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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
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My age is 23, I have sinus problem, my 50% hairs are greyed out, so I use Loreal colour and I am facing hair loss problem, can you please provide me a solution?
I am suffering from some fungal disease two side of face, and some time inside/outside of ear, I am using canded b cream, it gives temporary relief, but after a week prblem starts again, what I should do?
Hi. I am feeling sick every month. It starts with a sore throat and then fever. And finally it will end with cough. I am experiencing this very often. Google is not helpful I'm getting scared. With the recent conditions of our state with all the viruses spreading I need clarification on this. Please help me.
Hello Mam Good evening Mam mere gale me last 3.mahene se khraas ho rahi hai aur ab saans lene me dokkat ho rahi hai Kabhi 2 to right gaal aur gale me dard rahta hai jo kabhi kaan ke pass bhi chala jata hai aur balgam bhi pani jesa aaraha hai o bhi bahut kam Meri age 36 year hai Pls help me.
I have snoring problem what should I do, any tablet suggest, what kind of food avoiding I will follow.
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.
Hi Doctor, I have sore throat and also pain in my tonsils. Facing difficulties in eating and drinking. My problem persisting for last 5-6 days. And at evening it is very painful Kindly suggest.
I am 22 yrs old. I have some problem in throat. After every 15 days there is irritation in throat and feels like infection. please suggests me how to get rid of this problem.
I am 25 years old. I suffer from allergic rhinitis. I also have asthma. I have blockage in my left nostril due to which I have trouble breathing. Should I go for surgically removing the blockage in my nose?
My father is suffering from throat cancer (swelling) he is not able to eat anything and liquid item also , his age is 82 kindly help me, what kind of treatment we can fallow, which juice helps to improve his health?
From November onwards as the winter approaches my nose start blocking. As the atmospheric temperature reduces further in the month of December and January the blockage problem increases and this continues up-to Feb. The nose starts unblocking as the summer approaches. The nose does not block in AC even at 25 c in summer. There is no deformity in the bones of nose. I have to use Nasivion nasal drops in the winter. But Nasivion is temporary solution. Please suggest the suitable medication I also inhale steam in winter but that too provides relief for short time.
I have a problem in throat and joint of middle of chest and stomoch. I have pain in right side of chest cough or else what I do?
I have throat pain from four days. And my eyes are also having some pain why does all it happen? Give me some suggestions to cure all these.
If a person is hiv positive if he take treatment will he clear the disease n become a hiv negative patient again. If not possible how many ears he can live. What are the secret ways n cost for treatment.
Gud morning sir/madam I have a thyroid and I having eltroxin 100 mg regularly some times I forget to take medicine. Recently days in morning time when I woke up and having water to drink I had a pain in neck like its blocked.
Sinusitis: Management and Prevention
Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which
Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:
New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
● toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.
Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● facial pain or pressure
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria
A. Multiplication of bacteria
B. Secondary bacterial infection
Other predisposing factors
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).
Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis
Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.
Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%
● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,
Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of
● antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the
Costlier second-line agents.
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis