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Dr. Payal

ENT Specialist, Delhi

Dr. Payal ENT Specialist, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Payal
Dr. Payal is a popular ENT Specialist in New Delhi, Delhi. You can consult Dr. Payal at Adiva- Dr. Hans Center in New Delhi, Delhi. Book an appointment online with Dr. Payal and consult privately on has an excellent community of ENT Specialists in India. You will find ENT Specialists with more than 29 years of experience on 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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Adiva- Dr. Hans Center

#34, Uday Park, Landmark: Opp. Ansal Plaza, August Kranti Marg, New Delhi, DelhiDelhi Get Directions
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I face sleep disorders I have pcod spondylosis and sinus am I facing sleep disorders due to my health problems or any oter reason what I have to do iam 25 years old.

Pulmonologist, Faridabad
What type of sleep disorder. Anxiety and stress can cause sleep problem. Sinusitis with post nasal drip can increase night cough.
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My husband snores every time he sleeps. This not only hamper my sleep but also his health. What can be done?

Ayurveda, Bangalore
Hi, please follow these tips to stop snoring: - reduce your weight if you are obese. - perform pranayama (breathing exercises) everyday. - quit smoking which irritates the mucosal layer of the nose and throat and causes blockage and results in snoring. - quit alcohol and sedatives which relax the throat muscles and results in snoring. - sleep on sides instead on back. - elevate the head by using a thick pillow which eases the breathing. - clear the nose before going to bed. - establish regular sleep pattern. - keep the bedroom air moist by using humidifier; as dry air irritates the mucosal membrane in the nose and throat. - perform throat exercises like repeating the vowels a, e, i, o, you loudly for 2-3 mins few times a day or keeping the tongue behind the teeth and moving it backwards - 3-4 times a day. - anti snoring appliances can also be used.
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I am suffering from cold. Whenever weather changes. And sneeze get started when my nose come in contact with polluted air.

Diploma in Otorhinolaryngology (DLO), MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Allergy is the cause of your symptoms. Wear a nose mask when you go out. It will prevent to a certain extent the polluted air from entering your nose. Taking an anti allergic tablet should help you to a great extent.
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I am having cough,cold ,fever n little throat pain am taking cold already. Are antibiotics and cough syrup really needed to cure this ? Please suggest.

General Physician, Gurgaon
Follow health advises given below: measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food (if no drug allergy) as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days 3. Lot of fluids to be taken 4. Take proper diet homemade food like moong dal dalia, chapati etc. 5. Steam inhalation carefully by steam inhaler twice a day for 2-3 days yes antibiotics may be needed that can be started after complete evaluation.
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I'm 27 years old I am having running nose from last 6 month I go to many doctors if I use medicine i'm ok but if the medicine finished the problem is same.

Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Nasal Allergy: It is very common now a days…it is of two types –Seasonal and perineal. Seasonal allergic rhinitis occurs according to changes in atmosphere . Antihistaminics and decongestants can help you.
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I have dark circles around my eyes also its itching and dry. I Want to get rid of that. Please suggest the Remedy for sinusitis please suggest some solution for ingrowing toe nail.

MD - Dermatology, Diploma in Venerology & Dermatology (DVD), MBBS
Cosmetic/Plastic Surgeon, Bangalore
For sinusitis you see the ent surgeon. Dark circles and ingrown toe nail dark circles see dermatologist visit required.
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I have a constant nasal blockage, and I need to constantly blow my nose, could you suggest some remedy.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
Do you have sneezing or nasal discharge also? it can be due to any mass or polyps in nose, deviated nasal septum that require proper evaluation and investigation like endoscopy/ ct scan.
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Hi doctor I am a 34 year old man and I have nose allergies form dust problem last seven months I am used one all daily.

General Physician, Gurgaon
As you are saying that it is due to dust so i want to tell you that Dust allergy may cause 1. Allergic Bronchitis 2. Allergic cough 3.May be triggering factor of Bronchial asthma You need to avoid dust as much as you can and boost your immunity to reduce allergic episode There are some supplement available that can be start after personal consultation and these supplement can reduce severity and no. of episodes of this problem You can take Vitamin C tablet, one tablet with food for 15 days Consult me for further management
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I am 18year girl when I am hear some high noise then my ear pain very much? What should I do?

Ear-Nose-Throat (ENT) Specialist, Vijayawada
plug ears with cotton, u have tender ears, so don't get exposed to loud noises+no substandered head/ear phones.
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My mom was diagnosed for varicose as she had dizziness. Now she is taking medications but still got dizziness problem. Will there be any side effects? Or is it normal?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
first of all you should follow some basic thing 1.avoid=hot and cold at time 2.less the sugar as much as possible if you want to eat sweet take juggery which is black 3.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep 5.sarivadyasav 4 tsp before lunch and dinner 2.chandra kala ras vati before lunch and dinner
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I feel too much dizziness nowadays, very lazy too. So is it a symptom of any kind of disease? Even though I get enough sleep, I do not feel refreshed when I get up.

General Physician, Allahabad
Take cap rabemacdsr once daily morning before breakfast for15 days and tab trinerve lc once daily after meals for15 days then let me know response for further advice.
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I have been suffering from sinus since 2 years. So, in order to reduce my headache I applied zandu balm on my forehead. After a year I noticed that part of my forehead turns to black completely. Please can anyone tell me how can I remove that color?

Homeopath, Chennai
Of all the possible holistic or alternative treatments available, Chronic Sinusitis stands the best chance of being cured by Homeopathy. This has been my personal first hand experience as a homeopathic doctor as well as the experience of hundreds of patients of sinusitis who got cured by Homeopathy. The Homeopathic treatment of sinusitis is far superior as it does not resort to any strong medicines or antibiotics. The homeopathic medicine for sinusitis is mild and has the additional benefit that it does not cause any side effect at all. In fact, it strengthens the immunity of the patient and helps in fighting other infections also. You can easily take an online consultation for further treatment guidance
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My wife age is 36 years old and she is frequently suffering from throat burning, vomiting and acidity since last 6 months. She tense too much. What could be the cause and what is the remeady.please suggest

Ear-Nose-Throat (ENT) Specialist, Delhi
Ask her to try and relax a bit, take simple antacid tablet and if it does not improve, consult with a good ent specialist. Regards
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I have anal and oral sex gay and I tested for Chlamydia in throat and urine both were negative should I have chlmdyia from anus if I have no throat infection.

MBBS, PG Diploma in HIV Medicine
General Physician,
Good day lybrate-user. Yes there is a chance of presence of infection even though the test are negative. Anal mucosa is thinner than vaginal mucosa and high chance of getting injured and disease transmission. Even though you have used condom there is always a good chance of transmission through Oral. Chlamydial infection can be multi systemic like Gastrointestinal tract, Genitourinary, lungs and at a times central nervous system too. So You need to watch out for all kind of symptoms and signs not just for Chlamydia but for other sexually transmitted diseases like HIV, Hepatitis B and Syphills etc. As there is Oral sex is also present. Consult a physician for complete information and prevention. Please contact if still further assistance.
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I'm 30 years old girl. I'm suffering from running nose (water drops) from last two months. Don't know how treat this running nose. Can you suggest me. I took medicine (septilin, sinus I, khamira Abresham sada, steaming, lemon juice, citizen) but my nose is still running.

Homeopath, Faridabad
Hello, you have taken ayurvedic medication and didn't get relief so now you should opt homoeopathic treatment. Take allium cepa 30 ch, 3 drops once daily and arsenic alb. 30 ch, 3 once daily. Bc no. 05, 5 tabs thrice daily. Revert after 7 days. Thanks.
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Hi, I am 50 years old and suffering with severe allergy of nose and eyes. Please suggest me the best medicine.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
This is due to allergy (allergic rhinitis) so you need to take antihistaminics and steroid nasal spray. Avoid exposure to dust.
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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.

● 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

● 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.

● 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

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My mom have tightening sensation in throat always and need to clear it frequently she has no pain and no difficulty in swallowing and no hoarseness in voice but suddenly she couldn't make the ulu sound .what may be the cause!

MD (Hom.), BHMS
Homeopath, Delhi
Give her homoeopathic medicine asafoetida 30-5 pills three times daily for 1 week. Report back after 1 week with feedback.
1 person found this helpful
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