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Dr. D.Jijina

ENT Specialist, Delhi

1500 at clinic
Dr. D.Jijina ENT Specialist, Delhi
1500 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. D.Jijina
Dr. D.Jijina is one of the best ENT Specialists in Greater Kailash, Delhi. Doctor is currently associated with Dr. Jijina's ENT Clinic in Greater Kailash, Delhi. Save your time and book an appointment online with Dr. D.Jijina on Lybrate.com.

Lybrate.com has an excellent community of ENT Specialists in India. You will find ENT Specialists with more than 43 years of experience on Lybrate.com. You can find ENT Specialists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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E-24, Masjid Moth, Part-3, Greater Kailash, DelhiDelhi Get Directions
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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?

MD - Homeopathy
Homeopath, Aurangabad
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 pro...
Acid phos 30 take 1 drop 3 times x 7 day above is homeopathic medicine and available in homeopathic store also safe to take and no side effects do not take more days without my consent.
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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?

BHMS
General Physician,
Thanks for question on lybrate, start tab nuforce 150 mg once in week for 4 weeks, if you share pictures of your affected parts of face I can tell you more about this, join my private chat, will discuss.
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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.

DHMS (Hons.)
Homeopath, Patna
Hi. I am feeling sick every month. It starts with a sore throat and then fever. And finally it will end with cough. I...
Hello, lybtate user, You might be suffering from cold allergy with laryngitis. You should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Phytolacca 200-6 pills, twice. @ Baryta carb 30-6 pills,  thrice •report wkly, your feedback matters for further follow up,  please. Tk,  care.
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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.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
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
K...
Take pranacharya kasantak syrup 2-2 tsf in hot water twice a day. Take sitopaladi. Praval and tankan bhasm churna with honey 3-4 times a day. Take ginger black pepper and basil leaves tea. .gargle with hot water (salted) avoid milk. Cold drinks. Take hot water steam.
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I have snoring problem what should I do, any tablet suggest, what kind of food avoiding I will follow.

PDDM, MHA, MBBS
General Physician, Nashik
Clear nasal passages. If you have a stuffy nose, rinse sinuses with saline before bed. Using a Neti pot, nasal decongestant, or nasal strips can also help you breathe more easily while sleeping. If you have allergies, reduce dust mites and pet dander in your bedroom or use an allergy medication. Keep bedroom air moist. Dry air can irritate membranes in the nose and throat, so if swollen nasal tissues are the problem, a humidifier may help. Change your sleeping position. Elevating your head four inches may ease breathing and encourage your tongue and jaw to move forward. There are specially designed pillows available to help prevent snoring by making sure your neck muscles are not crimped. Sleep on your side instead of your back.
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Constant Ringing in Ears - Causes + Treatment

MBBS, MS - ENT
ENT Specialist, Delhi
Constant Ringing in Ears - Causes + Treatment

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:

  1. Objective tinnitus: This disorder is caused by muscle contractions or a blood vessel problem.
  2. 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:

  1. 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.
  2. Aging: Aging can cause progressive loss of hearing, thus triggering tinnitus.
  3. 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.
  4. 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.

Treatment
The treatment of this condition begins with the identification of the underlying condition, if any. The various treatment options are –

  1. Removal of earwax: Excess earwax has gotten rid of which can relieve symptoms of tinnitus.
  2. 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.
  3. 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.
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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.

MS- ENT
ENT Specialist, Jaipur
may be u r suffering from acute tonsillitis. avoid cold n sour stuff. should use proper antibiotics n anticold tablet.
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Having throat pain and headache since past few days what could be the problem please help.

BHMS
Homeopath, Thane
Having throat pain and headache since past few days what could be the problem please help.
Hi, this may be due to stuffed cold which is causing throat pain and headche. Nat suph 30 4pills to be sucked thrice a day for 15 days kali bich 200 4pills to be sucked thrice a day for 15 days take plain water steam once a day avoid eating curd, icecreams, pickles, papad, citrus fruits, watermelon, green skin bananas, pineapple, strawberries, custard apple, guavas. Stop using mosquito repellants.
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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.

