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Dr. Chandrashekhar Adiga

MBBS, DORL

ENT Specialist, Bangalore

29 Years Experience  ·  200 at clinic
Dr. Chandrashekhar Adiga MBBS, DORL ENT Specialist, Bangalore
29 Years Experience  ·  200 at clinic
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Personal Statement

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.
More about Dr. Chandrashekhar Adiga
Dr. Chandrashekhar Adiga is a renowned ENT Specialist in Raja Rajeshwari Nagar, Bangalore. He has helped numerous patients in his 29 years of experience as a ENT Specialist. He is a qualified MBBS, DORL . You can consult Dr. Chandrashekhar Adiga at Padma ENT Care Centre in Raja Rajeshwari Nagar, Bangalore. You can book an instant appointment online with Dr. Chandrashekhar Adiga on Lybrate.com.

Lybrate.com has a number of highly qualified ENT Specialists in India. You will find ENT Specialists with more than 36 years of experience on Lybrate.com. You can find ENT Specialists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Vijayanagara Institute of Medical Sciences (VIMS), Bellary, - 1988
DORL - Bangalore Medical College and Research Institute, Bangalore, - 2006
Languages spoken
English
Professional Memberships
Karnataka Medical Council
Karnataka Medical Council

Location

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Padma ENT Care Centre

#123, MS Complex, Ideal Homes Town Circle, Rajarajeshwari Nagar. Landmark: Near Nimishamba Temple, BangaloreBangalore Get Directions
200 at clinic
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How to care for allergy and sinus problem? Even I can not breath properly all the time.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Can be allergic rhinitis. Allergy screening blood test to confirm. Avoid dust, smoke, pollution and allergens.
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Sinusitis: Management and Prevention

MBBS, Diploma in Diabetology
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

2 people found this helpful

Im having cold and headache from almost 15days,phylum is coming very badly always,i also have sinus problem,having headache always

FCCP (USA), MD - Pulmonary Medicine
Pulmonologist, Indore
Please take cap augmentin 625 thrice daily. Tab azithromycin 500 once daily. Take steam inhalation.
1 person found this helpful
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Dear Sir, I have air breath problem due to synis so recommend the best tablets and nasal drops to relief the problem.

