Lybrate.com has a number of highly qualified ENT Specialists in India. You will find ENT Specialists with more than 35 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.
Book Clinic Appointment
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
Facial Cosmetic Surgery
Submit a review for Dr. Ramesh BabuYour feedback matters!
Sir My name is nikhil. My age is 25. I have problem while walking little bit too much I feel like I am not getting breath properly. I feel pressure over my throat area. As if something is obstructing my breath. And I feel my body shakes from inside Actually it's happing from past 3 months. And I have also done MRI test it shows a spondylolisthesis at L5&S1 level and mild spondylosis without disc herniation, thecal sac.
My Throat is paining and am not able eat food from two days .If I move my mouth it is paining please help me.
Tinnitus me diet batayen. Cold water pina chahiye ki nahin. Cooler. A.c.me sleep kar sakte hain kyaaa.Plz reply.
I am suffering to swallow food and any eatables since last 7 months, but in between some time I feel everything was OK, when I think about it, it starts from that time, every time I feel coughing in my throat, tell me what should I do?
Hello, am 32 years old male and I hail from Kerala. I was working in India till 2014 and moved to UAE in 2015. I used to catch cold and get headache in winter season in India. And ever since I came here I get headache very frequently during winter season. If I walk in the park or place where cool breeze flowing I get headache and initially I didn't know what was the cause. When I told this to my sis in law, who is a qualified nurse, said it is sinusitis and advised me to take steam all the time. Although taking steam helps me lot I want a permanent cure for this. Because I have running nose almost round the year. When I start eat anything spicy mucus starts coming and I have to run for the tissue. It embarrasses me at times. So all these symptoms are just of sinusitis or something else? I have not consulted with any physician regarding this. Please advise.
My wife aged about 76years. She is living in the room and due to old age does not go out. Recently, she has a running nose with sneezing, and little watery right eye. Can she take Bryonia-30 1 to 2 drops three times a day? Seeking homeopathy advise.
I am 21 year old I losses blood from my nose during summer days sometimes it also happens sometime in winter as well what should I do?
Sir I am facing strange problem from past 10 days in my ear. I always felt a suu. Like sound in my ears from past 10 days. What is the reason behind that and what should I do to cure it? ThANK You.
1. Relieve sinusitis: when the air is too dry, sinuses don't drain and function properly. According to many ent experts, adding humidity to the air is generally good for sinus health especially if you're regularly suffering from congestion and sinusitis.
2. Heal faster: whether it be a cold, asthma, or allergies, a humidifier keeps your nasal passages lubricated, which helps speed up the healing process when you're under the weather. For people with bad allergies, there are humidifiers that are specially designed to purify the air as well.
3. No more nosebleeds: another reason keeping your nasal passages moist and lubricated is essential is to prevent nosebleeds. If you're regularly experiencing nosebleeds due to your dry climate, it's worth a try. Many people have found that it makes a huge difference.
4. Alleviate snoring: the moisture from a humidifier keeps the throat from drying out and relieves the intensity of that annoying snoring sound. If you or your partner is a snorer, the added bonus is that (at least) one of you will be sleeping more soundly.
5. Support beautiful skin: soothe dry skin by sleeping with a humidifier on through the night. In the morning, you'll notice not only that your face looks more supple but also that your hands and lips don't feel dry and dehydrated.
Before you go out and purchase one, learn about the differences between warm and cool-mist humidifiers.
I am getting fever frequently, snoring will be there for a week. It starts, if I drink cold water, or if I eat oily food. Cold and fever starts with throat infection.
Dear Doctor, I am 37 years old male 66 kgs. From last few months I am not able to sleep straight or right side. If I am trying to do the same then shortly a kind of Snoring (more like Humming sound) starts I initial sleep and I awake. However there is no problem on left side sleep. My question is "Is it anything can be congestion related problem? Or what it can be?
I suffer from sore throat followed by head heaviness quite often. ENT doc has detected nasal turbinate hypertrophy and deviated septum and suggested coblation turbinate reduction procedure. Can this problem cause throat issues and is such procedure effective. Kindly advice.
Hi doctor I am having problem with my voice. I am 19 when I speak to someone over the phone or in person, I always hear them saying" what" can you speak again". May be thats because my voice is not loud enough and clear. Also when I hang out with my friends as we laugh out loud so much, gossip so much, then at the end of day my throat feels like coughing. Is there any yoga/ exercise/ food to make it correct?
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
● 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
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● facial pain or pressure
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.
● 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
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● 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
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia
● 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
● 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.
● 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.
● 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
● 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.
● 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