Treatment of Nasal Disorders
Nosebleed (Epistaxis) Treatment
Salivary Gland Surgery
Reconstructive Middle Ear Surgery
Microsurgery Of The Larynx
Revision Ear Surgery
Revision Ear Surgeries
Scar Revision Surgery
Reconstructive Surgery Procedures
Pure Tone Audiometry
Canalith Repositioning (Cr) Procedure
Cysts Removal Procedure
Transcutaneous Electrical Nerve Stimulation (Tens)
Laser Surgeries For Head And Neck Lesions
Treatment for Laryngotracheal Anomalies
Ear Micro Surgery
Micro Laryngeal Surgery
Submit a review for Dr Anup Sabherwal ENT ClinicYour feedback matters!
Nose bleeding happens because of presence of large amount of blood vessels in the nose and the reasons for nose bleeding are often nose picking, low levels of Vitamin K, cold and allergies and nose membrane getting dry along with so many other reasons. But there are ways with the help of which it can be prevented and stopped.
Let's first learn how it can be instantly stopped.
- Sit comfortably: When your nose starts bleeding, you should sit in a comfortable position. Do not stand or lie down because in these positions, blood may pass on to your throat which could be harmful. Tilt your face forward and let a piece of cloth soak in all the blood.
- Hold the nose: During nose bleeding, one should hold and pinch the nose for at least 10 minutes continuously. If it still doesn't stop bleeding then hold it for 5-7 minutes more. Holding or pinching the nose is necessary because bleeding can stop if direct pressure is put on nose for a longer time.
- Apply ice: Applying ice can be a great way of instantly stopping nose bleeding. Ice usually compresses and tightens the blood vessels because of which bleeding stops. Ice should preferably be applied on cheeks and nose. Alternatively, you can keep the ice in your mouth also for short intervals.
Nose bleeding can be prevented by taking the following measures :
- Elevate the nose while resting. Take 2-3 pillows while sleeping.
- Do not blow or scratch your nose forcefully.
- Keep your blood pressure in control because it will help in preventing nose-bleeding to a great extent.
- Avoid smoking because it delays the healing process.
- Make sure the room you sleep in isn?t dry. Keep a check on humidity of your room.
- Need to take special care in winters because the nose membrane gets dry mostly in winters.
- Drink plenty of water and citrus food to keep your nose moist and avoid milk, wheat and fried food.
- Do not overuse cold and allergy medicines.
Tinnitus is a disorder which is characterized by a constant perception of a ringing noise in the ears. This is not the condition in itself, rather it signals some other underlying condition such as an ear injury or age related hearing loss. It is not a serious condition, although the symptoms can worsen with age. If you are affected by this disorder, you might experience or ‘hear’ a constant ringing sensation in the ears, even if there are no external sources of noise. These sounds could range from being a buzzing, ringing, to a hissing sound. This condition has mighty chances of interfering with your daily routine.
It is classified into two types:
- Objective tinnitus: This disorder is caused by muscle contractions or a blood vessel problem.
- Subjective tinnitus: The more commonly occurring type, it is caused by damage to the auditory nerves or regions of the brain that interpret sound.
The causes of this disorder are:
- Exposure to loud noise: If you are exposed to loud noises such as the ones emanating from firearms or heavy machinery over a prolonged period, it can lead to tinnitus.
- Aging: Aging can cause progressive loss of hearing, thus triggering tinnitus.
- Blockage of the ear: There is earwax present in the ears, the function of which is to trap dirt and bacteria. Excessive earwax accumulation leads to loss of hearing, resulting in tinnitus.
- Modifications of the ear bone: Any stiffening of the middle bone in the ear could impair your hearing and result in this condition.
Certain factors such as smoking, age, sex (men are prone to this disorder) and heart related disorders increase the risks of being affected by this condition.
The treatment of this condition begins with the identification of the underlying condition, if any. The various treatment options are –
- Removal of earwax: Excess earwax has gotten rid of which can relieve symptoms of tinnitus.
- Suppression of noise: Certain machines, known as white noise machines, produce random sounds such as the sound of rain or the sounds of waves, thus eliminating the ‘hearing’ of sounds which are common to this condition.
- Medications: Certain medications such as alprazolam and nortriptyline can help reduce the severity of the symptoms. If you wish to discuss about any specific problem, you can consult an ent-specialist.
