Nosebleed (Epistaxis) Treatment
Reconstructive Middle Ear Surgery
Salivary Gland Surgery
Revision Ear Surgery
Revision Ear Surgeries
Scar Revision Surgery
Reconstructive Surgery Procedures
Pure Tone Audiometry
Cysts Removal Procedure
Dilatation And Curettage (D C) Procedure
Treatment Of Childhood Diabetes
Diabetic Diet Counseling
Egg Donation Procedure
Micro Laryngeal Surgery
Ear Micro Surgery
Earlobe Repairs Procedure
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Dr. Varun Kumar Gupta (Indus Health) provides answers that are caring. Conversation was good but i was casual not professional in conversation casuse by i thought that my friend talking to me, after some time i recognized it's not my friend. Sorry For That. You are Valuable Dr. Thank you.
The body is controlled by chemicals known as hormones. These are produced in minute quantities by minute organs, but have great control on almost all body functions. There are different hormones, each determining different functions like how tall a person will grow, how strong the bones will be, how well a person can react to stress and the reproductive ages. There is also a master gland called the pituitary which is situated somewhere deep in the brain, which controls all these organs. Small variations in the amount of these chemicals in the body produce significant effect on their respective control organ.
Thyroid is one such major gland, which produces a hormone called thyroxine or T4 as it is commonly called. This controls metabolism and emotional health to a large extent. Reduced amounts of T4 is very common in women, and with altered metabolism, there is increased musculoskeletal pain in various joints.
Here are some of the best ways to reduce Joint Pain from Hypothyroidism:
- Step Up to Low-Impact Aerobics: Twenty to 60 minutes of near-daily aerobics — really any exercise that gets your heart pumping — can help speed up your metabolism and counter weight gain, a common hypothyroidism symptom and a contributor to joint pain. But if you have joint or knee pain, choose low-impact aerobics. Swimming is the ideal low-impact aerobic exercise — the water buoys your body and cushions joints.
- Strengthen Your Muscles: Strength- or weight-training exercises build muscle mass, which uses more calories than fat even at rest. That promotes weight loss and can ease the strain on your joints. Stronger muscles also directly help protect nearby joints. For example, strengthening exercises such as squats, lunges, and leg lifts develop the muscles that support the knees. Start slow with 15 repetitions of each exercise. Then build up to three sets of 15 reps each.
- Get Plenty of Sleep: Sleep is the time for muscles and joints to recover. If you're not sleeping well, you are not recovering as fast as you could be. What's more, when you're sleep deprived, you're likely to crave junk and comfort foods that can contribute to weight gain, which adds stress to your joints and increases joint pain. Aim for seven to eight hours of quality sleep each night.
- Stick to a Healthy Diet: Replace the junk food that can lead to weight gain with choices that enhance your health. For example, add fatty fish to your diet. It's a good source of omega-3 fatty acids, known to decrease inflammation, which may be contributing to your muscle and joint pain. Coldwater fatty fish such as salmon, mackerel, and tuna have some the highest amounts of omega-3s. Also be sure to get lots of fresh fruit and vegetables high in antioxidants, which may counter inflammation, too.
- Practice Yoga: Yoga poses are a great way to provide relief for joint pain while also increasing flexibility. For shoulder pain, look for poses that open your chest, like this simple pose: Sit with your feet flat on the floor. As you inhale, stretch your arms over your head. Clasp your hands together over your head and then turn your palms up toward the ceiling. Drop your shoulders and straighten up as if pushing through your head. Hold for 30 seconds. Release your hands, bringing them down behind you. Next, clasp your hands behind your back and lift your arms. Hold for another 30 seconds.
- Don't Let Fatigue Win: Fatigue is one of the most common hypothyroidism symptoms. Even though you might feel listless, you'll benefit from exercise because it will rev your metabolism and help you maintain flexibility despite muscle and joint pain. If you're too exhausted to complete a full exercise routine, break it up into several short bouts — even 10 minutes done three times a day will be effective. Also, stretching and relaxation exercises within two hours of bedtime may help you sleep better.
- Meditate for Stress Relief: Having a chronic condition such as hypothyroidism can be stressful, and that stress can actually contribute to pain and tension. That's why it's important to find ways to reduce stress, such as the practice of mindfulness meditation. This form of meditation teaches you how to distract yourself from what's bothering you by refocusing your attention, often on your own breathing.
Thyroid hormones help all your organs work well. They control how your body uses food for energy.
What Do Thyroids Do
Thyroid hormones affect your metabolism rate, which means how fast or slow your brain, heart, muscles, liver, and other parts of your body work. If your body works too fast or too slowly, you won’t feel well. For example, if you don’t have enough thyroid hormone, you might feel tired and cold. Or, if you have too much thyroid hormone, you might feel nervous, jumpy, and warm.
What hormones does my thyroid gland produce?
The thyroid gland produces thyroxine (T4), which is a relatively inactive prohormone and lower amounts of the active hormone, triiodothyronine (T3). Collectively, T3 and T4 are referred to as the thyroid hormones. Twenty percent of the body’s triiodothyronine is made by the thyroid gland; the other 80% comes from thyroxine converted by organs such as the liver or kidneys.
The thyroid gland also produces calcitonin from cells called C-cells. Calcitonin is understood to play a role in regulating calcium levels in the body, but its exact function in humans remains unclear. Thyroid hormone is one such chemical which has effect on all organs of the body including the joints. Vague pains may be due to thyroid disorders. They are easy to manage with treatment. If you wish to discuss about any specific problem, you can consult an endocrinologist.
Nosebleed is a condition wherein blood vessels burst in the nasal lining. Nosebleeds are fairly common and it is rarely a serious condition.
- Anterior nosebleed: It is caused by the eruption of a blood vessel at the tip of the nose. Anterior nosebleeds are generally easy to control by yourself or by a doctor.
- Posterior nosebleed: It is a rare type of nosebleed. Posterior nosebleed mostly occurs in older people. It occurs when an artery bursts behind the nose, which causes the blood to flow down the throat. Posterior nosebleeds are, thus, dangerous, and they need immediate medical attention.
- There are numerous causes of nosebleeds. The most common cause of nosebleeds is dry air. Dry climates dehydrate the nasal membranes (internal nasal tissues). This dryness leads to crusting which can cause irritation or itching.
- Also, if you pick or scratch your nose too much, it can start to bleed.
- Decongestants for allergies, sinus infection or cold and antihistamines can make the nasal membranes dry and cause nosebleeds as well.
Some other causes of nosebleeds include:
- Some sort of foreign object stuck in the nasal cavity
- Allergic reactions
- Repeated sneezing
- Nose injuries (For example, car accidents, a punch to the face, etc.)
- Chemical irritants
- Cold air
- Respiratory Infection
- Consuming high doses of aspirin-high dosage thins the blood down, thus triggering nosebleeds
There are other rarer causes as well, such as:
- High blood pressure
- Bleeding disorder
- Blood clotting problems
Treatment: A nosebleed can easily be treated at home. While in a sitting position, close your nostril by squeezing the soft part of your nose. Hold your nose for ten minutes, then lean slightly forward. Inhale and exhale slowly using your mouth.
Never lie down when you are trying to stop a nosebleed, as you will end up swallowing the blood which can upset your stomach. Remove your hand from your nose after 10 minutes and check if the bleeding has stopped. If it has not, repeat the steps all over again.
However, consult a doctor if the bleeding does not stop or if there is a foreign object stuck in your nose.
If you wish to discuss about any specific problem, you can consult a doctor.
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.
- Difficulty in breathing
- Painful sensation in your eyes, ears and forehead.
- Post nasal discharge
- Frequent cough
- A sore throat
- 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.
When you are suffering from Diabetes, your first concern would be is to keep your sugar level in check. For this, you need to measure your dietary needs and keep your sugar level in control. Carbohydrates are the main source of sugar in your body. While making your diet chart, make sure that you do include carbohydrates, but only those which would not tamper with your sugar levels randomly. There are certain foods which would shoot up your sugar level to an undesired amount. This would in turn cause various other health problems. The question that arises here is, how would you distinguish between good carbohydrates and bad carbohydrates for your body? Well, the easiest way to differentiate is the use of Glycemic Index (GI).
What is Glycemic Index (GI)?
Glycemic index is a measurement of how soon the body changes carbohydrate foods into glucose. It is usually mentioned in the nutritional information segment behind every packaged food. This would help you to understand whether it can be consumed by you or not, keeping in mind your stage of diabetes and other dietary restrictions that your medical practitioner might have asked you to follow. The lower the number is, say fifty and lower, then it is usually safe for consumption as it takes a long time to convert to glucose. But, if the food has a higher number, say, seventy and above, then it becomes difficult for you consume it as it can harm your body. A Glycemic index is important information that you need to check before buying your food in case you suffer from diabetes.
The index can change from individual to individual:
This is an interesting yet unnerving fact that the index may change from person to person. The statistics mentioned on the packaging is just a starting point. Depending on how the food item is later cooked and what ingredients go into it, the Glycemic index may go down or go up. Some of the important factors for the changing index are the time the food is eaten, the way it is prepared as well as other foods that are consumed along with it. Foods break down into chemical compounds within our body. So, it is nothing but a chemical reaction which might increase or decrease depending upon the other variables.
Thus, these are some essential facts that you need to know about the Glycemic index. It is important to check GI, even at a base level, before purchasing your food; so that later on it does not create an imbalance in your diet schedule.
If you hear a constant ringing in your ears without any external stimulus, it is called tinnitus. The sound can also manifest as incessant roaring, hissing, buzzing or clicking. The sound can be loud or soft, low or high pitched. Tinnitus can occur in one ear, or both the ears.
