Problems that create difficulty in speaking-
I’m an ENT specialist. I served in the army for 15 years, following which I am now in private practice in Vasant Vihar, South Delhi. Today, we will discuss hoarsness, or cracking of the voice or difficulty in speaking.
Hoarseness of the voice quite commonly arises if you have some kind of a vocal strain or a sore throat that has not been adequately treated. Nowadays, we believe that acidity reflux can also cause hoarseness. If your voice has been hoarsed and you are not speaking for more than at least two to three weeks, it is essential for you to have your vocal cords checked and diagnosed because we want to make sure that you are not suffering from any dangerous disease like cancer or some other problem which can spread and which is important for us to treat early.
If you go to the ENT specialist for an appointment, they normally will give a local anaesthetic in your throat and take a detailed look at your vocal cords with scopes which are either 70degreese or a 90-degree radioscopy. Sometimes they will like to do flexible fibre operated laparoscopy which would let them see your vocal cords in great detail. my request to you is hoarseness that is persisting for some time please do not ignore as it could be as serious problem.
As well as health tips are concerned we normally request people to not to speak very loudly not to speak for very long a period at a time. If your throat goes dry while speaking please use some sips or water to moisten your throat. Avoid smoking avoid drinking alcohol and avoid taking chilled water because these can affect your vocal cords in a negative way.
If there is a problem you can get in touch with me via lybrate through the various problems available or call my clinic set up an appointment for us to evaluate you and find out your cause and treat you.
Tips and causes of ear ache-
I’m an ENT specialist. I served in the army for 15 years, following which I am now in private practice in Vasant Vihar, South Delhi. Today, we will discuss about children having pain in the ear.
One of the commonest reason for which the parents take their child to a doctor is for an earache. Earache’s in children is most commonly caused because of cold that has gone out for some time, because in this case fluid or material gets in the middle ear of the children causes pressure upon the eardrum or tympanic membrane and causes pain. Sometimes pain may be because of some infection related to swimming as in a swimmers ear or wax or an external ear infection.
The commonest treatment for this is to start the child on some kind of an anti-histamine micro-lite as well as some nasal spray or drops so that the congestion due to blockage caused by infection should be open up.
Most of the time children will wake up in the night 3 or 4 o clock crying with pain if they have had a cold for some time a pain in the ear is usually relieved by this crying. In these instances, it is better to give the child a simple pain killer or a paracetamol and instil some nasal drops because that will help the child. Try to go to the doctor so that the doctor can determine the cause of the pain and star treatment. I would like to tell you that most often antibiotics are not necessary in these cases but a proper ENT consultation is required so that the child can be diagnosed properly.
Our clinic treats an ear infection in people very very frequently. I will request you to call me or send me a message, in case you have a query otherwise you can get in touch with my clinic staff they will give you an appointment.
Causes and treatments for Epistaxis-
Me Dr Bhardwaj hoon. I’m an ENT specialist. I served in the army for 15 years, following which I am now in private practice in Vasant Vihar, South Delhi. Today, my discussion would be about epistaxis which is nasal bleeding.
Nasal bleeding is one of the most common problems associated with children as well as with elderly people. In children, the cause can be because they insert a foreign body in the nose may be because of an infection, sometimes because they dig their nose and can be also because of a sinus problem. We usually try to find out the cause of this bleeding, we put in a nasal endoscope diagnose the source of the bleeding and we sieve the blood vessels via a procedure called nasal endoscopy and cauterization. This is a safe procedure and well tolerated by children.
In Nasal bleeding, the diagnosis should not be delayed because sometimes there may be a serious cause. In the elderly people because of high blood pressure, because of bleeding problems as well as medicines that they take for heart problems and vascular strands they have more nasal bleeding because their blood has become thinner. In these patients, you should not delay having a diagnosed properly as well as being treated and also try to apply some cold packs near the cheek and around the nose so that the bleeding can stop.
The procedure again will be in the clinic setting, we put a nasal endoscope, we identify the source of the bleeding and then we cauterize with a chemical or with electrical therapy. In children, if they are bleeding at home, the first aid methodology is to pinch their nostril so that with pressure you can stop the bleeding and also try to apply some ice pack around the nose so that the bleeding can stop. It is better to make the child sit up rather than lie down because if the child lies down the blood is likely to trickle down the throat.
For any problem related to nasal bleeding, you are welcome to contact me through lybrate.com on the various platforms that are available including sending me a query.
My clinic is always available to take care of these emergencies and you can get in touch with me through lybrate.com.
Doctor in MedFirst ENT Centre
Cysts Removal Procedure
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Treatment of Sleep Disturbance
Nose Reshaping Procedure
Hearing Testing Techniques
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
Facial Cosmetic Surgery
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I found the answers provided by the Dr. Major Rajesh Kumar Bhardwaj to be very helpful. Thnx for the reply sir
Dr. Major Rajesh Kumar Bhardwaj provides answers that are knowledgeable. Good
he was of great help. highly reccomended
Remember the sensation similar to that of a warm liquid flooding your tongue when you smell a deliciously baked chocolate cake? Or a freshly baked brown bread early in the morning? That is your saliva. The salivary glands present in the inner linings of the lips, cheeks and the mouth produce saliva. Saliva protects one from tooth decay, keeps the mouth moist and helps in the digestive process. Any disease that affects the saliva gland comes under the domain of ‘salivary gland disorders’.
There are three salivary glands in humans known as the Submandibular, Parotid and the Sublingual gland. The most common disorder that affects salivary glands is that of ‘blocked salivary glands’. Sialothiasis is a disorder wherein, calcium stones are formed in the salivary glands, which obstruct these glands. Obstruction of the salivary glands leads to an infection called sialadenitis, caused by strep or staph bacteria.
Sjogren’s syndrome is another condition which affects the salivary glands. In this condition, the antibodies in the body target the cells that produce saliva. This occurs mostly in women who suffer from autoimmune disorders. Viral infections are also common; flu virus and mumps are a few examples.
The symptoms of salivary gland disorders are problem specific; for Sialolithiasis, you will feel a painful lump below the tongue, which tends to aggravate when you eat. In case of Sialadenitis, there will be an odorous pus-filled discharge along with a lump beneath the chin. For viral infections, the symptoms will include muscle pain, swelling and fever. Symptoms of Sjogren’s syndrome are dry eyes and mouth, joint pain, fatigue and tooth decay.
Like the symptoms, the treatments for salivary gland disorders are also problem specific. For salivary gland tumors, surgery is required. If it is a malignant tumor, then radiation therapy will be prescribed which may cause dry mouth syndrome (Xerostomia). For bacterial and viral infections, anti-bacterial and anti-viral medications are required for treatment, respectively. It is also important that you take good care of your oral health for an even more effective treatment. Brushing and flossing your teeth on a regular basis will help keep salivary gland disorders at bay. If you wish to discuss about any specific problem, you can consult an ENT-specialist.
Sinuses are cavities in our skull behind the nose which spread out in a pattern. These cavities are lined with tissues and mucosal membranes and are essential for our breathing process. Sinusitis is a condition where the tissues within the cavities become inflamed which results in the sinus cavities being blocked due to a buildup of fluid.
What are the conditions that can lead to sinusitis?
Some of the conditions that can cause nasal polyps are explained as follows:
- Nasal polyps are small growths of tissue within the lining of the nose which may block the sinuses, resulting in sinusitis.
- Common cold is also a culprit which may result in sinusitis
- If your septum or the bridge between the holes of the nose is deviated (this condition is referred to as a deviated septum), you may be prone to developing sinusitis.
- The lining of the nose may swell in a condition known as allergic rhinitis and cause sinusitis as well.
Types of sinusitis
There are multiple types of sinusitis which may affect people and also on how long they last. The various types of sinusitis are explained below:
- Acute sinusitis: This is the most common form of sinusitis that lasts usually between 2 to 4 weeks. It starts with a cold, blocked nose and turns into facial pain that usually starts very suddenly.
- Chronic sinusitis: This is a form of sinus infection which can have a debilitating effect on your life and may last for 12 weeks or longer.
- Sub-acute sinusitis: This is somewhere between acute and chronic sinusitis and may last from anywhere between 4 to 12 weeks.
- Recurrent sinusitis: This form of sinus infections tend to be a variation of acute or sub-acute sinusitis which tends to occur multiple times a year.
Symptoms of sinusitis
The manifestation of the symptoms of sinusitis may be different from person to person and also on the type of sinusitis you are suffering from. However, there are some generic symptoms that are common to all forms which are mentioned as follows:
- Smelling senses may be dulled
- Facial pain
- Congestion accompanied by a cough
- Nose may be blocked, stuffy and may also be runny
- Other symptoms may also include bad breath, fatigue, or even dental pain
- Nasal cavity may have pus and it may drain from time to time
It is best to consult a doctor quickly, if you have been having any of these symptoms. The doctor can prescribe nasal decongestants and antibiotics which can help. If you have chronic or recurrent sinusitis, then more aggressive and advanced treatments may be required. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
There are various kinds of nosebleeds 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 nosebleeds. These nosebleeds are usually of two kinds: anterior nosebleeds, and posterior nosebleeds. 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.
- 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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Your hearing is one of the most important function your body carries out and sometimes you realize that you are losing your sense of hearing, when it is too late to get it back. There are two main reasons for this. One of the reason is age and the other is when the inner ear's hair cells break down and do not pick up sound well.
Here are 7 ways to safeguard your hearing:
- Try to avoid loud places: It is not advisable to go to places where you have to shout to be heard, such as in a street, a concert or a construction site.
