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Balloon Sinuplasty Procedure
Cochlear Implant Procedure
Treatment of Endoscopic Sinus Surgery
Treatment of Foreign Body in Eyes, Ears, Nose and
Hearing Aid Fitting
Treatment of Hearing, Speech Impairment
Nosebleed (Epistaxis) Treatment
Treatment of Throat and Voice Problems
Treatment of Tonsils (Tonsillitis)
Treatment of Nasal Disorders
Canalith Repositioning (Cr) Procedure
Congenital Ear Problem Treatment
Csf Rhinorrhoea Repair Surgery
Ear Microsurgery Procedure
Functional Endoscopic Sinus Surgery
Micro Laryngeal Surgery
Reconstructive Middle Ear Surgery
Revision Ear Surgeries
I have recurrent cough, cold sinus problem probably of strep infection. How shall I get better immunity by homeopathic medicines.
Whether the loss of nerve in the ear zone due to use of Streptomycin Inj in a patient of spinal TB is reversible?
Hello doctor, My 4 year old son have a branchial sinus in right cheek. What is the appropriate step I should take for his cure. Is that severe or medium severe.
I got blood drops from my nose when iam bathing is this a serious problem? And what steps to be taken.
Bp 130/85 Hight 5.6 Weight 65 family history all are good having tonsil first time only one time.what can i do?
It is difficult to distinguish between allergy symptoms allergic rhinitis and sinusitis. This is no small problem. Of all the chronic diseases from which we suffer, allergic rhinitis is the most common. Approximately 30 million Indian or 15% of the Indian, population suffer from allergic rhinitis. Sinusitis, on the other hand, is one of the most common complications of allergic rhinitis. The problem with differentiating these two conditions occurs, because allergic rhinitis and sinusitis may both present with the same symptoms, such as fatigue, runny nose, chronic cough, congestion, post nasal drainage, headaches, facial or teeth pain, loss of taste or smell, and difficulty sleeping. Asthma, the other major complication of allergic rhinitis, is a lower airway lung disease that may present with cough, shortness of breath, and chest tightness, and in some studies, up to 40% of patients with allergies, have asthma.
Think then of a triangle: with allergic rhinitis on the left, causing sinusitis on the right, and both conditions causing asthma on the bottom. All three conditions can occur separately, but are closely interconnected. Remember that sinuses are simply empty cavities that surround the eyes. Air must be present in the sinuses to allow the linings of the sinuses to breathe and this is accomplished via small openings from the sinuses into the nasal passages. These openings also allow mucous from the sinuses to naturally drain into the nasal passages. If anything causes a blockage of the openings, the lack of air causes linings to use up the surrounding air supply, and like a vacuum, the resulting negative pressure will draw fluid out of the sinus linings. Fluid may then collect and fill the sinuses, which allows for bacteria to grow and cause infections. This can lead to facial pain, infected post nasal drainage and headaches. With increasing inflammation and thickening of the sinus linings, swollen tissue may round up and form nasal polyps that may cause and lead to loss of taste and smell.
Allergic rhinitis and common viral colds are the leading causes of sinusitis, and the history and physical examination will help your provider distinguish the two conditions. Allergic rhinitis may be seasonal, lasting weeks, months or even year round, and is caused by pollen, dust mites. Fever and discolored nasal drainage are uncommon, unless sinusitis is also present. Conversely, typical viral colds last 3-7 days, so any fever, discolored drainage, sore throat, headache or fatigue lasting longer that 7 days is very unlikely to be a simple viral cold, and is most probably sinusitis. On physical examination, patients with allergic rhinitis and sinusitis may both have dark circles under the eyes (shiners), swollen, pale nasal tissue, congestion and discharge. Patients with sinusitis, however, may also have discolored discharge. Studies have shown that greater than 50-75% of allergic adults and children with asthma have abnormal sinus, and asthmatic symptoms did not improve until the sinusitis is treated completely.
Most patients 10-20% of the population with sneezing, congestion, runny and itchy nose rhinitis, postnasal drip and itchy, red eyes during spring and fall have allergies to seasonal pollens. A high percentage of allergic individuals will be children. Whether someone will develop
Allergies depends on two factors: (1) Hereditary - Is there a family history of allergy?
(2) Environmental- Is the individual old enough and been exposed to enough pollen? Symptoms due to allergies may be severe enough to cause a loss of time from work and school.
Interestingly, a percentage of patients with classic symptoms will be absolutely and unequivocally negative on skin testing. Allergy injections are not indicated and not possible, because these patients are not allergic. And yet patients are just as symptomatic, and just as miserable as the rest of us. How is this possible and what treatment is available?
Definition and Pathophysiology
The diagnosis of rhinitis without positive skin tests is divided into two subgroups. One subgroup, non-allergic rhinitis with eosinophilia, presents with allergy symptoms in addition to conditions such as nasal polyps and nasal eosinophilia, asthma and frequently sinusitis. The other subgroup, vasomotor rhinitis, presents with symptoms, especially congestion, but lacks other associated conditions.
The nasal mucosal lining has a rich blood supply that is under the control of the nervous system called the autonomic nervous system. Nonspecific stimuli such as rapid changes in weather, temperature and humidity, drafts, exposure to chemicals, odors, perfumes, smoke and dust, emotions or stress may increase blood flow to tissue, resulting in swelling, congestion and rhinitis. A significantly deviated septum may induce changes in the mucosa, worsen the non-allergic or vasomotor rhinitis and cause more nasal congestion and drainage. Hormonal changes that occur with pregnancy, menstruation, menopause, hypothyroidism and oral contraceptives may cause symptoms of chronic non-allergic rhinitis.
Patients complain of chronic nasal congestion, rhinitis, postnasal drip and sneezing. Congestion and blockage may alternate from side to side and are usually constant, though seasonal weather changes may trigger symptoms that mimic dust allergies. Symptoms may be worse upon awakening in the morning. Examination reveals marked pink or pale nasal swelling obstruction and thick nasal secretions. In all cases, skin tests are negative. Patients with non-allergic but not vasomotor rhinitis will have eosinophils present in nasal secretions and frequently nasal polyps complicating the obstruction.
Sinusitis is an infection or inflammation of sinuses. Sinuses are the air-filled pockets or spaces found in the bones of face, around eyes and nose. They produce mucus, which, under normal circumstances, drains into the nose. Normally the sinuses produce about 1.5 litres of mucus a day and the quantity increases during allergy, inflammation and infection and this also changes the character of the mucus. Infection of sinuses is one of the common health care complaints.
Sinusitis occurs when the mucus-producing lining of sinuses become inflamed and block the opening of the sinuses. Due to this, foreign material cannot get out, oxygen levels drop within the sinus and bacteria in the nasal cavity slither into the sinuses causing the sinus walls to swell and fill with pus. If the infection does not subside, the body sends in disease-fighting cells to kill the bacteria, which in turn can do considerable damage to the sinus walls. These defender cells can damage the cilia, the hair-like structure in the sinuses that help expel foreign matter. In addition, scarring can be caused which can result in the formation of sores.
Causes of Sinusitis
Infection due to bacteria, virus, fungi
Allergy: Most commonest causes are dust, animal dander, smoke, food and pollutants
Upper respiratory tract infection such as common cold or flu
Nasal Septum deviation
Chronic tonsillitis and adenoiditis
Climatic factors like sudden temperature changes
Swimming in infected water
Dental causes like an abscessed or badly decayed tooth, following dental treatment
Diseases like diabetes and HIV can create a predisposition to sinusitis
Symptoms of sinusitis
Nasal congestion leading to nasal obstruction, difficulty breathing through the nose
Thick nasal discharge (may be yellowish or greenish in colour in case of infection)
Sensation of fullness in the face
Sensation of pressure behind the eyes
Cheeks feel tender and pain may be similar to toothache in upper jaw
Mild fever and headache over one or both eyes (if frontal sinuses are affected)
Headache is usually worse in the mornings and made sharper by bending forwards
Foul smell in nose
Nasal sounding speech
Possibly, pus-like nasal discharge
Dry tickling cough
In the initial stage there is an asthmatic aura sometimes sneezing, flatulence, Drowsiness or restlessness irritability will be present. There can be a dry cough along with wheezing breathlessness these are some of the symptoms before the actual asthmatic attack.
Sense of oppression in the chest suddenly in the middle of the night is experienced.
There is a sense of suffocation and the patient leans forward fighting for his breath; or he may go to the open window to relieve the suffocation.
Anxiety, perspiration, cold extremities and cyanosis might be present.
Wheezing is present and can be heard from a distant.
In severe airways obstruction airflow maybe so reduced that the chest is almost silent on auscultation.
Inspiration is short and high pitched while the expiration is prolonged. On auscultation there are plenty of rhonchi and rales heard.
Termination is spontaneous or due to medication. As the bronchial spasm is less the patient is able to breathe and he can also cough which brings out viscid sputum which relieves him.
The duration of the attack varies from a few minutes to hours. The attacks can last for many hours in paroxysms this state is known as Status asthmaticus. In this state the patient has to be admitted to the hospital so that he can be supplied with oxygen and other auxiliary methods of treatment
For many patients with asthma, the concern that this “reversible” though serious, potentially life-threatening persistent lung disease may progress into emphysema, is real and worrisome. After all, asthma along with emphysema and chronic bronchitis, the latter two conditions known as Chronic Obstructive Pulmonary Diseases (COPD), all have inflammation with airway narrowing, mucus production and airway obstruction. Homeopathy Management
Suppression of colds by high doses of conventional medicine leads to recurrent attacks. When you use a groom to clean your room, do you push all the dust in a corner of the room or collect it and throw away? It is a common sense that if you push to the corner of the room, in due course the dust will spread in the entire room again and make it dirtier. Same is the case with the disease affecting your body. If you suppress the disease, where will it go? It will remain in dormant state inside the body and express itself again when the body meets any of the allergic triggers. The homeopathic medicines however through the principle of “like cures like” stimulate the vital force and immunity in order to enhance the body’s capacity to repel further allergies and infections. The constitutional medicines that are found by considering the physical, mental, and emotional aspects of an individual can only lead him on the road of permanent recovery from those allergic spells. Not only these medicines cater the problem of allergy but also impart great health on all planes, as it treats the patient as a whole and not just his disease.
