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!

The tonsils are soft tissue masses which are located at the back of your throat, usually at the pharynx. The tonsils are masses which are part of the lymphatic system that helps fight infections. However, tonsils can themselves become inflamed and cause a lot of pain. Tonsillectomy is a procedure to remove the tonsils and relieve pain.

Why is tonsillectomy performed?
A few decades back, tonsillectomy was a routine surgery performed to relieve any pain within the tonsils. This method of treatment however has changed over the past few decades as pain medications for inflammation have improved vastly. However, tonsillitis is still performed in many cases wherein it tends to cause acute problems. Some of the cases it is applicable in are:

Chronic bad breath problems caused by recurrent inflammation of the tonsils
Recurrent sore throats caused by tonsillitis
It is also done along with dental surgery for correcting teeth with imperfect positioning
Abscess formation in the mouth
Upper airway being obstructed due to inflammation, thus causing difficulty with sleeping, snoring, or causing sleep apnea (irregular breathing during sleep)
Ear infections being regularly caused by inflammation of the tonsils
Other reasons why it may be recommended
Tonsillectomy may be also be recommended when there are no indications of problems but tonsillitis and other infections keep cropping up too regularly. This affects children and can make them sick or keep them in pain regularly. Some of these other indications are mentioned below:

Tonsil infections and inflammations happening too frequently within a year
Tonsillitis is caused by bacterial infection wherein the antibiotics aren t effective
Formation of pus in the form of an abscess within or around the tonsils which keep forming even after repeated drainage or administering antibiotics
Possible complications and risks
Like any other form of surgery, tonsillectomy has certain risks associated with it as well. However, these are very rare. Some of these risks and complications are mentioned as follows  

Swelling of the mouth: The tongue and the soft palate or the roof of the mouth may swell, resulting in breathing difficulties an few hours after the surgery.
Infection: As is the case with any surgery, infections may occur in rare cases, which may require further treatment.
Adverse reactions to anesthetics: Many patients exhibit an adverse reaction to anesthetics and may develop symptoms such as a headache, nausea, muscle soreness and frequent vomiting.
Bleeding during surgery or healing: Although it is rare, bleeding during and after surgery has been reported after all sorts of procedures and it may occur with tonsillectomy as well. If you wish to discuss about any specific problem, you can consult an ENT specialist.

Tonsillectomy - When Should You Go For It?

The thought of waking up fresh in the morning after a good night s sleep itself is refreshing. However, many are deprived of this simple pleasure of life, one of the main cause behind it is snoring. Whether you are snoring or have a person next to you snoring, the result is a disturbed sleep, which leaves you feeling tired and not-very-rested.

Snoring is caused by multiple reasons including stress, obesity, smoking, sinus problems, circulatory problems, poor diet, large tongue or tonsils and with age. This leaves the person sleep deprived, including a feeling of drowsiness, sore throat, increased risk of heart disease, reduced libido and decreased concentration.

While there are surgical corrections that can get rid of snoring, yoga has some simple, effective pranayamas and asanas that have been proven to be effective since times immemorial. They improve lung capacity, help in weight management, keep the air passages open and also help in stress management. Try the following asanas and pranayamas to see snoring disappear.

Pranayama: This improves the strength of the facial and throat muscles. Bhramari or Humming Pranayama and Ujjayi pranayama are specifically useful in snoring patients. In Bhramari Pranayama, the lips are closed and the soft palate vibrations are entirely due to nasal airflow. Practised mouth snoring over a period of time where the soft palate is lifted towards the pharynx produces a buzzing bee sound. Both breathing in and out happens through the nostrils producing this sound, although slightly different during inhalation and exhalation. Ujjayi Pranayama is where a hissing breathing sound is produced due to the nasal snoring instead of the mouth snoring in the Bhramari exercise.

Breathing and Chanting the Om Mantra: Sit on the floor in a relaxed position with eyes closed and take few deep breaths. Begin to chant the word OM repeatedly for a few minutes. Break the word into two parts, the first part of OOOO should come from deep within followed by the lighter MMMM. This helps meditate, relax, and reduce snoring. Try to do this breathing and chanting at least ten to twelve times, and more if possible, on a daily basis.

Another effective measure is the Simha Garjasana or Roaring Lion Pose where you kneel down on the mat, lean back so that the hips are resting on the heels. The palms are faced in the space between the knees with fingers spread apart. Tilt your head back while taking deep breaths. This improves the airway and reduces the snoring.

