Tinnitus is a disorder which is characterized by a constant perception of a ringing noise in the ears. This is not the condition in itself, rather it signals some other underlying condition such as an ear injury or age related hearing loss. It is not a serious condition, although the symptoms can worsen with age. If you are affected by this disorder, you might experience or  hear  a constant ringing sensation in the ears, even if there are no external sources of noise. These sounds could range from being a buzzing, ringing, to a hissing sound. This condition has mighty chances of interfering with your daily routine.

It is classified into two types:

Objective tinnitus: This disorder is caused by muscle contractions or a blood vessel problem.
Subjective tinnitus: The more commonly occurring type, it is caused by damage to the auditory nerves or regions of the brain that interpret sound.
The causes of this disorder are:

Exposure to loud noise: If you are exposed to loud noises such as the ones emanating from firearms or heavy machinery over a prolonged period, it can lead to tinnitus.
Aging: Aging can cause progressive loss of hearing, thus triggering tinnitus.
Blockage of the ear: There is earwax present in the ears, the function of which is to trap dirt and bacteria. Excessive earwax accumulation leads to loss of hearing, resulting in tinnitus.
Modifications of the ear bone: Any stiffening of the middle bone in the ear could impair your hearing and result in this condition.
Certain factors such as smoking, age, sex (men are prone to this disorder) and heart related disorders increase the risks of being affected by this condition.

Treatment
The treatment of this condition begins with the identification of the underlying condition, if any. The various treatment options are  

Removal of earwax: Excess earwax has gotten rid of which can relieve symptoms of tinnitus.
Suppression of noise: Certain machines, known as white noise machines, produce random sounds such as the sound of rain or the sounds of waves, thus eliminating the  hearing  of sounds which are common to this condition.
Medications: Certain medications such as alprazolam and nortriptyline can help reduce the severity of the symptoms.

Constant Ringing in Ears - Causes + Treatment

BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

Our ears are small in size, but  big  in the work they do. Not only do they help us hear, but also help us maintain our body s balance. They thus help us stand, walk, drive you just name it.

Ears are also much bigger in size than they actually are. The part of the ear that we see on our head is only the external ear, there is a middle ear and an inner ear too, silently carrying out complex functions related to hearing and balance. The middle ear that lies behind your ear drum is the seat of balance. And this part is hit hard at the time of an ear infection.

Ear infections cause the Eustachian tubes   small tubes that connect the middle ear to the back of your throat   to become swollen and blocked due to excess mucus. As a result of this, fluid builds up and inflammation takes root in the middle ear, thereby causing pain.

Ear infections can be acute or chronic. Acute infections clear up in a few days, but chronic ones reoccur frequently. If not managed, chronic ear infections can cause permanent damage to the middle and inner ear.

Causes of Eustachian tube blockage are as follows:

Allergies
Sinus infection
Cold
Extreme production of mucus
Smoking
Infected adenoid, which is a tissue near your tonsils that traps harmful bacteria and viruses
There are a few risk factors associated with ear infections. It can be said that young children are more susceptible to these infections. This is because their Eustachian tubes are short and narrow. It has also been seen that infants who are bottle-fed have a higher incidence of ear infections than breastfed babies.

Other risk factors are:

Changes in altitude
Changes in climate
Exposure to tobacco smoke
Use of pacifiers
Symptoms of ear infections:

Pain or discomfort inside the ear
A prolonged feeling of pressure inside the ear
Pus-like ear drainage
Hearing loss
What is also important to know is that the symptoms of an ear infection come and go. 

Symptoms can also occur in one or both ears. Chronic ear infection symptoms can be less noticeable than those of acute ear infections.

Hence, fever and ear ache should spur you to see a doctor. You should be extremely careful with babies younger than six months who have fever or ear infection symptoms.

Your doctor will diagnose an ear infection by checking if there is a draining of fluid from the middle ear, perforation in the eardrum or a collapsed eardrum.

