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?

Sinusitis refers to an extremely painful condition caused due to the inflammation and swelling of sinuses. A host of causes contribute to sinusitis, chief among them being allergies, air pollution or sometimes infection. It causes extreme discomfort, throbbing headache, sore throat and a blocked nose. Though different branches of medicines have tried in their own ways of dealing with this problem, ayurveda with its reliance on natural products as remedial measures have emerged as a clear favorite. Some of the ayurvedic remedies for sinusitis are-

1. Inhalation of steam with tulsi
The benefits of tulsi are widespread and need little introduction. The ambit of its advantages is expansive, making its presence felt even in treating sinusitis. In case of severe bouts of sinusitis, it is highly recommended that you inhale steam with tulsi almost every day in the week.

2. Have ginger along with honey
Another way of treating acute pangs of sinusitis is by making a paste of ginger and honey. Make small tablets of this mixture and for most effective results it is advisable that you have it every day.

3. Avoid certain food
Just how incorporating certain food in the diet help in reducing the pain of sinusitis, eliminating few, often times help you to achieve the same purpose. When you suffer from sinusitis, it is only advisable that you diligently avoid dairy products like milk, yoghurt as well as intoxicants like cigarettes and alcohol.

4. Lemon juice and water
In the initial stages of sinusitis, having a daily concoction of lemon juice and water is considered very beneficial. During this phase maintaining a light diet is advisable.

5. Practice pranayama
The gamut of ayurvedic remedies includes not only the prescription of what to eat and what to avoid but also several exercises that help in expediting the process of recovery. Among them, pranayama with its focus on control and regulation of breath is particularly beneficial in curing sinusitis.

Ayurvedic Remedies for Sinusitis

Swimmer's ear is an infection of the ear canal, the passage that carries sounds from the outside of the body to the eardrum. It can be caused by many different types of bacteria or fungi.

Swimmer s ear is a kind of infection which occurs in the outer ear canal and it results in an infected ear canal, long-term pain and irritation. Swimmer s ear, as you can understand by the name, is referred in such a way because it is caused by water which is left inside the ear after swimming. The stuck water inside the canal gets damp where bacteria and fungus grows and results in an infection. Now we will discuss what are the causes that can bring such a condition.

Causes of Swimmer s Ear - There are many reasons because of which people suffer from a swimmer s ear: The entry of too much water inside the ear canal, leaves a part of it inside the ear which eventually allows bacteria to infest. The overcleaning of the ear canal with cotton buds causes the ear wax to come out which allows water to enter. When cosmetic chemicals like hair spray, enter the ears, it causes a sensitive chemical reaction which can lead to infection. Careless scratching inside the ear can result in small cuts inside the sensitive canal, where bacteria can infest. Swimming in water without covering your ears can also cause this.

So next time when you are swimming or scratching your ear without safety, remember that it can cause a swimmer s ear. But you may have a question in mind, how will I know if I am suffering from this? We have thus listed the symptoms as well.

Symptoms of Swimmer s Ear-

Constant itching and irritation inside the ear. The pain or itching increases when you pull your year or chew something. There is an acute sensation of blockage inside the ear which is caused because of this condition and results in reduced levels of hearing. Someone suffering from swimmer's ear will have pus or ear fluids draining out from their ears.

Swimmer s ear condition can be easily prevented if you follow some simple but very effective steps like blocking your ear with buds while swimming, cleaning the ear softly so that no water remains stuck etc. If you neglect any of the symptoms, they can result in a very chronic disease which can even result in hearing loss. So read through our article and understand what Swimmer s ear is. 

Swimmer's Ear - What Causes It?

A surgical procedure that is done to alter a deviated septum is called Septoplasty. When the cartilage in the middle of your nose is deviated and is out of position, it can create problems like pain in the nose, problems in breathing and nosebleeds. Septoplasty aims to correct the alignment of the septum so as to improve the airflow and rectify any breathing problem. This surgery is generally an outpatient procedure and can be done with general or local anaesthesia.

The septum is the cartilage that causes the division between the two nostrils. When the alignment of the septum falters, it is called a deviated septum. If the septum shifts to one side, then the size of one of the nostrils reduces and causes breathing troubles. Some people are born with a deviation in the septum, but often times it can be caused by an injury to the nose as well. Surgery is the only means to correct this deformity.

What are the risks associated with septoplasty?
Septoplasty is a major surgery, and just like any other surgery, it has its risks. The risks may include heavy bleeding, adverse reaction to anaesthetics used or infection of the site of surgery. The other risks that are associated with septoplasty include

Profuse bleeding
Decrease in olfactory senses
Change in the shape of your nose
A perforation in the septum
Temporary sensation of numbness of facial area due to the effects of anaesthetics
Collection of blood in the nasal space, which needs special medical attention to be drained out
Sometimes the symptoms such as blocked nose, bleeding etc. may persist even after undergoing the surgery.
How to recover from the surgery?
After the surgical procedure, your doctor may ask you to take precautions in order to reduce the chances of swelling and bleeding. Depending upon the severity of the surgery, your doctor may advice you to abide by all of the restrictions such as:

Curbing on activities such as aerobics and jogging which can put strain on your body. This precaution is practiced to maintain normal blood pressure in order to avoid nosebleeds
Do not blow your nose
Avoid wearing clothes that you have to take off by pulling over your nose to avoid brushing against it
Put your head on an elevated platform when sleeping

Septoplasty - Procedure and Recovery!

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 

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!

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