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?

Are you experiencing severe hearing loss or turning deaf? To get back your normal hearing, you should undertake a cochlear. It is a small device which is planted in your ear via a surgical procedure. It sends impulses to the auditory nerve directly and as a result, sound signals are carried to your brain. Such an implant does not make you hear like normal again, but it helps you with sounds and knowing sounds around you such as telephones, alarms and doorbells.

How Does Cochlear Implant Work?

Cochlear implant is meant for adults and children who have sensorineural hearing loss. This is a condition which damages the tiny hair cells in the inner ear known as the cochlea. Your hearing gets impaired when these are damaged. A cochlear implant sends signals to the auditory nerve directly by skipping the damaged hair cells.

The device has two distinct parts. One part is the receiver-stimulator which is placed under the skin via surgery. The other part is the speech processor, which is worn around the back of the ear like a hearing aid. The outside device is, however, bigger in size than a hearing aid.

The receiver is placed under the skin, behind the ear through a small incision and it gets connected to electrodes. This is put into the cochlea of the inner ear. The surgery takes about some hours to be completed.

Two weeks after the surgery, the speech processor is fitted by the doctor. You will have to wear a microphone behind your ear. The processor can be connected to the microphone and worn around the ear. It can also be worn at any other place of the body, depending on your age and lifestyle.

Advantages of Cochlear Implant-

The major advantages of a cochlear implant are as follows:

You may be able to hear speech at an almost normal level.

You may understand speech without the help of lip reading.

It will be easy for you to talk on the phone and listen to the television.

Your experience of listening to music will improve.

You will be able to pick up different sounds starting from soft, medium to loud sounds.

You can also control your own voice in a better way, which will make it easier for others to understand you.

A cochlear implant can be a life changing device if you suffer from serious hearing loss. The results are not the same for everyone and vary from person to person. Some people may benefit more than others.

All You Need To Know About Cochlear Implant

Breathing is inhalation and exhalation, where oxygen is inhaled into and carbon dioxide is released from the body. Air passes through the nose, which has fine hair and mucus to filter out suspended particles in the air like pollen. When the person s immunity is weakened or is highly reactive, the mucosa reacts to many substances which are generally present. This is known as allergic rhinitis.

Types: Depending on the occurrence, it can be:

Seasonal: For instance, in spring when there is too much pollen in the air; known as hay fever. This is an acute rhinitis and subsides with a change in weather.
Chronic: This is when the body reacts to some normal substances like eggs, animal dander, extreme cold, dust, mites, etc. via an allergic reaction.
Causes of allergic rhinitis as per Ayurveda

Mandagni   low digestion strength
Kapha vruddhi   increase of Kapha dosha
Allergens   external factors such as pollen, dust etc
Residing with pet animals
Exposure to humidity, dust, cold
Virudh aahara   wrong food combinations
Long term intake of drugs like aspirin, leading to depleted immunity and making the person prone to dust allergies.
Symptoms:

Runny nose for prolonged periods of time
Chronic congestion
Persistent sneezing
Teary eyes
Fever and headache
Ayurveda believes that this is due to excessive kapha dosha. So, in order to manage allergic rhinitis, two approaches should be taken. Foods which increase kapha should be avoided, and elimination of kapha from the body should be targeted.

Non-medical ways to combat allergic rhinitis: 

Prevention has a big role to play in managing allergic rhinitis.

Whether it is animal dander, eggs, tomatoes, or extreme cold, if you know it could cause an attack, stay away from it.
Chew foods properly to ensure through absorption of vitamins and minerals, which are essential for immunity
Boil water with a spoonful of turmeric and a pinch of salt and drink it regularly
Basil and mint leaves can be boiled in water and consumed for improving allergic rhinitis
Clove and pepper can be chewed to get immediate relief
A mixture of crushed clove and pepper mixed with turmeric and honey works wonders for allergic rhinitis
Eat seasonal fruits and vegetables. They are more likely to be chemical-free, are cheaper, fresher, and definitely more nutritious.
Carrots eaten with a bit of fat produce the best defense against allergic rhinitis, as the beta-carotene in it is fat soluble.
Whole grains, green leafy vegetables, seasonal fruits and vegetables, and dairy products, contain a number of vitamins and minerals which help in fighting allergic rhinitis
Ayurvedic remedies like shilajit and guduchi boost immunity function
Neem, Ashwagandha, liquorice, cinnamon, tulsi, and curcumin are proven remedies for allergic rhinitis.
Panchakarma specifically aimed at rhinitis include Nasya, Dhoomapana (medicated smoking) and emesis (vaman ). This helps in eliminating kapha which is believed to cause allergic rhinitis.
Though allergic rhinitis is a very common condition, the treatment is also easy and many home remedies help in managing the condition.

Lifestyle improvement:

Always keep cloves and black peppers with you. Immediately keep two pieces of it in mouth when you feel of attack.
At the pre attack or attack rub Nilgiri oil , Mint oil, or pain balm on chest and get fomentation.
Keep watch on the elements that causes irritation for you and stay away from this.
Use mask while driving vehicle or going through public places.
Always take warm water bath.
Do not expose to hot sunrays.
Regularly take inhalation of steam.
Regularly go for morning walk in warm weather.
Do sufficient exercise.
Do not reside in dark or dump places. Get fresh air.
Do not get sleep at day time or immediate after dinner.
Take sufficient rest.

Diet, Nutrition & Ayurveda Treatment For Allergic Rhinitis!

