Hoarseness in the simplest sense means, 'hoarse voice'. It may be defined as an abnormal voice change. It is experienced in the form of strained, rough, thick, harsh and grating voice. Variations can be felt even in the loudness and pitch of the voice.

Hoarseness is a temporary infection associated with the larynx, which is also known as the voice box in animals as well as humans. Vocal cords are present inside the voice box. Depending on the vibration of the vocal cord, different sounds are produced.

What are the general causes of hoarseness?

Hoarseness may be caused by common cold, viral infection, cough, irritation due to screaming, smoking, allergy, thyroid problem, acute laryngitis and benign tumor. In adults, the stomach asset comes up to the throat causing hoarseness. Heartburn can also be one of the causes.

When hoarseness arises due to common cold and cough, it will last for 2 to 3 days and will subside using cough suppressant and home remedies like salt water gargling, drinking hot milk with turmeric and pepper powder. As cough or cold suppress, hoarseness will also reduce.

When to see an Otolaryngologist (ENT specialist)?

ENT stands for ear, nose, throat. Serious infections in these areas are treated by an otolaryngologist. It is very essential to consult this specialist if hoarseness lasts for more than 2 to 3 weeks; pain in ENT is not due to cold or flu, coughing up blood, lump in the neck.

Evaluation

The medical specialist starts his diagnosis by physically examining the vocal cord. Flexible light weight fiber optic tube scope is also used to visually examine the larynx area. Videotaping, acoustic analysis is also done to study voice irregularities, airflow to guide treatment.

How can hoarseness be treated?

The mode of treatments depends on underlying the cause of the problem. The patient may be advised:

In most cases, hoarseness can be treated just by resting your throat or modifying the use of your voice.
To avoid smoking or passive smoking
Referred to a speech therapist to improve sound of voice.
In case of benign tumor the nodule or polyp is removed by surgery.
How can you prevent hoarseness?

We've all heard the phrase, 'prevention is better than cure'. Alas, it is. Preventing hoarse voice and throat is a much better option than treating it. Here are some tips on how to prevent hoarseness:

Avoid smoking
Avoid overconsumption of caffeine and alcohol.
Consume plenty of water
Avoid eating spicy food.
Avoid speaking loudly for long intervals of time.

How Hoarseness Can be Treated

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?

Acoustic neuromas are tumors that develop on the nerves connecting the ear to the brain. Being non-cancerous in nature, they do not spread to other parts of the body. However, they are characterized by symptoms such as gradual or sudden hearing loss, more pronounced with either of the ears, a ringing sensation in the affected ear, weakness, facial numbness and dizziness.

Causes:

Acoustic neuroma can be of two types: one is sporadic in nature and the other is associated with a condition known as neurofibromatosis type II (NF2). NF2 is basically an inherited disorder identified by benign growth in the nervous system. NF2 being a rare disorder, makes the sporadic type the dominant one. Although the causes behind this type of neuroma are still unknown, long term exposure to radiations, especially around the neck and the head, could be one of the most important triggering factors.

Treatments:

Once the diagnosis is done, treatments for acoustic neuroma depend on the growth and size of the tumor.

Diagnosis with the help of monitoring: Small tumors exhibiting no such symptom or slow signs of growth need to be monitored with the use of hearing tests and regular imaging. In case, the MRI scans are able to trace any sort of development on the part of the tumor or if the tumor poses subsequent difficulties, opting for treatment becomes the need of the hour.

Stereotactic Radiosurgery: Also known as Gamma Knife, radiosurgery is a treatment method wherein controlled radiations are used to treat tumors, thus doing away with the need of making any incision.

Surgical Removal: Surgery performed under general anesthesia is directed towards removing the tumor; that helps to preserve the facial nerve and thus inhibit facial paralysis and hearing loss. The tumor is usually removed either through the ear or through the skull.  

Experiencing Dizziness? It Could Be A Sign Of Acoustic Neuroma

There are various type of nosebleed that can be caused by a variety of conditions. While some of them may not be too serious, one must never ignore heavy and persistent nosebleed. Nosebleeds are of two kinds: anterior nosebleed and posterior nosebleed. While 90% of all nosebleeds are anterior nosebleeds, the posterior nosebleeds are far less common and may be slightly more serious in nature. An anterior nosebleed is usually caused in the blood vessels that lie on the front portion of the nose and can be controlled easily. A posterior nosebleed usually comes from damage to an artery in the rear portion of the nose. Infection, trauma, allergic reactions and other such causes may be behind a nosebleed. 

Let us cast a glance on the tips to prevent nosebleeds.

Salt water and saline nose drops can be used in order to prevent nosebleeds. It is important to take these on a regular basis in case you are experiencing these nosebleeds on a regular basis.
You can also visit your doctor, who may prescribe blood thinners so that the blood does not clot and lead to a nosebleed. You will need to ensure that you take such medication only when the doctor prescribes the same.
The use of painkillers like Aspirin and other non-steroid anti-inflammatory drugs must be limited. Sometimes, taking such medication too frequently may lead to nosebleeds.
You would do well to control your blood pressure because hypertension and other forms of high blood pressure can also cause nosebleeds. Lifestyle changes like your diet and exercise can help in keeping a more stable blood pressure level so that you do not fall prey to frequent nosebleeds.
Humidify your home with a humidifier so that the air does not get too dry. Many times, this causes nosebleeds. Also, you may want to keep the heat down in the bedrooms. Many nosebleeds happen due to too warm temperatures while you are sleeping.
Nose picking should also be discouraged as it can lead to nosebleeds in case there is a scratch or any other kind of damage when you try to force the dirt out.
It has also been found that smoking has a connection with nosebleeds. This can be fixed if the patient quits smoking.
One should not use nasal sprays without a prescription from a doctor. This also includes antihistamines, decongestants as well as other medicated sprays. These may not suit the patient at all times, and may also lead to nosebleeds.
In the event of a nosebleed, you will need to lean forward with your head tilted backwards. This will stem the bleeding. If it is possible, you must also try and lie down immediately for a few minutes.

Nosebleed - 8 Tips to Prevent it 

Sinuses are cavities in our skull behind the nose which spread out in a pattern. These cavities are lined with tissues and mucosal membranes and are essential for our breathing process. Sinusitis is a condition where the tissues within the cavities become inflamed which results in the sinus cavities being blocked due to a buildup of fluid.

What are the conditions that can lead to sinusitis?
Some of the conditions that can cause nasal polyps are explained as follows:

Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
Common cold is also a culprit which may result in sinusitis
If your septum or the bridge between the holes of the nose is deviated (this condition is referred to as a deviated septum), you may be prone to developing sinusitis.
The lining of the nose may swell in a condition known as allergic rhinitis and cause sinusitis as well.
Types of sinusitis
There are multiple types of sinusitis which may affect people and also on how long they last. The various types of sinusitis are explained below:

Acute sinusitis: This is the most common form of sinusitis that lasts usually between 2 to 4 weeks. It starts with a cold, blocked nose and turns into facial pain that usually starts very suddenly.
Chronic sinusitis: This is a form of sinus infection which can have a debilitating effect on your life and may last for 12 weeks or longer.
Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
Recurrent sinusitis: This form of sinus infections tend to be a variation of acute or sub-acute sinusitis which tends to occur multiple times a year.
Symptoms of sinusitis
The manifestation of the symptoms of sinusitis may be different from person to person and also on the type of sinusitis you are suffering from. However, there are some generic symptoms that are common to all forms which are mentioned as follows:

Smelling senses may be dulled
Facial pain
Congestion accompanied by a cough
Nose may be blocked, stuffy and may also be runny
Other symptoms may also include bad breath, fatigue, or even dental pain
Nasal cavity may have pus and it may drain from time to time
It is best to consult a doctor quickly, if you have been having any of these symptoms. The doctor can prescribe nasal decongestants and antibiotics which can help. If you have chronic or recurrent sinusitis, then more aggressive and advanced treatments may be required.

Sinusitis - Conditions That Lead to It!

Are you aware of the causes and symptoms of vertigo? Also known as bhrama, vertigo is a balance disorder. It is also referred to as a spinning sensation and head rush. A sense of spinning of the nearby surroundings is experienced by a person affected with vertigo. Standing in an upright position becomes difficult. The onset of this condition occurs in several ways. Ayurveda has a complex explanation for vertigo or bhrama, which is as follows:

Ayurvedic approach
According to Ayurveda, vertigo is caused because of your pitta and vata doshas.

When the vata and pitta doshas get excited, an abnormal functioning of the balance mechanism within your inner ear is caused.
A vestibular imbalance, or an imbalance in the inner part of your ear is the primary cause of vertigo. It disrupts the coordination of a stimulus and response.
Any defect or disruption in the proper flow of oxygen to the ear can result in vertigo attacks.
Factors causing imbalance in doshas

Viral infections like common cold
Ear problems like discharges, infections in the ear cavity, and perforation of the eardrum
Certain cardiovascular diseases such as low blood pressure, valve diseases, and improper heart rhythms
Migraine and anemia
Certain neck ailments such as cervical spondylosis
Arthritis and injury to the head that leads to concussions
Ayurvedic treatment

Several Ayurvedic herbs and remedies are used for the treatment of vertigo. These herbs are added to a patient s regular diet. They are as follows:
Ashwagandha improves the flow of oxygen in your body. It is commonly used for dealing with respiratory problems that result in vertigo or bhrama.
Ginkgo is the most effective Ayurvedic herb for curbing all forms of circulatory problems. It enhances the flow of oxygen to various parts of your body. It is ideal for the reduction and elimination of vertigo. It also cures ringing in the ears, which is a common vertigo symptom.
The roots of the vacha tree are effective in giving relief to vertigo patients.
A concoction made of Guduchi Kasaya is effective in curing a vertigo. One should have 30ml of the concoction every morning, at least half an hour before breakfast.
Other important Ayurvedic remedies that help with vertigo management include Triphala, Sarpagandha, Yogendra rasa, Saraswatarishtha, and many others.
It is recommended for you to visit an Ayurvedic practitioner before starting Ayurvedic treatment for vertigo on your own. He will be able to diagnose your condition and severity, and accordingly prescribe the best treatment.

Vertigo - How Ayurveda Can Help You Treat it?

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