Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem. 

People with dysphagia might witness the following issues:

Difficulty in swallowing solids and liquids.
Gaging, choking or coughing usually occurs when trying to swallow.
Experience pain when trying to swallow and also heartburn.
Swallowed food might come back up either through mouth or nose.
A chronic problem might result in weight loss.
Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
The esophagus is blocked by something.
There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson s disease.

A brain stroke, spinal cord injury or brain injury can also affect swallowing.
Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
Scleroderma causes the esophagus to become thin and weak.
The esophagus might be blocked because of these reasons:

Esophagus might have malignant or non-malignant tumours.
Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

Difficulty in Swallowing - Are You at Risk of Dysphagia?

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

Breathing is inhalation and exhalation, where oxygen is inhaled into and carbon dioxide is released from the body. Air passes through the nose, which has fine hair and mucus to filter out suspended particles in the air like pollen. When the person s immunity is weakened or is highly reactive, the mucosa reacts to many substances which are generally present. This is known as allergic rhinitis.

Types: Depending on the occurrence, it can be:

Seasonal: For instance, in spring when there is too much pollen in the air; known as hay fever. This is an acute rhinitis and subsides with a change in weather.
Chronic: This is when the body reacts to some normal substances like eggs, animal dander, extreme cold, dust, mites, etc. via an allergic reaction.
Causes of allergic rhinitis as per Ayurveda

Mandagni   low digestion strength
Kapha vruddhi   increase of Kapha dosha
Allergens   external factors such as pollen, dust etc
Residing with pet animals
Exposure to humidity, dust, cold
Virudh aahara   wrong food combinations
Long term intake of drugs like aspirin, leading to depleted immunity and making the person prone to dust allergies.
Symptoms:

Runny nose for prolonged periods of time
Chronic congestion
Persistent sneezing
Teary eyes
Fever and headache
Ayurveda believes that this is due to excessive kapha dosha. So, in order to manage allergic rhinitis, two approaches should be taken. Foods which increase kapha should be avoided, and elimination of kapha from the body should be targeted.

Non-medical ways to combat allergic rhinitis: 

Prevention has a big role to play in managing allergic rhinitis.

Whether it is animal dander, eggs, tomatoes, or extreme cold, if you know it could cause an attack, stay away from it.
Chew foods properly to ensure through absorption of vitamins and minerals, which are essential for immunity
Boil water with a spoonful of turmeric and a pinch of salt and drink it regularly
Basil and mint leaves can be boiled in water and consumed for improving allergic rhinitis
Clove and pepper can be chewed to get immediate relief
A mixture of crushed clove and pepper mixed with turmeric and honey works wonders for allergic rhinitis
Eat seasonal fruits and vegetables. They are more likely to be chemical-free, are cheaper, fresher, and definitely more nutritious.
Carrots eaten with a bit of fat produce the best defense against allergic rhinitis, as the beta-carotene in it is fat soluble.
Whole grains, green leafy vegetables, seasonal fruits and vegetables, and dairy products, contain a number of vitamins and minerals which help in fighting allergic rhinitis
Ayurvedic remedies like shilajit and guduchi boost immunity function
Neem, Ashwagandha, liquorice, cinnamon, tulsi, and curcumin are proven remedies for allergic rhinitis.
Panchakarma specifically aimed at rhinitis include Nasya, Dhoomapana (medicated smoking) and emesis (vaman ). This helps in eliminating kapha which is believed to cause allergic rhinitis.
Though allergic rhinitis is a very common condition, the treatment is also easy and many home remedies help in managing the condition.

Lifestyle improvement:

Always keep cloves and black peppers with you. Immediately keep two pieces of it in mouth when you feel of attack.
At the pre attack or attack rub Nilgiri oil , Mint oil, or pain balm on chest and get fomentation.
Keep watch on the elements that causes irritation for you and stay away from this.
Use mask while driving vehicle or going through public places.
Always take warm water bath.
Do not expose to hot sunrays.
Regularly take inhalation of steam.
Regularly go for morning walk in warm weather.
Do sufficient exercise.
Do not reside in dark or dump places. Get fresh air.
Do not get sleep at day time or immediate after dinner.
Take sufficient rest.

Diet, Nutrition & Ayurveda Treatment For Allergic Rhinitis!