Benign paroxysmal positional vertigo is among the common causes of vertigo. It is the sudden sensation of the spinning of your head which occurs with the change of position of your head. It is a disorder of the inner ear. It occurs when calcium carbonate crystals accumulate in large numbers in any one of the ear canals and stimulate abnormal fluid movement in the inner ear. This sends false signals of head movement to the brain. This can also crop up post head injury. Rolling over the bed or quick head movements like when sitting up in bed can also trigger this condition.
The common symptoms of benign paroxysmal positional vertigo are as follows:
Benign paroxysmal positional vertigo may be treated in the following manner:
- Medication to get relief from the spinning of your head.
- Epley's Maneuver involves transportation of the calcium particles to a different part of the ear which will no longer cause any problems.
- Brandt-Daroff exercises.
- Sometimes watchful waiting can help a person to recover without having to undergo any other treatment but it is a long process and often involves risk factors.
- Surgery: This option is used rarely when other treatments fail.
A very important thing to remember is that vertigo can lead to falls and driving should be avoided. The patient will need support during an episode to avoid injuries. If you wish to discuss about any specific problem, you can consult an ENT specialist.
Ear infections are a common ailment that people suffer from during the monsoon season. These can infect any part of the ear including the external ear, middle ear and inner ear.
Symptoms of ear infections:
Whether it is the outer, middle or inner ear, some of the common symptoms affecting users are:
You may feel acute pain in the infected ear.
There may be some discharge from the ears.
Some people also suffer from decreased hearing Acute infection can also cause dizziness.
Along with the ear pain some people may suffer from severe headaches.
In case of children, they may cry and refuse to feed as well as constantly tug their ears.
Fever can also be a sign of ear infection.
It is important to keep things in mind for preventing ear infections:
Keep your ears clean: It is important not to put anything in the ears to clean them- this may cause injuries and infections It is important to clean your outer ears with a clean cloth to avoid a fungal infection while using a hairspray, swimming or if you are out in the rain.
Clean earphones once a week to avoid infections of ear canal
Avoid putting cotton in your ears: Avoid putting cotton swabs in your ears as it can lead to trapping of bacteria within.
Don't ignore a warning sign: If you suffer from any of the symptoms of ear infection it is wise to get tested by an ENT specialist.
An ear infection may need treatments and procedures or in some cases even surgery. The common treatments for ear infections include:
- Cleaning of the Wax: If there is a wax buildup in your ears, which leads to an infection, a professional cleaning may be required by a doctor under a head light with specialized micro instruments.
- Ear Drops: Using ear drops can also dissolve the ear wax and clean out the ear infection.
It usually takes a week to clear out an ear infection, but if still doesn't get better it is advisable to consult a medical practitioner. Sometimes ear infections may also require surgeries like Myringotomy, Tympanoplasty or Mastoidectomy, which can be an OPD procedure or might need a day's stay in the hospital.
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.
The human ear is divided into three parts, namely the outer, middle and inner ear. All these parts function in coherence with each other and help us in converting vibrations into sound and information. The middle ear consists of the air space between the inner ear and the outer ear and contains the bones that transmit the vibrations of the outer ear and translate them into information. This area is prone to infections, especially among children and thus may cause discomfort or pain.
Symptoms of middle ear infections: Middle ear infections primarily tend to manifest themselves as inflammation of the tissues and buildup of fluids. Some of the symptoms are mentioned below.
Infections in children: Middle ear infections primarily occur in children although it can occur in adults as well. Some of the common symptoms could be:
- Ear pain either sitting or standing up and especially while lying down
- Irritability and crying, which in infants could translate to more than usual crying
- Problems with sound and difficulties in hearing
- Fluid buildup causing balance related problems
- Discharge of fluid in certain cases
- Unable to sleep and also loss of appetite
- In some cases children may have high fever
Causes of middle ear infections: The primary cause of middle ear infection is due to the presence of bacteria or virus in the area. The Eustachian tube, which runs from the middle ear to the back of the throat, is connected to nasal passages as well. Any infection that affects the throat or the nose may also affect the middle ear through this tube. Primary causes for the infections could be
- Cold or flu like symptoms, which then infect the middle ear as well
- Otitis media, which is the buildup of fluid and inflammation either due to the presence of bacteria and viruses or even without it
- Seasonal infections, which are common during late autumn or winters
- Air pollution is also known to be a factor
- Infection from others, especially in the case of children when they are part of a group care
- Children from 6 months to 2 years are also susceptible to middle ear infections as their immune systems are much less developed.
Treatment of middle ear infections: Usually, middle ear infections resolve on their own within a day or so. You can try warm compress with a soft piece of cloth to ease the pain. However, if pain persists for too long then antibiotic medications may be required to fight the infection with pain relief medications to lessen the pain and discomfort.