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Dr. Sanjucta Ghosh

ENT Specialist, Delhi

500 at clinic
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Dr. Sanjucta Ghosh ENT Specialist, Delhi
500 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Sanjucta Ghosh
Dr. Sanjucta Ghosh is a popular ENT Specialist in Malviya Nagar, Delhi. She is currently practising at Aakash Hospital - Malviya Nagar in Malviya Nagar, Delhi. Book an appointment online with Dr. Sanjucta Ghosh on Lybrate.com.

Lybrate.com has top trusted ENT Specialists from across India. You will find ENT Specialists with more than 40 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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Aakash Hospital - Malviya Nagar

#90/43, Malviya Nagar. Landmark: Oppsite Green Field School, DelhiDelhi Get Directions
500 at clinic
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Hello doctor. I am 20 years old I have type 1 diabetes and last month I had unprotected vaginal sex with a prostitute and then after 2 weeks I got scabies and they were cured in 2 weeks now I am having fungal infections and oral thrush, a sore throat and a painless swollen lymph node under my right jaw does it mean I have hiv?

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Kolkata
Hello doctor.
I am 20 years old I have type 1 diabetes and last month I had unprotected vaginal sex with a prostitute...
Your symptoms suggest that you are suffering from immuno-suppresion which may be due to both diabetes and HIV infection.Get your blood tested for HIV1 and 2. If positive you should be treated with Anti HIV drugs. If negative you should control your blood sugar properly with insulin/ diet /excercise and control oral thrush with local antifungal agents.
3 people found this helpful
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Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
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

5 people found this helpful

She have suffering by tonsils from last few year's, what is the future diagnosis of the tonsil, if not treated from a long distance?

MBBS
General Physician, Cuttack
1. Do warm saline gurgling 2-3 times daily 2. Take throat lozenges, 3. Drink warm/cold fluid to ease pain 4. Have smooth/semi solid food, 5. Take adequate rest 6. Take a full course of antibiotic for 10 days after consulting ent specialist (to avoid recurrence), 7. Take analgesic like paracetamol/ibuprufen for throat pain 8. If recurrent symptoms causing upper air way obstruction/difficulty in swallowing, surgery- is indicated 9. Consult a good ent surgeon for endoscopic surgery//laser surgery.
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Insect In Inside Ear - How To Deal With It?

Fellowship In Rhinology, MS (ENT), DNB (ENT)
ENT Specialist, Delhi
Insect In Inside Ear - How To Deal With It?

It is that that time of the year when insect are all around. Suddenly one feels a buzzing sound or an itchy feel in the ear. To your horror, one feels a live insect in the ear which can be extremely annoying and a nightmare. Insects get stuck in the ear when enter our ears as they cannot fly or crawl out. They try their way out and their movements inside our ears can be very uncomfortable, painful, and itchy. Moreover, they can easily produce infection.

In this scenario, do not try to remove an insect with cotton swabs, tweezers or hair clips as it will make situation worse and can lodge the insect deeper into ear canal damaging the eardrum, leading to permanent hearing loss. If an individual is not certain of the potential for harm in regard to insect in the ear, one should seek medical care immediately. Insects in the ear are common reasons for visits to doctor's clinic, especially in children.

If one suspects an insect in ear, one may experience pain, swelling, blood or crackling. One may even feel biting, stinging, hearing loss or dizziness. It is best to stay calm in this situation as being active may lodge the bug further in ear or cause it to move further back, or cause serious damage to the sensitive eardrum

One way to try to remove a bug in ear is by tilting the ear toward the ground and attempt to wiggle the ear. Grasp the earlobe and give it a wiggle. If the bug is not too far into ear canal, it may fall out on its own. If the bug is still alive and is not too far inside of the ear canal, it may simply come out on its own. If one stays calm and keep objects including fingers away from ears, it is likely that the bug will find its way back out of ear.

One can also try to flush the ear with warm water with a dropper or a bulb syringe. This can be done by holding head upright and stretching the ear canal by pulling the outer ear and then putting a steady stream of warm water into ear. Tilt head to the side to drain out the ear. Do not try this if one suspects that ear drum has been ruptured to prevent additional damage.