BHMS
Homeopath, Faridabad
Hi, You mean you are having problem of sinusitis? Take Schwabe’s Alpha-SH, Alpha-NH and Biocombination-05 - all of them thrice a day for 4 weeks. Use Bakson's Nasal-Aid spray/ 1-2 sprays after every 4 hours. Management: - Avoid cold drinks and fried food, take healthy food. -Avoid exposure to Air-conditioner or cold air. -Take steam-inhalation once before going to bed. -Take enough sleep and rest. Home-Remedies: -When turmeric is combined with spicy ginger root and brewed for hot tea, this combination can help loosen mucus from clogged nasal passages, alleviate sinus pressure, and make you feel better all around. -Two or three tablespoons of raw, unfiltered Apple Cider Vinegar added to a cup of hot water or tea taken three times daily will help thin out excessive mucus relieving congestion an sinus pressure. Mix with lemon and honey to taste. - Vitamin C (available in form of chewables) helps the body to resist immune system deficiencies and improves overall health.
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I am a sinus patient, I suffer with cold, fever in every rainy and winter season, how to get rid of this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Take tab. sinarest it contains ( Acetaminophen+ Pseudoephedrine+ chlorpheniramine). Acetaminophen, chlorpheniramine, and pseudoephedrine is a combination medicine for throat infection and treat headache, fever, body aches, runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu. Do gargle with warm water thrice a day. Drink warm water also. Take plenty of water, liquid diet, dalia, green veg., orange. avoid cold things, avoid cold drinks. Avoid Oily foods. If symptoms are from more days or again persist then do few tests for confirm causes of it.. i.e. CBC. welcome in lybrate.
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Dr, my wife suffers some allergic problems, mainly half portion of her head and face (right side ). She feels pain and cold in this portion and feels tiredness in whole body. Doctor said that it is because of Sinusitis, and given medicines. There was some improvement while having medicines, but when it is over the condition is same. Sir, what I want to do for her betterment?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
take pranacharya allergin capsule 1-1 twice a day..1-1 drop of cow ghee in both nostrils at night time before sleep...avoid milk...cold drinks....take hot water steam....
2 people found this helpful
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I get cold very often and sometimes it is coupled with nose bleeding. What should I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
honitus cough syrup 2 tsf 2 times a day. if not ok. consult physician.. sinarest one tab at night for 3 days.. consult ENT doctor.
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I have nasal congestion problem dit it add to my snoring problem as I start snoring harder and harder day by day.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It is not the nasal congestion that is the problem for you causing snoring but it is your excessive weight which is the real culprit------------But yes, congestion can add to your existing snoring problem--------- Homoeopathic medicine------------- LEMNA-MINOR Q (SBL) Drink 15 drops in 20 ml fresh water 3 times daily for 5-7 days------------------------- Report me after 7 days------------- Snoring is also the most common symptom of a potentially serious health problem—obstructive sleep apnea (OSA. People who suffer from OSA repeatedly and unknowingly stop breathing during the night due to a complete or partial obstruction of their airway. It occurs when the jaw, throat, and tongue muscles relax, blocking the airway used to breathe. The resulting lack of oxygen can last for a minute or longer, and occur hundreds of times each night. --------------------If you are suffering from any one of the below given causes of OSA, then please consult me with details. Myself being a homoeopath will surely advise you some very effective medicines to treat your OSA as we cannot treat all cases of OSA without knowing the proper cause otherwise a general medicine for OSA will only suppress the problem for a shorter time-- OSA has been linked to:--- •Acid reflux---- •Frequent nighttime urination--- •Memory loss-- •Stroke-- •Depression-- •Diabetes- •Heart attack- •Consistent lack of sleep-- Discuss with me if you have symptoms of anyone of the above problem--
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I am a 70 years male. Five years ago a lump the size of a ping-pong ball appeared on the right side of my throat. Recently a smaller lump has appeared higher, closer to the jaw, and is tender. How long before it kills me or can I have it removed or otherwise dissipated?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi, dont think to remove take hep. Sulp 200 ywice day merc. S. 30 3times day q phto. 15 drops thrice day all abov for 7 days inform me progress after wk for further rx take care thnks.
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30 year old male lecturer foreign body sensation in throat persistence all time feeling of foreign body all the time duration 3 months felt after allergic cough and cold before 5 months symptoms of cold amd cough reduced completely tsh ,t3, t4 normal.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Dear Lybrate user, If you are suffering with acidity problem let me know the details. Meanwhile you can chew ginger small PC. Two three times a day and call back after two days.
2 people found this helpful
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Recently diagnosed I have rt throat polyp. My age 47and weight 62kg. Please give me some advice. What type of treatment I should take for recover my voice. I am a little singer.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
If there is a single polyp and if it large enough then it will require surgery (mls microlaryngeal surgery. Speech therapy and other conservative measures are useful in case of early vocal nodules.
2 people found this helpful
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What is the condition called as hypoblastic transverse sinus. What is the reason for its cause?

MBBS
General Physician, Faridabad
Rare anatomical variation in transverse sinuses (duplication on right, hypoplasia of left) falsely mimicking transverse sinus thrombosis probably due to resultant slow flow
1 person found this helpful
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I have a sinus problem. This problem make any allergy. And some time paining for near by nose.

BHMS
Homeopath, Chennai
Dear lybrate user sinusitis is inflammation of sinus spaces which are hollow spaces in our facial bones and become infected due to improper drainage or blockage of sinus openings into nasal cavity ,since killing of bacterias through antibiotics is not a permanent cure since bacteria grow secondary to favourable habitat thus it needs a constitutional treatment for permanent cure
1 person found this helpful
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I Am Feeling Dizzy For The Past 2 Hours. What Should I Do To Get Rid Of Such Dizziness?

Diploma in Child Health (DCH), MBBS
General Physician, Bangalore
Sir eat regularly. Take stugeron 25mg 1tab 3 times per day for 5 days. Check your blood sugar and bp.
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I am 23 year old boy. My nose gets bleeding on every day. Drops of blood coming from the nose .I tried lot of medicine s but no change. What should I do?

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Bleeding from nose: cold water on nose and head will help. If no result, endoscopy of nose to locate the bleeder and cautery of bleeder will cure you.
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I am 22 year old male. I was suffering from tonsillitis .Can anyone suggest me a good medicine to cure it.

BHMS, MD - Homeopathy
Homeopath, Navi Mumbai
Avoid cold food and drinks. Gargles with warm water and a pinch of salt. Steam inhalation. Avoid exposure to dry cold wind. I ll advise u to take homoeopathic medicines for which u need to consult online.
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I listening beep sound in my ear since 2 years I treated but problems is continuing. please tell me how can I solve.

MBBS
General Physician, Cuttack
You may be having Tinnitus. It could be due to Ear injury because of noise,drugs. aspirin overdose, otosclerosis, meniers disease, acoustic neuroma etc. Consult ENT specialist for advice .
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In winter season my nose was always blocked and frequently I am getting headache what may be the problem?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
It could be common cold, sinusitis, Deviated nasal septum, allergy to cold weather. ENT Specialist should help you out.
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