eardrum. A surgical repair of a punctured eardrum is called tympanoplasty.
A cracked eardrum generally recuperates without any invasive measures. Many patients with cracked eardrums encounter just transitory listening problems.