Hello. My brother is suffering from toungh cancer which is exeeding thourgh his neck. He had a opertion of it. Recently we spoke to some doc. Some of which said we treat it with 70% of success (Dr. R k aggarwal- pitampura) we are realy very frustated. Pls someone let us know how many chances to suceseed. We wont going to second operation.
Hi, the back of my neck keeps aching. I tried exercises to gt rid of it bt those exercises make me feel dizzy. I am unable to sleep because of this pain. Is it serious? Should I consult an orthopedic?
Sir I have allergy of sneezing. If a small amount of dust or anything goes to my nose continuously I sneeze more than half an hour.
Some times my ear will be paining? Some times while traveling I'm listing a songs in loud volume is their any problem in that.
I am 63 and suffering from vertigo since a year. Right now I am on Vertin 16 mg one in the morn and one at night. Its under control. I also have 2 drinks in the night around 100 ml whisky or Brandy. It helps in getting sound sleep. Is it safe?
What is a Sinusitis Surgery?
The traditional sinus surgery involves the removal of the diseased sinus tissue with improvements in the drainage channels by creating a definite pathway so as to drain out the infection from the cavities.
Usually, endoscopic techniques allow for better access and visualization as compared to making external incisions. This furthers the recovery process from this sort of a surgery.
Unlike other surgeries, a sinusitis surgery aims at re-routing the infected sinus pathways in addition to clearing the damage pathways. Post-operative care is as important as the surgery itself. In fact, insufficient follow-up and poor post-op care are two of the most important reasons behind the failure of this surgery.
Few essential things you need to know before such a surgery:
- Balloon Sinuplasty is a comparatively newer method to treat and expand the natural drainage mechanisms of one’s sinus passages.
- The patient should refrain from eating or drinking any beverage at least eight hours prior to the surgery.
- Once the surgery is carried out, the patient can go home and rest with his/her head elevated for faster recovery. Also, applying a towel wrapped in ice can also help stop the bleeding that might so commonly occur.
- Recovery from the surgery can take about 5 days and the patient should not carry out any strenuous activity until cleared by the surgeon.
- Post-operative care is of the essence in this sort of a surgery.
- Follow up with the doctor if you happen to have fever that refuses to subside even with medications, headaches that do not respond to medications or bleeding that doesn’t stop.
- Any swelling in and around the nose or fluid draining from the nose should not be left ignored and untreated.
- Identify and stay away from allergens, moisturize your nose frequently with the help of nose moisturizers and avoid the common cold and flu.
Endoscopic surgery is preferred over traditional surgery for most cases of chronic sinusitis that require surgery. It is less invasive, less expensive, and has a lower rate of complications.
- Endoscopic surgery may be done to remove small amounts of bone or other material blocking the sinus openings or to remove growths (polyps). Normally, a thin, lighted tool called an endoscope is inserted through the nose so the doctor can see and remove whatever is blocking the sinuses.
- Sinus surgery may be done when complications of sinusitis, such as the development of pus in a sinus, infection of the facial bones, or brain abscess have occurred. In this type of surgery, the doctor makes an opening into the sinus from inside the mouth or through the skin of the face.
What are the complications and risks?
- Recurrence of polyps or other nasal problems.
- Excessive bleeding post-surgery.
- Chronic drainage from the nasal cavities, crusting of one’s nose and excessive dryness.
- Further aggressive surgery might be required.
- Damage to one’s eyes.
- Damage to one’s skull, including drainage of spinal fluid.
- Facial or upper teeth numbness.
- Polyps which result in nasal obstruction.
Here are some suggestions for taking care of your nose and sinuses after surgery:
- Keep your head elevated to help reduce bleeding and swelling after your operation. The first night after surgery, elevate your head with extra pillows or sleep in a recliner.
- If you have packing material and splints in your nose, make sure they stay in place. If the packing gets clogged, breathe through your mouth. Do not remove the packing or splints.
- Some bleeding is normal for 2 to 3 days after your operation. If you think you are bleeding a lot, be sure to call your doctor.
- Don’t blow your nose for at least a week after surgery. Don’t do any heavy lifting, straining, or strenuous exercise. This increases the likelihood of bleeding in your nose.
- If you have to sneeze, try doing it with your mouth open.
- Don’t take aspirin. It slows clotting and increases bleeding.