Sinusitis is an inflammatory condition which causes swelling of the tissue lining the sinus passages. The healthy sinisuses are filled with air, but when there is a blockage, they get filled with fluids which can give rise to germs and cause an infection. Conditions such as the common cold, allergic rhinitis (swelling of the lining of the nose) and a deviated septum (shift of the nasal cavity) can cause sinusitis. People with nasal polyps and blocked drainage ducts are more prone to getting sinusitis as compared to other people. The main treatment for sinusitis is surgery.

Sinusitis Surgery
Surgery is the most effective treatment for this condition as it makes the sinuses drain by getting rid of the blockage and draining out the mucus. Surgery also removes infected, swollen and damaged tissues in the sinus along with polyps present in the nose or the sinus. If any foreign substances are obstructing the nasal passage, they are removed as well. Surgery, sometimes, is the only way of getting rid of a nose which is badly blocked. In severe conditions, people might also require a second surgery. Surgery, when coupled with medication, is more effective in treating this condition as antibiotics might be required to prevent the sinus from getting re-infected.

There are two types of sinusitis surgeries people can avail:

Endoscopic surgery: This surgery removes small bones and other foreign substances blocking the sinus passage or is used for removing polyps. A thin tool called the endoscope is inserted into the nose with the help of which, the doctor gets rid of substances which are blocking the sinus passage.
Sinus surgery: This is carried out in conditions when there are developments like pus and infections in the facial bones or in case of a brain abscess (inflammation caused due to infection within the tissues of the brain). In this kind of surgery, the doctor uses the opening in the mouth or makes another one through the skin of the face to remove the blockage from the sinus and get rid of sinusitis.

Suffering from Sinusitis? Can Surgery Be Helpful?

Which baby doesn't spit up their food! This is usually not a reason to worry, but if this spitting up is chronic and is accompanied by other symptoms it is known as Gastroesophageal reflux disease or GERD. Severe GERD can cause weight loss and breathing problems and thus, should not be ignored.

Reflux occurs when food is pushed out of the stomach and back up the esophagus. This is usually because the digestive system in babies is not yet fully developed. Vomiting often during the day is one of the most common symptoms of GERD. Other symptoms include:
- A persistent cough
- Choking or gagging while eating
- Refusing to eat
- Crying while feeding
- Heartburn
- Pain in the stomach

Most cases of GERD can be diagnosed by its symptoms and a look at the baby's medical history. In some cases, additional tests may be required, such as:

Barium swallow
The child is given a chalky substance to drink. This highlights the esophagus, stomach and upper part of the small intestines in a special X-ray. It is used to check if there are any blockages in the digestive system.
pH probe

A long, thin tube with a probe at one end is put down the child's throat. This is kept in the esophagus for 24 hours. The probe measures the levels of acidity in the stomach. This test is usually done when the child complains of breathing problems along with reflux.

Upper GI endoscopy
Here the doctor puts a thin, flexible tube down the child's throat. At one end of the tube is a camera that allows the doctor to look into the esophagus, stomach and small intestine.

Gastric emptying study
One of the causes of reflux is the slow emptying of the stomach. To check this, the doctor will mix a radioactive chemical with the baby's milk that allows a special camera to follow its path down the digestive system.

In most cases, GERD can be treated by making a few lifestyle changes. Some of these are:
- Raise the head of the baby's crib
- After feeding the baby, do not let him lie down, but hold him upright for half an hour or so.
- Change his feeding schedule
- Ask your doctor if you can try giving him solid food. Else, check if you can thicken his feed with cereal.
- Make the baby burp after feeding

Most infants outgrow this condition within a year, so do not stress yourself and enjoy life with your baby.

Gastro-Oesophageal Reflux In Babies

A headache can be a hindrance to any person at any time. It can either occur on left or right side in case of a migraine, be isolated to a point or radiate across the entire head. The pain can be sharp, throbbing or dull. It can either develop gradually or suddenly and can last for few hours to several days. Headaches need not arise due to a factor or condition of or in the head alone, they can be triggered because of other disorders or diseases in the body.

What are the different causes of a headache?
There are different kinds of headaches. Based on the symptoms, a doctor can diagnose the causes and the best treatment option for it. Not all headaches indicate serious illness. On the other hand, some headaches can be life-threatening as well. Primarily headaches can be divided into two broad categories- a primary headache and secondary headaches.

Primary headaches: A primary headache is caused due to conditions or factors associated with the pain-sensitive structures of the head. These types of headaches do not result from underlying illness. Muscles of the neck and head, blood vessels and chemical activity in and around the skull are the reason for primary headaches. Even certain genes could be responsible for triggering the pain. Some of the types of primary headaches include a cluster headache, tension headache, migraine, paroxysmal hemicrania etc. There could be primary headaches that last for a very long time such as sex headaches, cough headaches, chronic migraine, hemicranias continua etc. Typically, primary headaches are often triggered by poor posture, alcohol, lack of sleep, irregular food timings, processed meats etc.
Secondary headaches: Secondary headaches are the symptoms of a disease that can activate the pain-sensitive nerves of the head. The severity of the pain varies greatly. Some of the possible causes of secondary headaches include arterial tears, acute sinusitis, brain aneurysm, brain tumour, dehydration, ear infection, carbon monoxide poisoning, dental problems, glaucoma, hangovers, flu, hypertension, stroke, panic attacks, toxoplasmosis, post-concussion syndrome, trigeminal neuralgia, monosodium glutamate, meningitis, giant cell arteritis etc. Some of the common triggers of secondary headaches include ice cream headaches, compression headaches, thunderclap headaches, sinus headaches, rebound headaches, spinal headaches etc.
When to seek emergency care for headaches?
Headaches could indicate serious disorders such as encephalitis, stroke or meningitis. It is advisable to seek immediate medical care for an unbearable headache which also includes the inability to understand speech, stiff neck, trouble in vision, vomiting accompanied with nausea, trouble in speaking, high body temperature, greater than 104 F. A doctor should be consulted if the pain occurs multiple times in a short duration, keeps one from working or performing daily activities, the pain doesn t improve even after the consumption of over the counter medicine and disturbs sleeping.


Headache - Why You Must Consult For It?

Do you know why some people accomplish more and generally are much happier in their lives?
 
The field of Positive Psychology explains this. Research says, one of the signature strengths that such people have is "Gratitude. Gratitude makes them take better care of themselves physically and mentally. It also makes people engage in more proactive and healthy way. It promotes the motivation for exercise, healthy diet and willingness to wriggle out of any negative situations in life. It helps boost your immune system.  Since it makes you more optimistic and alert, you cope better with stress and feel healthier.

How to Have An Attitude of Gratitude?

1) Be Mindful of What You Have - Being thankful for very small things actually bring a great amount of joy. Have gratitude for small things like sunlight, rain, flowers, a cup of tea, a caring spouse, a child's laughter. It gives us the resilience to cope with tougher situations.

2) Keep a Gratitude Journal - Every night before going to bed, write down "What was the best thing that happened to you that day.  It fosters better sleep and a sense of well being and satisfaction.

3) Reframe Challenging Situations - It's not the situation but our perception of the situation that makes it challenging. You can reframe your reactions and respond by saying that "I may have a very demanding boss, but I have become more organized, patient. It will help you to attend to your work and be cheerful.

4) Practice saying Thank You - It's very simple. When you buy a bus ticket, just smile and say 'Thank You. Feel the first raindrops on your face and smile in gratitude for all the life it brings.

5) Focus your attention outwards - According to Emmons, a US psychology professor, people who are more aware of the positives in their lives tend to focus their attention outside of themselves. They feel complete, satisfied and fulfilled in their lives and are capable of helping the less fortunate ones.

If you have any questions, please click on "Consult Privately.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


5 Reasons Why Some People Accomplish More And Are Much Happier

Dental care is of utmost importance. Poor dental health can cause you several problems, from a mild toothache to severe pain. Here are 10 foods which will help you maintain your healthy teeth. Read on to find out more about it:

1.  Cheese: Cheese, particularly aged cheese like Cheddar, Swiss and such are beneficial for your teeth. They increase the pH scale in your mouth and effectively prevent tooth decay. It also consists of protein and calcium, nutrients required for strengthening your tooth enamel.

2.  Yogurt: Like cheese, yogurt also contains calcium and protein for tooth enamel. Probiotics or the beneficial bacteria present in yogurt are good for the gums as well.

3.  Leafy Vegetables:  Spinach and kale promote oral health. They contain calcium, which is good for your tooth enamel. They contain folic acid, a B vitamin which has a lot of health benefits and also helps to prevent gum disease.

4.  Apples: Apples contain high fiber and water, which are beneficial for your teeth. While eating an apple, a lot of saliva is produced which washes away the bacteria present in the mouth.

5.  Carrots: Carrots are also crunchy like apples and also contain high fiber which is beneficial for teeth. They also contain vitamin A which is also highly beneficial.

6.  Celery: Celery contains vitamins A and C which are very beneficial for the gums. They are also crunchy and hence help scraping away bacteria and food particles from your teeth.

7.  Almonds: Almonds are a great choice as they are low on sugar and have high content of calcium and protein.

8.  Strawberries: Strawberries are very beneficial for your teeth. Strawberries consist of vitamin C, different antioxidants and malic acid, which help in naturally whitening your teeth.

9.  Garlic: Garlic contains a substance called 'Allicin' which has strong anti-mycobacterial properties, and is thus beneficial for your teeth. It helps to prevent periodontal disease and fight tooth decay.

10.  Meat: Meat in general is beneficial for maintaining healthy teeth. Meats consist of a lot of protein, vitamins, minerals and other nutrients which are important for healthier teeth.

10 Foods for Healthy Teeth

Myofascial pain syndrome refers to a chronic condition that affects a person s musculoskeletal system. With this disorder, pressure on the sensitive points (known as trigger points) in the muscle induces pain in various parts of the body.

Myofascial pain syndrome mostly affects people in the age group 40-60 years.

What causes myofascial pain?

Typically, myofascial pain syndrome occurs because of repetitive muscle contraction or overuse, or due to an injury. Sensitive areas of the tight muscle fibres can develop following an injury/trauma, and ultimately lead to pain and strain throughout the muscle.

Symptoms to watch out for-

Common signs and symptoms of myofascial pain syndrome include-

  Severe pain in localized muscle areas
  Pain that worsens when you stretch or strain the affected muscle
  Muscle pain that persists for longer than usual, or worsens with time
  Painful, tender knots in the muscles that lead to severe pain when pressed
  Weakness and stiffness in the muscles
  Inflexibility or a reduced range of motion

Although muscle pain is temporary in most cases, and usually subside on its own, you should visit a doctor immediately if the pain becomes intense and severe. Otherwise, the symptoms of myofascial pain syndrome can aggravate and impede your daily routine.

What is the treatment for myofascial pain syndrome?

Treatment for myofascial pain syndrome include a range of pain management options such as the following-

  Medications
Your doctor will likely prescribe medications that include anticonvulsants, analgesics, and over-the-counter Non-steroidal Anti-inflammatory Drugs (NSAIDs). These work as painkillers and help relieve pain and reduce muscle spasms.

  Dry-needling
Dry-needling is a quicker way of getting rid of myofascial pain symptoms. The doctor inactivates the trigger points by directly inserting a needle into it. He/she will then slowly move the needle around and poke it inside and out. The initial process can be a little painful, but it certainly helps manage the pain in your muscles. Alternatively, acupuncture needles can be used for the same procedure since they are small and are less painful.

  Local injections
Local injections, also known as trigger point injections, are similar to dry-needling. The only difference is that local injections involve injecting a solution (saline/steroid/or a local anaesthetic) into the trigger points. The method yield similar results as does dry-needling.

  Therapy
Different types of therapies can be used to ease the pain associated with this chronic pain disorder.

Ultrasound therapy where sound waves are transmitted into the muscle tissues through a sound-conducting gel applied on the skin. The sound waves heat up and relax the muscles, thereby improving blood circulation and removing the scar tissues. Ultrasound therapy is also effective in reducing muscle stiffness and increasing one s mobility.
Massage therapy also is very effective in treating myofascial pain syndrome. The therapist usually uses his/her fingers or some sort of equipment to induce pressure on the various trigger points. When performed, this procedure may first aggravate the muscle pain and then release muscle tension.
Apart from these, the doctor may prescribe regular exercising or physiotherapy treatment for patients suffering from chronic muscle pain.

Myofascial pain syndrome can be managed well using the techniques mentioned above. In addition, it is very important that you stick to some sort of physical activity. Talk to your doctor and incorporate these pain management techniques to live a pain-free healthy life.

Myofascial Pain - Causes, Symptoms & Treatment Of It!

Don't wait any longer, manage your Appendicitis online with a Lybrate doctor today

Consult for Appendicitis - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES