What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

Having a foreign object stuck inside a child s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your ear drum. If the foreign object is stuck up your child s nose or ear and they refuse to keep still, it s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can t get it out easily, it s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue.

Foreign Body Inside Ear, Nose Or Throat - What To Do And What Not To?

You know that breathing is very much integral to staying alive. It is the only visible symptom that you are alive. Breathing helps in providing oxygen to the body which is essential to carry out various physiological processes. The nose is the organ through which we breathe and should be kept clean so that it does not interfere with the breathing process or cause any sort of breathing difficulty.

Therefore, cleaning your nose on a regular basis is very important in terms of improving your health and increasing your lifespan. Cleansing your nose on a regular basis can improve the quality of breath and help in protecting your breathing passage as well.

Ayurvedic treatment: Neti
Generally Ayurvedic techniques are considered to be the safest ways to clean your nose. Neti in Ayurveda is a cleansing procedure, which involves using a modified cup referred to as a nasal rinse cup.  The cup is filled with water or saline solution and is normally used to clear the breathing passages or the nostrils in particular. Neti is administered in the following steps:

Prepare a saline solution by taking a quarter teaspoon of table salt and dissolve it in a cup of boiled and cooled or distilled water. You also need to take care of the fact that the salt is non-iodized.
After preparing the solution you need to put it in the 'Neti' cup. Then put the nozzle of the vessel firmly against one of your nostril in such a way that the water does not leak out.
Breathe in and out steadily through your mouth.
Lift the pot and tilt it in a manner such that water enters your nostril. After half of the water has passed into your nostrils, remove the nozzle and let the water to run out of your nostril.
Blow your nostril to remove any moisture that is left inside.
Repeat the process with the other nostril.
It is very important to ensure that your nostrils are fully dry and no moisture is present inside as it might lead to further complications such as infection and inflammation within the nasal or the sinus cavities. It has been observed that using a nasal rinse cup during cold seasons helps to reduce nasal congestion to a great extent. Excessive cough or mucus can also be cleared up by using this particular method. It also helps to improve the quality of breath and it also helps you to relax and stay calm.

Neti Treatment - Nose Cleansing for Clear Breathing

What is allergic rhinitis?

Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees,grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches,animal dander,and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?

This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms ?

Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

What is the treatment for allergic rhinitis ? 

A number of medications ,including antihistamines, intranasal corticosteroids, and decongestants are available to control symptoms. Allergen immunotherapy could provide long lasting benefit. You can "train" your immune system not to react exaggerated to an allergen anymore.

Allergic Rhinitis - Signs That You are Suffering from it?

Rhinitis is an irritable medical condition where the mucous lining of a person's nose swells up. The term is more of a category and less of a definitive way to describe something specific. Rhinitis involves a host of other conditions that affect the mucous membranes of your nose. If you were not aware, common cold is also a kind of rhinitis. Rhinitis can cause acute touchiness in the inner lining of the nose leading to continuous discharges from one's nose. It can also lead to clogging of your nose or inflammation of the internal tissues. 

Rhinitis can be divided under two main types; allergic and non- allergic rhinitis. Allergic rhinitis, popularly known as hay fever is caused due to contact with allergens that are usually undamaging. However, in case of non- allergic rhinitis the symptoms take after that of the allergic type but no particular causal factor can be identified.

Factors that can increase your propensity to suffer from rhinitis of any kind are:-

Pollen from flowers
Inhaling certain substances can be harmful; smell of certain chemicals is bad too.
Both active as well as passive smoking can be detrimental
High levels of air pollution contributes to the risk
Weather conditions affect your health; a windy yet humid weather can aggravate rhinitis.
Common symptoms of rhinitis can be listed as below:-

A person suffering from this condition might catch a cold all of a sudden.
People, usually little children, might even face high fevers.
Your nose tends to be runny. After the infection subsides, chances of a thick, sticky discharge are more.
Exhaustion is also felt in combination with headaches and teary eyes.
The nature of your nasal discharge tells the doctor if you are suffering from an allergy or from a viral infection.
A few preventive measures to aid you against rhinitis:-

Rhinitis can be communicable and in most cases it is so. Therefore a person should not share his or her utensils and other personal things such as towels or handkerchiefs with any other person.
One should not be in close proximity of another infected person.
Hands are the most common sources of infection. One must wash his or her unclean hands before touching the face.


All about Rhinitis

Have you been sneezing frequently? Have you been feeling congestion in the chest or have a stuffy, itchy or a runny nose? If yes, it is possible that you may be suffering from nasal allergy. It is an inflammatory reaction caused due to dust mites, animal hair, pollens, and pollutants. Individuals who suffer from nasal allergies experience symptoms like nasal congestion and sneezing which tend to last for the whole day. To get a relief from the symptoms of nasal allergy, you must observe the signs of allergy and consult with an ENT or Ear-Nose-Throat specialist for effective results.

If the nasal allergy symptoms are left untreated in the early stage, then it might gradually worsen over time. So, the best way to prevent other complications is by paying attention or recognizing the allergy signs instead of ignoring them. For your convenience, here you will get to know about some of the basic symptoms which might assist you in this regard.

Three primary symptoms which you must not ignore:

The first and foremost symptom which is quite common is a stuffy or a runny nose. One of the best methods of treating congestion is by treating the allergy behind it. You must start avoiding allergy triggers. But, if you want to identify your allergy triggers, then you may seek the assistance of an allergist or an ENT specialist. If it is not impossible to avoid the trigger, then you must try to minimise your exposure to it.
The next sign of nasal allergy which one must not leave untreated is sinus pressure. Sinuses are tiny cavities just behind a person's eyes, cheeks, and forehead. Due to allergy, mucus builds up in such areas, and the affected person feels pain and pressure. Over-the-counter nasal sprays or applying warm and moist cloth on the face might help reduce the pain. But, if the pain or pressure stays for nearly 5-7 days, then it will be a wise decision to visit a doctor.
Another common symptom is itchy eyes. Though it is quite annoying, severe vision problems do not occur because of this symptom hence no need to worry. To relieve this symptom, one may try applying a cold wash cloth over both the eyes, consume prescribed or OTC allergy medications. Eye drops containing antihistamine also prove beneficial in this matter. Before administering any medicines or drops, it is best to consult with your physician.
Foods that might help prevent nasal allergy:
Warm fluids like hot tea or warm chicken soup or any other fluids assist in treating congestion. Studies suggest the fact that fish containing healthy omega- 3 fatty acids might prove beneficial in decreasing the risk of allergies. So, sufferers of nasal allergy might intake fish like salmon, mackerel, and tuna. According to some research, healthy bacteria termed probiotics which are present in yogurt may help slightly lower the symptoms of pollen allergy in kids.

So, the best way to deal with nasal allergies is by identifying the common symptoms and visiting an ENT specialist as soon as possible. The specialist may prescribe you the best treatment depensing on your condition.

How Do You Know It Is A Nasal Allergy?

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