Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

Rhinitis is an irritable medical condition where the mucous lining of a person's nose swells up. The term is more of a category and less of a definitive way to describe something specific. Rhinitis involves a host of other conditions that affect the mucous membranes of your nose. If you were not aware, common cold is also a kind of rhinitis. Rhinitis can cause acute touchiness in the inner lining of the nose leading to continuous discharges from one's nose. It can also lead to clogging of your nose or inflammation of the internal tissues. 

Rhinitis can be divided under two main types; allergic and non- allergic rhinitis. Allergic rhinitis, popularly known as hay fever is caused due to contact with allergens that are usually undamaging. However, in case of non- allergic rhinitis the symptoms take after that of the allergic type but no particular causal factor can be identified.

Factors that can increase your propensity to suffer from rhinitis of any kind are:-

Pollen from flowers
Inhaling certain substances can be harmful; smell of certain chemicals is bad too.
Both active as well as passive smoking can be detrimental
High levels of air pollution contributes to the risk
Weather conditions affect your health; a windy yet humid weather can aggravate rhinitis.
Common symptoms of rhinitis can be listed as below:-

A person suffering from this condition might catch a cold all of a sudden.
People, usually little children, might even face high fevers.
Your nose tends to be runny. After the infection subsides, chances of a thick, sticky discharge are more.
Exhaustion is also felt in combination with headaches and teary eyes.
The nature of your nasal discharge tells the doctor if you are suffering from an allergy or from a viral infection.
A few preventive measures to aid you against rhinitis:-

Rhinitis can be communicable and in most cases it is so. Therefore a person should not share his or her utensils and other personal things such as towels or handkerchiefs with any other person.
One should not be in close proximity of another infected person.
Hands are the most common sources of infection. One must wash his or her unclean hands before touching the face.


All about Rhinitis

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!

Dizziness, vertigo and balance issues are common symptoms and most of us may have experienced momentary symptoms. It is a sensation of feeling a movement even after the movement has stopped. For example the sensation we feel when we get off a merry-go-round or feeling butterflies in the stomach when we are on a roller coaster ride. Imagine if these symptoms are constant and start affecting our day to day activities. Even a simple task of walking can be bothersome as we may feel like our body is drifted and we cannot balance properly. We may feel a severe spinning sensation when we change position from lying down to sitting or rolling over in bed. It can also cause fear, anxiety and make us limit our movements and activities. These may cause more complications such as neck pain, headaches, body pains and depression. It is therefore very important to find out the root cause of vertigo and treat it immediately.

Dizziness is a sensation of light-headedness or unsteadiness. It can be caused heart disease, brain related causes like stroke, prolong illness, psychological issues, side effect of certain medications, blood pressure fluctuations and many other conditions. Neck stiffness, pain and weakness can also cause dizziness called Cervicogenic dizziness or Cervical Vertigo.
Vertigo is a spinning sensation or a feeling of motion when we are not moving. Its a common symptom in inner ear disorders. Some of the conditions that cause vertigo are: BPPV or Positional Vertigo, Meniere's, Labrynthitis, Vestibular Migraines, Vestibular neuritis, mal de barquement syndrome, perilymph fistula, toxicity of ears due to certain antibiotics, acoustic neuroma etc.
Balance problems or Disequilibrium means unsteadiness, imbalance or loss of equilibrium. It can occur as a primary symptom or with vertigo and dizziness.
You need to consult a Vestibular Therapist or Vertigo specialist who can diagnose your problem correctly. If you have Positional Vertigo known as BPPV then specific tests and manevers can help cure it completely. If there is inner ear disease such as Menieres disease, ear infections, labrynthitis or vestibular neuritis then proper medications prescribed by ENT specilialist and Vestibular Therapy can help you get rid of vertigo. In case the symptoms are related to Central nervous system (Brain) then promt treatment from Neurologist and Vestibular Therapist can help decrease vertigo and improve daily activities. If the symptoms are related to the neck called Cervical Vertigo or Cervicogenic Dizzienss then proper treatment of neck by a Vestibular Physiotherapist can help. Also making sure the posture is good when working on computer/laptops for prolong periods can prevent strain and reduce dizziness related to neck and back muscle tightness.

