What is a foreign body (FB)?
Foreign body or FB is an object or piece of extraneous matter that has entered the body by accident or design. It is common to see certain items getting stuck in the ear, nose or throat especially, in young children. While most of the time they do not raise an alarm, however, sometimes they can lead to severe consequences like rupture of the eardrum or even choking.

How do FBs affect ear, nose and throat?

Children over 9 months develop an ability to pick up objects. As they explore the environment around them, they tend to put items such as peas, beans, marbles, beads, cotton, paper, etc, in their mouth, nose or ears. Similar trend may be seen in adults with mental disorders.
Trauma/ fall/accident can force FBs like rock, pebbles into the ear, nose or throat.
Adults while riding a bike or sleeping on the ground (campsites) can have insects: flies, ants, roaches fly into the nose or ear.
Choking occurs when FBs block the airway, common reasons are: not chewing the food properly, diseases like Parkinsonism, drinking alcohol or certain drugs that slowdowns the process of swallowing.
Managing FB in the ear, nose and throat

Foreign bodies in the ear
Symptoms: Pain in the ear, discharge or bleeding from the ear, feeling of fullness or pressure in the ear and dizziness and nausea in extreme cases.

Management: 

Make sure the patient is sitting in an upright position, pull the pinna or outer semicircle of the ear towards the back. This can help you see the object clearly and also loosen it to wiggle out. If you can see the object clearly, use a tweezer to grasp the object and gently remove.
In case a live insect gets trapped inside the ear lie down and place few drops of warm vegetable or baby oil. Use oil only if symptoms of eardrum perforation like pain, bleeding/discharge from the ear is absent.
Tilting the head to the affected side can facilitate gravity to dislodge the object.
Foreign bodies in the nose:
Symptoms: Pain and difficulty in breathing from that side of the nose.
Management: Keep the uninvolved nostril closed by pressing a finger against the side of the nose and gently ask the person to blow from the affected nostril.

Foreign bodies in the throat:
Symptoms: Choking, inability to breathe and speak 
Management: Perform Heimlich maneuver: abdominal thrusts, if trained otherwise, it is advised to call for medical help immediately.

How can you prevent foreign bodies from entering your ear, nose, throat?

Discourage talking, playing, laughing when food is in the mouth.
Do not give whole grapes, popcorn, nuts to children below 3 years.
Keep small objects out of reach of small children.
Teach children to avoid placing objects into their nose, ears.

Presence Of Foreign Bodies In Ear/Nose/Throat - How It Can Be Managed?

Cotton swabs or cotton buds, are commonly used in our daily lifestyle. Many people use it for various purposes, such as make-up, bacterial culture, and most commonly for extracting wax and debris from the ear. Even though they are sometimes handy in our busy schedule, they usually cause much more harm than benefits.

How are they misused?
Cotton buds are toothpick like pieces made of wood, plastic, or rolled paper, which have cotton stuck at both ends with a roundish edge. It came into existence during the 1920s for a safe purpose of ear cleaning by Leo Gerstenzang, when he saw his wife cleaning their baby s ear with a toothpick. They are until now used by the general population for ear cleaning, but these hardly remove the outer debris which are stuck near the outer edges. Impressing it inside the ear canal only does further damage, by forcing the inner wax further inside Sometimes extensive force also causes damage to the ear drums.

How does it cause the damage?
Applying a tool like the cotton bud inside the ear with hands usually creates a force that impresses upon the eardrum, also accumulating the surrounding earwax to that area, resulting in impaction of the wax. The force applied most often, if not always, causes a damage to the ear drums, which might cause severe pain, also leading to leakage, causing improper balance, deafness, and certain similar abnormalities.

Alternative measures
Although we are worried about cleaning our ears, it doesn t really require our notice, since our usual showers allow an adequate quantity of water to enter the ears and clean the accumulated debris automatically. The structure, in which our ear canal is designed, is usually naturally assisting in cleaning up the unusual wax around the ear.

If there is an uncontrollable build up of earwax that is not cleaned off normally, you can always consult an ENT or any general physician and get it cleaned under medical surveillance, which is best advised.
Doctors and medical practitioners all around the world have been trying to spread the message of preventing the use of cotton buds for ear cleaning. It is important that the message reach the greater part of the population. Spread it to your family, your closest friends, their friends, and as further, you can reach!

Cotton Buds - Why You Must Not Use Them?

Laryngitis is basically referred to the inflammation of the voice box or the larynx. It is mainly caused due to infections, which are either viral or bacterial or even fungal. If it is caused due to viral infections, laryngitis may be contagious. Some of the other causes of this disease include the following:

Overuse of voice
Allergies
Acid reflux disease
Smoking
Alcohol intake
Larynx is said to be acute or even chronic. Acute laryngitis is referred to a period of a less than three weeks. It is for a short term. Laryngitis which lasts for more than 3 weeks is usually regarded as chronic laryngitis.

Symptoms Of Laryngitis-
One of the major symptoms of laryngitis is considered the hoarseness of the voice. Other symptoms include dry throat, sore throat or even raw throat. Sometimes there is cough, and difficulty in swallowing. Some people also feel the need to repeatedly clear their throat. Nasal congestion and runny nose are some other probable symptoms of laryngitis.

Homeopathic Medicines For Laryngitis

Argentum Met and Arum Triphyllum   These are usually regarded as the most useful medicines for singers and public speakers. This is because these professionals often suffer from laryngitis due to overuse of their voice. The key symptoms are hoarseness of voice or having a sore feeling in the larynx.
Phosphorus   The violet tickling caused due to laryngitis may be most effectively treated by Phosphorus, which is regarded as the best suitable medicine among other homeopathic medications.
Drosera   This medicine is used for treating laryngitis with a highly nagging cough. This is the best and the most reliable medicine for a dry and irritating cough. There is usually a rough scraping sensation in the throat. In some of the cases, the voice of the affected person may be cracked. There are also incidents where people have difficulty in swallowing food.
Causticum - Laryngitis caused due to exposure to cold air is wonderfully cured by Causticum. It is considered to be one of the top-graded homeopathic medicines for the treatment of laryngitis.
Belladonna and Iodum   Belladonna and lodum are two of the most reliable medicines in homeopathy for treating laryngitis, which is caused due to hoarseness. These have a miraculous power to cure the pain in the larynx. Belladonna is prescribed when voice is hoarse and it is highly painful.
In order to know the best medicine for you, it is advised that you consult a homeopathic practitioner.

Best Homeopathic Medicines For Laryngitis!

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!

Strep throat is a common bacterial infection mostly seen among young adults and children, caused by Streptococcus pyogenes, a group A bacteria, that leads to pain and inflammation in the throat. While some people may have mild symptoms, others may encounter more serious symptoms such as high fever and chills, sore throat, swollen glands, loss of appetite, and difficulty in swallowing food.

If you don t treat the condition soon enough, strep throat can be really painful and troublesome. Although the ideal treatment option for this condition is antibiotic medications, research studies show that they are only effective in reducing the span of the infection by about half a day. Moreover, antibiotics have adverse side effects on your health, so it is always advisable to steer away from those heavy doses. The best way to keep yourself healthy and free from a strep throat is to prevent it from the very beginning. Here are a few steps you can follow to prevent yourself from getting a strep throat-

Avoid contact- Coughing and sneezing which are the usual symptoms of a strep throat, can be contagious. The infection usually spreads from person to person so make sure you do not come in contact with the person suffering from a strep throat for at least a week or two. Also, keep your mouth covered if you ever come in contact with a sick person.
Maintain good hygiene- Good hygiene is the key to a healthy body. In order to keep the infection at bay make sure you use an anti-bacterial soap or hand wash to clean your hands before and after you have your meal. If you re traveling around then always carry a hand sanitizer.
Change your diet- Include lots of fluid to your diet. Drinking lots of water and fluids will not only keep you hydrated, but will also moisten and lubricate your throat therefore reducing your chances of being affected by a strep throat. Include vitamin supplements or food that are rich in vitamins and avoid spicy or citrus food as they are likely to cause an irritable strep throat.
Avoid smoking- Smoking causes irritation to the throat tissues, which in turn increases the chance of getting a strep throat. So stop smoking, and avoid coming in contact with smokers as well.
Although strep throat may not sound like a chronic illness, it can lead to serious complications if not prevented at the outset. Since there are no proven vaccines to prevent the infection, adopting these aforementioned steps can help you stay away from a strep throat.

Follow These Steps To Prevent Yourself From Getting A Strep Throat!

Dizziness is now a very common problem among the adults. Maybe people do not take this to be a serious problem in many of the cases, but repeated feeling of dizziness may lead them to visit a doctor. When in the case of such situation, you visit a general physician, not knowing the causes of such problem; often the doctor will refer you to an ENT. There have been some reasons of why you should visit an ENT for dizziness.

Symptoms of Dizziness

Often dizziness occurs along with some other symptoms too. Some of the symptoms that are accompanied by dizziness are:

Anxiety
Nausea
Buzzing noise in the ears
Pressure in the ears and the head
Hearing issues
Some Important Reasons for Dizziness
If you are facing dizziness on regular grounds, then it may happen that it is due to some very serious health complications that you are suffering from. Some of the problems that may cause dizziness are:
Inner ear issues,

Issues in the central nervous system,
Issues related to the cardiovascular system,
Bacterial or viral infection,
Side effects of any medicine.
Diagnosis of The Problem
Diagnosis of the problem is the most important step in case of dizziness. It is because the diagnosis is not about whether you are feeling dizzy or not, it is the diagnosis about why you are feeling dizzy. There are some tests related to balance to diagnose the cause of dizziness. To get the tests done related to balance, you need to visit an ENT because the balance system of the human body is there located in the inner ear.
Though the balance of the body is there to the inner ear, also the test of other sensory organs such as eye and brain is also done. This is because balance disorder or dizziness happens when there is a problem in the communication system of the body. One of the most important ways to diagnose balance is by doing an eye test that is known as nystagmus.

Treatment of The Problem
After several tests of various sensory organs, when the ENT expert reaches a particular result, then the treatment starts depending upon the diagnosis. Today treatment for such balance disorder or dizziness has become common. Some problems can get solved by a changed diet only while other may need the help of medicines. Again, some of the problems may get cured by doing exercises while for some; you may need the help of a physiotherapist too.

When it is about dizziness, it is surely about balance disorder due to some major problems. Balance is controlled from with the inner eye and other sensory organs also, hence it is important to visit the ENT in this case.

Why Should You Consult An ENT For Dizziness?

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