Tinnitus is primarily of two types:
- Subjective tinnitus: This type of tinnitus is very common. In this type, only you are able to hear the ringing, or buzzing. The main cause of subjective tinnitus is ear problems, especially in the inner, middle and outer ear. Problems in the auditory nerves (hearing) or auditory pathways (the part in your brain that changes nerve signals into sound) can also cause subjective tinnitus.
- Objective tinnitus: In this type of tinnitus, the doctor can also hear the sound when he/she performs an examination. This type of tinnitus is rare. Muscles contractions, problems in the blood vessels or conditions in the middle ear bone can cause objective tinnitus.
Tinnitus is not a condition; it is more of a symptom of some other underlying medical condition. Tinnitus can be caused by any of the following complications-
- Hearing loss (This happens mostly among older people)
- Loud noises
- Sinus and ear infections
- Blood vessel or heart problems
- Meniere's disease (The inner ear is affected by unknown causes which lead to deafness)
- Brain tumours
- Hormonal changes (This happens mostly to women)
- Thyroid problem
- Certain medications (antibiotics, cancer medicines, diuretics, quinine medication, some types of antidepressants, aspirin)
The symptoms of tinnitus include
- You hear noises that no one else will be able to hear
- The sound can be depicted as chirping, whistling, screeching, clicking, static, hissing, buzzing, roaring, pulsing, musical or whooshing.
- The sounds can vary greatly in volume and it is most prominent at night or when your surroundings are quiet
- Loss of hearing commonly follows tinnitus.
Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.
Some of the possible causes of sleep apnea are as follows:
- Blockage of airway during sleep can cause sleep apnea
- Putting on weight can cause obstructive sleep apnea
- In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
- Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
- Male people are more prone to sleep apnea
- Smoking is also a potent trigger for sleep apnea
- At times, high blood pressure can induce sleep apnea
- Suffering from sinus can also lead to sleep apnea
- Large neck size (more than 16 inches) may cause sleep apnea
In case of some people, sleep apnea might be an inherited condition.
The most common symptoms of sleep apnea are mentioned below:
- Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
- You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
- Maximum times, sleep apnea is accompanied by snoring.
- Sleep apnea leads to a dry mouth, which can disturb your sleep.
- You may feel dizzy during daytime.
I had loose stools after taking some tabs for more than 3 months which resulted in a leaky gut followed and hypothyroidism followed a year ago. After hypothyroidism being diagnosed I started taking curds regularly and now I don't have stools. My doubt is if my leaky gut is now fixed can I cure my hypothyroidism? And if it was by leaky gut it would be immune attack on thyroid. So will my immune system stop attacking my thyroid now that my leaky gut is fixed? I feel gut is normal now because stools are normal and I'm taking curds first in the morning from one year.
Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.
The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.
Treatment of sleep apnea includes:
- CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
- BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
- ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
- Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
- Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
- Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
- Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful. If you wish to discuss about any specific problem, you can consult a doctor.
While most noise is just in the background for us, loud noises, either in small spurts or prolonged exposure, can cause hearing loss. This has been happening more frequently as the levels of noise in an industrialized society go further up.
Noise induced hearing loss explained
Loud noises may damage the sensitive structure of your ear, which process the sound waves into information. They eventually become nonfunctional, resulting in a loss of hearing in that range. If exposure to loud noises continues, then this might extend to the entire range of hearing and may cause total hearing loss.
What may cause noise induced hearing loss?
Some of the scenarios which may cause noise induced hearing loss are as follows:
1. Listening to music on high volume: If you constantly listen to music or watch movies at your home on very loud levels, then it may result in noise induced hearing loss. In fact, listening to music or watching movies with headphones in your ears is one of the leading causes for hearing loss. Headphones have deceptively loud levels and may result in damaged hearing overtime.
2. Noise of household tools: Household tools such as drills, mixers, grinders, mowers, and saws can expose you to loud levels of noise. Even a quick exposure for a few seconds could temporarily damage your hearing.
3. Occupational problems: Occupations such as construction, factory work and military that require the use of power tools on a constant basis can also cause hearing loss. The sound from the resulting friction might damage your hearing very quickly. Explosions and impacts are also causes of hearing loss in the military and law enforcement departments.
Prevention and treatment
Treatment: It is difficult to treat hearing loss as in most cases; it may be permanent, except sudden shocks, when your hearing might come back to normal. The only treatments for hearing loss are hearing aids or cochlear implants which can restore hearing partially.
Prevention: Prevention is the best method to avoid hearing loss and in most cases, you should wear ear protection such as mufflers or sound level reduction devices to protect your hearing. Also, practice listening to music, watching TV or movies at lower levels, especially if you are on the headphones. If you wish to discuss about any specific problem, you can consult a ent-specialist.