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

Virus is the most common cause of pain in the throat or sore throat and it is often accompanied by cold symptoms like running nose, red watery eyes, cough and sneezing. Smoking, irritants in the air and pollution are the main causes of sore throat. It becomes very difficult to swallow food in such a condition when an individual experiences pain, itchiness or irritation in their throat.

Causes
The main causes of occurrence of sore throat include:
-leukemia in exceptional cases
-measles
-sinusitis
-diphtheria
-mumps
-bacterial as well as viral infection as in common cold
-influenza
-smoking

Symptoms of sore throat
The nasal passages get blocked
-inability to gulp down food
-severe pain in the throat which is followed by coughing
-lymph glands get swollen
-fever is followed by chills

When to visit the doctor
It is very important to visit your doctor, if the pain in the throat lasts for longer time and it is accompanied by symptoms like joint pain, difficulty in breathing and fever. The primary symptom of sore throat is pain in the throat and other symptoms like hoarseness and white patches on the tonsils also occur under this condition. People of all age groups can get affected with this condition, but it affects mostly children and smokers. People with weak immune system and suffering from allergies are also prone to pain in the throat.

Main Reasons of Throat Pain and How Can It Be Healed

Vertigo refers to dizziness, or spells of dizziness, or rotational dizziness, which can be short term or long term. It is a general symptom for a variety of conditions of the brain, inner ear, sensory nerve pathway, and other sensitive organs. Vertigo has the capability of hampering the day to day functioning of the person. Furthermore, due to these reasons, it has the potential to cause anxiety and depression.

Types of Vertigo & Diagnosis:

Vertigo can be categorized into two major types based on the underlying cause:

1. Peripheral Vertigo: It is said to occur if it is related to the problems of the inner ear, such as its inflammation or an infection in its tiny parts or displacement of tiny particles present in the inner ears.

2. Central Vertigo: It is said to occur if it is related to the problems of the brain (the Central Nervous System) or the sensory nerve pathways.

Vertigo can be diagnosed by physical examination, assessing the medical history followed by undergoing a CT scan or an MRI, as required.

Treatment:

It is important to essentially understand the root cause of the condition and then treat that accordingly for best results.

1. A bacterial infection can be addressed through antibiotics.

2. Nausea and motion sickness can be reduced by using anti-emetics and antihistamines.

3. Sometimes, for patients with intractable Benign Paroxysmal Positional Vertigo (BPPV), surgery is performed to block the area triggering Vertigo.

4. Exercises can also help in managing the milder symptoms of Vertigo without visiting to the doctor for the same.

5. Most of the time, in case of BPPV, physiotherapy is the recommended treatment.

6. Certain lifestyle changes and precautions can be adopted to avoid conditions that trigger Vertigo.

7. Vestibular Rehabilitation Therapy goes a long way in managing Vertigo.

Vestibular Rehabilitation Therapy (VRT) for Managing Vertigo:

Vestibular Rehabilitation Therapy, abbreviated as VRT, is a program based on exercise that promotes the retraining of the Central Nervous System and repositioning of the free flowing particles in the fluid present in the inner ear. This helps in treating the condition of the inner ear for managing Vertigo. Its application is based on scientific research and evidence. The major goal of this type of treatment is to let the brain establish coordination again with the inner ear, with eye, and with the proprioceptive system for processing information.

The proprioceptive system consists of the sensory receptors which respond to pressure and stretch. Hence, VRT is effective in improving the diminishing quality of life due to Vestibular Disorders like Vertigo, by addressing both, the primary as well as secondary consequences of the condition. Over a period of time, when the patient becomes sufficiently trained under professional guidance, VRT can then be carried out at home at prescribed intervals based on the specific requirement.

Methods for VRT-

Depending on the clinical examination, the three major methods of exercise for Vestibular Rehabilitation Therapy can be prescribed, as described below:

1. Habituation exercises are prescribed for those patients who experience dizziness by movement and by visual stimulation.

2. Gaze Stabilization exercises are prescribed for those patients who experience uncontrolled eye movements leading to unclear vision.

3. Balance Training exercises are prescribed for improving steadfastness, to prevent falling, and to restore balance during performing activities like bending, standing and turning, reaching, walking, and running for helping patients return to their daily lives confidently.

Take Away:

Vertigo is the vestibular condition of dizziness that can be managed through methods like Vestibular Rehabilitation Therapy for re-training the brain to coordinate with the affected organs. It helps in restoring the quality of life. VRT is mainly practiced through habituation exercises, gaze stabilization exercises, and balance training exercises.

Managing Vertigo Through Physiotherapy And VRT!

What is allergic rhinitis?
Allergic rhinitis is defined as allergic symptoms in the nasal passage. Allergic rhinitis can be seasonal (occurring during specific seasons) or perennial (occurring year round). The allergens that most commonly cause seasonal allergic rhinitis include pollens from trees, grasses and weeds, as well as spores from fungi and moulds. The allergens that most commonly cause perennial allergic rhinitis are house dust mites, cockroaches, animal dander and fungi or moulds. Perennial allergic rhinitis tends to be more difficult to treat.

How does allergic rhinitis occur ?
This condition occurs when allergens (allergy- causing substances) come into contact with the nose, and usually also the ears, sinuses, and the throat. When allergens come in contact with the lining of the nose and sinuses, they trigger the cells to release the chemical histamine, which causes the allergy symptoms described below.