There are various type of nosebleed that can be caused by a variety of conditions. While some of them may not be too serious, one must never ignore heavy and persistent nosebleed. Nosebleeds are of two kinds: anterior nosebleed and posterior nosebleed. While 90% of all nosebleeds are anterior nosebleeds, the posterior nosebleeds are far less common and may be slightly more serious in nature. An anterior nosebleed is usually caused in the blood vessels that lie on the front portion of the nose and can be controlled easily. A posterior nosebleed usually comes from damage to an artery in the rear portion of the nose. Infection, trauma, allergic reactions and other such causes may be behind a nosebleed. 

Let us cast a glance on the tips to prevent nosebleeds.

Salt water and saline nose drops can be used in order to prevent nosebleeds. It is important to take these on a regular basis in case you are experiencing these nosebleeds on a regular basis.
You can also visit your doctor, who may prescribe blood thinners so that the blood does not clot and lead to a nosebleed. You will need to ensure that you take such medication only when the doctor prescribes the same.
The use of painkillers like Aspirin and other non-steroid anti-inflammatory drugs must be limited. Sometimes, taking such medication too frequently may lead to nosebleeds.
You would do well to control your blood pressure because hypertension and other forms of high blood pressure can also cause nosebleeds. Lifestyle changes like your diet and exercise can help in keeping a more stable blood pressure level so that you do not fall prey to frequent nosebleeds.
Humidify your home with a humidifier so that the air does not get too dry. Many times, this causes nosebleeds. Also, you may want to keep the heat down in the bedrooms. Many nosebleeds happen due to too warm temperatures while you are sleeping.
Nose picking should also be discouraged as it can lead to nosebleeds in case there is a scratch or any other kind of damage when you try to force the dirt out.
It has also been found that smoking has a connection with nosebleeds. This can be fixed if the patient quits smoking.
One should not use nasal sprays without a prescription from a doctor. This also includes antihistamines, decongestants as well as other medicated sprays. These may not suit the patient at all times, and may also lead to nosebleeds.
In the event of a nosebleed, you will need to lean forward with your head tilted backwards. This will stem the bleeding. If it is possible, you must also try and lie down immediately for a few minutes.

Nosebleed - 8 Tips to Prevent it 

A nosebleed also called epistaxis medically is normally not dangerous, but if you are old nosebleeds come with a number of risks. Treating a bloody nose incorrectly can only make it more dangerous, because of prolonged bleeding. Before we explain the ways to stop nosebleeds, let s take a look at its causes:
Nosebleeds usually start from just inside the entrance of the nostril. But, why? Because the blood vessels here are quite fragile and are also prone to rupture easily. This is the reason why children suffer from nosebleeds so easily. Other common reasons are

A blocked nose due to colds
Picking one's nose roughly
Blowing one's nose
Injuries
Use of cocaine
A nosebleed usually lasts for about 10-20 minutes and is usually easy to treat. But in some conditions, this bleeding can be profuse and last longer like in cases of 

Heart failure
Blood clotting disorders
Due to 'blood thinning' medicines
Hypertension
Bleeding can sometimes also happen in areas further back in the nose due mostly to injuries and disorders of the nose.

Treatment
Usually, nosebleeds can be stopped using simple first aid.

Sitting up straight helps, especially along with tipping your head forward. It is vital that you don t tip your head backwards as this can allow the blood to go down your throat and cause vomiting. And this can make your nosebleed worse. So, take care to spit out the blood in your mouth and not to swallow it.
To stop a nosebleed, pinch the soft, cartilaginous part of your nose using your thumb and forefinger. Spraying your nose with a medicated nasal spray before pinching it can help the bleeding to stop faster. Apply pressure for 10 minutes to get results. Check if your nosebleed has stopped after 10 minutes if it s not; apply pressure for another 10 minutes. Nosebleeds usually stop after 10 to 20 minutes of pressure.
Use an ice pack to your nose and cheeks. This will constrict the blood vessels in the nose and stop the nosebleed.
Use a saline- or water-based nasal gel inside your nose to stop bleeding.
Remember not to blow your nose or insert anything into your nose for at least 12 hours after your nosebleed is over.
If the bleeding doesn t stop even after 20 minutes of applying direct pressure, it s prudent to rush to a doctor. He will treat your nose to stop the bleeding.
In a few rare cases, the bleeding is so severe that a blood transfusion is needed, and surgery may be needed to stop it.

Nosebleed - How It Can Be Stopped?

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
b. Dizziness
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

Hear loss
Tingling or numbness
Fever accompanies with severe headache
Arm or leg weakness
Problems with vision
Difficulty in walking
Becoming unconscious
Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

Vertigo / Dizziness - When To Seek Medical Attention?

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