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!

A nose bleed can take place due to a number of reasons, which usually all boil down to acute dryness of the nasal passages. The nosebleed and dryness can stem from sinus, allergic reactions, constant blowing of the nose, infections, and also during very harsh winter months when there is no lubrication in the nose. Nose bleed can also occur due due to conditions, such as high blood pressure and when a foreign object gets stuck inside the nose. Here are a few tips on treating nosebleeds.


1. First step: the very first action when you experience a nose bleed should be to sit down. Once you are sitting, you should firmly pinch the spot that is soft. This lies just above the nostril. Do this for at least ten to fifteen minutes. The trick is to stay upright rather than lying down as this will bring down the blood pressure in the nasal blood vessels to stop further bleeding.


2. Breathe: breathe with your mouth as you lean forward to help in draining the blood into your nose, rather than out of it or towards the throat.


3. Ice compress: find a bag of frozen corn or peas in your freezer or an ice pack, and press this firmly against the nose to help in stemming the bleeding. As you are doing so, do not forget to cover the bridge of your nose with a towel so that it prevents you from catching a cold.


4. Medication and side effects: if you are on any kind of anticoagulants that end up thinning the blood, then you may immediately want to see your doctor about a possible side effects and a change in the medication. This could also be an effect of haemophilia where the bleeding does not stop.


5. Children: if a child who is under the age of two years suffers from such nosebleeds, then you will need to rush him or her to the doctor immediately as it could point at a more serious problem.


6. Anaemia: nose bleeds could also suggest the presence of anaemia, so you may want to see your doctor about lab tests to determine and possibly rule out this cause. You can also start medication accordingly for this kind of an ailment.


7. Nasal packing: the doctor can carry out this procedure with the help of gauze that can seal the spot where the bleeding is happening.


8. Cautery: this is a minor procedure that involves burning the blood vessel that is causing the persistent bleeding with a stick of silver nitrate. The stick will be inserted after local anaesthesia is administered to the patient.

You must see a doctor for severe and prolonged bleeding.

How to Treat a Nosebleed

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 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

Sinusitis is an irritation or swelling of the tissue covering the sinuses. Healthy sinuses are loaded with air. But there are times when they get blocked and loaded with fluid. In such cases, germs can develop and cause an infection. Due to this infection, your nose gets heavily blocked along with you sinuses and might make it difficult for you to breathe.
Conditions that can bring about sinus blockage include the following:
Common cold
Allergic rhinitis (swelling of the lining around the nose)
Little developments or growths in the covering of the nose called nasal polyps
A deviated septum (a shift in the nasal cavity)
Here are some of the ways you can get rid of sinusitis naturally:
Stay Hydrated: Drink a lot of water, soup or broth, along with juices with no added sugar and hot tea. These liquids will disperse bodily fluids and drain it from the disturbed sinuses.
Salt Water Rinse: In case you suffer from sinus infections often, invest in a neti pot. This helpful container makes it simple to hydrate your nasal tract, getting out undesirable bodily fluids and any contaminants you may have breathed, an which may have been caught in the nasal cavity.
Turmeric/Ginger Root: Turmeric root is an excellent fragrant spice found in most Indian and Middle Eastern dishes. Turmeric not only contains the regular calming and anti-inflammatory curcumin, it is also an antioxidant. When it is mixed with hot ginger ale and blended with hot tea, this mixture can remove excess fluid from the clogged nasal sections, ease sinus pressure and make you feel better.
Spicy Food: Spicy ingredients such as mustard, hot peppers, curry, horseradish, and masala in one s food may help in clearing sinuses. In case you like spices, think about including some hot flavours to your food to open your nasal entries.
Apply Warm Packs: You can use a warm pack to keep the nasal tissues damp. Also, fill a round bowl or pot with steaming water and place your face over it with a towel around your head to inhale the steam in. This will open up your sinuses and make an easy path for fluid drainage.
Take a Steam: High temperature water vapour can saturate the sinuses. Sprinkle a couple drops of eucalyptus or menthol in the shower or bath and steam up your bathroom. A hot shower can also relax the bodily fluid as well as the mucus and debris that are stuck inside your nose.
Apple Cider Vinegar: Apple cider vinegar is not only powerful in disposing off sinus issues; it can also be used for different skin and hair issues. What it does essentially for sinus infection is that it clears up the nose so that the bodily fluid can be removed quickly.

How To Cure Sinusitis Naturally?

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?

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