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

Tonsillitis is an affliction that plagues a fair share of people. Located at the back of your throat, tonsils are essentially two small glands, which contain white blood cells to defend your body against infection. However, on account of germ attacks, sometimes the tonsils get infected and this results in the swelling of the tonsil glands, which in turn causes sore throat and aligned maladies. 

Tonsillitis may be cured through surgical procedures. However, an isolated case of the inflammation of the tonsils need not warrant a surgery. Tonsillectomy or the surgical method of curing tonsillitis is only recommended for extreme cases of tonsillitis. Only the frequent sufferers of tonsillitis take recourse to tonsillectomy for a durable and effective solution. Surgeries are only done on those who have had at least seven bouts of strep throats within a span of a year. 

Tonsillectomies essentially involve surgical removal of the tonsils either using a scalpel or burning the tissues in the tonsils with the use of ultrasound vibrations. Usually performed under anesthesia, it is a fairly painless and a non-hazardous procedure. Tonsillectomies generally last for about an hour. However, the recovery period sometimes entail a few physical discomforts. Sore throat, difficulty in swallowing, pain in the jaws and ears are common symptoms of post tonsillectomy conditions. While there are palliative medicines available in the markets, adequate rest and proper diet speeds up the recovery. 

Tonsillectomy generally leaves no side effects and the success rate of this surgery is quite heartening. Tonsillectomy has also known to cure several other associated health problems in the likes of breathing troubles, sleep apnea, bleeding of the tonsil glands or cancerous developments in the tonsil glands. That aside, tonsillectomy is only performed on acute cases of tonsillitis and often regarded as the lender of last resort when medicines stop according any relief to the patient.

When to go for a Tonsil Surgery?

Common ear infections: What you should know about them

The most common ear infections happen because of bacterial or viral growth in the middle ear, the part which lies just behind the ear drum. Middle-ear infections can be very painful and children are most commonly reported in children. Most of these infections are caused by the blockage of the Eustachian tube, which connects the ear and the throat, causing the build-up of fluids and swelling. Here is a guide to the most common forms of ear infections and their symptoms, ranging from the acute to the chronic.

Acute infections have intense symptoms but can be cured with time and treatment. They generally last for shorter durations.

In Chronic cases of infections, the patient complains of recurrent symptoms multiple times. Chronic ear infections have the potential of causing permanent damage to the ear.

Symptoms reported by most patients with Ear infections:

1. Pain in the ear (Mild to severe):

This is caused due to increased pressure owing to the blockage of the Eustachian tube. Collection of fluid inside the ear would increase the intensity of pain in most cases. Children will keep tugging at their ear and most likely be cranky.

2. Redness and swelling:

Both of these are inevitable accompanying symptoms in case of any infection in the body.

3. Oozing of the fluids:

The blockage leads to the fluid being released from the ear which can be watery, thick yellow or mixed with blood depending on the severity and type of infection.

4. Fever

5. Difficulty in sleeping.

6. In some cases when the infection spreads, difficulty in balancing the body is experienced as body balance is maintained by ears.

7. The patient might also experience increased irritability.

8. Ear infections can also cause a hearing problem if the condition continues to go untreated.

Ear infections should be promptly dealt with to prevent long-term damages. So here is what should be done when you have ear pain symptoms.

1. Consult an ENT who will prescribe pain medication as the first line of treatment.

2. After the necessary tests are done, antibiotics are prescribed in most cases by the doctor. Other medications for palliative treatment (to ease the symptoms) are administered. However in a few rare cases, the infection might be because of non-bacterial causes in which antibiotics might not cure the state.

3. In case the problem keeps recurring, one must visit the doctor again and get further tests and treatment done.

As prevention is always better than cure, care should be taken to avoid all chances of carrying the infection to your ear. Maintain cleanliness in and around, especially in the case of children.

For further queries; we'd be happy to help!

Common ear infections: What you should know about them

Snoring is the harsh or hoarse sound that occurs when air passes through the relaxed throat tissues   this causes vibration in the tissues as you breathe. Almost everyone snores now and then, but it can be a chronic problem for some people. Sometimes, snoring could also indicate an underlying health condition. 

Causes

Several factors, such as the anatomy of your mouth and sinuses, a cold, and certain allergies, can cause snoring. When you fall in a deep sleep, the muscles in the roof of your tongue, throat, and mouth relax just enough to block your airways partially, causing them to vibrate. The narrower the airways, the more forceful the airflow. This increases vibration in the tissues and prompts you to snore louder.

Besides, there are certain risk factors that increase your chances of snoring. These include  

Gender   men rather than women are more likely to snore

Being overweight   people with excessive body weight are susceptible to obstructive sleep apnoea, which is characterized by snoring

Drinking alcohol   as it relaxes the throat muscles and increases your chances of snoring

Nasal problems   a structural defect in the airways, like deviated septum puts you at a higher risk of snoring

Symptoms 

Snoring is linked to Obstructive Sleep Apnoea, a common sleep disorder. However, not everyone who snores has OSA. If snoring is accompanied by the following symptoms, you may be at risk of OSA. So watch out for these signs  

Breathing pauses while asleep

Feeling sleepy during the day

Morning headaches

Difficulty concentrating

Restless sleep

Waking up with a sore throat

Choking or gasping at night

Chest pain at night

A rise in the blood pressure

Make an appointment with your doctor if you encounter the above symptoms, as they may suggest that your snoring is associated with OSA. In the case of children, talk to a specialist about throat and nose problems   these can cause your child to develop obstructive sleep apnoea. 

Diagnosis 

The first step of diagnosis involves the doctor going through your medical history and reviewing the signs. He/she may also perform a physical examination. 

Next, your doctor may suggest an imaging test, like CT scan, MRI, or X-ray to check the structure of your airways.

Depending on the seriousness of snoring and the related symptoms, you might be advised for a sleep study. A sleep study involves performing an in-depth analysis of breathing while you are asleep. You will be connected to multiple sensors and kept under observation overnight. 

A sleep study records the following information  

Oxygen level in the blood

Brain waves

Heart rate

Breathing rate

Leg and eye movements

Sleep stages

Treatment 

Your doctor will most likely recommend lifestyle changes to treat snoring.

Lose weight

Avoid drinking alcohol before going to bed

Treat nasal congestion

Avoid sleep deprivation

Avoid sleeping on your back

If snoring is caused due to obstructive sleep apnoea, you may be suggested the following  

Oral Appliances - These help advance the position of your tongue, jaw and the soft palate to open up your air passage.

Continuous Positive Airway Pressure   This involves putting up a mask over the mouth or nose while sleeping. The mask releases pressurized air from a tiny pump to the airways to keep it open when you are asleep.

Upper Airway Surgery   This refers to a number of procedures, like Maxillomandibular Advancement, Uvulopalatopharyngoplasty, and Hypoglossal Nerve Stimulation that work to open the upper airways and prevent its narrowing using a variety of techniques. 

Snoring can be a problem for those who experience it, and a nuisance to others around them. Make sure you get yourself checked by an ENT and seek treatment for the same before it leads to a severe health complication.

All You Must Know About Snoring & Its Complications!

Throat cancer is a broad term used to cover cancer across a number of organs in the oronasal passage   right from the nasopharynx, oropharynx, glottis, epiglottis to supraglottis. Minus the medical terms, it means anywhere from the back of the nose and throat to the where the neck ends. The mucous cells along this path can undergo changes and begin multiplying rapidly, leading to cancer. The following are some additional risk factors:

Cigarette smoking
Tobacco abuse
History of human papilloma virus (HPV)
Alcohol abuse
Poor dental hygiene
Family history
Cigarette smoking is the most important of all, and a person can significantly reduce the risk by cutting down smoking. The throat has different types of linings and gland tissue, and depending on the cell type affected, the type of cancer could vary.

Symptoms: Throat cancer diagnosis can get delayed as the symptoms are very similar to a throat infection.

Sore throat: A sore throat that lasts for weeks together is often a cause for concern and requires ruling out underlying serious problem. Having associated risk factors is a good way to see if ruling out cancer is needed.
Cough: A cough that does not go away is a cause for concern. This is often associated with other symptoms mentioned here.
Voice change: Usually hoarseness of the voice, which is painless and not accompanied by a throat infection, is an indication of throat cancer.
Difficulty swallowing or breathing: Depending on where the cancer is located, there could be problems in either free breathing or swallowing. The developing mass gets in the way of free air and/or food movement.
Lumpy feeling in the throat: If the developing mass is along the length of the throat, then there could be a lumpy feeling, as if something is caught in the throat and not going down.
Bleeding: There could be bleeding either through the nose or the mouth, depending on the place of the cancer. Again, this is one of the late symptoms and not seen in the beginning.
Unexplained weight loss: As with any cancer, throat cancer also leads to unexplained weight loss.
Depending on the area affected, the symptoms can point to the location. For instance, voice changes are often associated with laryngeal cancer. A combination of risk factor assessment and symptoms will help in pinning down the diagnosis. Reach out to the doctor as soon as you notice something is wrong, as early diagnosis is very good for timely intervention and improving prognosis.

Throat cancer - Symptoms to watch for!

Do you snore too much while you sleep? Does your snoring give others a hard time? Snoring is caused because of the vibration of soft tissues and muscles that make up your upper airways. Working out these muscles help in the management of snoring. These soft tissues and muscles stay floppy when you are snoring. The tightening of these muscles helps in reducing the level of floppiness, which results in reduced snoring. There are several simple mouth exercises that are considered to be effective in dealing with snoring. Several researches and experiments have been carried out in order to prove the effectiveness of these exercises in controlling snoring.

The most important and common mouth exercises that help stop your snoring are as follows:

The tongue slide
You have to push the tip of your tongue against the roof of your mouth, or the hard palate.
After this, you simply should slide your tongue backwards. You should repeat this around 20 times.
The roof smash
In order to practice this exercise, you need to turn your tongue in the upwards directions, and press the whole tongue against flush with the hard palate.
This should be repeated 20 times.
Tongue carpet
You have to force the underside of your tongue against the floor of your mouth.
Along with this, you need to keep the tip of your tongue in contact with the bottom part of your front teeth.
Say aah!
You need to lift your soft palate, at the back of your mouth s roof and uvula, similar to how you open your mouth during a throat inspection.
The cheek push
You need to insert your right index finger into the mouth, while pressing the inside of your finger against your left cheek s length.
You should engage your cheek muscle and try to return the pressure back on your finger.
This should be repeated 10 times on each side.
Even chewing
It is important for you to chew evenly even you eat any form of food.
You should alternate both sides of your mouth while chewing and swallowing food.
Similar to any form of exercise, you need to practice these mouth exercises on a regular basis to gain benefits and observe positive results. Unless you practice them strictly and continuously, you may not experience any change in your snoring patterns and intensity. You should try incorporating these exercises into your daily schedule. You may do a set after brushing your teeth, or during evening commutes.

Snoring - Easy Mouth Exercises That Can Help Control It!

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