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Cysts Removal Procedure
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Treatment of Sleep Disturbance
Nose Reshaping Procedure
Hearing Testing Techniques
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
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• Snore- during sleep, the noise produced while breathing through the mouth.
• Snoring is a sound a person makes during sleep when his or her breathing is disrupted.
Snoring originates in the parts of the upper airway which have no rigid support to counteract compression from outside or collapse from inside. This narrowing leads to local acceleration and turbulence of the breathed air. This, in turn, causes vibration of the pharyngeal wall.
The structures concerned are-
• Soft palate
• Base of the tongue
• Pharyngeal muscles and
• Pharyngeal mucosa.
Factors contributing to snoring-
The palate, tongue and pharyngeal muscles play a part in keeping the airway open during the inspiration. If, during the deep sleep phase, and especially during REM sleep, the muscle tone is insufficient, the tongue can fall backward due to gravity, and vibrate against the soft palate, uvula and pharynx. This occurs particularly in the supine position.
Anatomical abnormalities can limit the passage of air in the oropharynx and the hypopharynx. Such abnormalities include-
• Enlarged tonsils and adenoids
• Fatty tissue in the pharynx (due to obesity)
• A relatively large tongue (in the case of retrognathia, micrognathia and acromegaly).
• A narrow nasal passage causes an increase in negative pressure during inspiration, which increases the effect on the flaccid pharyngeal tissue. A particularly long palate and uvula also narrow the nasopharyngeal opening during inspiration. This explains why people who normally do not snore may do so when they have a cold or allergic rhinitis.
• Septal abnormalities, nasal polyps and tumours can also contribute to constriction.
• Hypothyroidism, neurological disorders, alcohol and hypnotics can intensify the overall effect.
Signs and symptoms-
• Unexplained tiredness or sleepiness during the day.
• Disrupted social activities and relationship problems (and even divorce). The snoring noise can sometimes be as loud as 50–70 db, which is similar to the noise of a low-flying jet plane.
• Sometimes, temporarily stopped-breathing (sleep apnoea), which can be very alarming.
Very careful examination of the ear, nose and throat area, particularly the tonsils, palate, uvula and tongue is made. Nasal polyps, swollen turbinates, septal deviation, hyper reactive nasal mucosa, and abnormal anatomy of the lower jaw (relatively too small or recessed) is evaluated. Weighing the patient and blood pressure is next step. If hypothyroidism is suspected, the thyroid stimulating hormone level is checked.
The average snorer is a person more than 40 yrs old. While he inhales or exhales during sleep, the soft palate vibrates noisely. Snoring is usually caused by a condition which hinders breathing such as a cold, an allergy, a nasal polyp, tumor or deviated nasal septum. The cause must be removed to stop snoring. Snoring can also be diminished by reducing weight, stopping smoking and drinking alcohol in evening before sleeping.
If no abnormalities are found on the history or examination, no treatment is required.
If further investigations are found, general measures can be suggested. These include-
• Losing weight if necessary
• Avoiding lying on the back if the snoring is position-dependent and
• As appropriate, discouraging smoking, alcohol consumption and the use of hypnotics.
• Any underlying causes or contributory factors, such as hypothyroidism or allergies are treated.
• Mechanical devices placed in the nose and mouth only reduce snoring to a limited extent.
• If, in the case of habitual snoring, the patient temporarily stops breathing and/or the patient reports that he is sleepy and tired during the day, sleep apnoea syndrome must be considered.
• Snoring can also be cured about 80% by surgery. The operation is called uvulopalato-pharyngoplasty.
Attention to weight, smoking, alcohol and hypnotics, and avoiding sleeping on the back are effective preventive measures. Reassurance is sometimes appropriate, particularly if there are groundless fears about sleep apnoea.
I am 48y old man .in Mumbai n suffering from snoring problems since a long .after sleep very huge snoring loud voices comes from my toes (mouth) in my family no one is sleep in my room due to loud voice .pls suggest some medicine or advice.
Mujhe snoring ki bahut jayada problem hai. Koi Mere paas so nhi pata. Or mujhe iska pta bhi nhi lagta ke main snoring krta hu.
I am 27 years old and have hole in my ear drum from a long time. But now from couple of months I am facing extreme problem in hearing. So can you please tell me what should I do? If go for surgery thn what's thprocedure for this surgery n the cost involved. Please let me know anyrecommendation for ENT specialist in east delhi.
Sir I have problems in sleeping due to unknown reason. Before four months before I have a simple vertigo and I become so tensed and I tested all test like ECG tmt mind city scan endoscopy and all are so Normal but fear and anxiety are fewer now but sleeping is not good and wake about 2to 4 am. I lost my weights and fobia due to loss of weight in front of mirror I am taking mirtaz7. 5 once at night what can I do please suggest.
Is there a treatment for nasal polyps in homeopathy? my daughter age 26 yrs is suffering from this condition which reoccur-ed after surgery 7 yrs back
I have not breathe properly while sleeping sinus is there for me past 1and half years. But I can't breathe with one side of my nose. I am 26 years of old.
Sir mere bhai ke ear ke niche two lump hai aur doctor ne bola ye infection ke karan hai sir doctor ne biopsy ki nahi to ye kaise confirm kar diya ki ye infection ke lump hai sath hi bataya ki treatment chalega jabki sir mere bhai ko koi problem hai nahi to phir doctor ne treatment kyo chalu kiya aur sir sath hi ye batay ki agar ye infection ke karan lump hai to iska matlab ye hai ki kya mera bhai 20 and 25 years ke liye kya carcinoma ke bagh gaya hai sath hi doctor ne ye bhi bola hai ki dubara phir aana agar ye medicine se ok nahi hote hai sir detailed jankari de.
I hv a lot of greys and I hv lot of sneezing once I get up in morning and irritation in nose. Its been more thn 7 years I m facing this problems. please suggest me some good medicine. Even I put 2 drops of cow ghee in nostrils.
Doctor my left ear is itchy and this liquid and slimy kind of thing forms up frequently. So as it is itchy and slimy I used to clean it with earbuds and sometimes with my baby finger. It is getting worse inside as it gets dirty with mucus frequently and often. It also hurts to touch. So should I go to a doctor to a hospital or can you like suggest me an ear drop or ointment to cure this thing.
Respiratory allergies are aggravated during a change of season and it is rampant during Feb and march in and around Delhi/ NCR. Allergies are aggravated by gas, bloating and are accompanied by dry skin, dry throat, cough, sneezing and wheezing. When allergy strikes, phlegm (balgam) blocks the nose and sinuses. Allergy may or may not be accompanied by fever but body ache is for sure. Normally for this type of low-grade fever antibiotics are not required but these allergies are not self-limiting like the flu with which it can be confused. Stress is another factor that aggravates the allergic effects. Ginger helps, so does honey and black pepper and cinnamon but on top of the list is steam to inhale, steam is antiseptic too, remember your doctor sterilizing instruments by autoclave which is based on the formula of a pressure cooker-lots of a stem is generated and everything (except plastic) including clothes and drapes get sterilized. Take a handy covered vessel like the one used in beauty parlors, switch on while it is kept on your table and cover your face with a towel, deep breathe steam, you will feel the passages opening up and phlegm melting which you can spit out without an effort of a violent cough. Avoid heavy, processed, refined and processed foods. 2) triphla helps fight allergy too, its powder or tablets help to reduce inflammation anywhere in the body. 3) wear cotton or linen 4) meditation helps reduce stress 5) benefits of honey are known to everyone. Do not take honey with steaming hot beverages, take it with warm water only. 6) ginger- some people chew it raw, some mothers give a drop of its juice+ some honey to their toddlers, some people make a concoction by boiling it in water at low heat and consuming it like tea/ coffee with a little milk 7) fresh indoor plants minus dust on the leaves gives fresh oxygen and inhaling deeply fresh air does open up blocked respiratory passages. 8) eat less salt as it leads to water retention making a condition worse 9) Guduchi also helps 10) maintain hygiene, do not skip daily bath with warm water. 11) if entire family including small kids want to inhale the steam for some time, make use of the smallest room in the house with doors closed, keep an electrical kettle, boiling for some time, entire room becomes steam room and breathe normally, passages of normal persons will also become free of any allergy. 12) everyone is lazy if asked to go to the kitchen to heat water but simple home remedies can help family and save money on extra medicines tests which are not required in simple seasonal allergies.