Balance disorders are a combination of physiological factors that can make you feel unsteady or dizzy. While sitting, standing or lying down, you may feel as if you are floating, moving, or spinning and you may feel dizzy and dazed for the time being. This disorder can intervene in your daily activities of life, and can even lead to falls and accidents, which may cause you to end up with fractures and other types of injuries.

What causes balance disorder?

A combination and coordination of many body systems such as muscles, bones, vision, the balancing organ within the ear, heart and nerves help maintain normal balance. Dysfunction of these systems can lead you to encounter balance problems. Balance disorders can be caused by many types of conditions.

Some of the causes of the disorder are:

Benign paroxysmal positional vertigo (BPPV): This occurs due to dislodged or displaced calcium crystals in the inner ear, which help you maintain balance. It is the most commonly found cause of vertigo. A spinning sensation while turning in bed is a common sign.

Migraines: Migraines are a general cause of dizziness. Sensitivity to motion can also be caused by migraines. It can also lead to motion sickness, which is dizziness experienced when traveling in boats, cars or airplanes.
Head injury: A severe concussion can also cause vertigo.
Ramsay Hunt syndrome: Commonly known as zoster otitis, this condition affects the nerves close to the ears. It can be attributed to hearing loss, vertigo and pain in the ear.
Vestibular problems and nerve damage: Damaged nerves in the legs can cause difficulty in movement and locomotion. Abnormalities and dysfunctions in the inner ear can lead to a sensation of dizziness and a heavy head.
How do you know if you have balance disorder?

Some of the characteristic symptoms of this condition include:

- Blurred vision
- Nausea and vomiting
- Diarrhea
- Blood pressure
- Fatigue
- Depression and anxiety
- Psychological disorientation
- Fluctuations in blood pressure and heart rate



What Causes Balance Disorder? Is Migraine a Cause?

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?

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?

The infection of the bone of the ear is Mastoiditis. This may be an acute infection needing hospitalisation and injectable drugs or may be in the form of slow bone eroding processes like cholesteatoma.

Let us learn more about this condition and its treatment

Understanding the mastoid bone: The mastoid bone is made up of air sacs and it looks a lot like a sponge. In this sense, it is different from the other bones that can be found in the human body. In order to function properly, this bone requires air from the other parts of the ear, including the Eustachain Tube which connects the middle part of the ear with the portion that lies at the back of the throat. If this tube gets infected due to any reason, the infection and bacteria can also travel to the Mastoid bone, leading to an infection in this area. Another form of the infection starts from the ear drum and a slowly progressive bone eroding process starts which spreads into the air sacs and can potentially spread to the brain.

Symptoms: Acute mastoiditis will present with earache, ear discharge and onset of fever and chills, as well as redness and inflammation behind the ear. Pain in the ear may be experienced along with headaches and swelling that may be experienced behind the eyes. At the very earliest sign, these symptoms must be reported to an ENT or ear throat nose specialist so that the treatment can happen at the earliest. Chronic mastoiditis may be due to repeated infections and bone eroding cholesteatoma which presents with repeated episodes of ear discharge which may be foul smelling and may even have blood.

Diagnosis: The diagnosis is mostly made on ear examination and may involve imaging tests like a CT scan as well as an MRI scan of the head and the ear. A simple X-ray of the mastoids can help in detecting the severity of the infection, and it spread.

Treatment: After diagnosing the problem with imaging tests as well as a detailed ear examination, the doctor will usually start the treatment by admitting the patient in the hospital. Antibiotic medication will be administered through intravenous methods, after which oral antibiotics will be prescribed for many days after the patient has been discharged from the hospital. Surgery may be required if the infection has not cleared up even after the use of antibiotics and is also done in cases of bone erosion. This surgery will be done to drain the infected fluid from the ear and remove a part of this Mastoid bone. Complications like facial paralysis and vertigo need to be discussed with the surgeon before the surgery.

Acute Mastoiditis - Symptoms, Diagonisis & 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

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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