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?

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.

Tonsillectomy - When Should You Go For It?

Vertigo is a feeling that your head or your surrounding is spinning. It is an illusion of movement. People with vertigo cannot bend down to pick up stuff, as they may feel the spinning sensation.
There are two types i.e. objective and subjective. Vertigo is said to objective when the surrounding seems to be spinning; subjective is when the person feels their head is spinning. Vertigo can be slightly mysterious to diagnose. There are, however, some causes which can help you understand it better. There are two main types of vertigo: Central and Peripheral. Central vertigo is when there is an issue in the brain that is causing vertigo. Middle ear problems leading to vertigo is known as peripheral vertigo.

Central vertigo:

Paroxysmal positional vertigo (BPPV): Also known as, Benign paroxysmal positional vertigo (BPPV). These episodes are benign and occur in paroxysms or spurts. The person will feel the attack with simple actions like turning over in bed. They do not last long, often about 20 to 30 seconds.
Migraine: Known for the severe headaches, migraine can also cause vertigo.
Head trauma: This type of vertigo usually subsides with time as the person recovers from trauma.
Neck injuries: Injury to nerves and blood vessels in the neck can also lead to vertigo.
Health conditions: General health issues like arteriosclerosis, multiple sclerosis, and diabetes lead to vertigo.
Stroke or blood flow blockage: When blood does not reach the base of the brain, it can result in vertigo.
Peripheral vertigo:

Middle ear infections: Labyrinthitis (either bacterial or viral) a middle ear infection can cause vertigo. Common viruses include herpes, influenza, measles, rubella, hepatitis, and EBV.
Meniere s disease: Another ear problem causing vertigo is Meniere s disease. This is known for its 3 symptoms   vertigo, ringing in the ears (tinnitus) and hearing loss. This can be caused by various factors, some of which can include ear infections, head injuries, or heredity. The exact cause of the condition is not established clearly.
Acoustic neuroma: A tumor of the nerve tissue in the inner ear may cause vertigo. The person can also have hearing loss and ringing sensation.
Other causes of vertigo include:

Pregnancy: During the first trimester, in particular, the various hormonal changes can cause vertigo. The expanding uterus puts pressure on the blood vessels, leading to reduced blood supply to the brain, which can also induce vertigo. As the baby continues to grow, lying on the back can put pressure on the blood vessels to the heart, causing vertigo.
Stress: It is known to worsen vertigo, which a person may already have. Anxiety and panic attacks are known to worsen vertigo.
Travelers: Be it ship, air, or train, some people experience a spinning sensation with any form of travel.


Vertigo In Adults - Why It Happens?

Snoring is the harsh or hoarse sound that occurs when air passes through the relaxed throat tissues   this causes vibration in the tissues as you breathe. Almost everyone snores now and then, but it can be a chronic problem for some people. Sometimes, snoring could also indicate an underlying health condition. 

Causes

Several factors, such as the anatomy of your mouth and sinuses, a cold, and certain allergies, can cause snoring. When you fall in a deep sleep, the muscles in the roof of your tongue, throat, and mouth relax just enough to block your airways partially, causing them to vibrate. The narrower the airways, the more forceful the airflow. This increases vibration in the tissues and prompts you to snore louder.

Besides, there are certain risk factors that increase your chances of snoring. These include  

Gender   men rather than women are more likely to snore

Being overweight   people with excessive body weight are susceptible to obstructive sleep apnoea, which is characterized by snoring

Drinking alcohol   as it relaxes the throat muscles and increases your chances of snoring

Nasal problems   a structural defect in the airways, like deviated septum puts you at a higher risk of snoring

Symptoms 

Snoring is linked to Obstructive Sleep Apnoea, a common sleep disorder. However, not everyone who snores has OSA. If snoring is accompanied by the following symptoms, you may be at risk of OSA. So watch out for these signs  

Breathing pauses while asleep

Feeling sleepy during the day

Morning headaches

Difficulty concentrating

Restless sleep

Waking up with a sore throat

Choking or gasping at night

Chest pain at night

A rise in the blood pressure

Make an appointment with your doctor if you encounter the above symptoms, as they may suggest that your snoring is associated with OSA. In the case of children, talk to a specialist about throat and nose problems   these can cause your child to develop obstructive sleep apnoea. 

Diagnosis 

The first step of diagnosis involves the doctor going through your medical history and reviewing the signs. He/she may also perform a physical examination. 

Next, your doctor may suggest an imaging test, like CT scan, MRI, or X-ray to check the structure of your airways.

Depending on the seriousness of snoring and the related symptoms, you might be advised for a sleep study. A sleep study involves performing an in-depth analysis of breathing while you are asleep. You will be connected to multiple sensors and kept under observation overnight. 

A sleep study records the following information  

Oxygen level in the blood

Brain waves

Heart rate

Breathing rate

Leg and eye movements

Sleep stages

Treatment 

Your doctor will most likely recommend lifestyle changes to treat snoring.

Lose weight

Avoid drinking alcohol before going to bed

Treat nasal congestion

Avoid sleep deprivation

Avoid sleeping on your back

If snoring is caused due to obstructive sleep apnoea, you may be suggested the following  

Oral Appliances - These help advance the position of your tongue, jaw and the soft palate to open up your air passage.

Continuous Positive Airway Pressure   This involves putting up a mask over the mouth or nose while sleeping. The mask releases pressurized air from a tiny pump to the airways to keep it open when you are asleep.

Upper Airway Surgery   This refers to a number of procedures, like Maxillomandibular Advancement, Uvulopalatopharyngoplasty, and Hypoglossal Nerve Stimulation that work to open the upper airways and prevent its narrowing using a variety of techniques. 

Snoring can be a problem for those who experience it, and a nuisance to others around them. Make sure you get yourself checked by an ENT and seek treatment for the same before it leads to a severe health complication.

All You Must Know About Snoring & Its Complications!

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?

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

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