- Buy low noise rating equipment: The equipments in your house will make sound that you hear the most. Try to avoid these equipments by buying appliances with a low noise rating.
- Wear hearing protection at loud places: However, it is true that it is not always possible to avoid loud noises. This is when you need to get hearing protection. Earplugs and earmuffs are two of the best ways to make sure that even when you are in a loud place, your hearing does not get affected. Earplugs and earmuffs generally reduce sound by 15 to 30 decibels, which may be crucial to make sure that later in your life, you do not lose your hearing.
- Avoid smoke: Smoking raises your chance of hearing loss. Second hand smoke does the same thing. Therefore, try to avoid, both smoking and secondhand smoking.
- Remove earwax properly: Earwax cannot be removed properly using a cotton swab. Instead, you should use an irrigation kit. Remember this as otherwise; the earwax could muffle your hearing.
- Avoid medications which reduce hearing: Certain medications increase hearing loss. Therefore, double check with your doctor to make sure your medicines will not make you lose your hearing.
- Get your hearing tested: Finally, get your hearing tested as identifying the problem early on can help stop worsen the situation. If you wish to discuss about any specific problem, you can consult an ent-specialist.
I hv ear blockage due to wax. Sometimes watery liquid is coming out or my ear. What is the remedy for that?
Are you experiencing severe hearing loss or turning deaf? To get back your normal hearing, you should undertake a cochlear. It is a small device which is planted in your ear via a surgical procedure. It sends impulses to the auditory nerve directly and as a result, sound signals are carried to your brain. Such an implant does not make you hear like normal again, but it helps you with sounds and knowing sounds around you such as telephones, alarms and doorbells.
How Does Cochlear Implant Work?
Cochlear implant is meant for adults and children who have sensorineural hearing loss. This is a condition which damages the tiny hair cells in the inner ear known as the cochlea. Your hearing gets impaired when these are damaged. A cochlear implant sends signals to the auditory nerve directly by skipping the damaged hair cells.
The device has two distinct parts. One part is the receiver-stimulator which is placed under the skin via surgery. The other part is the speech processor, which is worn around the back of the ear like a hearing aid. The outside device is, however, bigger in size than a hearing aid.
The receiver is placed under the skin, behind the ear through a small incision and it gets connected to electrodes. This is put into the cochlea of the inner ear. The surgery takes about some hours to be completed.
Two weeks after the surgery, the speech processor is fitted by the doctor. You will have to wear a microphone behind your ear. The processor can be connected to the microphone and worn around the ear. It can also be worn at any other place of the body, depending on your age and lifestyle.
Advantages of Cochlear Implant-
The major advantages of a cochlear implant are as follows:
You may be able to hear speech at an almost normal level.
You may understand speech without the help of lip reading.
It will be easy for you to talk on the phone and listen to the television.
Your experience of listening to music will improve.
You will be able to pick up different sounds starting from soft, medium to loud sounds.
You can also control your own voice in a better way, which will make it easier for others to understand you.
A cochlear implant can be a life changing device if you suffer from serious hearing loss. The results are not the same for everyone and vary from person to person. Some people may benefit more than others.
We have often noticed outgrowth around the neck in a lot of people. The neck lumps are of varying sizes. While some may be unduly large in size, others range from being moderate to miniscule. Usually, neck lumps do not bode any cancerous development and are benign in most cases. However, certain specific types of neck lumps can often bode serious health impairments. A lot of the neck lumps are painless and do not cause any discomfort to the patient. However, these lumps must not go unattended in either case. Especially if they are cancerous, a speedy detection is expedient to arrest any further damage. The neck lumps stem from a lot reasons.
Some of the most common causes are enlisted below:
- Swollen Lymph nodes: Lymph nodes are spread all over your body. They are often susceptible to infections caused by germ attacks. Infection causing bacteria or viruses often result in the enlargement or swelling in the lymph nodes. This manifests itself as neck lumps, albeit sometimes. This could also arise out of allergic reactions to certain foreign substances.
- Cancer: While a neck lump may not necessarily mean a sign of cancer, some lumps could occur due to tumor formations, which unfortunately indicate a malignant growth. Radioscopy and biopsy are the usual techniques through which the malignancy of the tumors can be detected.
- Thyroid Disease: Some neck lumps occur due to an inflammation in the thyroid glands. On account of certain hormonal imbalances, hyroid glands may swell up leading to neck lumps.
- Mumps: Mumps is a contagious disease that is caused by a viral infection in the respiratory tract. As a consequence, the salivary glands may swell up causing neck lumps. Mumps are very common in children.
- Tumour in the salivary glands: Another common cause of neck lumps are tumours in the salivary glands. On account of a variety of external as well as internal reasons, there may be an abnormal growth in our salivary glands. This leads to lumps in the neck.
The earliest signs of neck lumps should goad you to consult a doctor. While it may not be of alarming nature, to avert any major ailment, it is worthwhile to be cautious beforehand.