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Dr. Palaksha

MBBS, Diploma in Otorhinolaryngology (DLO)

ENT Specialist, Bangalore

45 Years Experience
Dr. Palaksha MBBS, Diploma in Otorhinolaryngology (DLO) ENT Specialist, Bangalore
45 Years Experience
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Palaksha
Dr. Palaksha is a trusted ENT Specialist in Vijayanagar, Bangalore. She has been a successful ENT Specialist for the last 45 years. She has completed MBBS, Diploma in Otorhinolaryngology (DLO) . You can consult Dr. Palaksha at DR Palaksha in Vijayanagar, Bangalore. Book an appointment online with Dr. Palaksha and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced 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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Specialty
Education
MBBS - Bangalore Medical College and Research Institute, Bangalore - 1972
Diploma in Otorhinolaryngology (DLO) - Bangalore Medical College and Research Institute, Bangalore - 1975
Languages spoken
English

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DR Palaksha

No.291 7th Mn Vijayanagar Bangalore - 560040Bangalore Get Directions
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I have started taking swich & sinarest tabs for ear watering and pain I would like to know if still I have to undergo an operation of the ears.?

Diploma in Otorhinolaryngology (DLO), MBBS
Ear-Nose-Throat (ENT) Specialist, Guwahati
I have started taking swich & sinarest tabs for ear watering and pain I would like to know if still I have to undergo...
Depends on the size, duration and condition of the margin of the ear drum. If large size, long duration, and epithilized margin, then you will definitely need operation
1 person found this helpful
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I am having sore throat, phlegm secretions and coughing. Throat is itching and spots of blood in the phlegm. Suggest please.

BHMS
Homeopath, Raebareli
I am having sore throat, phlegm secretions and coughing. Throat is itching and spots of blood in the phlegm. Suggest ...
Naveen kindly do saline water gurgle three times a day avoid cold exposure and direct fan exposure even . Along with it use a med Kali mur 3x thrice a day for now and update after 5 days
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My sister is suffering from pressure/wistel sound on her left ear. She had just done a CT scan and in her report following LAB impression mentioned. Please help to understand problem and treatment - a small well defined rounded bony lesion measuring approx. 6×5 mm is seen in left middle ethmoidal air cells likely osteoma. Mild DNS in left side Mild mucosal thickening in left maxillary sinus s/o sinusitis.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
My sister is suffering from pressure/wistel sound on her left ear. She had just done a CT scan and in her report foll...
Tinnitus is a common problem usually associated with deafness. It is of two types, subjective and objective. In objective tinnitus you can find out the cause of tinnitus while in subjective it is difficult to find the cause. Treatment consisit of reassurance and certain vasodilator and vitamin treatment.In objective tinnitus you may require surgery if cause is confirmed by all mod of Diagnosis including CT scan. If no much nose problem no surgery of nose.
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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

What reason ear glue much better treatment to ear glue this relief tablets.Please tell.

MBBS, cc USG
General Physician, Gurgaon
What reason ear glue much better treatment to ear glue this relief tablets.Please tell.
Glue ear is a common childhood condition where the middle ear becomes filled with fluid. The medical term for glue ear is otitis media with effusion (ome) clear your further query.
1 person found this helpful
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I am 20 ears old nd I have blackheads on my nose and I want to remove them completely I have tried some medicines also but they are showing nothing effect on blackheads how to get rid off blackheads. THANKS.

Diploma in Otorhinolaryngology (DLO), MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
I am 20 ears old nd I have blackheads on my nose and I want to remove them completely I have tried some medicines als...
Comodones is the technical term used for blackheads which generally occur on the face & nose. Here are some simple home remedies: 1) apply honey onto the affected area & wash off with warm water after 15 minutes. 2) baking soda mask: prepare a mixture of baking soda & water to make a paste. Apply gently to the affected part. Allow to dry for few minutes & then rinse it off with warm water to remove away the oil & dirt that cause blackheads. Good luck.
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Hiee sir I have sore throat problem and somehow its not getting any better .and also keep on sneezing .usually when I get up in the morning I have running nose .and almost every time idk why .it is like I have a problem that I catch cold very easily. .i do not know whether it is some kind pf allergy or not. Presently I am on a homeopathy treatment for PCOD and the aforesaid problem Wherein the doctor advised me 2 stop eating junk food bcoz I hav gained weight and not having periods regular. I usually avoid eating outside food .bt today my cousin forced me 2 hav bit .and now I have this pain in my throat. Idk what to do .it is paining allot .and also I am afraid that did eating junk affected my treatment or not.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Hiee sir I have sore throat problem and somehow its not getting any better .and also keep on sneezing .usually when I...
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on 6. No smoking 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids 9. Cough into your upper sleeve/ elbow For medicine contact on private consultation Good luck.
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I am 26 years old and I have sinus also. But from last two days from my nose some red fleshy thing is coming out in very very lill amount in the morning for the very 1st time and after that it stops for the whole day. Is it a sign of any kind of cancer. I have very lill pain my throat as I drink lots of water that too luke water I guess.

