Tinnitus is the ringing in the ears in the absence of any external sound and the ringing heard is not related to any external source. Tinnitus is a symptom due to underlying ear disease.

Epidemiology

Worldwide 10%-15% of the population suffer from tinnitus and those suffering from ear-related problems are 85% of the population.

How do we know whether it is subjective or objective tinnitus?

Subjective tinnitus is the sound which only the patient hears and objective tinnitus is the sound which others can hear as well along with the patient. Ninety-five percent of the people suffer from subjective tinnitus due to problems in the inner, middle, and outer ear whereas rest 5% suffer from objective tinnitus which is due to any structural defect in the ear, neuromuscular condition, or a tumor in the head, neck, and brain.

Causes

Prolonged exposure to loud sound for a long duration can cause permanent damage to the ear, whereas exposure to a sound for short duration may restore hearing back.
Middle ear infection.
Injury to ear.
Age-related hearing loss: Hearing gets hampered with age which starts around 60 years of age. Hearing loss can lead to tinnitus.
Meniere s disease: It is an inner ear disease; tinnitus is an early symptom
Earwax: Normally earwax protects ear canal from dirt. When it accumulates, wax gets built up causing blockage leading to hearing loss.
Emotional stress Diseases of the heart
Drugs, such as aspirin, antidepressants, quinine, cancer medications, and diuretics.
Temporomandibular joint disorder
Acoustic neuroma
How to deal with it?

First, treat the underlying cause.A patient suffering from tinnitus should be counseled every 15 days. It reduces the stress onto those who are suffering from tinnitus and will boost up the patient.Tinnitus maskers/hearing aid is helpful in ignoring tinnitus frequency. Maintain your cardiovascular health with regular exercise, yoga, meditation, and medicines which control blood pressure. All these factors can help prevent tinnitus.

Can tinnitus be fatal?

It can vary from mild to severe which can cause distress such as interference with sleep and normal day to day routine activities. It can affect patient psychologically so much that patient goes into depression and can commit suicide.

How to evaluate tinnitus?

It can include an audiogram (hearing test), measurement of acoustic parameters and some of the imaging studies to be performed.

A pure tone hearing test is to be performed to find out the cause. Acoustic measurement of tinnitus includes measuring several parameters like frequency, the range of frequency, bandwidth, and loudness in dB above hearing threshold.
Residual inhibition helps indicate how useful tinnitus maskers would be.
Imaging studies like magnetic resonance angiography and Transcranial Doppler are to be performed to find out the underlying cause.

Tinnitus - What Causes It?

Vertigo is that sensation when a person feels that the world is spinning around him. It is a feeling of off balance.

While having a Vertigo, people often complain about feeling dizzy, basic daily activities like walking or moving becomes really intense for them. These episodes can impact everyday life.

Is Vertigo common?

Experiencing Vertigo at least once during a lifetime is quite common. It is often seen in older people, but it can happen to anyone at any age. Women are a little more prone to experience an episode of Vertigo than men.

Types of Vertigo:

There are two major types of Vertigo:

Central Vertigo: Central Vertigo occurs when there is a sudden and temporary malfunction in the brain, precisely in an area called the cerebellum.

Peripheral Vertigo: Peripheral Vertigo occurs due to a problem in areas of vestibular nerve or the inner ear. This area connects the inner ear and the brain. Peripheral Vertigo is the most common type of Vertigo.

According to the American Institute of Balance, Peripheral Vertigo is generally a more serious and dangerous problem compared to Central Vertigo.

Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus:

Recently, researchers discovered a new type of Vertigo called  Recurrent Spontaneous Vertigo with Head-Shaking Nystagmus  or (RSV-HNS).

To diagnose RSV-HNS, the patients need to sit in a room without lights. The examiner changes the position of their heads, first in forward direction, then in side to side direction for about 15 seconds. The camera records the patient s eye motions. It results in those who have RSV-HSN making an eye movement which lasts longer than the others. This movement is known as  nystagmus .

Compared to other types of Vertigo, RSV-HSN shows a more severe sensation of motion sickness. People with RSV-HSN experience things like nausea, headaches, vomiting, and an unwillingness to head motions. These symptoms can be experienced anywhere from a couple of times a week to once a year.

The reason behind RSV-HSN is still unknown. Doctors recommend that proper medication helps to improve the condition.

Treatment for Vertigo:

A major part of the treatment of Vertigo depends on the cause of the Vertigo. Often, Vertigo goes away without any treatment. The reason behind Vertigo curing itself is that people adapting to the inner ear changes and finding different mechanisms to maintain balance.

Why a neurologist is the right choice to consult for vertigo?

The patient of vertigo should not visit an ENT doctor and must consult a good neurologist as basically it's either a problem of brain or of abnormal signals from the vestibular nerve from the ear. In no way it is a problem of ear per se. A neurologist has the training and expertise to deal with it, not an ENT doc. Also, it's important to consult urgently as sometimes it can be a sign of brain stroke (specially if associated with imbalance). Importantly, to rule out brain lesions like cyst, tumor, clots and nerve infections, consulting a neurologist is the best option available.

Apart from this, these are a few treatments:

Medicines: Medication tends to give relief to symptoms like motion sickness associated with Vertigo.

Vestibular Rehabilitation: Under this treatment, doctors try to aim at the patient s vestibular strengths which send the signals to the body movement and head related to  gravity.

Canalith Repositioning Manoeuvres: In this treatment, a physical therapist suggests different head and body movements, which help to release the deposit out of the canal and into an inner ear which can be absorbed by the body. This treatment is quite effective to treat Vertigo.

Surgery: If the reason behind causing Vertigo is some serious internal problem like tumor or a head injury, then, in such circumstances, surgery is highly recommended.

