Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem. 

People with dysphagia might witness the following issues:

Difficulty in swallowing solids and liquids.
Gaging, choking or coughing usually occurs when trying to swallow.
Experience pain when trying to swallow and also heartburn.
Swallowed food might come back up either through mouth or nose.
A chronic problem might result in weight loss.
Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson s disease.

A brain stroke, spinal cord injury or brain injury can also affect swallowing.
Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:

Esophagus might have malignant or non-malignant tumours.
Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

Difficulty in Swallowing - Are You at Risk of Dysphagia?

Are you feeling lightheaded, unbalanced or woozy lately? Are you having strange sensations in the ears and eyes? These indicate that you are suffering from dizziness, a condition affecting the body s sensory organs. It can cause fainting at times as well. It is not a disease, but a symptom of several disorders. Dizziness is caused by inner ear disturbances, effects of medication, motion sickness and underlying health conditions, such as poor blood circulation, infections or injuries.

Test and diagnosis
If you feel dizzy for a prolonged period of time or if the dizziness occurs and reoccurs, a special treatment is required. This is because dizziness may make you prone to several risks in everyday life. Several tests are carried out to find out the cause of the dizziness. If a stroke is suspected, an MRI scan or CT scan is carried out. A physical examination is undertaken in which the way you walk and balance are observed and the nerves of the central nervous system are checked. Hearing and balance tests may also be required, which are as follows:

Eye movement testing in which the path of the eyes is observed while tracking an object in motion. An eye motion test may be given where cold and warm water is placed in the ear canal.
Head movement tests are carried out when benign paroxysmal positional vertigo is suspected.
Treatment
Treatment of dizziness includes medicines, therapies and balance exercises.

Medicines

Water pills are prescribed when a patient has Meniere s disease, which helps in reducing dizziness.
Antihistamines provide temporary relief from dizziness.
Therapy

Head position maneuvers: A technique known as canalith repositioning helps in resolving dizziness quickly. It can be performed by a doctor, therapist or audiologist. The position of the head is maneuvered in the process.
Balance therapy: Several exercises help in making the body s balance system lesser sensitive to motion. This technique, known as vestibular rehabilitation, is used for people suffering from dizziness due to inner ear conditions.
Psychotherapy: This therapy may be used for patients who experience dizziness because of anxiety disorders.
Use of antibiotics: An antibiotic by the name of gentamicin may be injected in the inner ear for disabling the balance function. The unaffected ear performs that function.
Other procedures: A procedure known as labyrinthectomy may be used for disabling the vestibular labyrinth in the affected ear.
If you experience dizziness continuously, it is important for you to visit an ENT specialist. An ENT specialist deals with problems related to the ear, nose and throat and will be able to provide you with the best diagnosis and treatment for dizziness.

Dizziness - Can it be a Sign of Ear Disturbance?

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?

Benign paroxysmal positional vertigo is among the common causes of vertigo. It is the sudden sensation of the spinning of your head which occurs with the change of position of your head. It is a disorder of the inner ear. It occurs when calcium carbonate crystals accumulate in large numbers in any one of the ear canals and stimulate abnormal fluid movement in the inner ear. This sends false signals of head movement to the brain. This can also crop up post head injury. Rolling over the bed or quick head movements like when sitting up in bed can also trigger this condition. 

The common symptoms of benign paroxysmal positional vertigo are as follows: 

Vomiting and nausea. 
Vertigo Blurred vision
Intense dizziness 
Loss of balance 
Benign paroxysmal positional vertigo may be treated in the following manner: 

Medication to get relief from the spinning of your head. 
Epley's Maneuver involves transportation of the calcium particles to a different part of the ear which will no longer cause any problems. 
Brandt-Daroff exercises. 
Sometimes watchful waiting can help a person to recover without having to undergo any other treatment but it is a long process and often involves risk factors. 
Surgery: This option is used rarely when other treatments fail. 
A very important thing to remember is that vertigo can lead to falls and driving should be avoided. The patient will need support during an episode to avoid injuries.

All About Benign Paroxysmal Positional Vertigo

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

Tonsillitis is a disorder of the tonsils present on the back of your throat. The tonsils acts as a defensive mechanism in the body as they prevent the body from infections. This is a contagious condition and can occur at any age. It is widely prevalent among school going kids.

Tonsillitis may be classified into two types:
1. Chronic tonsillitis: this type of tonsillitis tends to last for an extended duration with symptoms of bad breath and tenderness in the lymph nodes.
2. Recurrent tonsillitis: this is a form of acute tonsillitis which repeats itself over a year.

Causes
Tonsils prevent various virus and bacteria from entering the body through the mouth by producing antibodies. The tonsils, however, may become vulnerable to these infections. A virus that causes common cold or the bacteria that causes strep throat may result in tonsillitis. The most common cause of this disorder is the strep bacteria. School going children are especially vulnerable to this disorder because they are most prone to various infections.

The various viruses that may cause tonsillitis are:
1. Enterovirus
2. Herpes simplex virus
3. Epstein-barr virus
4. Influenza virus
5. Adenovirus
6. Parainfluenza virus

Common symptoms
The various symptoms of tonsillitis are
1. Swallowing difficulties
2. A sore throat
3. The sore throat may result in bad breath
4. You may experience fever and chills
5. Pain in the head, ear and stomach
6. You may experience stiffness in the neck and the jaw
7. Swollen tonsils with possible redness
8. Changes in voice
9. Symptoms of cold

Treatment
The treatment for tonsillitis is usually antibiotics and in some cases, tonsillectomy. The antibiotics help in getting rid of the bacterial infection. Surgery is only done in cases where tonsillitis is chronic in nature. It is important that you drink fluids and restrict smoking to prevent tonsillitis.

Causes and Symptoms of Tonsillitis

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