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.
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I am hearing continuous whistling sound in my left year since one month. I have noticed that my hearing power is also reduced. I was getting some liquid like stuff from my left year. Can any one tell the solution for this situation. Thank you.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P), pgd cognitive psychology
Audiologist, Bhilwara
I am hearing continuous whistling sound in my left year since one month. I have noticed that my hearing power is also...
Hello dear according to your symptoms you have got ear infection as well as tinnitus (ringing sensation in ear) which causes hearing loss. Get checked up with ent for ear infection and audiologist for hearing loss.
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I am suffering from sinusitis rhinitis for last 7 years. Please advise me now what can I do now for better health.

BHMS
Homeopath, Faridabad
Hi. Take homoeopathic medicine - Schwabe's Alpha-NC and Alpha-CF - both thrice daily for 4 days. 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.
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I can't sleep when my roommate is snoring. How can I help him avoiding this and in turn help myself. If it can't be remedied, how can I sleep in this noise.

MBBS
General Physician, Cuttack
Snoring occurs due to 1.obstruction of flow of air through mouth and nose as in obesity, nasal obstruction due to polyp, DNS, Sinusitis, 2.alcohol, use of sleeping pill, 3.smoking, consumption of tobacco. 4.It may be due to relaxed throat muscle in elderly and in children due to Tonsillitis. 5.Consult ENT specialist to exclude nasal causes of snoring
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Someone hit me on my ear with his fist. As a result of this I feel pain in my ear. Prescribe me meds for pain.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
Someone hit me on my ear with his fist. As a result of this I feel pain in my ear. Prescribe me meds for pain.
Presuming it was not hard and only superficial Tablets Ibugesic Plus twice a day after food for 4-5 days should help. If no relief you should see ENT Specialist for direct examination, diagnosis and further advice.
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My cousin had deviated nasal septum and underwent. Surgery a year back and again he is facing problems with cold stuffed nose etc. What are the other treatment options? Is there laser surgery for this?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Are there other problems also like sneezing/nasal discharge/decreased smell? according to your problem it may be due to recurrence of problem or undercorrection at that time. Need of revision surgery can only be advised only after proper evaluation. Nasivion nasal drops 2-2-2-2 both side of nose will help.
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I have hearing problem? Some water drop out from my left ear. Please give some suggestion.

MBBS
General Physician, Mumbai
I have hearing problem? Some water drop out from my left ear. Please give some suggestion.
You might be having otitis media and its better if you get your self examined by a ENT dr for further guidance
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I have a very flat nose.Can it be corrected with nose filling to make it shape it instead of rhinoplasty.How much it might cost ?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Mumbai
Hello , Flat nose is best corrected by Augmentation Rhinoplasty surgery. Any other associated abnormality can be corrected simultaneously. Nose fillers can also correct the defect, but they are temporary only. Last for a Year only. Dr Agrawal Mumbai
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Since last 7 month I have a problem of sneezing and sinus infection it's really irritating what should I do.

PDDM, MHA, MBBS
General Physician, Nashik
As per your clinical history it appears as you are having Severe allergic Rhinitis If I were your treating doctor, I would advice you Steam Inhalation & Steroid nasal spray with antihistamine. I also like to do investigation like Nasal endoscopy to see status of your nasal cavity & sinus. If you can tell me your city, I can refer you to best ENT doctor. Hope this information helpful to you, take care and have a nice day. Thanks.
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