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Cysts Removal Procedure
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Treatment of Sleep Disturbance
Nose Reshaping Procedure
Hearing Testing Techniques
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
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Patient Review Highlights
I found the answers provided by the Dr. Sarika Verma to be very helpful. Thanks alot doctor
I found the answers provided by the Dr. Sarika Verma to be very helpful. Thank you mam.
Dr. Sarika Verma provides answers that are very helpful. Thanks
Doctor is nice, solved my problem.
I can not breathe properly through nose .Sometimes my breathe gets interrupted and I try very hard to breathe full length air and I breathe through mouth most of the time in night. What condition m I am facing any serious symptoms?
Any medicine for sneezing please let me know first I had throat infection then I took azithromycin but I have rough and sneezed.
There is granular growth in my pharynx (post. Wall)which is visible and left tonsil is slightly enlarged as comp. To rt. Since about 2 months in spite of taking all kind of antibiotics. Like. Azithro, cefpodex, amoxiclave625, cefixime ect one by one. Bt there is no result. Before 2-3 days I had pressed the Lt. Tonsil by finger, and since then im feeling pain sometime only, and feeling lump like sensation on swallowing saliva with stitching pain at somewhere about epiglottis ,but unable to see in mirror that what is there exactly. Im scared about it. What is it?
The skin prick test is considered to be the ‘gold standard’ for determining an allergen causing the reaction. The test is quick, easy, and the results are easily visible. This article contains a summary of how the skin prick test works, how preparations are done, and how it is performed.
How does it work?
The skin prick method for allergy test is based on inducing an allergic reaction in a very small area of the skin in a controlled manner. An isolated allergen is thus inserted by making a small prick in the skin. If an allergic response occurs, blood vessels in that area just under the skin dilate and fluid leaks out under the skin. This causes a small, red and itchy bump to form on the skin in about 15-20 minutes. The same reaction can result in a much more severe condition if it occurs systemically in response to that allergen. Hence, the skin prick test is used to pinpoint an allergen causing a response.
What preparations are done for the test?
In preparation for the test, taking antihistamines or oral corticosteroids is prohibited for a period of about 48 to 72 hours before the test is performed, including medications containing these. Application of topical lotions or ointments on the skin is also prohibited. Before testing, the healthcare practitioner shall collect a complete medical history of the patient, including previous occurrences of allergic reactions and the situations they happened in. This information is used to determine the allergens that need to be tested for.
How is it performed?
After making a study of the patient’s case history, the allergens that need to be tested are determined. The test is performed in the following steps:
- The area of the skin to be tested is cleaned with a swab of alcohol and small marks are placed on the skin to demarcate the different allergens used.
- A drop of the allergen in solution or suspension is put on the skin, a different allergen on each mark.
- The skin under each drop is lightly pricked with a sterilized needle. This causes a small amount of the allergens to go into the skin to induce the immune system.
- If a positive reaction occurs to one or more of the allergens, a small, red and itchy swelling develop on each of those particular marks in 15-20 minutes. Further tests may be performed in this case.
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My daughter is 6 years old. She has tonsils. She got cold and fever frequently. I consult with a lot of doctors. Some say surgery has to be done for tonsils. Some say never do surgery. So I am in a lot of confusion. I am also not interested in surgery treatment. So please tell me a cure for this.
Immunotherapy which is also known as allergy shots is a type of treatment which has long-term benefits. Immunotherapy helps in reducing the chance of different kinds of allergic issues to develop later in life. The chance of having allergic rhinitis, allergic asthma, stinging insect allergy and even conjunctivitis are all diminished with the help of these allergy shots. Allergy shots help your body become immune to different allergens which can later trigger an allergic reaction. Any individual, who notices symptoms for more than 3 months in a year and does not see the medicines make any significant headway, should definitely consider taking immunotherapy.
What is the Immunotherapy Treatment?
The treatment of immunotherapy allows the doctor to inject small doses of whatever substance you are allergic to, also known as allergens, under your skin. This procedure helps your body get used to the allergens which in turn help in reducing the symptoms of allergic rhinitis. For allergy shots, your doctor first carries out a test to determine which allergen is the patient allergic to. The doctor might then use weed, pollen or dust mites, molds and even animal dander as allergy shots.
In the beginning of the treatment, the doctor may give these allergy shots once or twice every week, depending on the need. Once the patient reaches the point of maintenance doses, the same dose is injected in the patient’s body every 2-4 weeks for up to 6 months. Once the 6 month period is also over, the dose is reduced to once a month. A checkup will be done by your allergist after a year to see whether the symptoms have become less severe or not. If there is no remarkable change witnessed then the doctor does not prescribe continuing the same treatment, however, if there is an improvement then you may have to continue taking the shots for up to 3 to 5 years.
Results of the Treatment
There is no definite assurance of being completely cured after taking immunotherapy as the allergy might return for some within a few years. For others at the same time, the allergy might show no sign of returning and the patient can be completely cured. Most of the times, this treatment is absolutely safe when given correctly. However, symptoms of asthma, hives and low blood pressure can be a matter of grave concern as it can be a life-threatening reaction. Emergency care should be provided immediately in such a case.
Sir last month I was getting my nose running at the time of morning and night after some days I was ill with cold, I took medicine antibiotic and paracetamol and I got relief but my nose keep running and sneezing at the time of morning and night .the whole day I feel god. And now it is been a month and I am getting 7,8 continuous sneeze daily in morning and at night .i think it is an allergy that I am suffering from please give me some advice.
Adenoids are part of the ENT (ear-nose-tongue) area. They are basically lump of tissues situated at the back of the nose and higher up in the throat passage. Along with tonsils, they form a part of the lymphatic system and are also known as pharyngeal tonsils. They work in conjunction with tonsils to keep infections and viruses at bay. They also help in maintaining the body fluid balance.
Adenoids mostly occur in children. They basically start to grow from birth and can become enlarged between the ages of 5 to 7 years. They become swollen by fighting some bacteria or virus. However, by teenage years they start to shrink and completely disappears by adulthood. They do not help in fighting diseases and the body develops other ways to fight germs and bacteria.
Problems Caused by Adenoids:
Although adenoids are not harmful, they can become enlarged or swollen when fighting bacteria or viruses. In such situations, it is best to consult pediatric or ENT specialists. However, there are certain symptoms that occur in children:
- Breathing problems- Children may experience difficulty in breathing through the nose. Instead, they breathe through the mouth which might lead to dry mouth resulting in bad breath and cracked lips.
- Sleeping problems- Children having swollen adenoids having difficulty in having sound sleep. They might snore or experience sleep apnea (irregular breathing or might stop breathing for few seconds).
- Ear infections- Have ear infections and even develop glue ear (the ear duct is filled with fluids).
- Sinus problem- Your child may experience runny nose or facial pain.
If your child is experiencing the above symptoms and having difficulty breathing, its best to visit an ENT specialist to get the adenoids checked out. The adenoids cannot be seen through normal eyes and has to be examined using special methods like endoscopy. An endoscope is a long flexible tube with a light, it is inserted through the mouth and the image of the inside of the mouth is seen on a screen.
Treatments for Adenoids:
Depending on the severity of the adenoids, it can be treated with nasal sprays or drops and antibiotics suggested by a doctor. If the adenoid does not shrink or the problem persists, it’s best to go for adenoidectomy.
What is Adenoidectomy? Adenoidectomy is the surgical removal of adenoids. It is generally performed by an ENT surgeon and carried out through the mouth under general anesthesia. The whole operation only requires a day. Your child is released at the end of the day.
After the surgical procedure, your child may experience:
- Sore throat
- Ear ache
- Stiff jaw
- Runny nose
- Bad breath
All of these difficulties pass away within a week or two. However, you should be careful as there is always a risk of infection after an operation. In case of excessive bleeding, known as hemorrhage, your child may need another surgery where the bleeding is stopped by cauterization.
Moreover, food and drink should be monitored carefully. As your child will have difficulty in swallowing food, it’s best to have fluids like soups or yoghurt. Remember to give them plenty of water to avoid dehydration.
Adenoids are not scary diseases. So don’t be scared and give your child all the care and support when they are facing difficulty in breathing or sleeping.
Allergic Rhinitis or Hay Fever is an allergic reaction that affects the upper respiratory passage. As of 2016, about 20-30% of the Indian population has been affected by allergic rhinitis, with the count going up to about 62% in Asia. Like other allergies, rhinitis occurs in response to certain triggers called allergens when they are breathed in. This article shall concisely tell you everything you need to know about this very common condition.
Allergic Rhinitis may be of two types- the seasonal allergy in which allergic reactions occur at a particular time of the year, in response to the triggering factors that increase in abundance at that time, and the perennial allergy whose trigger factors are present around the year.
The symptoms of allergic rhinitis appear suddenly and violently. These include:
- Runny, stuffy, itchy nose
- Violent and multiple sneezing and coughing
- Sore throat
- Itchy and watery eyes with dark circles sometimes
- Headaches, fatigue, and weakness
- Hive breakout and blisters
One or more of these symptoms may occur simultaneously during rhinitis. In seasonal allergy, symptoms may appear at certain times of the year, while they may appear at any time in the case of perennial allergy. Fever does not occur usually.
Rhinitis symptoms occur when an allergic reaction is triggered by histamine secreted by the body in response to one or more of the following allergens:
- Pollen from trees and grasses
- Dust and dust mites
- Dead skin cells of animals
- Cat hair and saliva
Seasonal allergies are mostly caused due to pollens from trees in spring and from grasses through summer and fall.
Allergic Rhinitis is usually diagnosed by its symptoms. Sometimes a skin prick test is performed to determine the exact substance causing the reaction. A Radioallergosorbent test or RAST is performed to measure the extent of reaction to an allergen.
Allergic rhinitis occurs due to an abnormality in the immune response of the body and can affect anybody. However, certain risk factors greatly increase your chances of having an allergy. These include:
- A family history of allergic rhinitis
- Air pollution
- Sudden temperature changes
- Chemical fumes
- Perfumes and deodorants
- High wind
Allergic rhinitis has no permanent cure. Only the symptoms can be effectively managed by one or more of the following:
- Eye drops
- Decongestants and nasal sprays
- Immunotherapy and Sublingual Immunotherapy
- Alternative medicines
- Home remedies
In case you have a concern or query you can always consult an expert & get answers to your questions!