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Dr. David

ENT Specialist, Hyderabad

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Dr. David ENT Specialist, Hyderabad
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. David
Dr. David is a popular ENT Specialist in Ameerpet, Hyderabad. You can visit him/her at Challa Hospital in Ameerpet, Hyderabad. Book an appointment online with Dr. David on Lybrate.com.

Lybrate.com has a nexus of the most experienced ENT Specialists in India. You will find ENT Specialists with more than 35 years of experience on Lybrate.com. Find the best ENT Specialists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Challa Hospital

#7-1-71/A/1, Dharam Karam Road, Ameerpet, Landmark: Near Food World and Rajarajeshwari Bank, HyderabadHyderabad Get Directions
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Sir I am presently taking thyronorm 100 daily for treatment of thyroid and losing memory. Itching in ear and cough in the morning.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Sir
I am presently taking thyronorm 100 daily for treatment of thyroid and losing memory. Itching in ear and cough in...
Mr. Lybrate-user, if hypothyroidism is in control, then tsh should be 3 to 4 mu/l, at that level all the symptoms are well in check. So please look at tsh if not as desired then dose of thyroxine may have to be increased. Further, after 6 weeks check tsh again to see if it has returned to as mentioned above. Uncontrolled hypothyroidism can affect memory. As regards itching in ear you may have to consult an ent specialist and for cough, meet your local gp. Thanks.
3 people found this helpful
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Dear Sir, When I sleep deep. Snore is started by me. It makes me bore sometime. Give me the resolution for it.

MS - ENT, MBBS
ENT Specialist, Nagpur
Hello, snoring is very distressing symptoms. It's because of many reasons. Mostly due to obesity and increased fat deposition in chin part. It can be due to airway obstruction to. To rule out the cause endoscopy needed. Do daily morning heavy exercises and yoga. It'll definitely reduce your snoring.
2 people found this helpful
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I am suffering some type of allergy famous in bangalore, my nose is etching nd water coming from nose continuously nd it's not stop morning wen I weak up suddenly this problem starting throat also etching so I went to doctors but he said I have to leave bangalore then it will cure but I think this can't be solutions I can't leave bangalore but I want to get relief, ,please suggest me any good way.

DHMS (Hons.)
Homeopath, Patna
I am suffering some type of allergy famous in bangalore, my nose is etching nd water coming from nose continuously nd...
Hello, Lybrate user, you should drink lukewarm water. •Gargle, twice with hot saline water. •Tk, steam, twice. •Avoid, cold intake, exposure to cold climate, dust, smoke, junk food ,nicotine.•tk, homoeopathic medicine: @ Bryonia alb. 30-6 pills, thrice. @ Heper sulphur 30-6 pills, thrice. Go for meditation to charge your body and lungs with plenty of Oxygen  in order to clear your nasal passage. •Report wkly, your feedback matters for further follow up,  please. Tk,  care.
1 person found this helpful
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Hello Doctor, I am 40 years old female. From last 3 month I was feeling pain in my either ears but occasionally. Suddenly 1 week before I felt pain in my throat and a very small lump also. Now a days I feel just like a cotton is inserted in my ears and pain in ears.

MBBS
General Physician, Mumbai
Hello Doctor, I am 40 years old female. From last 3 month I was feeling pain in my either ears but occasionally. Sudd...
For pain take tablet paracetamol 650 mg and get your ears examined by a nearby doctor and it can be due to a fungal infection also.
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Hello Doc I am having pain in Left Ear from 4 to 5days, but still it is not cured. I having shown to Doctor also and given medicines also but it is still paining, it is because of Cold. So can you please advice in this.

MBBS, MS - ENT
ENT Specialist, Delhi
An ear pain not responding to normal therapy needs to be seen by Ent if you are in delhi can reach at Rockland Hospital dwarka 4-8 pm
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I have throat pain once in a week. I am using the medicine also. But no use what is the problem. I have tonsils.

MBBS, MS - ENT
ENT Specialist, Ahmedabad
I have throat pain once in a week. I am using the medicine also. But no use what is the problem. I have tonsils.
Throat pain medicine may not work if you have not stopped taking spicy fried chilled food. If you scream a lot. Sometimes antibiotics may not be effective in particular case than it may be changed as per your doctor advice or a test called throat swab for culture and sensitivity may be required to find out affecting bacteria and effective antibiotics.
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Cotton Buds - Why You Must Not Use Them?

MBBS
General Physician, Malappuram
Cotton Buds - Why You Must Not Use Them?

Cotton swabs or cotton buds, are commonly used in our daily lifestyle. Many people use it for various purposes, such as make-up, bacterial culture, and most commonly for extracting wax and debris from the ear. Even though they are sometimes handy in our busy schedule, they usually cause much more harm than benefits.

How are they misused?
Cotton buds are toothpick like pieces made of wood, plastic, or rolled paper, which have cotton stuck at both ends with a roundish edge. It came into existence during the 1920s for a safe purpose of ear cleaning by Leo Gerstenzang, when he saw his wife cleaning their baby’s ear with a toothpick. And, til now they are used by the general population for ear cleaning, but these hardly remove the outer debris which is stuck near the outer edges. Impressing it inside the ear canal only does further damage, by forcing the inner wax further inside. Sometimes extensive force also causes damage to the ear drums.

How does it cause the damage?
Applying a tool like the cotton bud inside the ear with hands usually creates a force that impresses upon the eardrum, also accumulating the surrounding earwax to that area, resulting in impaction of the wax. The force applied most often, if not always, causes a damage to the ear drums, which might cause severe pain, also leading to leakage, causing improper balance, deafness, and certain similar abnormalities.

