Though nosebleeds are usually not a cause for serious concern, it can sometimes be a scary experience and cause a lot of anxiety. The nose is home to a lot of blood vessels and being fragile they bleed easily. Nosebleeds, however, can be a cause of concern if they happen regularly. While a few factors can be taken care of easily, there are a few rare cases that are actually alarming.

Injury or blow to the nose: Any injury or sudden blow may cause the nose to bleed. The severity of bleeding depends on the intensity and nature of blow/ injury.
Sinusitis: Bleeding is seen in a moderate number of cases of sinusitis. Not every person with sinusitis experiences nose bleeds though.
Hypertension/ high blood pressure: People, who have high blood pressure and one or more of other predisposing factors, might experience nosebleed in some cases. High blood pressure basically increases your chances of experiencing nosebleed.
Liver infection: This condition can be one of the rare causes of nosebleed.
Conditions hampering blood clot formation: There are certain medical conditions in which the blood clot formation does not take place effectively and thus the bleeding incidents can happen with minor causes as well.
Blood thinning medication: People having blood thinning medicines are more prone to experiencing an episode of nose bleed for obvious reasons.
Excessive scratching or sneezing: This might cause the nasal wall to rupture, causing minor bleeding.
Excessive alcohol consumption: In people who consume alcohol in an excessive amount, nose bleeding might occur as an after effect.
Blood cancer/ leukemia: In some cases of leukemia, the patient might experience nosebleed along with other complications.
While some causes can be self-cured at home, a few others need proper treatment from a medical practitioner.

You shouldn't ignore these 9 alarming causes of nose bleed!

Acute sinusitis (acute rhinosinusitis) causes your nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up. It is difficult to breathe, area around your eyes and face may be swollen. Acute sinusitis is most often caused by the common cold. Other triggers are allergies, bacterial and fungal infections.

These self-help steps can help relieve sinusitis symptoms:
1. Get good rest. This will help your body fight infection and speed recovery.
2. Drink plenty of fluids: Like, water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. 
3. Sleep with your head elevated. This will help your sinuses drain, reducing congestion.
4. Moisten your sinus cavities: Drape a towel over your head as you breathe in the vapour from a bowl of hot water. Or take a hot shower. This will help ease pain and help mucus drain.
5. Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.

Click on consult privately to ask me any questions regarding Sinus or other ENT-related issues.

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Top 5 Sinus-Relief Home Remedies 

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?

Tinnitus is the ringing in the ears in the absence of any external sound and the ringing heard is not related to any external source. Tinnitus is a symptom due to underlying ear disease.

Epidemiology

Worldwide 10%-15% of the population suffer from tinnitus and those suffering from ear-related problems are 85% of the population.

How do we know whether it is subjective or objective tinnitus?

Subjective tinnitus is the sound which only the patient hears and objective tinnitus is the sound which others can hear as well along with the patient. Ninety-five percent of the people suffer from subjective tinnitus due to problems in the inner, middle, and outer ear whereas rest 5% suffer from objective tinnitus which is due to any structural defect in the ear, neuromuscular condition, or a tumor in the head, neck, and brain.

Causes

Prolonged exposure to loud sound for a long duration can cause permanent damage to the ear, whereas exposure to a sound for short duration may restore hearing back.
Middle ear infection.
Injury to ear.
Age-related hearing loss: Hearing gets hampered with age which starts around 60 years of age. Hearing loss can lead to tinnitus.
Meniere s disease: It is an inner ear disease; tinnitus is an early symptom
Earwax: Normally earwax protects ear canal from dirt. When it accumulates, wax gets built up causing blockage leading to hearing loss.
Emotional stress Diseases of the heart
Drugs, such as aspirin, antidepressants, quinine, cancer medications, and diuretics.
Temporomandibular joint disorder
Acoustic neuroma
How to deal with it?

First, treat the underlying cause.A patient suffering from tinnitus should be counseled every 15 days. It reduces the stress onto those who are suffering from tinnitus and will boost up the patient.Tinnitus maskers/hearing aid is helpful in ignoring tinnitus frequency. Maintain your cardiovascular health with regular exercise, yoga, meditation, and medicines which control blood pressure. All these factors can help prevent tinnitus.

Can tinnitus be fatal?

It can vary from mild to severe which can cause distress such as interference with sleep and normal day to day routine activities. It can affect patient psychologically so much that patient goes into depression and can commit suicide.

How to evaluate tinnitus?

It can include an audiogram (hearing test), measurement of acoustic parameters and some of the imaging studies to be performed.

A pure tone hearing test is to be performed to find out the cause. Acoustic measurement of tinnitus includes measuring several parameters like frequency, the range of frequency, bandwidth, and loudness in dB above hearing threshold.
Residual inhibition helps indicate how useful tinnitus maskers would be.
Imaging studies like magnetic resonance angiography and Transcranial Doppler are to be performed to find out the underlying cause.

Tinnitus - What Causes 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

Do you have a habit of secretly picking your nose? This is a very common bad habit, which many people carry out, in spite of it being a habit which is frowned upon. There is a certain amusement that people seem to enjoy about picking the nose. However, on top of being a very unhealthy and unhygienic habit, it is harmful for the body as well. 


Why should you stop picking your nose?
Picking your nose is quite dangerous for your body. Your fingers contain many harmful germs, which are transmitted into your nostrils when you are digging into your nose. A specific germ known as Staphylococcus aureus can live in the front part of your nose. Combining the habit of nose picking along with the germs, may lead to the development of abrasions. These abrasions can bleed and promote more germs. As a result, the crust and irritation increase the more you keep on picking your nose. Based on where you are and what you have touched with your hands, some seriously dangerous germs may enter your body, causing health hazards and complications. 


Children are notorious by nature and it is very common among children to pick their nose resulting in nose bleeding. The blood supply to the nose is quite vigorous in nature and there are five arteries that reach to the front part of the nose or Kisselbach s plexus. When an abrasion takes place, there are chances of severe bleedings, due to damage to these fragile arteries. 


Other reasons
Picking your nose may lead to the development of pimples in the nose hair follicles.
In case a small pimple in the nose develops into a boil, the infection may travel to the brain through your bloodstream.
In case you are suffering from cold and your sinus is blocked, picking your nose may lead to the development of sinusitis. This happens because of the introduction of various bacteria present beneath your fingernails into the nose. They may proceed to the sinus cavity from your nose. Due to insufficient drainage, the bacteria will multiply and cause a sinus infection.
Picking your nose on a regular basis makes your nose a breeding group of dangerous germs. If you do not wash your hands after picking your nose, these germs may be transmitted to others. 


If you feel some irritation in your nose or feel a constant stuffiness, you should use a tissue paper to soothe your nostrils. Avoid using your fingers for picking and if the irritation lasts even after cleaning it, you should consult a doctor. 

Picking Your Nose Secretly - Can It Be Harmful for Your Body?

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