Conclusion:

There are many treatments and medicines available for Vertigo. They are totally dependent upon the cause, symptoms, and condition of the patient. This is why it is important to consult a doctor or specialist for the best treatment option.

Vertigo - Know The Types & Treatment Of Them!

Do you have a habit of secretly picking your nose? This is a very common bad habit, which many people carry out, in spite of it being a habit which is frowned upon. There is a certain amusement that people seem to enjoy about picking the nose. However, on top of being a very unhealthy and unhygienic habit, it is harmful for the body as well. 


Why should you stop picking your nose?
Picking your nose is quite dangerous for your body. Your fingers contain many harmful germs, which are transmitted into your nostrils when you are digging into your nose. A specific germ known as Staphylococcus aureus can live in the front part of your nose. Combining the habit of nose picking along with the germs, may lead to the development of abrasions. These abrasions can bleed and promote more germs. As a result, the crust and irritation increase the more you keep on picking your nose. Based on where you are and what you have touched with your hands, some seriously dangerous germs may enter your body, causing health hazards and complications. 


Children are notorious by nature and it is very common among children to pick their nose resulting in nose bleeding. The blood supply to the nose is quite vigorous in nature and there are five arteries that reach to the front part of the nose or Kisselbach s plexus. When an abrasion takes place, there are chances of severe bleedings, due to damage to these fragile arteries. 


Other reasons
Picking your nose may lead to the development of pimples in the nose hair follicles.
In case a small pimple in the nose develops into a boil, the infection may travel to the brain through your bloodstream.
In case you are suffering from cold and your sinus is blocked, picking your nose may lead to the development of sinusitis. This happens because of the introduction of various bacteria present beneath your fingernails into the nose. They may proceed to the sinus cavity from your nose. Due to insufficient drainage, the bacteria will multiply and cause a sinus infection.
Picking your nose on a regular basis makes your nose a breeding group of dangerous germs. If you do not wash your hands after picking your nose, these germs may be transmitted to others. 


If you feel some irritation in your nose or feel a constant stuffiness, you should use a tissue paper to soothe your nostrils. Avoid using your fingers for picking and if the irritation lasts even after cleaning it, you should consult a doctor. 

Picking Your Nose Secretly - Can It Be Harmful for Your Body?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
b. Dizziness
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

Hear loss
Tingling or numbness
Fever accompanies with severe headache
Arm or leg weakness
Problems with vision
Difficulty in walking
Becoming unconscious
Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

Vertigo / Dizziness - When To Seek Medical Attention?

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?

What is Laryngitis?
Inflammation of the larynx, i.e. voice box, is referred to as laryngitis. Laryngitis is caused by infection   viral, bacterial or fungal. Overuse of the voice, allergies, acid reflux disease, smoking and alcohol intake are some other causes. Laryngitis can be acute or chronic. Short term laryngitis of less than 3 weeks  duration is termed as acute laryngitis. Laryngitis which has lasted more than 3 weeks is termed long term or chronic laryngitis.

Symptoms of Laryngitis:
A major symptom of laryngitis is hoarseness of the voice. Other symptoms are dry/sore/raw throat, cough, difficulty swallowing, need to repeatedly clear the throat.

Homeopathic Treatment of Laryngitis:
Homeopathic medicines can treat laryngitis wonderfully well. Both acute and chronic laryngitis can be effectively treated under the Homeopathic system of medicine. The Homeopathic prescription for laryngitis varies from case to case as per the individual symptom presentation. Homeopathic medicines are natural and safe from adverse side effects. These medicines set off the body s own restorative processes to enable it to fight off the disease and heal itself. Here is a list of the top homeopathic medicines prescribed for laryngitis.

Argentum Met and Arum Triphyllum: These medicines are used for treating laryngitis, which occurs because of voice overuse. Argentum met is used when the symptoms include hoarseness of voice, and a sore feeling in the larynx. It is also used in cases of complete loss of voice, which is common among singers and public speakers. Hawking is likely, and viscid mucus discharge is indicated. Arum Triphyllum is also used for treating laryngitis occurring due to excessive voice use. This medicine is best for patients whose voice become uncontrollable and uncertain. Apart from a burning sensation, pain in the larynx when clearing the throat is also likely.
Phosphorus: This homeopathic medicine is used for treating laryngitis accompanied by violent tickling in the larynx, which leads to coughing. The cough worsens with talking and reading. Voice hoarseness is also indicated, which worsens at night.
Drosera: This homeopathic medicine is used when laryngitis is accompanied by dry and irritating cough. A rough, scraping sensation is experienced in the throat, and voice hoarseness is indicated.
Acusticamente: This medicine is used for treating laryngitis, which occurs due to exposure to cold air. The larynx becomes inflamed after being exposed to cold, and voice hoarseness is likely to occur.
Belladonna and Lodum: These are effective homeopathic medicines for laryngitis in which voice hoarseness is accompanied by larynx pain. Belladonna is used when the larynx gets sore and painful, the throat turns red, and there is difficulty in swallowing food. A lump like sensation, and a constrict feeling may be experienced in the throat. Iodum is used when a rough, burning pain in the throat is experienced along with hoarseness and roughness of voice. Cough is also indicated, which results in gasping due to extreme pain.
Calcarea Carb and Carbo Veg: These are effective homeopathic medicines used for treating laryngitis, when the symptoms include painless voice hoarseness. Hawking of mucus is also likely to occur in cases when Calcarea Carb is prescribed. Carbo Veg is prescribed when itching in the larynx is experienced along with voice hoarseness.

It is recommended for you to consult a homeopathic practitioner before taking homeopathic medicines for treating laryngitis.  


Best 6 Homeopathic Medicines For Laryngitis or Hoarseness Problem

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