Alternative measures
Although we are worried about cleaning our ears, it doesn’t really require our notice, since our usual showers allow an adequate quantity of water to enter the ears and clean the accumulated debris automatically. The structure, in which our ear canal is designed, is usually naturally assisting in cleaning up the unusual wax around the ear.

If there is an uncontrollable build up of earwax that is not cleaned off normally, you can always consult an ENT or any general physician and get it cleaned under medical surveillance, which is best advised.
Doctors and medical practitioners all around the world have been trying to spread the message of preventing the use of cotton buds for ear cleaning. It is important that the message reach the greater part of the population. Spread it to your family, your closest friends, their friends, and as further, you can reach!

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My both ears is itching and pain when I wear earring. If I don't wear then the earring hole is block.

PGDHHM, MBBS
General Physician, Delhi
My both ears is itching and pain when I wear earring. If I don't wear then the earring hole is block.
If allergic to particular metal ,change it .wear comfortable earring. If infection present,maintain hygiene and apply antibiotic ointment. Hope this helps u
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I am a 20 year old and I have continuous itching in throat for the past 1 week, what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am a 20 year old and I have continuous itching in throat for the past 1 week, what should I do?
DRINK WARM WATER . GARGLE WITH NORMAL SALINE . TAKE TAB. SINAREST THRICE A DAY FOR 5 DAYS. AVOID COLD WATER.
1 person found this helpful
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Sir, my son (9Yrs) is having sneezing issue in the morning. How to overcome from this.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please give him allium cepa - 200 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
1 person found this helpful
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I facing etching problem in my ears. Since. Two years. But with this I am facing. Breathing problem what to do.

BHMS
Homeopath, Raebareli
I facing etching problem in my ears. Since. Two years. But with this I am facing. Breathing problem what to do.
Both problems are not related it seems. Olive oil can provide fast relief from an earache. It serves as a lubricant and helps get rid of an infection in the ear. Olive oil can also be helpful in stopping buzzing sensations inside the ears. Put 3-4 drops of lukewarm olive oil as ear drops into the ear canal. Alternatively, you can dip a cotton bud in the oil and put it firmly into the ear. You can also use mustard oil in the same way. For further queries get back to me.
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I m having some ear problem in which I feel pain from inside when water went in what drop I prefer.

BHMS
Homeopath, Faridabad
I m having some ear problem in which I feel pain from inside when water went in what drop I prefer.
Hello, take kali sulph 6x and kali mur 6x, 5 - 5 tabs of each thrice daily. Revert me after 7 days. Thanks.
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Hi doc, my name is Izna nd i m 21 yrs old. Before 15 days i did piercing on my ears, from gunshot, bt the prob is my ear is paining nd pus is coming out frm the pierced area. Is thr anything that u can suggest me.

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Start antibiotic tab.Advent 625 mg twice a day and tab.Chymoral plus twice a day with tab.Rantac 150 mg twice a day (empty stomach) for 1 week. Clean that area with Betadine and apply neosporin/T-bact ointment and remove if u have worn any ear ring in that ear.
1 person found this helpful
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I am Payal Yadav, 25 years old, Female. I suffering from wisdom tooth pain very badly. Due to this pain my neck and ear is paining continuously. Please suggest what medicine should I take.

BHMS
Homeopath, Faridabad
I am Payal Yadav, 25 years old, Female.
I suffering from wisdom tooth pain very badly. Due to this pain my neck and e...
Hello, Take Plantago major Q, 10 drops twice daily with water. Take mag phos 6x, 6 tabs thrice daily with hot water. Take Arnica 200 Ch , 3 drops twice daily. take care.
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I am 60 years person. I am having diabetes for the last 16 years. Is loss of hearing in one left ear could be. Contributed to diabetes. There is tinnitus (like steam engine releasing gas) what's to be done. Two months back I fell down whilst walking in the night, since then there is loss of hearing. Pls help.

MS - ENT, MBBS
ENT Specialist, Hyderabad
I am 60 years person. I am having diabetes for the last 16 years. Is loss of hearing in one left ear could be. Contri...
Tinnitus may be related diabetes related hearing nerve weakness. You need to get tested by ent surgeon and if required some hearing tests need to be done. You may require a hearing aid which solves the problem of tinnitus also.
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My left ear drum was damaged so the fluid and pus was discharged since fast two months, now i cant walk studly,while walking i feel like giddiness it is relevant to ear problem are not, please answer me, thanking you

MBBS, MS - ENT
ENT Specialist, Delhi
Yeah it is ear problem ! the balance organ lies inside ur inner ear so .U need correction of ur drum defect !
1 person found this helpful
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My friends body temperature gets up and down she had pain in her throat continuously can she do the thyroid test.

MS - ENT
ENT Specialist,
My friends body temperature gets up and down she had pain in her throat continuously can she do the thyroid test.
Pain in front of neck with tenderness needs thyroid evaluation to rule out viral thyroiditis but inside throat no need. Jus it can be pharyngitis. You need treatment it it's disturbing routine.
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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

4 people found this helpful

I hear continuously 24x7 a whistle sound in my both the ears from last six months, I have consultant with some good doctors and they seeking it is tinnitus and it is incurable, please suggest how can I get back to my normal life?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take nux vomica - 30 / 5 drops in little water only at bed time for one week. Revert back after one week with feedback.
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