Though nosebleeds are usually not a cause for serious concern, it can sometimes be a scary experience and cause a lot of anxiety. The nose is home to a lot of blood vessels and being fragile they bleed easily. Nosebleeds, however, can be a cause of concern if they happen regularly. While a few factors can be taken care of easily, there are a few rare cases that are actually alarming.

Injury or blow to the nose: Any injury or sudden blow may cause the nose to bleed. The severity of bleeding depends on the intensity and nature of blow/ injury.
Sinusitis: Bleeding is seen in a moderate number of cases of sinusitis. Not every person with sinusitis experiences nose bleeds though.
Hypertension/ high blood pressure: People, who have high blood pressure and one or more of other predisposing factors, might experience nosebleed in some cases. High blood pressure basically increases your chances of experiencing nosebleed.
Liver infection: This condition can be one of the rare causes of nosebleed.
Conditions hampering blood clot formation: There are certain medical conditions in which the blood clot formation does not take place effectively and thus the bleeding incidents can happen with minor causes as well.
Blood thinning medication: People having blood thinning medicines are more prone to experiencing an episode of nose bleed for obvious reasons.
Excessive scratching or sneezing: This might cause the nasal wall to rupture, causing minor bleeding.
Excessive alcohol consumption: In people who consume alcohol in an excessive amount, nose bleeding might occur as an after effect.
Blood cancer/ leukemia: In some cases of leukemia, the patient might experience nosebleed along with other complications.
While some causes can be self-cured at home, a few others need proper treatment from a medical practitioner.

You shouldn't ignore these 9 alarming causes of nose bleed!

A nose bleed can take place due to a number of reasons, which usually all boil down to acute dryness of the nasal passages. The nosebleed and dryness can stem from sinus, allergic reactions, constant blowing of the nose, infections, and also during very harsh winter months when there is no lubrication in the nose. Nose bleed can also occur due due to conditions, such as high blood pressure and when a foreign object gets stuck inside the nose. Here are a few tips on treating nosebleeds.


1. First step: the very first action when you experience a nose bleed should be to sit down. Once you are sitting, you should firmly pinch the spot that is soft. This lies just above the nostril. Do this for at least ten to fifteen minutes. The trick is to stay upright rather than lying down as this will bring down the blood pressure in the nasal blood vessels to stop further bleeding.


2. Breathe: breathe with your mouth as you lean forward to help in draining the blood into your nose, rather than out of it or towards the throat.


3. Ice compress: find a bag of frozen corn or peas in your freezer or an ice pack, and press this firmly against the nose to help in stemming the bleeding. As you are doing so, do not forget to cover the bridge of your nose with a towel so that it prevents you from catching a cold.


4. Medication and side effects: if you are on any kind of anticoagulants that end up thinning the blood, then you may immediately want to see your doctor about a possible side effects and a change in the medication. This could also be an effect of haemophilia where the bleeding does not stop.


5. Children: if a child who is under the age of two years suffers from such nosebleeds, then you will need to rush him or her to the doctor immediately as it could point at a more serious problem.


6. Anaemia: nose bleeds could also suggest the presence of anaemia, so you may want to see your doctor about lab tests to determine and possibly rule out this cause. You can also start medication accordingly for this kind of an ailment.


7. Nasal packing: the doctor can carry out this procedure with the help of gauze that can seal the spot where the bleeding is happening.


8. Cautery: this is a minor procedure that involves burning the blood vessel that is causing the persistent bleeding with a stick of silver nitrate. The stick will be inserted after local anaesthesia is administered to the patient.

You must see a doctor for severe and prolonged bleeding.

How to Treat a Nosebleed

Nosebleed is a condition wherein blood vessels burst in the nasal lining. Nosebleeds are fairly common and it is rarely a serious condition.
I. Anterior nosebleed:It is caused by the eruption of a blood vessel at the tip of the nose. Anterior nosebleeds are generally easy to control by yourself or by a doctor.
II. Posterior nosebleed: It is a rare type of nosebleed. Posterior nosebleed mostly occurs in older people. It occurs when an artery bursts behind the nose, which causes the blood to flow down the throat. Posterior nosebleeds are, thus, dangerous, and they need immediate medical attention.

Causes
1. There are numerous causes of nosebleeds. The most common cause of nosebleeds is dry air. Dry climates dehydrate the nasal membranes (internal nasal tissues). This dryness leads to crusting which can cause irritation or itching.
2. Also, if you pick or scratch your nose too much, it can start to bleed.
3. Decongestants for allergies, sinus infection or cold and antihistamines can make the nasal membranes dry and cause nosebleeds as well.

Some other causes of nosebleeds include
1. Some sort of foreign object stuck in the nasal cavity
2. Allergic reactions
3. Repeated sneezing
4. Nose injuries (For example, car accidents, a punch to the face, etc.)
5. Chemical irritants
6. Cold air
7. Respiratory infection
8. Consuming high doses of aspirin-high dosage thins the blood down, thus triggering nosebleeds

There are other rarer causes as well, such as:
1. High blood pressure
2. Bleeding disorder
3. Blood clotting problems
4. Cancer

Treatment
A nosebleed can easily be treated at home. While in a sitting position, close your nostril by squeezing the soft part of your nose. Hold your nose for ten minutes, then lean slightly forward. Inhale and exhale slowly using your mouth.
Never lie down when you are trying to stop a nosebleed, as you will end up swallowing the blood which can upset your stomach. Remove your hand from your nose after 10 minutes and check if the bleeding has stopped. If it has not, repeat the steps all over again.
However, consult a doctor if the bleeding does not stop or if there is a foreign object stuck in your nose.

All About Nosebleeds

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