Kapalbhati, Bhujangasana Dhanurasana, Warrior Pose and Surya Namaskar are also other effective asanas. When done regularly over a period of time, it helps in getting rid of snoring. This in turn makes you feel fresh in the morning; ready to take on the day. 

Snore a Lot? These Yoga Positions Can Help You Control it 

You know that breathing is very much integral to staying alive. It is the only visible symptom that you are alive. Breathing helps in providing oxygen to the body which is essential to carry out various physiological processes. The nose is the organ through which we breathe and should be kept clean so that it does not interfere with the breathing process or cause any sort of breathing difficulty.

Therefore, cleaning your nose on a regular basis is very important in terms of improving your health and increasing your lifespan. Cleansing your nose on a regular basis can improve the quality of breath and help in protecting your breathing passage as well.

Ayurvedic treatment: Neti
Generally Ayurvedic techniques are considered to be the safest ways to clean your nose. Neti in Ayurveda is a cleansing procedure, which involves using a modified cup referred to as a nasal rinse cup.  The cup is filled with water or saline solution and is normally used to clear the breathing passages or the nostrils in particular. Neti is administered in the following steps:

Prepare a saline solution by taking a quarter teaspoon of table salt and dissolve it in a cup of boiled and cooled or distilled water. You also need to take care of the fact that the salt is non-iodized.
After preparing the solution you need to put it in the 'Neti' cup. Then put the nozzle of the vessel firmly against one of your nostril in such a way that the water does not leak out.
Breathe in and out steadily through your mouth.
Lift the pot and tilt it in a manner such that water enters your nostril. After half of the water has passed into your nostrils, remove the nozzle and let the water to run out of your nostril.
Blow your nostril to remove any moisture that is left inside.
Repeat the process with the other nostril.
It is very important to ensure that your nostrils are fully dry and no moisture is present inside as it might lead to further complications such as infection and inflammation within the nasal or the sinus cavities. It has been observed that using a nasal rinse cup during cold seasons helps to reduce nasal congestion to a great extent. Excessive cough or mucus can also be cleared up by using this particular method. It also helps to improve the quality of breath and it also helps you to relax and stay calm.

Neti Treatment - Nose Cleansing for Clear Breathing

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

Dizziness is now a very common problem among the adults. Maybe people do not take this to be a serious problem in many of the cases, but repeated feeling of dizziness may lead them to visit a doctor. When in the case of such situation, you visit a general physician, not knowing the causes of such problem; often the doctor will refer you to an ENT. There have been some reasons of why you should visit an ENT for dizziness.

Symptoms of Dizziness

Often dizziness occurs along with some other symptoms too. Some of the symptoms that are accompanied by dizziness are:

Anxiety
Nausea
Buzzing noise in the ears
Pressure in the ears and the head
Hearing issues
Some Important Reasons for Dizziness
If you are facing dizziness on regular grounds, then it may happen that it is due to some very serious health complications that you are suffering from. Some of the problems that may cause dizziness are:
Inner ear issues,

Issues in the central nervous system,
Issues related to the cardiovascular system,
Bacterial or viral infection,
Side effects of any medicine.
Diagnosis of The Problem
Diagnosis of the problem is the most important step in case of dizziness. It is because the diagnosis is not about whether you are feeling dizzy or not, it is the diagnosis about why you are feeling dizzy. There are some tests related to balance to diagnose the cause of dizziness. To get the tests done related to balance, you need to visit an ENT because the balance system of the human body is there located in the inner ear.
Though the balance of the body is there to the inner ear, also the test of other sensory organs such as eye and brain is also done. This is because balance disorder or dizziness happens when there is a problem in the communication system of the body. One of the most important ways to diagnose balance is by doing an eye test that is known as nystagmus.

Treatment of The Problem
After several tests of various sensory organs, when the ENT expert reaches a particular result, then the treatment starts depending upon the diagnosis. Today treatment for such balance disorder or dizziness has become common. Some problems can get solved by a changed diet only while other may need the help of medicines. Again, some of the problems may get cured by doing exercises while for some; you may need the help of a physiotherapist too.

When it is about dizziness, it is surely about balance disorder due to some major problems. Balance is controlled from with the inner eye and other sensory organs also, hence it is important to visit the ENT in this case.

Why Should You Consult An ENT For Dizziness?

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