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Dr. Babu

MBBS

ENT Specialist, Bangalore

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Dr. Babu MBBS ENT Specialist, Bangalore
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
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Dr. Babu is a trusted ENT Specialist in Jayanagar, Bangalore. He is a qualified MBBS . He is currently associated with Shekhar Hospital in Jayanagar, Bangalore. Save your time and book an appointment online with Dr. Babu on Lybrate.com.

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Shekhar Hospital

#942, 28th Main,Jayanagar 9th Block. Land Mark : Near Ragi Gudda TempleBangalore Get Directions
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Shekhar Hospital

# 942, 28th Main, Jayanagar 9th Block, Landmark: Near Ragigudda Temple.Bangalore Get Directions
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Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

Sinusitis: Management and Prevention

Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which

Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:

New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● headache
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.

Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● cough
bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● fever
facial pain or pressure
● headache
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria

A. Multiplication of bacteria
B. Secondary bacterial infection

Other predisposing factors
tumors
● polyps
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● allergies
asthma
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● rhinovirus
● coronavirus
● adenovirus
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).

Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis

Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● anaerobes

Differential diagnosis
migraine headache
cluster headache
● dental infection
trigeminal neuralgia

Workup
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
 

Guide therapy:
● transillumination
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
● endoscopy
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.

Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%

● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,

Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.

Antimicrobial therapy
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of

Bacterial sinusitis.

● antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the

Costlier second-line agents.

Surgery
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis

6 people found this helpful

1. I have sinus, can I use curd when I take a head bath? 2. Is there a difference between curd and milk itself turning into curd consistency?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
In acute illness it is advisable not to take curds but hot milk with saffron and turmeric and almond crushed in milk can be very comforting.
1 person found this helpful
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I am 50 years old. I am suffering from vertigo and stomach irritation. Stomach irritation is causing vertigo and vomiting.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 50 years old. I am suffering from vertigo and stomach irritation. Stomach irritation is causing vertigo and vomi...
It may be... there are no direct rekations but possibility is there... You may take homoeopathic medicine Asafoetida 30 tds for 3 days.
1 person found this helpful
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My left ear is paining from over 3 days and it also discharging the the water like fluid. What should I do?

BHMS
Homeopath, Kolkata
My left ear is paining from over 3 days and it also discharging the the water like fluid. What should I do?
Olive oil can provide fast relief from an earache. It serves as a lubricant and helps get rid of an infection in the ear. Olive oil can also be helpful in stopping buzzing sensations inside the ears. Put 3-4 drops of lukewarm olive oil as ear drops into the ear canal. Alternatively, you can dip a cotton bud in the oil and put it firmly into the ear. You can also use mustard oil in the same way. For further queries get back to me.
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Sir / Madam. My name is Arbaz. V. Khan. And I am 19 years. Sir / madam. Today m gone water park n enjoy wid friends. Bt. My both EARS. gone water inside. N. Try all the techniq to remove water from my ears. Bt. Water can not came outside. N. I. Used ear drops also. 3 types of ear drop. Sir / Madam. please give me solution. And I am not listening properly. E. G. IF I WANT WATCHING T AM NOT ABLE TO WATCH LOW VOLUME.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Bangalore
Sir / Madam.
My name is Arbaz. V. Khan. And I am 19 years. Sir / madam. Today m gone water park n enjoy wid friends. ...
Generally if the ear is clean then the water inside the ear goes out on its own if you shake the head. Wax is one of the reasons for the water to get trapped inside the ear. The wax has to be removed if there is any. Consult an ent surgeon who will examine you & treat the problem accordingly.
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I accidentally hit my left side of the skull above the ear by a sharp and rigid corner of an object (bed) and now that part of my skull is swelled. Is this minor and would be healed automatically if not what should I do?