BHMS
Homeopath, Faridabad
I am 22 yrs old. I have some problem in throat. After every 15 days  there is irritation in throat and feels like inf...
Hello, First of all, need to improve your immune system! Concentrate more on your diet and lifestyle. So, follow the below points: - Reduce Your Stress. Studies show it can even weaken your immune system. - Build a Strong Social Network. people with healthy relationships are likely to outlive those with poor social links. - Keep a Positive Attitude. Look for the silver lining in difficult situations, and try not to dwell on negative thoughts. - Have a Laugh. - Eat Your Antioxidants. A diet rich in fruits and vegetables can help you get a healthy dose of antioxidants. These substances found in foods help protect your cells from free radicals, molecules that can damage cells. - Avoid Empty Calories. Processed treats like fast foods, snack foods, candy, and soda don't provide much in the way of vitamins, fiber, or other nutrients. - Consider Herbs and Supplements. These include garlic, ginseng, milk thistle, and probiotics like lactobacillus and bifidobacterium. - Keep Your Body Moving. Exercise is a simple way to strengthen your immune system. Any type of movement can help, whether you ride a bike, walk, do yoga, swim, or even play golf. - Get a Good Night's Sleep. Most adults need about 7 to 9 hours of sleep each night. Keep a regular schedule, get some exercise, avoid caffeine and alcohol close to bedtime, relax before bedtime, and keep your bedroom cool. - Limit Alcohol. - Kick the Nicotine Habit. - Wash Your Hands. Take homoeopathic medicines - Alfa - WD/ twice daily for 1month which will improve your immunity and revert me back thereafter. For acute condition of throat - take Biocombination-6 and Eupatorium Perf. 200 - both thrice daily for 1 week. Take care.
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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?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
In allergic rhinitis, any type of operation will fail. Try to identify allergy causing allergens and get immunotherapy.
2 people found this helpful
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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?

MBBS, ANMA
General Physician, Gurgaon
I am sorry to hear that, You can give different variety of juices and also include some kind of Whey Protein powder in the juices that will give him more energy.
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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?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Take argentum metallivum 30 1 dose / buy german medicine take clove in mouth. Report me after 3 weeks.
1 person found this helpful
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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.

MD - Homeopathy, BHMS
Homeopath, Yamunanagar
I have throat pain from four days. And my eyes are also having some pain why does all it happen? Give me some suggest...
It happens due to infection, viral or bacterial. Gargling with warm salt water, drink warm fluids, such as teas, soup, and water. Avoiding allergens and irritants, such as smoke and chemicals. If still symptoms persists then consult a doctor.
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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.

PDDM, MHA, MBBS
General Physician, Nashik
If a person is hiv positive if he take treatment will he clear the disease n become a hiv negative patient again. If ...
Hiv cannot be cured but treatment can prolong life. Life expectancy depends on treatment and time of diagnosis. Anti retroviral therapy is provided by government.
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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.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Take diet in hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and control weight also.
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Sinusitis: Management and Prevention

MBBS, Diploma in Diabetology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

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
● headache
● 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
● cough
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● fever
● facial pain or pressure
● headache
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
● 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
● tumors
● polyps
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● allergies
● asthma
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● rhinovirus
● coronavirus
● adenovirus
● 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
● anaerobes

Differential diagnosis
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia

Workup
● 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
 

Guide therapy:
● transillumination
● 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.
● endoscopy
● 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.

Antimicrobial therapy
● 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

Bacterial sinusitis.

● 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.

Surgery
● 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

2 people found this helpful

I have nose problem. My nose always block in night so please advice me how to Solve this problem.

MBBS, cc USG
General Physician, Gurgaon
If symptoms are sneezing, running nose, blocked nose 1. Take proper rest/ lot of fluids 2. Take proper home made diet. 3. Steam inhalation carefully by steam inhaler twice a day for 2-3 days frequent/ continuous cough cold may be because of many reasons like: 1. Any ent problem like dns polyp sinusitis Low immunity 3. Allergic condition so you need to consult ENT doctor for proper examination and further management.
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In winter season my nose was always blocked and frequently I am getting headache what may be the problem?

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
In winter season my nose was always blocked and frequently I am getting headache what may be the problem?
It could be common cold, sinusitis, Deviated nasal septum, allergy to cold weather. ENT Specialist should help you out.
1 person found this helpful
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I am suffering from cold from 2 week. And was saw lite blood in my nose. Can you pls suggest me anything.

MBBS
General Physician, Delhi
Plz don't pinch your nose and don't use nasal decongestant use water to clean the stuff and you can also use steaming for soothing effects.
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