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!

Tinnitus is when you think that there is noise when there really is no sound. It is very common and is not very serious either. It affects about 1/5th of the population. It is worth note that tinnitus is not a condition. Instead, it is a symptom of having a condition. These conditions range from hearing loss, an ear injury or even a circulatory system disorder. Even though tinnitus does worsen with age however it can also improve with treatment. If you know the cause of tinnitus, it does help treat it. Here is everything you need to know about tinnitus.

Symptoms of Tinnitus
As mentioned earlier, tinnitus is a ringing, hissing, clicking or buzzing sound which only you can hear and no one else.

Causes of Tinnitus
There are many common causes of tinnitus including:
1. Age-related hearing loss: Tinnitus is commonly caused due to hearing loss.
2. Meniere's disease: Meniere's disease is a type of inner ear disorder. It is when there are abnormalities in the fluid pressure of your inner ear.
3. Medications: Many medications have a side effect of tinnitus as well including certain antibiotics, antidepressants, cancer medications and even aspirin.
4. Loud noise exposure: Exposure to loud noise once in a while will not cause tinnitus. However, constant exposure to loud noise might cause tinnitus.
5. Changes in the shape of your ear bone: Otosclerosis is an abnormal bone growth which results in the bones in your middle ear stiffening.
6. Acoustic neuroma: There is a nerve, which goes from the brain straight to the inner ear. When this nerve develops a tumor, it is known as acoustic neuroma which is a common cause of tinnitus.

Treatment of Tinnitus
Tinnitus can be only be stopped if the underlying condition is treated. However, there are certain electronic devices, which help suppress the noise including:
1. Hearing aids: Hearing aids are already helpful for people who have hearing loss; however they can also help reduce tinnitus.
2. Masking device: Wearing a masking device which continuously emits a low-level noise helps stop the buzzing, clicking, hissing or ringing sound which comes with tinnitus.

Causes and Treatment of Tinnitus

Sinusitis is an inflammatory condition which causes swelling of the tissue lining the sinus passages. The healthy sinisuses are filled with air, but when there is a blockage, they get filled with fluids which can give rise to germs and cause an infection. Conditions such as the common cold, allergic rhinitis (swelling of the lining of the nose) and a deviated septum (shift of the nasal cavity) can cause sinusitis. People with nasal polyps and blocked drainage ducts are more prone to getting sinusitis as compared to other people. The main treatment for sinusitis is surgery.

Sinusitis Surgery
Surgery is the most effective treatment for this condition as it makes the sinuses drain by getting rid of the blockage and draining out the mucus. Surgery also removes infected, swollen and damaged tissues in the sinus along with polyps present in the nose or the sinus. If any foreign substances are obstructing the nasal passage, they are removed as well. Surgery, sometimes, is the only way of getting rid of a nose which is badly blocked. In severe conditions, people might also require a second surgery. Surgery, when coupled with medication, is more effective in treating this condition as antibiotics might be required to prevent the sinus from getting re-infected.

There are two types of sinusitis surgeries people can avail:

Endoscopic surgery: This surgery removes small bones and other foreign substances blocking the sinus passage or is used for removing polyps. A thin tool called the endoscope is inserted into the nose with the help of which, the doctor gets rid of substances which are blocking the sinus passage.
Sinus surgery: This is carried out in conditions when there are developments like pus and infections in the facial bones or in case of a brain abscess (inflammation caused due to infection within the tissues of the brain). In this kind of surgery, the doctor uses the opening in the mouth or makes another one through the skin of the face to remove the blockage from the sinus and get rid of sinusitis.

Suffering from Sinusitis? Can Surgery Be Helpful?

Vertigo is marked by a feeling of dizziness and disorientation. This feeling could be so bad that even standing up makes a person feel lightheaded. Vertigo can even make a person feel nauseous. 