Sometimes, ear infections can lead to the following serious complications:

Hearing loss
Speech or language delay in children
An infection in a skull bone called mastoiditis
Meningitis
Ruptured ear drum

Causes And Symptoms Of Ear Infections

What are the causes and symptoms of ear discharge?

Ear discharge is the phenomenon of fluids being expelled from the ear. This condition is also known as otorrhea. 

The kinds of fluids that can be discharged from the ear range from blood to pus and other forms of bodily secretions. It is caused by a number of factors, which determine the exact nature of the condition and the diagnosis for treatment. 

What are the causes of ear discharge?
Some forms of ear discharge are natural, such as ear wax which is produced by the body as a form of defense against external particles that may enter the ears. Other forms are unnatural and result from anomalies in the health system. 
The causes of these include the following.

Infections: This is the most common cause of ear discharge and occurs when bacteria and viruses infect the inside of the ear and lead to the secretion of fluids, which builds up in the middle ear or at the eardrum.

Swimmer's ear: This condition is also known as otitis externa and is caused by staying in the water for prolonged periods. It results from excessive exposure to moisture that makes the walls of the ear canal to breakdown allowing bacteria and fungi to enter and infect the ear.

- Trauma: Excess pressure on the eardrum can cause it to rupture and discharge fluids. This happens due to a number of reasons such as exposure to loud explosive sounds or pressure from flying in aircraft and scuba diving.

- Skull injury: Damage to the bones behind the ear as a result of an injury can also lead to ear discharge due to infection.

-Tonsillitis: Inflammation of tonsils may cause pain or a repeated infection in the ear leading to fluid discharge.

What are the symptoms associated with ear discharge?
Some of the symptoms of otorrhea are as follows:
- Abnormal and unusual secretion of fluids from the ear
- Swelling of the ear
- Partial or complete loss of hearing
- Pain and throbbing in the ear
- Accompanying signs such as fever and migraine

Diagnosis and treatment of the problem depend on the exact cause and nature of the condition, which also determines treatment and recovery time.



Why Do You Get an EAR Discharge?

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?

What is Type-1 Diabetes?

Type-1 Diabetes, also known as Diabetes Mellitus type-1, is a condition which is characterised by the lack of sufficient amount of insulin in the body. This is a chronic condition and cannot be cured. The insufficient amount of insulin in the blood results in the spike in blood sugar levels, which in turn, can damage various organs in the body. However, with proper therapy and treatment, it can be controlled and the quality of life can be improved for the patient.

The tell-tale signs and symptoms of this type of diabetes are the frequent urges to urinate, increase in appetite, increased thirst, and rapid loss of weight. It is most commonly diagnosed in children or young adults and thus, it was previously known as juvenile diabetes.

Glucose and other types of sugars are essential for the body cells to absorb energy. The glucose that is present in the blood is taken up with the help of insulin and utilised for energy. The lack of this hormone renders the glucose useless as it is not being able to enter the body cells. This is precisely type-1 diabetes.

What Causes It?

The cause of type-1 diabetes is not known entirely. Although, there are certain theories that explain the cause  

Genetics: The chances of getting type-1 diabetes are increased in children if either of their parents suffers through from this disease. More than 50 genes are involved in diabetes type-1.

Environmental factors: Environmental factors are also thought to play a role in type-1 diabetes.

Viral infection: A theory suggests that viral infections are responsible for type-1 diabetes. According to this theory, the virus activates the auto-immune system of the body which in turn attacks the pancreatic beta cells along with the cells that are infected by the virus. Viruses like Epstein-Barr virus, Mumps virus, rubella virus etc. are considered to be responsible for the same.

How Is It Treated?

Many people with type-1 diabetes live long, healthy lives. The key to good health is to keep your blood sugar levels within the range your doctor gives you. You ll need to check them often and adjust insulin, food, and activities to make that happen.

All people with type-1 diabetes must use insulin injections to control their blood sugar. Several types of insulin are available.

Type -1 Diabetes - What Is It And Its Causes?

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