Dr. Priyanjana Acharyya Sharma

BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.

Symptoms of BPPV
BPPV includes some of the following symptoms:

• Loss of balance
• Dizziness
• Feeling of the surrounding spinning
• Vomiting and nausea
• Rhythmic movement of the eye

When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:

1. Hear loss
2. Tingling or numbness
3. Fever accompanies with severe headache
4. Arm or leg weakness
5. Problems with vision
6. Difficulty in walking
7. Becoming unconscious

Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.

What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.

What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement

Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.

Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV.

Physical pain can often be overwhelming especially for children. Ear ache can cause terrible discomfort to children and can give sleepless nights to both children and parents. It is important for new mom and dads to know the basic causes and remedies of an ear ache. That way the little kids can get relief faster. We will help you know more about ear pain in children. Infants and toddlers suffer more, as they can’t express their discomfort. It is crucial to watch out for symptoms like high fever, pulling or tugging ear, white or yellowish discharge coming out of the ear, restlessness, loss of sleep and appetite.

Causes:

1. The most common cause for ear pain is Acute Otitis Media (AOM) or middle ear infection. Small children are especially vulnerable to this infection. The infection causes fever and pain in children. Infection occurs when the fluid produced, can’t be drained by the Eustachian tube. It happens mostly after a bout of cold in kids. Because of it, the Eustachian tube gets swollen making it difficult for the fluid to flow out.
2. Tonsillitis or an infection of the tonsils can also lead to an ear ache.
3. Too much ear wax can also cause pain in the ear.

Soothing Remedies:

1. In the case of a mild case of infection, certain home remedies can give immediate relief. So before running to the emergency, try a few of these.
2. A hot or cold compress can give some relief. Get a heating pad or ice bag/ pack for this treatment. Children and even adults benefit from this remedy. However, it is not advisable to use heating pads on babies.
3. If the child is old enough to sleep with a pillow keep his/her head elevated.
4. If the pain is too much to bear, over the counter analgesics like acetaminophen or ibuprofen can be given provided the stipulated dose for children and infants are maintained.
5. If the pain is light, simple distraction method works great among children. They can be engaged with either a storybook, a new toy or some game. Letting them munch on their favourite snack can also help.
6. Some home remedies recommend putting a few drops of olive oil inside the ear. Though this method does not have any scientific base, it might give relief, however, it is necessary to check with your child’s doctor before applying this.
7. The most common way to treat this infection is, however, by giving them antibiotics. If the pain persists, visit your child’s doctor, let them examine his/her ears and then if he feels he will prescribe antibiotics.

Prevention Is Better Than Cure:
Says all seasoned parents. Hence know when to be careful to avoid further ear infections. Some point to ponder.

1. Since ear infections typically start with a common cold, get your child a flu vaccine every year. This will prevent him from catching cold often.
2. If your child is going to the daycare or school, make sure they do not encourage the sick child to come to school.
3. Do not let your infant lie down with a bottle before sleeping.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Having a foreign object stuck inside a child’s ear or nose is an issue many parents encounter, especially while their child is a toddler. At the early developmental stages, it’s natural for children to be curious and attempt such things. It is also quite common for children as well as adults to get insects caught inside their nose or ear. In situations such as this, it’s best not to worry, as people tend to aggravate the situation when they panic.
The first thing you should try if you have any foreign object stuck inside your nose is to blow your nose. Be careful not to push too hard so as to not risk injury. Often children will be able to expel foreign objects from their nose only when asked to blow their nose.

If the foreign object in question is not stuck up the nose, but up the ear, or if blowing your nose has not helped, you should try and remove the object with a pair of clean tweezers. Do not try to use household items other than tweezers, as they might push the object further up the cavity. Do keep in mind to have someone help you while removing foreign objects from your own ear as well as to keep in mind to be extra careful not to be too harsh as you might puncture your eardrum. If the foreign object is stuck up your child’s nose or ear and they refuse to keep still, it’s best to take them to a professional.

What can an ENT specialist do?
If you have a foreign object stuck in your nose or ear and can’t get it out easily, it’s safest to go to the doctor rather than risk hurting yourself or your child. An Ear-Nose-Throat Specialist can use a local anesthetic to numb the area and use their expertise to better navigate the cavity and remove the object from the ear or nose. If the object is too far up the nose to reach, the ENT Specialist can administer medication to induce a nosebleed which will naturally dislodge the object from the cavity without having to insert anything into it.

When faced with problems such as a foreign object stuck in the ear or nasal cavity, it’s best to consult a professional as soon as possible instead of leaving the problem untouched for a long duration of time, as activities such as sniffing or scratching may further aggravate the issue. In case you have a concern or query you can always consult an expert & get answers to your questions!

Head and neck cancers usually start in the squamous cells and are also referred to as squamous cell carcinomas of the head and neck. It occurs in the nose, throat, mouth and salivary glands. Head and Neck cancers are further classified into various categories on the basis of the area of the neck and head where they occur. Although head and neck cancers are different, they both occur inside the mouth, sinuses, nose, salivary glands and throat, which are considered as a group.

Salivary gland cancers are generally very infrequent. An assortment of cancer causing cells is present in salivary glands, so various types of salivary gland cancers have been found to occur.

Causes

If you are habituated to consuming tobacco and alcohol, then you are at the highest risk of suffering from head and neck cancer; however, it can also be caused in people who suffer from infections caused by human Papilloma virus. Other factors may include:

1. Oral health- Untreated gum diseases and oral cavity can be the reasons behind the development of the disease.
2. Sex- Women are less prone to head and neck cancers than men.
3. Lack of Nutrition- If your body is lacking in certain nutrients; you are more likely to catch the disease.
4. Age- People above 40 years of age are more susceptible to head and neck cancer.

Symptoms-

1. Difficulty in swallowing- Inflammation and pain in throat, leading to a problem in swallowing.
2. Hoarse Voice- Hoarseness or change in the voice.

Apart from this, there are some symptoms which show up in a specific area of your head and neck, such as:

1. Oral Cavity- A red or white patch on the tongue, the gums or the lining of the mouth.
2. Pharynx- Trouble in breathing and swallowing followed by a frequent headaches.

Treatment

1. Surgery- Surgery is usually to remove the primary tumour in toto or as much as feasible. Also, clearence of the lymph nodes that are involved is done during surgery at the same time.
2. Radiation Therapy- Radiation therapy is considered where functions like speech can be conserved.
3. Chemotherapy- Radiotherapy in combination with chemotherapy can help, if you are suffering from a more advanced form of head and neck cancers.

In case you have a concern or query you can always consult an expert & get answers to your questions!

An estimated of 10 percent or more children snore for more than 1 night. Snoring results from the obstruction of breath when the air makes its way through the mouth. The air passage of the throat through which the air goes in and out causes the tissue to vibrate causing snore. The sound of the snore totally depends on the amount of air passing through the mouth and the frequency at which the throat is vibrating. Children above the age of three years tend to snore when they are deep in sleep.

Primary and secondary snoring:
Children who are otherwise healthy should not have a snoring problem unless there is some health disorder. However, if loud snoring is observed in otherwise a perfectly healthy kid, seeking medical help is a wise thing to do. In general, primary snoring is defined as a condition which is not associated with other sleep-related disorders such as lung disorder, OASS, inability to sleep for a longer duration etc.

Other possibilities:
It is estimated that close to three percent of the children suffers from breathing problem while sleeping. OSAS is a condition which is characterised by pauses in breathing and gasps along with loud snores. There could be instances where a kids’ muscle relaxes way too much obstructing the air to pass through. The body and the brain are both alerted at this stage. As soon as the brain sends a signal, the body wakes up. Thus, most kids suffering from this disorder are not able to sleep well and tend to feel tired throughout the day.

Common causes of sleep apnea:

Symptoms of sleep apnea during the day and night:

1. Loud snore
2. Snorts, gasps, pauses during sleep
3. Heavy sweat during sleep
4. Social and behavioural problems
5. Failure to get up in the morning
6. A nasal voice
7. Easily irritated, cranky and aggressive

Relief measure:
The first thing a that a doctor does is a physical exam followed by observing the symptoms of a kid. Primary snorting can be addressed by physical exercise, counselling and breathing exercise. Problems related to apnea are addressed through medicine, counselling, and exercise. Certain dietary restrictions also needed to be followed during this time. However, apena is completely treatable within a certain time frame.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Sleep apnea is a sleeping disorder in which you experience frequent breathing pauses while sleeping. In case of some, the pauses may last for just a few seconds, while for others, it may continue for a few minutes. Sleep apnea is generally chronic in nature. There are three types of sleep apnea, namely Central, Obstructive and Complex sleep apnea. Central sleep apnea occurs if the brain fails to transmit signals to the muscles responsible for your breathing functions. Obstructive sleep apnea occurs due to relaxation of your throat muscles. Complex sleep apnea refers to a combined condition of both central and obstructive sleep apnea.

Some of the possible causes of sleep apnea are as follows: 

1. Blockage of airway during sleep can cause sleep apnea
2. Putting on weight can cause obstructive sleep apnea
3. In some cases, large tonsil tissues can lead to obstructive sleep apnea in small children
4. Intake of certain medicines like Oxycontin or MS Contin can cause central sleep apnea
5. Male people are more prone to sleep apnea
6. Smoking is also a potent trigger for sleep apnea
7. At times, high blood pressure can induce sleep apnea
8. Suffering from sinus can also lead to sleep apnea
9. Large neck size (more than 16 inches) may cause sleep apnea

In case of some people, sleep apnea might be an inherited condition.

The most common symptoms of sleep apnea are mentioned below:

• Sometimes, obstructive sleep apnea is accompanied by choking or snorting sounds.
• You may encounter breathing trouble while sleeping, leading to a disruption of your sleep.
• Maximum times, sleep apnea is accompanied by snoring.
• Sleep apnea leads to a dry mouth, which can disturb your sleep.
• You may feel dizzy during daytime.

If you wish to discuss about any specific problem, you can consult an Ent Specialist.

Nasal allergies are very common and as a result, not taken seriously by most people. In most cases you patiently withstand the coughing and sneezing, which might last for an entire day and in the process might inadvertently damage your health by choosing to ignore it for the time being.

Here are some of the commonly experienced nasal allergies and what you should do to get relief from them:

1. Runny or stuffy nose: The best option is to just avoid allergy triggers. For example, if pollen is your allergen, then avoid going out during the times pollen count when it is reported to be high. Or, if animals make you sneeze, then make sure to have your hands washed and clothes changed after playing with them. Do not over use decongestant sprays at all. If these symptoms persist for more than half a week, then it's time to seek your doctor's advice.
2. Uncontrollable Sneezing: Again, the best option is to avoid; but in many cases, it becomes difficult for you to avoid the allergen. In those cases, try antihistamine. If that doesn't work, then you can also go for a nasal steroid spray, but again, make sure to not overuse it.
3. Post Nasal Drip: Usually, you unconsciously swallow your mucus. But, if the mucus quantity increases, it becomes thicker and results in post-nasal drip. It isn't much common, but you can practically feel the mucus dripping into your throat from the back of the nose. It can result in a lumpy feeling in the throat and can cause irritation. You can try drinking more fluids and using a nasal spray to reduce the mucus quantity. If that doesn't work, then it's time to seek advice from your doctor.
4. Eyes that itch: Watery eyes that itch are annoying companions of nose allergy and though they might not be a serious hazard for the eyes, you cannot ignore them. Try wearing sunglasses when you go out into a reportedly high-pollen-count weather. It might be a better option to forego contact lenses; they can escalate the entire eye-itching problem. If it becomes too itchy, you can place a cold washcloth over your eyes.

Testing an Allergy: Allergy testing is commonly done by by skin prick test, in order to diagnose the allergens. Once, the allergens are diagnosed, immunotherapy can be started, which will help in improving the symptoms of and in many cases, it provides complete cure. If you wish to discuss about any specific problem, you can consult an Ent Specialist.

Usher syndrome is a genetic disorder that is characterized by complications in vision and hearing; the most common of them being partial/complete loss of hearing and retinitis pigmentosa. Retinitis pigmentosa is characterized by progressive deterioration of the retina, resulting in deprivation of peripheral vision and subsequent night blindness.

The symptoms and its rate of progression usually vary among people. Usher syndrome is classified into three types:

• Type 1: In this type, children are born with balance issues and hearing loss problems. The symptoms of night blindness and loss of peripheral vision associated with ‘Retinitis Pigmentosa’ only appear in the early stages of adolescence.
• Type 2: In type 2, children are born with moderate to mild hearing loss problems. Retinitis Pigmentosa develops soon after the child reaches adolescence.
• Type 3: In type 3 Usher Syndrome, children are usually born with normal hearing skills, however, loss of hearing and Retinitis pigmentosa occur soon after puberty.

Causes
Hearing loss in Usher syndrome occurs when the nerve cells that are present in the cochlear (inner ear’s spiral cavity) are affected by genetic mutation. A similar problem occurs in the cells of the retina leading to loss of vision. These cells allow conversion of light into electrical signals for the brain to interpret them. Both the parents need to pass the mutated gene to the child for it to be affected. If the child has only one gene, then he/she rarely develops the symptoms.

Treatment
This disorder does not have any prescribed course of treatments. The vision loss that occurs in this disorder can be slowed down by nutritional therapy. This therapy involves providing the body with essential amounts of vitamin A which can help in reducing vision loss. If you wish to discuss about any specific problem, you can consult an Ent Specialist.