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

Easy home remedies for sore throat

An itchy, scratchy and burning throat is something we all experience, at least once a year, if not more. Depending on your body's immunity, it occurs more often. While there is good medication to cure the problem, there also exist home remedies which can cure it. Keep a note of these things also to prevent a bad throat.

Fix sore throat with:

1. Salt water gargle - this might not be new to you as it is the first remedy elders in the family advice about - to gargle with salt water. The warm water with salt in it relieves the discomfort in the swollen tissues and pulls the mucous out.

2. Over-the-counter throat lozenges: these are extremely convenient and dependable. On days when the throat won't stop itching and you have a lot of speaking to do, these lozenges help calm the itching. They contain menthol which makes the throat tissues numb. Cough drops and candies ensure constant production of saliva in the mouth. These have choking hazards though, so avoid giving to children.

3. Ginger, clove, tulsi - chewing on pieces of ginger is beneficial. Ginger juice soothes the throat and calms the itching. Especially helpful during the nights, so that one can sleep peacefully. Cloves and tulsi leaves when chewed individually also give similar soothing effects to a sore throat.

4. Drink loads of water - it is important to stay hydrated because dehydration leads to decrease in production of mucous and saliva in the mouth. More fluids in the mouth help deal with sore throat better.

5. Warmth of honey - warm tea with honey is an ideal way to soothe the irritated throat. Honey is said to be effective in suppressing coughs. 

6. Avoiding cold drinks - whatever you drink, make sure it is warm or even better, hot. Avoid drinking or eating anything cold as they will only aggravate the condition of the throat.

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Peace with Sore Throat - How Many of These Remedies Do You Already Know?

Vertigo is a feeling that your head or your surrounding is spinning. It is an illusion of movement. People with vertigo cannot bend down to pick up stuff, as they may feel the spinning sensation.
There are two types i.e. objective and subjective. Vertigo is said to objective when the surrounding seems to be spinning; subjective is when the person feels their head is spinning. Vertigo can be slightly mysterious to diagnose. There are, however, some causes which can help you understand it better. There are two main types of vertigo: Central and Peripheral. Central vertigo is when there is an issue in the brain that is causing vertigo. Middle ear problems leading to vertigo is known as peripheral vertigo.

Central vertigo:

Paroxysmal positional vertigo (BPPV): Also known as, Benign paroxysmal positional vertigo (BPPV). These episodes are benign and occur in paroxysms or spurts. The person will feel the attack with simple actions like turning over in bed. They do not last long, often about 20 to 30 seconds.
Migraine: Known for the severe headaches, migraine can also cause vertigo.
Head trauma: This type of vertigo usually subsides with time as the person recovers from trauma.
Neck injuries: Injury to nerves and blood vessels in the neck can also lead to vertigo.
Health conditions: General health issues like arteriosclerosis, multiple sclerosis, and diabetes lead to vertigo.
Stroke or blood flow blockage: When blood does not reach the base of the brain, it can result in vertigo.
Peripheral vertigo:

Middle ear infections: Labyrinthitis (either bacterial or viral) a middle ear infection can cause vertigo. Common viruses include herpes, influenza, measles, rubella, hepatitis, and EBV.
Meniere s disease: Another ear problem causing vertigo is Meniere s disease. This is known for its 3 symptoms   vertigo, ringing in the ears (tinnitus) and hearing loss. This can be caused by various factors, some of which can include ear infections, head injuries, or heredity. The exact cause of the condition is not established clearly.
Acoustic neuroma: A tumor of the nerve tissue in the inner ear may cause vertigo. The person can also have hearing loss and ringing sensation.
Other causes of vertigo include:

Pregnancy: During the first trimester, in particular, the various hormonal changes can cause vertigo. The expanding uterus puts pressure on the blood vessels, leading to reduced blood supply to the brain, which can also induce vertigo. As the baby continues to grow, lying on the back can put pressure on the blood vessels to the heart, causing vertigo.
Stress: It is known to worsen vertigo, which a person may already have. Anxiety and panic attacks are known to worsen vertigo.
Travelers: Be it ship, air, or train, some people experience a spinning sensation with any form of travel.


Vertigo In Adults - Why It Happens?

What is Laryngitis?
Inflammation of the larynx, i.e. voice box, is referred to as laryngitis. Laryngitis is caused by infection   viral, bacterial or fungal. Overuse of the voice, allergies, acid reflux disease, smoking and alcohol intake are some other causes. Laryngitis can be acute or chronic. Short term laryngitis of less than 3 weeks  duration is termed as acute laryngitis. Laryngitis which has lasted more than 3 weeks is termed long term or chronic laryngitis.

Symptoms of Laryngitis:
A major symptom of laryngitis is hoarseness of the voice. Other symptoms are dry/sore/raw throat, cough, difficulty swallowing, need to repeatedly clear the throat.

Homeopathic Treatment of Laryngitis:
Homeopathic medicines can treat laryngitis wonderfully well. Both acute and chronic laryngitis can be effectively treated under the Homeopathic system of medicine. The Homeopathic prescription for laryngitis varies from case to case as per the individual symptom presentation. Homeopathic medicines are natural and safe from adverse side effects. These medicines set off the body s own restorative processes to enable it to fight off the disease and heal itself. Here is a list of the top homeopathic medicines prescribed for laryngitis.

Argentum Met and Arum Triphyllum: These medicines are used for treating laryngitis, which occurs because of voice overuse. Argentum met is used when the symptoms include hoarseness of voice, and a sore feeling in the larynx. It is also used in cases of complete loss of voice, which is common among singers and public speakers. Hawking is likely, and viscid mucus discharge is indicated. Arum Triphyllum is also used for treating laryngitis occurring due to excessive voice use. This medicine is best for patients whose voice become uncontrollable and uncertain. Apart from a burning sensation, pain in the larynx when clearing the throat is also likely.
Phosphorus: This homeopathic medicine is used for treating laryngitis accompanied by violent tickling in the larynx, which leads to coughing. The cough worsens with talking and reading. Voice hoarseness is also indicated, which worsens at night.
Drosera: This homeopathic medicine is used when laryngitis is accompanied by dry and irritating cough. A rough, scraping sensation is experienced in the throat, and voice hoarseness is indicated.
Acusticamente: This medicine is used for treating laryngitis, which occurs due to exposure to cold air. The larynx becomes inflamed after being exposed to cold, and voice hoarseness is likely to occur.
Belladonna and Lodum: These are effective homeopathic medicines for laryngitis in which voice hoarseness is accompanied by larynx pain. Belladonna is used when the larynx gets sore and painful, the throat turns red, and there is difficulty in swallowing food. A lump like sensation, and a constrict feeling may be experienced in the throat. Iodum is used when a rough, burning pain in the throat is experienced along with hoarseness and roughness of voice. Cough is also indicated, which results in gasping due to extreme pain.
Calcarea Carb and Carbo Veg: These are effective homeopathic medicines used for treating laryngitis, when the symptoms include painless voice hoarseness. Hawking of mucus is also likely to occur in cases when Calcarea Carb is prescribed. Carbo Veg is prescribed when itching in the larynx is experienced along with voice hoarseness.

It is recommended for you to consult a homeopathic practitioner before taking homeopathic medicines for treating laryngitis.  


Best 6 Homeopathic Medicines For Laryngitis or Hoarseness Problem

Pilonidal Sinus/ Cyst is Characterized By 
   Small nodular swelling in the lower spinal region with occasional discharges that may stain undergarments. Sometimes mild pain may also be noticed. 
   It is usually seen in adults of college/ school going age & with hairy skin. 

Pilonidal Sinus/ Cyst seldom heal with medicinal treatment. Any medication whether allopathic, Ayurvedic or homeopathic may show some temporary relief but do not eradicate the problem. In most of the patients having pilonidal sinus/ cyst, surgeons usually recommend surgical procedures like Z-plasty etc. Even after surgery the chances of recurrences are always there. Post operative pain, hospitalization and chances of recurrence are the factors which suggest that surgery is not the appropriate method of treating pilonidal sinus/ cyst. 

TREATMENT OF CHOICE (AYURVEDA) - 
In Ayurveda, a parasurgical treatment known as Ksharsutra therapy is an effective treatment for pilonidal sinus/ cyst. Treatment method includes proper identification of sinus tract wrt. to its depth, direction and branching pattern. This could be achieved via sinogram or skilled probing. Once the sinus tract has been properly identified, a super specialized medicated thread i.e. Graded ksharsutra  is placed in the tract. The medicine from the medicated thread is gradually released which leads to debridement of the sinus tract which means unhealthy tissue, pus, hairs are expelled out from the tract. The proper and complete debridement of the tract induces healing of the sinus which subsequently heals. The medicine coated thread remains effective for 7-10 days after which it has to be replaced by a new thread. 

Usually, in a sinus of approx. 5 cm length, 6-8 sittings of medicated thread replacement are required at a weekly interval. Ksharsutra therapy being a non surgical opd procedure doesn't involve any hospitalization or bed rest and patients can resume their routine work immediately after treatment. Graded ksharsutra  treatment is the treatment of choice for Pilonidal Sinus as chances of recurrence are seldom seen. The facility of Graded ksharasutra  is available only at Sushruta Anorectal Institute. 

Pilonidal Sinus/ Cyst Treatment FAQs 

Question 1 - What is Pilonidal Sinus/ Cyst Disease? 

Answer - Pilonidal Sinus disease is seen as a small nodular swelling in the lower spinal region with occasional discharges of pus & blood. It is most commonly found in people with hairy skin. Some times mild pain may also be noticed. The main problem is that it keeps on developing again and again after short period of remission. As the problem aggravates, the size of the swelling & pus discharges also increase. It is usually not noticeable in the beginning till it keeps recurring again and again. It is advisable not to get it operated as the chances of recurrence after surgery are pretty high, where as in Ayurveda with the help of Graded ksharsutra , this problem can be completely cured without surgery. *(There is no guarantee of specific results and the results can vary.) 

Question 2 - What are the Causes of Pilonidal Sinus Disease? 

Answer -Pilonidal sinus is also known as the jeep riders back problem. The problem was first recorded on a large scale during world war II in the soldiers who rode jeeps and motorbikes on a frequent basis. Though, the reason behind the occurrence of the issue is really not known it is believed that in growing hairs and hairs penetrating the skin are main cause. The problem is more common in people who have hairy skin. Home remedies for Pilonidal Sinus? Answer - Pilonidal Sinus is an infective condition usually seen in hairy skin individuals. As such there is no home remedy for Pilonidal Sinus. So instead of wasting time in searching for home remedies; you should plan for complete treatment i.e. Ksharsutra Treatment for Pilonidal Sinus as soon as possible. 

Question 3 - What are the ways of identifying a Pilonidal Sinus and Recognizing Signs of Infection? 

Answer -The main problem with identifying Pilonidal Sinus Infection is; it cannot be done till it grows to a certain extent. At first, it appears like a normal boil on the skin. When it does not go away with time; pus starts discharging out of it. We have demarcated a few of the signs that may help you in detecting the problem. 

Sensation of pain while sitting or standing in the low back region. 
The cyst appears swollen 
Pus and blood mixed watery discharge from the cyst 
eddened skin near the cyst 
Cyst forming again and again

Pilonidal Sinus - Say No to Surgery!

The inflammatory condition of your sinuses (marked by inflammation of your nasal cavities) caused due to viral, bacterial or fungal infection; any autoimmune disorders or allergic reaction is known as sinusitis. This condition is also referred to as 'rhinosinusitis' as nose inflammation occurs. Sinusitis can be either acute, sub-acute or chronic in nature. Acute sinusitis is generally caused due to the common cold and lasts not more than four weeks. Sub-acute sinusitis is more prolonged in nature and lasts for about eight weeks. Chronic sinusitis is more severe in nature and can last for up to twelve weeks or even more.

The most common symptoms of sinusitis are as follows: 

Severe headache
Nose blockage
Release of yellowish green fluids from your nose.
Fever
Difficulty in breathing
Painful sensation in your eyes, ears and forehead.
Post nasal discharge
Frequent cough
A sore throat
Nausea
Body fatigue
Neck stiffness
Tastelessness and anosmia (loss of smell)
The treatment methods available for sinusitis are as follows:

Intake of painkillers like paracetamol can give you temporary relief from your aches. But consuming too much of these can cause side effects such as loss of appetite and drowsiness.
Keep yourself hydrated by drinking about 2 to 3 liters of water every day and take proper rest.
Steam inhalation can give you relief from nasal congestion.
Using nasal sprays like Oxymetazoline can also give you temporary relief.
Your doctor may advise you antibiotics like Amoxicillin in your sinusitis is chronic in nature.
Immunotherapy helps to treat sinusitis if your sinusitis is caused due to allergic reactions.
Your doctor may also recommend an endoscopic surgery of the sinus if your condition is found to be very severe.

Symptoms and Treatment of Sinusitis

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