Tonsils are the two oval-shaped tissue pads at the back of your throat, which function as a mechanism to protect you from diseases. Any infection of the tonsils is referred to as  tonsillitis .

You can suffer from tonsillitis at any age, but it is more commonly diagnosed in children. Tonsillitis is highly contagious.

There are two types of tonsillitis:

Chronic tonsillitis Longer episodes of acute tonsillitis
Recurrent tonsillitis Recurrent episodes of tonsillitis in a year
Causes

Tonsillitis can cause viral and bacterial infections. The  Streptococcus (strep) bacteria  is a common cause. Some other causes include:

Adenoviruses
Influenza virus
Epstein-Barr virus
Parainfluenza virus
Enteroviruses
Herpes simplex virus
Symptoms

Since tonsillitis has various causes, symptoms too tend to differ. Some symptoms include:

An extremely sore throat
Painful or difficult swallowing
Scratchy-sounding voice
Bad breath
Fever
Chills
Earaches
Stomach aches
Headaches
Stiff neck
Neck and jaw tenderness due to inflamed lymph nodes
Tonsils that become swollen and red in colour
Yellow or white spots on the tonsils
In children, symptoms such as excessive drooling, increased irritability or poor appetite are usually noticeable.

Treatment

If the tonsillitis is mild, especially caused by a virus, it usually doesn t require any treatment. More critical cases of tonsillitis might require treatments such as tonsillectomy (a surgical process used to remove the tonsils) or administration of antibiotics.

Penicillin is the most commonly administered antibiotic. Once commonly performed, tonsillectomy (surgical removal of tonsils) is now reserved for extremely critical cases. 

Causes, Symptoms and Treatment of Tonsillitis

Having a foreign object stuck inside a child s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your ear drum. If the foreign object is stuck up your child s nose or ear and they refuse to keep still, it s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can t get it out easily, it s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue.

Foreign Body Inside Ear, Nose Or Throat - What To Do And What Not To?

Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem. 

People with dysphagia might witness the following issues:

Difficulty in swallowing solids and liquids.
Gaging, choking or coughing usually occurs when trying to swallow.
Experience pain when trying to swallow and also heartburn.
Swallowed food might come back up either through mouth or nose.
A chronic problem might result in weight loss.
Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson s disease.

A brain stroke, spinal cord injury or brain injury can also affect swallowing.
Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:

Esophagus might have malignant or non-malignant tumours.
Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

Difficulty in Swallowing - Are You at Risk of Dysphagia?

Nasal allergies are very common and as a result, not taken seriously by most people. In most cases you patiently withstand the coughing and sneezing, which might last for an entire day and in the process might inadvertently damage your health by choosing to ignore it for the time being. Here are some of the commonly experienced nasal allergies and what you should do to get relief from them.

1. Runny or stuffy nose: The best option is to just avoid allergy triggers. For example, if pollen is your allergen, then avoid going out during the times pollen count when it is reported to be high. Or, if animals make you sneeze, then make sure to have your hands washed and clothes changed after playing with them. Do not over use decongestant sprays at all. If these symptoms persist for more than half a week, then it's time to seek your doctor's advice.
1. Uncontrollable Sneezing: Again, the best option is to avoid; but in many cases, it becomes difficult for you to avoid the allergen. In those cases, try antihistamine. If that doesn't work, then you can also go for a nasal steroid spray, but again, make sure to not overuse it.
2. Post Nasal Drip: Usually, you unconsciously swallow your mucus. But, if the mucus quantity increases, it becomes thicker and results in post-nasal drip. It isn't much common, but you can practically feel the mucus dripping into your throat from the back of the nose. It can result in a lumpy feeling in the throat and can cause irritation. You can try drinking more fluids and using a nasal spray to reduce the mucus quantity. If that doesn't work, then it's time to seek advice from your doctor.
3. Eyes that itch: Watery eyes that itch are annoying companions of nose allergy and though they might not be a serious hazard for the eyes, you cannot ignore them. Try wearing sunglasses when you go out into a reportedly high-pollen-count weather. It might be a better option to forego contact lenses; they can escalate the entire eye-itching problem. If it becomes too itchy, you can place a cold washcloth over your eyes.

Testing an Allergy
Allergy testing is commonly done by by skin prick test, in order to diagnose the allergens. Once, the allergens are diagnosed, immunotherapy can be started, which will help in improving the symptoms of and in many cases, it provides complete cure.

Allergic Issues of the Nose

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!

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!

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