BHMS
Homeopath, Faridabad
I accidentally hit my left side of the skull above the ear by a sharp and rigid corner of an object (bed) and now tha...
Hello, For the time being, take homoeopathic medicines - Arnica 200 and Rhus Tox. 200 - take both of them thrice daily for 1 week. Also, apply Schwabe's Topi-Arnica and Topi MP Gel on the affected area in circular motions gently thrice a day. Even after a week, there is no improvement seen, then get yourself examined to rule out any possibilities. Get back to me thereafter.
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I am 24 year male, last one year facing tiredness, dull face, feel some weakness, hair loss, some time motion came with dilute like gel, if once I sit avg 30 minutes then stand that time I feel giddy, little memory loss.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
Go for a hemoglobin test. For hair loss add protein in your diet. The most common cause is nutritional deficiencies of iron, folic acid, and vitamins c and b12. When the hemoglobin level decreases, it can cause fatigue, weakness, shortness of breath, dizziness, headaches, pale skin, brittle nails, rapid heartbeat and poor appetite. 1. Some good iron-based foods are liver, red meat, shrimp, tofu, spinach, almonds, dates, lentils, fortified breakfast cereals, almonds, oysters and asparagus. 2. You can also take an iron supplement. Let me do a private consultation r the correct dosage. 3. Eat foods rich in vitamin c like papaya, oranges, lemon, strawberries, bell peppers, broccoli, grapefruit, tomatoes and spinach. 4. You can also take vitamin c supplements after consultation, let me do a consultation. 5. Folic acid, a b-complex vitamin, is required to make red blood cells. So, a folic acid deficiency automatically leads to a low hemoglobin level. For all the above I can only suggest two best supplements cost you around 5000/- lost for 4 month, you will have a significant difference after usage and these a very help full after during periods and after pregnancy. Have a nice day. Let me suggest you the best food supplements cost you for 8000/- for 4 months, you will get a better health.
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I am 23 years old. I have snoring problem. Can you please suggest how to control it.

MS - ENT
ENT Specialist, Rajkot
It may be due to overweight, nasal blockage, low soft palate or enlarged tonsils. So for proper diagnosis you are requested to send photos of nose and throat For further help consult me privately. Mostly people having snoring, have also sleep apnea, so you must go for a test called sleep study, by which we can diagnose a disease called sleep apnea. Send me the report of sleep study, so I can guide you further.
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Relieve Nasal Congestion by Simple Ways

Diploma in Diet n Nutrition, BHMS
Homeopath,
Relieve Nasal Congestion by Simple Ways

Breathe Easy: 6 Natural Remedies to relieve Nasal Congestion

Everyone knows how annoying a stuffy nose can be. The difficulty in breathing even affects your sleep and day to day work. Nasal passages are blocked when the virus causing cold leads to inflammation of the tissues in the nasal cavity. Thankfully there are some simple and non-expensive home remedies that can be used to relieve a blocked nose.

Here are some natural remedies to get rid of nasal congestion during winter months:

1. Garlic :

Garlic is useful in relieving a blocked nose. In addition, it’s anti-bacterial and anti-fungal nature helps to fight with cold virus. You can either chew on 2-3 cloves of whole garlic or boil the cloves in one cup of water and drink the concoction.

2. Apple cider vinegar:

In addition to numerous other health benefits, apple cider vinegar can also help relieve a blocked nose. Mix two teaspoons of apple cider vinegar and one teaspoon honey in a cup of water. Drink this at least 2-3 times a day to clear congestion.

3. Tulsi:

Basil or tulsi is also a great treatment for blocked nose. You can chew on a few leaves at night before going to sleep and in the morning. It is a very effective solution for not only relieving congestion but also to treat other conditions of cold like sore throat and cough.

4. Eucalyptus oil:

Eucalyptus oil is highly beneficial for those suffering from nasal congestion due to its decongestant and anti-inflammatory properties. Put one or two drops of eucalyptus essential oil in a fresh handkerchief and inhale the aroma. Do this few times a day. Alternatively, you can add a few drops of eucalyptus essential oil on your pillow so you can get the benefits of this oil while sleeping.

5. Methi seeds:

Methi is a very good natural ingredient to treat nasal congestion, thanks to its anti-inflammatory properties. It also helps to cleanse the mucous membranes. The heat and moisture from methi tea will help in thinning of mucus.

Mix one or two teaspoons of crushed methi seeds in a glass of water. Boil the solution. Strain and drink it while it is warm. Repeat two or three times a day until you get complete relief from the problem.

6. Lemon tea:

A tea made of hot water, lemon, and honey is one of the best stuffy nose relievers and you should try it if you’re looking to quickly get rid of a stuffy nose. To make this simple tea, just boil a cup of water, add the juice from one fresh lemon, and mix in two tablespoons of honey. Drink this up as many times a day as you would like to get rid of your stuffy nose and help you feel better.

So, go ahead and try these effective remedies to breathe easy this winter season. Stay healthy, stay happy!


 

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