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Dr. Vasanth Kumar

ENT Specialist, Chennai

Dr. Vasanth Kumar ENT Specialist, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Vasanth Kumar
Dr. Vasanth Kumar is an experienced ENT Specialist in Kilpauk, Chennai. You can visit him at Aditya Hospital-Kilpauk in Kilpauk, Chennai. You can book an instant appointment online with Dr. Vasanth Kumar on Lybrate.com.

Lybrate.com has an excellent community of ENT Specialists in India. You will find ENT Specialists with more than 30 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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English

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Aditya Hospital-Kilpauk

No 7, Barnaby Road, Kilpauk, Landmark: Near Ponniamman Temple, ChennaiChennai Get Directions
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I want to remove my wisdom tooth as there is cavity. I want to know that is there any hearing will be effected aftr making it removed. I have heard it effects ear.

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Wisdom tooth removal doesn't affect your hearing. Get it removed by a good omfs doctor.(oral and maxillofacial surgeon)
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I am 22 years old. I had acne on my face so I have taken the medicine AZITHROMYCIN 500mg, ACNE STAR 20 and VITAKIND I from taking this medicine pimples reduces but by taking overdoses I suffered from redness on my face, mostly on facial position some time it feels like heat comes out my ears also get red. So please guide me the medicine which helps in reducing redness from my face and in how many days I will be fine.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Its unfortunate, your dealing d issue, its rakta-vataj issue demands rakta shudhi n detix n rasayn therapy, till have gulkand praval yukta.
1 person found this helpful
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I am 23 years old male, having problem of sinus. Due to which I suffer from blocked nose every now and then. Please advise.

MBBS
General Physician, Faridabad
its allergic problem,there is no permanent cure, 1tab sinarest before bed, steam inhalation.free air nasal spray it will help. Thank you
1 person found this helpful
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I am jishan and I am 23 years old right now, but I have a problem that my throat is always paining also my voice is n9t so clear now I am very much disturb due to this and I am addicted to cold drinks so please help me out regarding this I want to speak clearly but whenever I tried I can not do this because when 8 push my throat to speak the air with my voice is came out and no 9ne can understand or listen what I am saying or what I want to say?

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
Cold drinks are not healthy, this leads to dryness of the mouth, nose and mouth mucosa are nearly same at the posterior end, cold drinks produces more of co2 hence causes dryness and any symptoms of throat comes with symptoms of nose also dear the symptoms you are getting are due to dryness of the mouth, this is because of lack of mucus in the mouth which is protective layer of our mouth, and is being produced in the mouth by glands which will be helped by good and healthy blood supply to the glands, blood with good blood cells will take oxygen to the gland and gland works, they require oxygen in ample of amount, so if you do not take iron diet on daily basis than this will lead to less of mucus production and hence lead to dryness and thick mucus problem, this thick mucus leads to irritation in mouth hence leads to itching in the mouth, start taking good iron diet on daily basis, and shakes, avoid salty and spicy food. Cough is due to dry mucus stick to throat tissue.
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My ear pain very bad What should I do Please tell me soon I am waiting for your response.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg eight hourly and we have to rule out any abscess in the ear canal
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My 11 year old son often suffers from bronchitis and tonsillitis infections and he also suffers from fruit allergy, leaving him with severe cold if he has any fruit. Do you have any recommendations for his health? Any supplements? I have read about apple cider vinegar and it's curing effects of the above mentioned aliments, but can it be given to my child safely? Also considering his allergy?

B H M S, MD
Homeopath, Thrissur
Dear Remya your sons tonsillitis may be due to multiple causes like viral,bacterial.allergic etc. first of all if you want to find a permanent cure, cause has to be ascertained, and as you know from school day studies every disease is caused by altered immunity from simple cold to virulent cancer . Homoeopathic approach is to correct the imbalance in immunity which is the route cause of disease. No supplement will correct your immunity and it will only enrich with nutrients. if interested do book a online consultation
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I am 18 year old. And I am getting blank outs while I yawn or gt up from sleep why?

MBBS
General Physician, Delhi
Blackouts may be due to low bp or hypoglycemia. So my advice to you to take proper diet dont remain empty stomach for long hours specially in the morning time to avoid these symptoms. Get yourself screened up for low bp. Thanks for asking.
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I am 24, I have strep throat infection please tell me the precaution to get cure from infection? Tell me the antibiotic by which I get cure from this.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
streptococcus throat infection requires prolonged treatment with antibiotics like inj penicillin,cap amoxycillin,cephalexin etc to be taken under direct medical supervision
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I am 26 years old and snore while sleeping and main problem is snoring sound which is very high as per feedback of my family. I was feel very sleepy even though I take 8-9 hrs sleep but sleep late and wakeup late. Please need your advice to cope with snoring and sleep as am not able to concentrate on my studies.

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 the nose 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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In winter season my nose was always blocked and frequently I am getting headache what may be the problem?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
It could be common cold, sinusitis, Deviated nasal septum, allergy to cold weather. ENT Specialist should help you out.
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Why do I keep hearing the beep sound in my ears after I listen to very loud music? The beep sound continues for about 15-20 minutes after I take offmy headphones.

MBBS
General Physician, Cuttack
It is due to vibration of tympanic membrane due to loud noise. Don't use ear phone for along period and reduce the sound level.
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Hello doc, I am chiyan krishnan, male 28 years old (lab manager come dty quality manager in a iso certified lab in trivandrum, kerala, india, having eosinophil count- 17%, aec - 1100, ige -810, also having allergic rhinitis and difficult to breath in colder conditions, please suggest valuable precautions or medications sir.

M.S., D.N.B., Post Graduate Diploma in Healthcare Management (P.G.D.H.M), M.B.B.S.
Ear-Nose-Throat (ENT) Specialist, Pune
Please find an allergologist for a permanent cure you r supposed to go for a modified skin prick test wherein we find what you r allergic to and start immunising you to build your tolerance to the found allergen. This wiil help in downregulating your ige levels and eosinophil count.
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I am 19 years old. I am male. I have sinus. I am also some fat. I am non-veg how can I reduce the effect of sinus on my body. My blood group is A+ and weight is 75 Kg. I Don't have any smoking or drinking habits. Is there a chance that I will get any other diseases.Please suggest.

Diploma in Tuberculosis and Chest Diseases (DTCD), MBBS
Pulmonologist, Delhi
The best way is to do lots of breathing exercises like jogging, running, swimming and playing games which involves running
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What is the reason for running nose few hours after listening to music sometimes the next day.Please tell.

MBBS
General Physician, Chandigarh
Running nose has got no connection with listening of music you are mistaken in identifying your problem
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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

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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?

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Aurangabad
Hello adi. It may occur due to dryness of the nose, causing bleeding from the small blood vessels from anterior inferior part of nasal septum. You may use saline nasal drops & liquid paraffin nasal drops to prevent dryness of the nose, after ent physicians advice. If the symptoms remain persistent / severe, then consider for nasal endoscopy and cauterization of bleeding vessels.
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My body develops dizziness gradually throughout the day. I don't know the reason 9f this. I take regular diet and do not have any type of depression. I have some tendency of feeling unwell and fear of getting unconscious during daytime. Please guide me how to tackle with this fear and why this happening to me.

BHMS, MD - Homeopathy
Homeopath, Delhi
Hi, dizziness could be caused due to spondylosis, anaemia, dehydration, high or low blood pressure, or low sugar levels in blood. In your case, I assume you have ruled out bp, diabetes, and anaemia. Drink plentyful of water, (around 3 litres) specially if you are working in a heated environment and see the difference. If not better, go to your physician for further investigations. All the best.
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