To avoid stinging or eardrum rupture from scratching or biting , one may use a drop or two of mineral, baby, or olive oil inside your ear canal to kill the insect. Finally, visit an ENT specialist doctor as they can remove the insect by special suction devices. Post insect removal, one must look out for signs of infection as swelling, dizziness, hearing loss, fever, and pain. Finally follow up with ENT specialist or Otolaryngologist for the final opinion. In case you have a concern or query you can always consult an expert & get answers to your questions!

3674 people found this helpful

I am 17 years old I am suffering from ear pain and some itching in my left ear and treat pain.

BHMS
Homeopath, Delhi
I am 17 years old I am suffering from ear pain and some itching in my left ear and treat pain.
Hello, you can take homoeopathic medicine belladonna 30 (4 drops in little water) four times in a day for 2 days and update.
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I don't drink wine and smoking. I am 24 year male my problem in night time sleeping very snoring sound. My weight 72 kg and my height 172 cm.

M.D.(Hom.), B.H.M.S.
Homeopath, Kottayam
Your cause of snoring is adinoid swelling. Adenoid is otherwise called as pharyngeal tonsil or is the over growth of lymphoid tissue (lymph node) in nasopharynx (the portion of pharynx above the soft palate, i. E. Post nasal region). The adenitis or over growth of the adenoid affects the physical and mental growth, may cause obstruction in breathing, deafness and ear-arch in children. Adenitis is the inflammation of a gland or lymph node as said above. Hilar adenitis is the inflammation of bronchial lymph nodes, sometimes, occur in bronchitis or pneumonia fever. All medicines which cure hypertrophy of tonsils can be given for curing adenoid when enlarged. The following cures are useful in the effective treatment of adenoid's hypertrophy 1. Agraphis. N. 3x, is very useful in adenoid over growth, breathing with open mouth, deafness due to adenoid growth. 2. Bar. C. 30, very useful in recurring attacks of acute tonsillitis, in hard enlarged tonsils, children - physically and mentally backward, be given 3 times a day. 3. Calc. C. 30, for fat children with cold head and feet, sweating of head at night, otorrhoea with deafness or hardness of hearing. 4. Calc. P. 30, with pallid face, thin, slim, weak body, enlarged tonsils, obstinate sneezing without coryza, when progress is not satisfactory especially in scrofulous or consumptive history in the family. 5. Hydrast. 30, is given to cure the over growth of adenoid when whole nasopharynx is affected with adenoid growth, it should be given on totality of symptoms in scrofulous history of the patient. 6. Sil. 200, is well indicated medine with calc. P. With same symptoms or when improvement is checked. 7. Bacillinum or tuberculinum-200, one dose be given as intercurrent medicine when other remedy fail to cure quickly in the case of the patient having consumptive history in the family.
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My niece is suffering with tonsils so is it better to go through operation and remove it any chance of getting tonsils again after operation? Any diet to be followed after operation.

MBBS Bachelor of Medicine & Bachelor of Surgery, Diploma In Otorhinolaryngology (DLO), DNB - ENT, Allergy Testing
ENT Specialist, Gurgaon
Tonsillectomy is indicated for recurring episodes of acute tonsillitis documented by a doctor. More than 4 episodes in one year needing antibiotics is a good indication for getting the tonsils removed. The surgeon will explain the diet post op.
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Why do we die? What is death? What do we lose during death? Why a dead person can not sense anything whether he is having everything. He is having hands but can not hold. He is having ear but can not listen. Why it is necessary to die.

BHMS
Homeopath, Kolkata
Why do we die? What is death? What do we lose during death? Why a dead person can not sense anything whether he is ha...
Its the nature's way.....no one can occupy a place for ever ever. Every creature who is born has to die for others to take its place.......as he has to take birth somwhere else in another form to perform his duty in that body.........again after some time he will again have to leave this body and go to someother place to again perform his duty. We are soul a part of the Eternal soul/the almighty GOD......we came here to play our roles that so simple.... However I suggest you enjoy life which is very colourful and beautiful....
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The insides of my left ear hurts when I listen to music on my earphones, even at low volumes.

MBBS
General Physician, Cuttack
The insides of my left ear hurts when I listen to music on my earphones, even at low volumes.
It may be due to continuous use of ear phones.don't use it continuously. Take one tablet of crocin 500mg sos after food. If the pain persists,consult ENT Specialist
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