Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.


This is what happens in Bell s palsy, the most common cause of facial paralysis.


Bell s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell s palsy.


Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumours and stroke.


The weakness of the face usually one-sided is a symptom of Bell s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell s palsy, the most common reason for facial paralysis.


Treatment:
The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you ve suffered from facial paralysis and the extent of damage to the facial nerve.


Your physiotherapist can help and so can speech and language therapists to deal with the issue.


In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.


This is what you can expect from facial rehabilitation therapy-
Exercises for eye care
Exercises for dry mouth management
Exercises to make drinking and eating easier
Speech therapy
Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.


The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.


Physiotherapy may take months but keep at it to recover completely, especially the home exercises.


Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases.


Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.


Facial Paralysis - How Can Physiotherapy Help You Get Better?

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?

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?

The heart is a muscular organ that functions like a pump by moving blood through a fine, interconnected network of blood vessels. One set of blood vessels collect oxygen-rich blood from various parts of the body and gets it to the heart. It is then sent to all parts of the body through another separate channel of vessels.

The blood also transports various nutrients to the different body parts. Fat molecules or cholesterol is one of them. In fact, with changing diet patterns, there are more of fat molecules. They are heavier than the other particles, and so tend to settle down along the walls. This is known as plaque formation. This attracts more fat molecules to settle down and gradually forms a larger mass of fat cells. It also reduces the diameter of the vessel, thereby lowering the amount of blood that reaches the target organs.

Another effect it has is that it encourages the heart to exert extra pressure to push the blood through the vessels. There are simple ways to reduce blood pressure (BP), and some of these are listed below.

Eat healthy: Avoid processed and/or packaged foods. Increase the intake of fresh foods with lots of grains, vegetables, fruits, and dairy products. Include antioxidants like flaxseed, olive oil and omega-3 fatty acids to improve heart health. Avoid foods rich in calcium, sodium and magnesium. Increase consumption of potassium, which is good for heart.
Exercise regularly: Exercising has multiple benefits, and one of them is to improve heart health. It improves circulation, keeps the heart muscles active and strong and helps them pump blood better throughout the body.
Quit smoking: Smoking has severe effects on the overall health of an individual and heart health in particular. So quitting smoking can be hugely beneficial for the heart. It reduces the rate of plaque build-up and also helps in reversal.
Practise weight management: An increasing waistline is definitely not good for your heart, so watch your weight and keep your body mass index (BMI) in check. Watch what you eat, work out, and get your weight under control.
Follow stress management: The effect that stress has on our health cannot be underrated. Be it yoga, music, meditation, exercise or spending time with family/friends, choose what works best for you and learn to relax and manage stress.
Reduce alcohol consumption: More than two drinks per day can increase blood pressure significantly. So if you can t control, just quit.
Increased blood pressure is more rampant than what it was a few decades back. The age of onset is also reduced, with people in 30s now having hypertension. Making the above lifestyle changes can help lower your BP. Lifestyle diseases are now starting early in child hood. It is important to allow them to eat healthy food and physical activity. Smoking etc starts in school and need to be prohibited.

6 Simple Things That Can Help Lower Your Blood Pressure

Should You Oil Hair If You Got Dandruff?

You're said to suffer from the problem of dandruff when the skin renewal cycle of your scalp accelerates all of a sudden. This brings about the development of patches of dead skin on your scalp surface and the resultant dry, skin flakes called dandruff.

The causes of this very common problem can be:

- Not shampooing your hair regularly can cause skin cells and oils to build up in the scalp leading to the outbreak of dandruff.

- Having dry skin can also cause dandruff to develop, which are less oily and smaller in nature.

- Even irritated oily skin, more commonly known as seborrheic dermatitis can cause you to suffer from these white skin flakes. The problem can be easily identified by its distinguishing yellow or white flakes over the red greasy skin surface.

- Sensitivity to certain hair care products and the presence of Malassezia (a type of fungus) are other causes that can lead to dandruff problems.

How to keep dandruff problems at bay?

Having poor scalp hygiene as well as the lack of proper scalp conditioning can cause dandruff to occur. Thus, proper conditioning of your scalp is vital for fighting the flakes that form on your head. Oiling your hair is the most effective measure that you can take against this scalp problem. While the ideal time to do this is at night so that you can wash it off the next morning, one should also remember that hair oil shouldn't be left on the hair for over 24 hours. 

Additionally, dry scalp makes it very easy for dandruff to develop as the oil-secreting glands found in the scalp's epidermal layers produce low or no natural oil. Application of oil helps in keeping the scalp nourished as well as enables glands to produce oil. But leaving it on for more than the recommended hours can intensify your dandruff problem and further accelerate the hair fall process.




Should You Oil Hair When You Have Dandruff Problem?

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.

Complications:

Increase in Birth Weight   Extra glucose crosses through the placenta which instigates the baby s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

Premature Birth and Respiratory Diseases   High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

High Blood Pressure   Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby s health.

Treatment:

Book an appointment with a dietitian and follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition.

Causes and Treatment of Gestational Diabetes

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

Consult for Critical Care - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES