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Dr. Hemraj

MBBS

ENT Specialist, Bangalore

250 at clinic
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Dr. Hemraj MBBS ENT Specialist, Bangalore
250 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. Hemraj
Dr. Hemraj is a renowned ENT Specialist in Chandra Layout, Bangalore. He has completed MBBS . He is currently associated with Gurushree Hospital in Chandra Layout, Bangalore. Book an appointment online with Dr. Hemraj and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified ENT Specialists in India. You will find ENT Specialists with more than 38 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.

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Education
MBBS - - -

Location

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Gurushree Hospital

#No.1558, Vijaynagar. Landmark: Opp. to Chandra Layout Bus StandBangalore Get Directions
250 at clinic
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Gurushree Hospital

#No.1558, Vijaynagar. Landmark: Opp. to Chandra Layout Bus Stand.Bangalore Get Directions
250 at clinic
...more
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I have high snoring problem, it is severe during winter. Help to resolve the problem.

BAMS
Ayurveda, Bangalore
Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in thenose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used.
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I caught some heat. I have running nose. My ears feel like they are closed. I feel a little temperature too. Please suggest some medicine.

MBBS
General Physician, Cuttack
I caught some heat. I have running nose. My ears feel like they are closed. I feel a little temperature too. Please s...
1. Do steam inhalation by steam inhaler 2-3 times daily with karvol plus inhalant capsule. 2. Put otrivin nasal drop 1 drop thrice daily 3. Take one tablet of sinarest 2 times daily after food 4. Drink plenty of water 5. Take rest 6. If no relief, consult doctor.
1 person found this helpful
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I have sore throat from past 3 days. Doing all home remedies. Like warm water, gargle, but throat is not improving.

MBBS, MS - ENT
ENT Specialist, Ahmedabad
I have sore throat from past 3 days. Doing all home remedies. Like warm water, gargle, but throat is not improving.
If you don't have fever than continue with home remedies add betakind gargles, mild analgesics like paracetamol. It is very important to avoid irritants like dust smokes perfumes pollutants and to avoid spicy fried chilled junk food. Stop smoking. It should help you.
2 people found this helpful
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Throat is feeling like burning , left side of stomach is slightly paining, stool is not clearing. When small amount of waste releases as stool then feeling slightly relaxed. And in large intestine small holes are there. (as report)

Master of Surgery, Post Graduate Diploma in ENT, MBBS
ENT Specialist, Thane
Throat is feeling like burning , left side of stomach is slightly paining, stool is not clearing. When small amount o...
Looks like you have acidity problem. Try tablet diegine, 2 tablets together. Crush the tablets in between teeth and swallow. Do not lick them. Als avaoid spicy and oily food.
1 person found this helpful
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Whenever I stretch my body after long hours of sitting or sleeping, I feel dizzy. Is it common or am I suffering from any inherent problem? Kindly help me.

MBBS
General Physician,
Whenever I stretch my body after long hours of sitting or sleeping, I feel dizzy. Is it common or am I suffering from...
Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please follow like this - 1) Do a clinical exam by your treating Doctor[Neurologist] and do few investigations like [Fasting blood sugar, lipid profile, homocysteine,Carotid ultrasonography ,Arteriography of brain and MRI scan] to know exact cause of TIA. 2) Do a clinical exam of eye for retina status 3) Do take medications regularly and discuss with your doctor about permanent treatment like [carotid endarterectomy ] if any abnormality detected in test reports. Do follow few lifestyle modifications like this - 1) Don't smoke. Stopping smoking reduces your risk of a TIA or a stroke. 2) Limit cholesterol and fat. Cutting back on cholesterol and fat, especially saturated fat and trans fat, in your diet may reduce buildup of plaques in your arteries. 3) Try to eat plenty of fruits and vegetables. These foods contain nutrients such as potassium, folate and antioxidants, which may protect against a TIA or a stroke. 4) Limit sodium. If you have high blood pressure, avoiding salty foods and not adding salt to food may reduce your blood pressure. Avoiding salt may not prevent hypertension, but excess sodium may increase blood pressure in people who are sensitive to sodium. 5) Do exercise regularly. If you have high blood pressure, regular exercise is one of the few ways you can lower your blood pressure without drugs. 6) Limit alcohol intake. Drink alcohol in moderation, if at all. The recommended limit is no more than two a day for men. 7) Try to maintain a healthy weight. Being overweight contributes to other risk factors, such as high blood pressure, cardiovascular disease and diabetes. Losing weight with diet and exercise may lower your blood pressure and improve your cholesterol levels. 8) Don't use illicit drugs like cocaine 9) Try to control diabetes. You can manage diabetes and high blood pressure with diet, exercise, weight control and, when necessary, medication. Hope that helps.
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I am suffering from minor sinus problem and allergic to dust and due to that continue sneezing occurs so kindly suggest me some tablet or any solution regarding that sneezing problem.

DAA, DNB
Pulmonologist, Bangalore
Hi. I understand your concerns. You might be having allergic rhinitis. You will need to undergo a detailed examination. Consult a pulmonologist for the same. You will benefit from intranasal steroids and anti allergy medicine. Hope your questions were answered. Thanks.
2 people found this helpful
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Having lots of cough. It is struck in my throat. Does it may cause pneumonia. What are the symptoms of pneumonia. Plzz tell.

MBBS, MS - ENT
ENT Specialist, Ahmedabad
Having lots of cough. It is struck in my throat. Does it may cause pneumonia. What are the symptoms of pneumonia. Plz...
Symptoms of pneumonia are cough fever chest pain and breathlessness on exertion. For your symptoms take simple cough syrup warm saline gargles and steam inhalation twice a day. Avoid taking spicy fried chilled things and avoid dust smokes perfumes pollutants.
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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

5 people found this helpful

Hlo Sir I am suffering throat infection and found difficult to swallow so what should I do now?

B.H.M.S., Post graduate certificate in Nutrition, Obesity and Health
Homeopath, Indore
Hlo Sir I am suffering throat infection and found difficult to swallow so what should I do now?
please do warm water gargle n drink warm water atleast 3 times a day. take hepar sulph 200 three pills thrice a day for a week and get back to me .
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I feel problem in breathing. It's like I often breathe forcefully. And at the origin of my nose inside it feels like my nose is partially blocked and air is obstructed.

DORL, MBBS
ENT Specialist, Faridabad
If a person suffering from nasal obstruction with mild to moderate nasal allergies it means most probably he is suffering from dns (deviated nasal septum. Nasal obstruction is because of the deviated portion of the nasal septum (this is the bony partition of the nose cavity. Allergies are because of the hampered muco-ciliary mechanism (normally mucus is produced in the nose to moisten our nose cavity, oral cavity, and help food bolus to move downward, this mucus is basically moves on the cilia of the nasal mucosa) this mechanism gets hampered and mucus start accumulating in the nose and sinus cavity which is why thick mucus comes from nose in patients of nose obstruction and person develops sinusiits. When a surgeon removes the nasal septum deviation has not been removed properly the symptoms persists, and patient thinks that the nose bone has again regrown. It is not because of regrowth but because of half surgery done or due to the non removal of the deviation (reason can be many) nowadays nasal septal deviation can be removed endoscopically.
1 person found this helpful
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