Cotton swabs or cotton buds, are commonly used in our daily lifestyle. Many people use it for various purposes, such as make-up, bacterial culture, and most commonly for extracting wax and debris from the ear. Even though they are sometimes handy in our busy schedule, they usually cause much more harm than benefits.

How are they misused?
Cotton buds are toothpick like pieces made of wood, plastic, or rolled paper, which have cotton stuck at both ends with a roundish edge. It came into existence during the 1920s for a safe purpose of ear cleaning by Leo Gerstenzang, when he saw his wife cleaning their baby s ear with a toothpick. They are until now used by the general population for ear cleaning, but these hardly remove the outer debris which are stuck near the outer edges. Impressing it inside the ear canal only does further damage, by forcing the inner wax further inside Sometimes extensive force also causes damage to the ear drums.

How does it cause the damage?
Applying a tool like the cotton bud inside the ear with hands usually creates a force that impresses upon the eardrum, also accumulating the surrounding earwax to that area, resulting in impaction of the wax. The force applied most often, if not always, causes a damage to the ear drums, which might cause severe pain, also leading to leakage, causing improper balance, deafness, and certain similar abnormalities.

Alternative measures
Although we are worried about cleaning our ears, it doesn t really require our notice, since our usual showers allow an adequate quantity of water to enter the ears and clean the accumulated debris automatically. The structure, in which our ear canal is designed, is usually naturally assisting in cleaning up the unusual wax around the ear.

If there is an uncontrollable build up of earwax that is not cleaned off normally, you can always consult an ENT or any general physician and get it cleaned under medical surveillance, which is best advised.
Doctors and medical practitioners all around the world have been trying to spread the message of preventing the use of cotton buds for ear cleaning. It is important that the message reach the greater part of the population. Spread it to your family, your closest friends, their friends, and as further, you can reach!

Cotton Buds - Why You Must Not Use Them?

Hearing is an essential process in everyone's life. Be it your social life or professional activities, hearing influences every aspect of your life. You can thus, never ignore the health of your ears to enjoy a healthy life. But there are several hindrances to obstruct effective hearing. One of the problems is the accumulation of a natural substance called cerumen produced by the glands present in the ear canal. The accumulated cerumen is medically referred to as Earwax. Over production of cerumen is mainly triggered by the deficiency of Omega-3 fatty acids, zinc and magnesium.

The basic function of the wax is to protect the ear canal from invasion by foreign particles like bacteria and dust particles. This is necessary for the smooth functioning of the ear and its protection from invaders. However, it becomes an irritating problem when the earwax is produced in excess. The problem aggravates when the ear canal is blocked due to accumulation of earwax. In such cases, we use certain objects such as bobby pins, Q-tips or cotton swabs to clean the accumulated earwax from the ear canal. What we do not realise is that pricking the wax using these objects can sometime cause significant damage to the ear. These objects push the wax deep inside the canal, leading to blockage.

The most common symptoms of excessive earwax are as follows:

Earache
Developing a fullness feeling in the ears
Loss of hearing on temporary basis
Noises inside the ear
Itching
Here are the preventive measures to remove ear wax blockage:

In order to prevent blockage of ear wax, try keeping it moist by frequently running water into your ear while taking a bath. This will prevent the ear wax from getting dried up so that it doesn t get blocked in the ear canal. Make sure, you drain the water from the ear after running it for some time.
Don t use any pointed objects inside the ears as it can cause ear infection while pushing the wax deeper.
Avoid inserting cotton swabs or ear buds into the ear canal. You can use them to remove exposed ear wax at the ear opening, but don t push them deep inside the ear canal. It can push the excess ear wax inside the ear canal, thereby resulting in to an impact.
Don t use candle ear wax remover. Ear candles are another method to remove ear wax, but it can be really dangerous as you need to hold the lighted candle very close to your ear. It can even burn your ear.
Don t use cold water or a strong jet to drain out the excess ear wax. Strong jet can lead to the damage of the ear drum while cold water may result into dizziness.
Avoid using any other method to remove ear wax at home, such as suction.
Don t use any type of acidic liquid in order to soften the ear wax.
Omega 3 fatty acids are good for mitigating the problem of ear wax. So, include walnuts, avocados, salmon, albacore and ground flax seed in your diet.
Consult a doctor if the problem persists even after using home remedies.

 Ear Wax - How To Get Rid It?

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?

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

Most people listen to music or their favourite videos while on the move, and they spend a considerable amount of time plugging in the headphones or earphones. If you are concerned about the pros and cons of the headphones and earphones, or rather which one is better, you will have to consider various aspects. These include noise isolation, frequency response, noise cancellation and comfort of wearing.

Earphones are devices which are worn on the pinna or the internal part of the ear. This device is also referred to as earbuds, in-ears, canal phones, buds, in-ear headphones, IEMs.

Headphones are equipment worn on or around the ear. These are not considered as handy as the earphones and are also known as ear speakers. Let s evaluate the pros and cons of these two devices and choose the one that is better.

Frequency response curve: This helps in assessing how much distortion is brought about by the devices which relate to the clarity. They should be able to respond equally well to all the pitches without transmitting any frequency more loudly than another. This suggests that the frequency you are receiving should be exactly similar to what has been fed in regardless of the frequency ranges. Typically, the earphones have bad frequency response while the headphones tend to have better frequency response. If you are primarily concerned about the noise distortion, then you should opt for headphones.
Noise isolation: By this, it is understood how well does the gear help in isolating other noises than what you are trying to listen. Generally, higher noise isolation is preferred unless you are willing to hear the sounds of the ambience. Better isolation also ensures that your audio would not bother others surrounding you. A rightly fitted pair of earphones would be able to give you the best noise isolation whereas good over-ear headphones would not be able to seal the sound from going out.
Noise cancellation: Noise cancellation is entirely different from the noise isolation. In the process of noise isolation, the atmospheric sounds which intrude in are reproduced and inverted. This is an excellent feature especially when you are travelling through public transportation or walking down the street. When it comes to earphones, the noise cancellation feature is are not as effective as headphones unless you buy any of the high end pieces. But the headphones are far better in cancelling the noises that are constantly playing in the backdrop.
Judging from all these aspects, the headphones tend to be a better purchase than the earphones, and they are also much more comfortable. Still, it boils down to personal preference at the end. If you wish to discuss about any specific problem, you can consult a general physician.

Earphones Vs Headphones - Which Is Better?

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?

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