The five most common causes of vertigo are:

Meniere s disease: Meniere s disease is a condition that affects the inner ear. It is marked by a buildup of fluid in the inner ear as a result of a viral infection, allergies or an injury to the ear. Along with dizziness, it can also cause a ringing noise in the ears, the feeling of having plugged ears and hearing loss. Vertigo caused by Meniere s disease can last for months.
Benign Paroxysmal Positional Vertigo (BPPV): This is one of the most common triggers of vertigo. This condition is caused by small crystals that break free and float in the inner ear canals. These canals are known as semicircular canals. Vertigo caused by BPPV is usually short-lived and relieves itself is a few minutes. Moving the head in a certain way or jerky movements can trigger vertigo in such cases. The exact cause of this condition is not clear but it has been often associated with severe head trauma.
Labyrinthitis: This condition is also known as vestibular neuritis. It is marked by swelling and irritation of the two vestibular nerves in the inner ear canal. Labyrinthitis may be caused by a viral infection or an inner ear infection. In such cases, vertigo may be accompanied by hearing loss. Older adults are at the highest risk of this condition.
Vitamin B12 Deficiency: A simple vitamin deficiency can also cause vertigo and dizziness. Vitamin B12 helps prevent anaemia and keeps nerves and blood cells healthy. Low levels of this vitamin can cause neurological problems that in turn cause vertigo. This is because vitamin deficiencies reduce blood pressure and blood flow to the brain. A simple blood test can help check Vitamin B1 levels and identify a deficiency. Some of the best sources of vitamin B12 are dairy products, meats and fortified cereals.
Dehydration: 60% of the human body mass is water. Water plays a number of roles in the human body. One of the most important functions of water is the circulation of nutrients in the body and blood flow. Thus, even mild dehydration can make a person feel dizzy and nauseous. This type of vertigo may be relieved by drinking copious amounts of fluids. 

Vertigo - 5 Most Common Problems That Can Lead To It!

Are you feeling lightheaded, unbalanced or woozy lately? Are you having strange sensations in the ears and eyes? These indicate that you are suffering from dizziness, a condition affecting the body s sensory organs. It can cause fainting at times as well. It is not a disease, but a symptom of several disorders. Dizziness is caused by inner ear disturbances, effects of medication, motion sickness and underlying health conditions, such as poor blood circulation, infections or injuries.

Test and diagnosis
If you feel dizzy for a prolonged period of time or if the dizziness occurs and reoccurs, a special treatment is required. This is because dizziness may make you prone to several risks in everyday life. Several tests are carried out to find out the cause of the dizziness. If a stroke is suspected, an MRI scan or CT scan is carried out. A physical examination is undertaken in which the way you walk and balance are observed and the nerves of the central nervous system are checked. Hearing and balance tests may also be required, which are as follows:

Eye movement testing in which the path of the eyes is observed while tracking an object in motion. An eye motion test may be given where cold and warm water is placed in the ear canal.
Head movement tests are carried out when benign paroxysmal positional vertigo is suspected.
Treatment
Treatment of dizziness includes medicines, therapies and balance exercises.

Medicines

Water pills are prescribed when a patient has Meniere s disease, which helps in reducing dizziness.
Antihistamines provide temporary relief from dizziness.
Therapy

Head position maneuvers: A technique known as canalith repositioning helps in resolving dizziness quickly. It can be performed by a doctor, therapist or audiologist. The position of the head is maneuvered in the process.
Balance therapy: Several exercises help in making the body s balance system lesser sensitive to motion. This technique, known as vestibular rehabilitation, is used for people suffering from dizziness due to inner ear conditions.
Psychotherapy: This therapy may be used for patients who experience dizziness because of anxiety disorders.
Use of antibiotics: An antibiotic by the name of gentamicin may be injected in the inner ear for disabling the balance function. The unaffected ear performs that function.
Other procedures: A procedure known as labyrinthectomy may be used for disabling the vestibular labyrinth in the affected ear.
If you experience dizziness continuously, it is important for you to visit an ENT specialist. An ENT specialist deals with problems related to the ear, nose and throat and will be able to provide you with the best diagnosis and treatment for dizziness.

Dizziness - Can it be a Sign of Ear Disturbance?

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!

Don't wait any longer, manage your Otologist/ Neurotologist online with a Lybrate doctor today

Consult for Otologist/ Neurotologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES