Nosebleeds can be frightening and dramatic. Luckily, most cases of nosebleeds can be dealt with fair ease. Nosebleeds can be classified into two types depending upon the origin of the nose bleed, namely anterior and posterior.

Anterior bleed is the most common, and the bleeding is from a blood vessel which is present in the front part of the nose. These bleeds can be easily controlled by simple measures taken by doctors or at home.
Posterior nose bleeds are usually indicative of something more complicated and occur mostly in adults or elderly. The bleed can be caused by a rupture in arteries in the posterior part of the nose. These nosebleeds can get severe and may require admission to a hospital for treatment and management. They are the most common in kids in the range of 2 to 10 years and adults older than 50 years.
What can cause nosebleeds?

The most common cause of a nosebleed is probably trauma or an injury to the nose. External trauma includes a sharp blow to the nose, whereas internal injury comprises of injury from picking your nose continuously or irritation from cold.
Less frequently, an underlying condition can also result in nosebleeds. These conditions include diseases that make clotting difficult. The inability of blood to properly coagulate and clot can be contributed by blood-thinning agents like aspirin and warfarin. 
Disease in the liver can also cause problems in the clotting of blood. Rarely, cancer in the nose or abnormal blood vessels present in the nose can contribute to bleeding. Another cause of nosebleeds can be high blood pressure, but it is rarely the only reason.
What are the symptoms of nosebleeds?

Nosebleeds usually occur from one nostril. Sometimes, if the bleeding is excessive, the nostril can get filled with blood and it can cross the nasopharynx and overflow into the other nostril and result in bleeding from both nostrils. The blood can also go into the throat and one may spit out blood from the mouth or vomit out blood (hematemesis).
Excessive blood loss can cause dizziness, confusion, lightheadedness, and can also cause fainting. Excessive blood loss from nosebleeds is not very common.
Although, nosebleeds are rarely a complication, it is advised to consult a doctor if the occurrences are too frequent.

Nose Bleeding - Things That Can Cause It!

Sinuses are cavities in our skull behind the nose which spread out in a pattern. These cavities are lined with tissues and mucosal membranes and are essential for our breathing process. Sinusitis is a condition where the tissues within the cavities become inflamed which results in the sinus cavities being blocked due to a buildup of fluid.

What are the conditions that can lead to sinusitis?
Some of the conditions that can cause nasal polyps are explained as follows:

Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
Common cold is also a culprit which may result in sinusitis
If your septum or the bridge between the holes of the nose is deviated (this condition is referred to as a deviated septum), you may be prone to developing sinusitis.
The lining of the nose may swell in a condition known as allergic rhinitis and cause sinusitis as well.
Types of sinusitis
There are multiple types of sinusitis which may affect people and also on how long they last. The various types of sinusitis are explained below:

Acute sinusitis: This is the most common form of sinusitis that lasts usually between 2 to 4 weeks. It starts with a cold, blocked nose and turns into facial pain that usually starts very suddenly.
Chronic sinusitis: This is a form of sinus infection which can have a debilitating effect on your life and may last for 12 weeks or longer.
Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
Recurrent sinusitis: This form of sinus infections tend to be a variation of acute or sub-acute sinusitis which tends to occur multiple times a year.
Symptoms of sinusitis
The manifestation of the symptoms of sinusitis may be different from person to person and also on the type of sinusitis you are suffering from. However, there are some generic symptoms that are common to all forms which are mentioned as follows:

Smelling senses may be dulled
Facial pain
Congestion accompanied by a cough
Nose may be blocked, stuffy and may also be runny
Other symptoms may also include bad breath, fatigue, or even dental pain
Nasal cavity may have pus and it may drain from time to time
It is best to consult a doctor quickly, if you have been having any of these symptoms. The doctor can prescribe nasal decongestants and antibiotics which can help. If you have chronic or recurrent sinusitis, then more aggressive and advanced treatments may be required.

Sinusitis - Conditions That Lead to It!

The tonsils are soft tissue masses which are located at the back of your throat, usually at the pharynx. The tonsils are masses which are part of the lymphatic system that helps fight infections. However, tonsils can themselves become inflamed and cause a lot of pain. Tonsillectomy is a procedure to remove the tonsils and relieve pain.

Why is tonsillectomy performed?
A few decades back, tonsillectomy was a routine surgery performed to relieve any pain within the tonsils. This method of treatment however has changed over the past few decades as pain medications for inflammation have improved vastly. However, tonsillitis is still performed in many cases wherein it tends to cause acute problems. Some of the cases it is applicable in are:

Chronic bad breath problems caused by recurrent inflammation of the tonsils
Recurrent sore throats caused by tonsillitis
It is also done along with dental surgery for correcting teeth with imperfect positioning
Abscess formation in the mouth
Upper airway being obstructed due to inflammation, thus causing difficulty with sleeping, snoring, or causing sleep apnea (irregular breathing during sleep)
Ear infections being regularly caused by inflammation of the tonsils
Other reasons why it may be recommended
Tonsillectomy may be also be recommended when there are no indications of problems but tonsillitis and other infections keep cropping up too regularly. This affects children and can make them sick or keep them in pain regularly. Some of these other indications are mentioned below:

Tonsil infections and inflammations happening too frequently within a year
Tonsillitis is caused by bacterial infection wherein the antibiotics aren t effective
Formation of pus in the form of an abscess within or around the tonsils which keep forming even after repeated drainage or administering antibiotics
Possible complications and risks
Like any other form of surgery, tonsillectomy has certain risks associated with it as well. However, these are very rare. Some of these risks and complications are mentioned as follows  

Swelling of the mouth: The tongue and the soft palate or the roof of the mouth may swell, resulting in breathing difficulties an few hours after the surgery.
Infection: As is the case with any surgery, infections may occur in rare cases, which may require further treatment.
Adverse reactions to anesthetics: Many patients exhibit an adverse reaction to anesthetics and may develop symptoms such as a headache, nausea, muscle soreness and frequent vomiting.
Bleeding during surgery or healing: Although it is rare, bleeding during and after surgery has been reported after all sorts of procedures and it may occur with tonsillectomy as well. If you wish to discuss about any specific problem, you can consult an ENT specialist.

Tonsillectomy - When Should You Go For It?

Dizziness, vertigo and balance issues are common symptoms and most of us may have experienced momentary symptoms. It is a sensation of feeling a movement even after the movement has stopped. For example the sensation we feel when we get off a merry-go-round or feeling butterflies in the stomach when we are on a roller coaster ride. Imagine if these symptoms are constant and start affecting our day to day activities. Even a simple task of walking can be bothersome as we may feel like our body is drifted and we cannot balance properly. We may feel a severe spinning sensation when we change position from lying down to sitting or rolling over in bed. It can also cause fear, anxiety and make us limit our movements and activities. These may cause more complications such as neck pain, headaches, body pains and depression. It is therefore very important to find out the root cause of vertigo and treat it immediately.

Dizziness is a sensation of light-headedness or unsteadiness. It can be caused heart disease, brain related causes like stroke, prolong illness, psychological issues, side effect of certain medications, blood pressure fluctuations and many other conditions. Neck stiffness, pain and weakness can also cause dizziness called Cervicogenic dizziness or Cervical Vertigo.
Vertigo is a spinning sensation or a feeling of motion when we are not moving. Its a common symptom in inner ear disorders. Some of the conditions that cause vertigo are: BPPV or Positional Vertigo, Meniere's, Labrynthitis, Vestibular Migraines, Vestibular neuritis, mal de barquement syndrome, perilymph fistula, toxicity of ears due to certain antibiotics, acoustic neuroma etc.
Balance problems or Disequilibrium means unsteadiness, imbalance or loss of equilibrium. It can occur as a primary symptom or with vertigo and dizziness.
You need to consult a Vestibular Therapist or Vertigo specialist who can diagnose your problem correctly. If you have Positional Vertigo known as BPPV then specific tests and manevers can help cure it completely. If there is inner ear disease such as Menieres disease, ear infections, labrynthitis or vestibular neuritis then proper medications prescribed by ENT specilialist and Vestibular Therapy can help you get rid of vertigo. In case the symptoms are related to Central nervous system (Brain) then promt treatment from Neurologist and Vestibular Therapist can help decrease vertigo and improve daily activities. If the symptoms are related to the neck called Cervical Vertigo or Cervicogenic Dizzienss then proper treatment of neck by a Vestibular Physiotherapist can help. Also making sure the posture is good when working on computer/laptops for prolong periods can prevent strain and reduce dizziness related to neck and back muscle tightness.

Vertigo & Dizziness - How You Can Get Rid Of It With Physiotherapy?

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?

What is Sore Throat?
A sore or dry throat is an unhealthy and painful scratchy feeling inside the throat which is coupled with pain while swallowing and can cause really bad irritation. A sore throat usually resolves on its own because it is a mild health problem.

Causes of Sore Throat-
A sore throat is caused by many important risk factors. Let us have a look at some of them:

Viral infection: It is the most common cause of a sore throat and several viruses are present which can result in a sore throat of many intensities.
Toxins like cigarettes, smoke or pollution can also lead to an acute sore throat because of the unhealthy chemicals present in these things.
A bad injury or infection in the throat can lead to a chronic sore throat. Sometimes when people should loudly for long periods also result in a sore throat because the tissues burn away of tear apart.
Gastroesophageal reflux disease also causes a sore throat when the acid from the stomach retreats back to the esophageal tract.
The development of cancer cells or tumor results in a sore throat and blocks the entire throat tract.
Treating a Sore Throat:
Sore throats are easily curable and sometimes they tend to go away on their own. Let us have a close look at the remedies:

Gargling with warm salt-water will hell you to get rid of sore throat because saltwater helps to wash away the viruses and germs.
Honey mixed in tea is an excellent detoxifier and helps your body and throat to get rid of the unnecessary foreign objects stuck in the tract.
Consuming fenugreek also helps in killing the bacterias which are causing the sore throat.
Chamomile tea is a proven relief during throat sores. It has anti-inflammatory and antioxidant abilities that help the throat to get relief and heal overtime.
Drink warm water or liquids which will constantly keep the throat wet and warm leading to the decline of the bacterias present.
Antibiotics can also be taken for 5-6 days if you think no other remedy is working in the right way. However, try not to give antibiotics to children of young age and stick to home remedies. 

Sore Throat - What Causes It?

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