Vertigo & Dizziness - How You Can Get Rid Of It With Physiotherapy?

Are you experiencing severe hearing loss or turning deaf? To get back your normal hearing, you should undertake a cochlear. It is a small device which is planted in your ear via a surgical procedure. It sends impulses to the auditory nerve directly and as a result, sound signals are carried to your brain. Such an implant does not make you hear like normal again, but it helps you with sounds and knowing sounds around you such as telephones, alarms and doorbells.

How Does Cochlear Implant Work?

Cochlear implant is meant for adults and children who have sensorineural hearing loss. This is a condition which damages the tiny hair cells in the inner ear known as the cochlea. Your hearing gets impaired when these are damaged. A cochlear implant sends signals to the auditory nerve directly by skipping the damaged hair cells.

The device has two distinct parts. One part is the receiver-stimulator which is placed under the skin via surgery. The other part is the speech processor, which is worn around the back of the ear like a hearing aid. The outside device is, however, bigger in size than a hearing aid.

The receiver is placed under the skin, behind the ear through a small incision and it gets connected to electrodes. This is put into the cochlea of the inner ear. The surgery takes about some hours to be completed.

Two weeks after the surgery, the speech processor is fitted by the doctor. You will have to wear a microphone behind your ear. The processor can be connected to the microphone and worn around the ear. It can also be worn at any other place of the body, depending on your age and lifestyle.

Advantages of Cochlear Implant-

The major advantages of a cochlear implant are as follows:

You may be able to hear speech at an almost normal level.

You may understand speech without the help of lip reading.

It will be easy for you to talk on the phone and listen to the television.

Your experience of listening to music will improve.

You will be able to pick up different sounds starting from soft, medium to loud sounds.

You can also control your own voice in a better way, which will make it easier for others to understand you.

A cochlear implant can be a life changing device if you suffer from serious hearing loss. The results are not the same for everyone and vary from person to person. Some people may benefit more than others.

All You Need To Know About Cochlear Implant

Ear discharge may occur due to several reasons. Injury or trauma to the ear canal, a ruptured ear drum or an infection in the middle ear may be the most common causes of ear discharge. Eczema, swimmer s ear and other skin irritations may also lead to this problem. While there are some simple home remedies to treat this disorder, always consult an ENT specialist if the discharge does not stop after the application of those treatments. Let us look at some common ways to treat this disorder.

Use gravity: While this method does not treat ear discharge per se, it does help in draining the fluid build-up in the ear. Just lie down on your side keeping the affected ear parallel to the ground. Use your finger to create a vacuum inside your ear and drain the fluid inside it. The finger must be clean. You can also use a cotton wad for this purpose. Another way could be by simply lying on your side with a towel under your ear.
Use a warm compress: This treatment promotes the flow of ear discharge to its outer part, thereby alleviating the pain. Dip a clean piece of cloth in warm water, wring the cloth as much as you can and then place it around your ear for 2-5 minutes. Lie down on your side.
Inhale steam: Inhaling steam, opens up the Eustachian tube, thereby promoting the flow of the trapped ear discharge. Simply mix a little bit of eucalyptus oil with some water, boil the mixture and inhale the steam. Tilt your head to one side so that the fluid drains out. Do this exercise for 5-10 minutes. Cover your head and the water with a towel to prevent the steam from escaping. Repeat this exercise as needed.
Use vinegar and rubbing alcohol mixture: Vinegar and rubbing alcohol have excellent anti-microbial properties. Mix equal parts of white vinegar and rubbing alcohol. Put some drops of the mixture in a dropper. Lie down on your side with the infected ear upwards. Insert some drops of the solution with the dropper in your ear. Wait for 10 minutes and then drain out the ear discharge by tilting the infected ear to the other side. Repeat this exercise twice a day for better results.
Use garlic oil: Crush 2-3 garlic cloves and extract its oil. Use a dropper to put 2-3 drops of this extract into your affected ear. Tilt the head to one side so that the juice settles down. Now hold a dryer next to the infected ear and let the warm air blow inside it. Repeat this exercise twice a day for better results.

Ear discharge - 5 Ways to Manage it at Home!

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