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Dr. Balasubramanian

ENT Specialist, Chennai

300 at clinic
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Dr. Balasubramanian ENT Specialist, Chennai
300 at clinic
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Balasubramanian
Dr. Balasubramanian is one of the best ENT Specialists in Kodambakkam, Chennai. You can visit him/her at J V Hospital in Kodambakkam, Chennai. Book an appointment online with Dr. Balasubramanian on Lybrate.com.

Lybrate.com has an excellent community of ENT Specialists in India. You will find ENT Specialists with more than 29 years of experience on Lybrate.com. You can find ENT Specialists online in Chennai 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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J V Hospital

No.31,Railway Border Road, Kodambakkam. Landmark: Near Railway Station, ChennaiChennai Get Directions
300 at clinic
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I'm having a dry throat since last 10 days. No other symptoms, no pain, just dry throat. Dryness eases whenever I have water and arises after 30 min-1 hour of last water intake.

PMR (Physical Medicine & Rehabilitation) Specialist, Kolkata
I'm having a dry throat since last 10 days. No other symptoms, no pain, just dry throat. Dryness eases whenever I hav...
It may be due to GERD (acidity) like feature. Complete a coarse of cap. Pan-d every day one tab early morning empty stomach x 15 days. Need to talk privately after completing this coarse.
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My 9 year old daughter has throat pain since 2 days, so what is the medicine for immediate relief.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
My 9 year old daughter has throat pain since 2 days, so what is the medicine for immediate relief.
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 7. Wash hands after use of bath room and before and after eating food. 8 more warm liquids For medicine contact on private consultation Good luck.
2 people found this helpful
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Hi sir mjhe subh subh bht cheeke ati h jaise nose m infection hua ho . please guide

BHMS
Homeopath, Raebareli
Please avoid direct exposure to fan/ac. Take ammon carb 30 - twice daily for next 2 weeks and revert back.
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Hi, my self am Robin Thomas from Chennai India. Today am not feeling well my main problem is throat pain and feeling tired. Can anyone please suggest some useful tips and medicine please. Thanks and regards Robin Thomas.

MS - ENT,MBBS
ENT Specialist, Kolkata
Hi, my self am Robin Thomas from Chennai India. Today am not feeling well my main problem is throat pain and feeling ...
Start Gargling with Betaine gargle Have warm soft food. Plenty of water. Vitamin B complex +C If pain stays for more than 2 days you will need antibiotics. Pain if mild may be helped by Paracetamol.
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I have a problem of sinus. Effected the small things, continuous, water flow from nose.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Likly to be allergic rhinitis. Allergy screening blood test to confir, Avoid sudden change of temperature, dust, smoke, pollution and allergens.
1 person found this helpful
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Allergic Issues of the Nose

MS - ENT , MBBS
ENT Specialist, Gurgaon
Allergic Issues of the Nose

Nasal allergies are very common and as a result, not taken seriously by most people. In most cases you patiently withstand the coughing and sneezing, which might last for an entire day and in the process might inadvertently damage your health by choosing to ignore it for the time being.

Here are some of the commonly experienced nasal allergies and what you should do to get relief from them:

  1. Runny or stuffy nose: The best option is to just avoid allergy triggers. For example, if pollen is your allergen, then avoid going out during the times pollen count when it is reported to be high. Or, if animals make you sneeze, then make sure to have your hands washed and clothes changed after playing with them. Do not over use decongestant sprays at all. If these symptoms persist for more than half a week, then it's time to seek your doctor's advice.
  2. Uncontrollable Sneezing: Again, the best option is to avoid; but in many cases, it becomes difficult for you to avoid the allergen. In those cases, try antihistamine. If that doesn't work, then you can also go for a nasal steroid spray, but again, make sure to not overuse it.
  3. Post Nasal Drip: Usually, you unconsciously swallow your mucus. But, if the mucus quantity increases, it becomes thicker and results in post-nasal drip. It isn't much common, but you can practically feel the mucus dripping into your throat from the back of the nose. It can result in a lumpy feeling in the throat and can cause irritation. You can try drinking more fluids and using a nasal spray to reduce the mucus quantity. If that doesn't work, then it's time to seek advice from your doctor.
  4. Eyes that itch: Watery eyes that itch are annoying companions of nose allergy and though they might not be a serious hazard for the eyes, you cannot ignore them. Try wearing sunglasses when you go out into a reportedly high-pollen-count weather. It might be a better option to forego contact lenses; they can escalate the entire eye-itching problem. If it becomes too itchy, you can place a cold washcloth over your eyes.

Testing an Allergy: Allergy testing is commonly done by by skin prick test, in order to diagnose the allergens. Once, the allergens are diagnosed, immunotherapy can be started, which will help in improving the symptoms of and in many cases, it provides complete cure.

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I am 20 years old. I am having block on my left ear. I am not able to hear properly. Is there any drops which would help me to clean out the wax in my ears?

General Physician, Warangal
I am 20 years old. I am having block on my left ear. I am not able to hear properly. Is there any drops which would h...
clean with d-wax drops atleast once in a week..avoid water to go inside while bathing..consult an ent specialist and check your audiometry test to detect hearing problems..
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Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

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.
ALLERGIC RHINITIS
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.
Clinical Features
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
Sinusitis
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.

Pathology
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 polyps
Nasal Septum deviation
Chronic tonsillitis and adenoiditis
Climatic factors like sudden temperature changes
Swimming in infected water
Low immunity
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
Postnasal drip
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
Sore throat
Foul smell in nose
Nasal sounding speech
Possibly, pus-like nasal discharge
Dry tickling cough
Tiredness

Asthmatic Attack
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.
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I have pain in my throat, I cannot eat anything. It is since I eat some burgers on street. What should I do?

MBBS
General Physician, Cuttack
I have pain in my throat, I cannot eat anything. It is since I eat some burgers on street. What should I do?
It could be pharyngitis 1.Do warm saline gargling 2-3 times daily 2. Take throat lozenges 3. If no relief, you have to take antibiotic 4. Consult for advice
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Hi Doctor, I am 25 years male. I am suffering from nose allergy. Can possible complete treatment of allergy by medicine. If yes than, which is the best, Ayurveda, or homeopathy or any other? I am very upset. Please suggest me.

MS - ENT, MBBS
ENT Specialist, Mumbai
Hi Doctor, I am 25 years male. I am suffering from nose allergy. Can possible complete treatment of allergy by medici...
Allergic rhinitis requires long term treatment with regular follow up and decreases with age advance
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