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Dr. Virender Singh

ENT Specialist, Delhi

250 at clinic
Dr. Virender Singh ENT Specialist, Delhi
250 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. Virender Singh
Dr. Virender Singh is a trusted ENT Specialist in Gujranwala Town, Delhi. He is currently associated with Vinayak Hospital- Derawal in Gujranwala Town, Delhi. Book an appointment online with Dr. Virender Singh and consult privately on Lybrate.com.

Lybrate.com has an excellent community of ENT Specialists in India. You will find ENT Specialists with more than 34 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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English
Hindi

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Vinayak Hospital- Derawal

P No-2, Nr Gujranwala Town, Derawal Ngr, Model Town-2, Main Rd, Gujranwala Town. Landmark: Near Ashirwad Benquit Hall, DelhiDelhi Get Directions
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Nazar Kanwar Surana Hospital

#219/220, N.K. Surana Marg, Gulabi Bagh. Landmark: Near Gulabi Baju Gurudwara, DelhiDelhi Get Directions
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From last week I am suffering from coff how do I get rid of it my throat is full paining.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
Pain in throat may be due to allergy cum infection in throat. Through examination of throat is required. If required after taking throat swab for culture and sensitivity, accordingly antibiotics and antihistamincs, analgesics can be given.
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My son is suffering from cough and throat infections and due to that he's having pain in his left ear. What should I do in this condition?

Diploma in Child Health (DCH), MBBS
Pediatrician, Ponda
Use regular medicine, don't put any thing in ear. Ear pain in cold is due to nasal blockage so use nasal drops, steam inhalation to relieve blockage which will take care of ear pain. Continue antibiotics for 14 days.
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I am 67 years aged, i am suffering from blood coming out from the nose. Kindly advise me the tablets.

MD
General Physician, Vijayawada
Please get your blood pressure checked. I f your blood pressure is persistently more than 160/80 mm of mercury or more please take telmesartan 80 mg one tablet per day. (2) please consult e. N. T. Surgeon, immediately.
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I am 53 year old man. Doctor detected an ulcer at food pipe through endoscopy. Medicine is running. Pl suggest about diet & others.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
When you have an esophageal or food pipe ulcer, you need to follow a low-fat diet. Fat in food delays stomach emptying and decreases pressure in the lower esophageal sphincter, or les, which is the valve that separates your stomach and your esophagus. Both of these issues increase the risk of acid reflux and esophageal irritation. A low-fat diet for esophageal ulcers means limiting your intake of fried foods, high-fat meats such as bacon, high-fat desserts, and added fat such as oil and butter. It also helps if you eat small, frequent meals throughout the day to limit stomach pressure and possible reflux. Foods to eat: Your esophageal reflux diet should include a variety of things from all the food groups: fruits, vegetables, whole grains, lean sources of protein and low-fat dairy products. Eating an array of healthy foods ensures that your body gets all the nutrients, it needs to promote healing and overall good health. If you experience pain when swallowing, be sure to chew your food thoroughly. If that doesn't help, you may benefit from eating softer or pureed foods, such as stewed meats, mashed potatoes, soft-cooked rice or pasta, soft-cooked vegetables, ripe bananas and applesauce. Foods not to take: In addition to fat, certain foods also increase the risk of acid reflux. To minimize esophageal discomfort, you may need to limit these foods in your diet. Chocolate contains methylxanthine, a substance that reduces les pressure. Coffee, both caffeinated and decaffeinated, may increase reflux and irritation. Mint, carbonated beverages, acidic foods and alcohol also can aggravate reflux. Whether you should include these foods in your diet depends on your individual tolerance. Watch those calories: Being overweight or obese also increases the risk of reflux and irritation of esophageal ulcers. Limiting your calorie intake to lose weight may also help alleviate symptoms. Your calorie needs for weight loss -- which range from 1, 000 to 1, 600 calories a day -- depend on your age, gender and activity level. Your doctor can help you determine how many calories you need to lose weight and help improve symptoms related to an esophageal ulcer.
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I am suffering from cold since a week. My nose's being blocked. Could you please help me the prescribed drug for it?

MBBS
General Physician, Cuttack
1.Do steam inhalation by steam inhaler 2-3 times daily with Karvol plus inhalant capsule. 2.Put otrivin nasal drop 1 drop thrice daily. 3.Take one tablet of sinarest at bed time. 4. If you have recurrent attack of cold you may be having sinusitis 5. consult ENT specialist
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I have a problem in my nose, it remains chowked everytime. I can not breath properly. I tried my medicines but in vain. All medicines gives me temporary and i want permanent solution. Please help me

MBBS, DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Hyderabad
You may have deviated nasal septum or turbinates hypertrophy , polpys need evaluationn by ct scan of sunuses
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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

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Sir mujhe problam ye hai ki aisa lgta h ki mere throat me kuch atka hua h. Ye lunch ke bad mahsus hota h. Mujhe gas ki problam v rahti h. Aur mere throat ke back side muh ke andar side me 3-4 dane v h. Ye 10-15 din se aisa ho rha hai. Hamesha lagta h kuch gale me fasa hua h. please ye btaye ki kya ye gas ki wajh se hai ya kuch aur h. Mujhe 5- 6 month pahle throat infection v hua tha. please help. Thanx.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
This is because of acidity and gas....take arogyavardhini tablet 2-2 twice a day with warm water...and take pranacharya aceno capsule twice a day...avoid spicy food
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I had right ear discharge since 10 years so I loss hearing. Two ears back I had right ear surgery, some times i'm having discharge, at present right ear not hearing means I loss hearing. How I get hearing.

Master of Speech Language Pathology
Speech Therapist, Bangalore
Hi lybrate-user, Long term ear discharge or what we call infection of the ear can cause permanent damage to ear and hearing. If hearing does not improve with surgery then you need to get hearing aids for your hearing. Please consult an audiologist for the same and start with getting a complete hearing evaluation.
1 person found this helpful
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I am suffering from alot of whiteheads on my nose. Can you suggest me, what should I do?

MBBS
General Physician, Cuttack
White heads are a form of Acne. It occurs when skin becomes clogged with oil/dirt/bacteria 1.Wash your face twice daily with soap and warm water to remove excess oil or wash face with Acnestar soap 2.Don’t scrub your face. 3. Apply acnestar gel (1%clindamycin+15 nicotinamide) twice daily for 4 week 4.If no relief, consult skin specialist Home made therapy a) Apply lemon juice twice a week b) mix honey with sugar, make a paste, apply it locally, leave it for 10 minutes, then wipe it off. Do it once a week. C) apply a paste of sandal wood powder in rose water, leave it for 10 minutes and then wipe it off . Do it twice weekly.
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I am very concerned about my nose size and I am seeing increase in my nose size after I have started working out. Is workout the reason for this or is it just an illusion? Should I use all the nose exercise available on Internet? Are they good?

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist, Bangalore
Workout in gym or exercise training will never cause a change in the size of the nose. If you feel that the nose is too big, consult a good ent surgeon.
1 person found this helpful
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My friend had a severe pain in her throat. She has taken several medicines as prescribed by the doctor but no use. Can I get some help in this matter?

MBBS
General Physician, Cuttack
1. Do betadine gargle 2-3 times daily 2. Avoid drinking cold water, have luke warm water, tea, coffee, hot soup 3. Take throat lozenges, 4. Give voice rest 5. Avoid smoking 6. If no relief you have to take antibiotic 7. Consult ent specialist for further advice.
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I am 47 years old and for the last 2-3 years have started snoring heavily and very loudly.Please tell me the remedy for it?

MBBS, DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Hyderabad
You need workup including ct scan of sinuses, sleep study , nasopharyngeal fiberoptic examination and then treatment
1 person found this helpful
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I am having body pain and weakness from two days. Fever is not high. Also, there is sore throat.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
You may take ferrum phos 12 x four tablets at a time thrice a day for two days, also take four tablets of kali phos.
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She has soiling in her throat and that is increasing day by day. What is the problem?

MBBS
General Physician, Trivandrum
You maybe suffering from allergic rhinitis and pharyngitis. You need to avoid the cause of your allergies and also take anti allergy medications. Please consult for prescription. If you have an infection and have fever you will need to do a course of antibiotics. For now do warm saline gargle and steam inhalation 3 times a day.
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Im getting ear pain after speaking for few minutes how can I over come this problem.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and get your ears checked by an ENT doctor as early as possible
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I have throat pain means tonsillitis When taking cool food then it will happen, cooldrinks What I will do.

C.S.C, D.C.H, M.B.B.S
General Physician,
It shows you have cold allergy and you avoid taking cold food or drinks and if there is infection you need antibiotics also.
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I am suffering from throat problem from 6 months. What can I do to cure this problem.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Increase your immunity by taking green leafy vegetables, practice pranayama regularly. Use ayurvedic modulators drug ashwaganda avaleha its available in ayurvedic shops.
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