What are the symptoms?
Nasal congestion 
Sneezing 
Watery " runny nose" 
Itchy eyes,nose,or throat 
Puffy eyes or 'allergic shiners'
Post nasal drip 
Tears 
These symptoms may occur during a certain season or year long. They can occur at any age. 

Risk factors for allergic rhinitis?
Allergies can affect anyone, but you re more likely to develop allergic rhinitis if your family has a history of allergies. Some external factors can trigger or worsen this condition, including:

cigarette smoke
chemicals
cold temperatures
humidity
wind
air pollution
hairspray
perfumes
colognes
wood smoke
fumes
Ayurvedic concept of rhinitis
As per Ayurveda, Allergic rhinitis is compared with Vata- Kaphaja pratishaya. The concept of Ama, Asatmya and virudh aahara also predict the allergic conditions.

Ama is the product of impaired digestion and metabolism. It affects Rasa and Rakta Dhatu leading to manifestation of Pratishyaya. Wrong food combinations (Virudh aahar) having antagonist properties like fish with milk, fruit juice with milk, clarified butter with honey, ice cream after night meals, etc. leads to allergy.

Ayurveda believes in balancing the three doshas present in the human body, thus treating the disease on the whole. Treatment involves clearing the sinuses and expelling phlegm, alleviating the relevant dosha and detoxification. To permanently resolve this disorder, dietary and lifestyle adjustments may be necessary in addition to the strengthening of the immune system. Panchakarma is an effective means of treating Allergic Rhinitis.



Ayurvedic treatment for allergic rhinitis:
If the symptoms are severe and in chronic conditions, Vamana Panchakarma treatment, followed by Virechana is administered. This helps to relieve Ama and balance Tridosha.
In some cases, where the patient has normal digestion strength, Nasya treatment (nasal drops therapy) is administered with herbal oils such as Anu taila or Shadbindu Taila. 
After the above Panchakarma treatments, Ayurvedic medicines are administered to improve respiratory immunity and strength of upper respiratory tract.
Useful Ayurvedic medicines in treating allergic rhinitis:

Nimbarajanyadi tablet   Contains neem and turmeric as main ingredients.
Chavikasavam   Fermented Ayurvedic liquid, also used in urinary tract disorders.
Mahalaxmi Vilas Ras   Also useful in the treatment of skin diseases, diabetes, Sinus, non healing wounds, etc.
Other medicines: Narada lakshmi vilas rasa, Anand bhairava rasa, tribhuvan kirti rasa, shringarabharaka rasa, Mayur shringa bhasma, Abhraka bhasma, Lavangadi pills, Sitopaladi choorna, Marichayadi yoga, vyoshadi pills, Khadiradi pills are suggested.

Diet management:

Take  Light food, lukewarm water, Kapha nashaka foods like little spicy food, saindhav salt, legumes, soups etc.
Avoid heavy food, fermented food, congestive food, too hot or too cold food, soar food, non vegetarian food, sweets, banana, curd, yogurt, ice creams, deserts, cakes, yellow grams, etc.
Avoid Alcohol and cold beverages. 
If you wish to discuss about any specific problem, you can consult an ayurveda.

Allergic Rhinitis - Signs That You are Suffering from it

Although nose bleeding is quite common during the cold months, they can occur in the summer months too. This is because, during the summer heat, your nose may tend to get excessively dry. The protective layer of mucus in the nasal cavity tends to dry up during the summer months, thus resulting in nose bleeding. The hot summers can also lead to allergies, which in result can cause it.

Although nose bleeding may be quite messy, it is nothing very serious and can be easily prevented or stopped. Here are a few home remedies that you can try if you are prone to nose bleeding during the summer season:

Vinegar: Vinegar is easily available in any household and effectively stops nose bleeding. Just pour in some vinegar in a cotton ball or a piece of cloth and put it into your nose for some time.
Ice: Ice also effectively helps with controlling nose bleeding. Just rub ice against your nose to reduce swelling in the blood vessels. The ice will also effectively numb the pain offering instant relief.
Foods containing vitamin C: Ensure that during the summer months you take the right amount of Vitamin C into your diet. This is because Vitamin C helps in blood clotting, and will stop nose bleeding faster. Foods that are rich in vitamin C are guavas, kale, mustard, parsley, oranges, strawberries and lemons.
Baking soda: Baking soda works wonders for nose bleeding. Just mix some amount of baking soda into water, and transfer the solution into a spray bottle. Spray your nose with the solution.
Steam: Inhaling steam is a great way to prevent nose bleeding. When you take steam, it moistens the nasal cavity and prevents it from becoming dry, thus avoiding any bleeding.
Right posture: Another way to quickly stop a nose bleeding is to elevate your head. Keep your head in that position until the bleeding stops and try not to bend, as it can just aggravate bleeding.
Whole-wheat bread: Make whole-wheat bread as part of your daily diet during summer. It is said to contain Zinc, which protects the blood vessels in the body.
Drink water: ?Also ensure that you keep yourself hydrated at all times during the hot summer months. Drink plenty of liquids like fruit juice and milkshake, to prevent your nose from drying out.

Home Remedies For Nose Bleeding In Summer Season

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?

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