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Dr. S. Paryani Kiran

ENT Specialist, Hyderabad

Dr. S. Paryani Kiran ENT Specialist, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. S. Paryani Kiran
Dr. S. Paryani Kiran is an experienced ENT Specialist in Secunderabad, Hyderabad. You can consult Dr. S. Paryani Kiran at Kiran Clinic in Secunderabad, Hyderabad. Save your time and book an appointment online with Dr. S. Paryani Kiran on Lybrate.com.

Lybrate.com has top trusted ENT Specialists from across India. You will find ENT Specialists with more than 35 years of experience on Lybrate.com. You can find ENT Specialists online in Hyderabad 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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134, Near Arya Vysya Sangham, Secunderabad, Penderghast Road, HyderabadHyderabad Get Directions
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When I sleep, my left nostril gets clogged if I sleep on my left side and the right nostril if I sleep on my right side. Is this the start of the sinusitis? what should I do?

M B B S, M. D (Internal Medicine)
General Physician, Nellore
It is a normal phenomenon. It is called nasal cycling. At any given time, we are mostly breathing through one nostril only. You can test yourself at any time. You will find that most of your breathing is through one nostril only. Usually, people do not notice any change except when they are having cold, running nose etc. If the patient has noticed it even when there is no cold, then it probably is first time observation by patient or patient has hypertrophied turbinates. But, it is unlikely to be hypertrophied turbinates since you are saying it has started both sides at the same time. You have merely made an observation of something that has always been happening.
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Angina Care

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Angina Care

Angina is a term used for chest pain caused by reduced blood flow to the heart muscle. Angina is a symptom of coronary artery disease. Angina is typically described as squeezing, pressure, heaviness, tightness or pain in your chest.

Symptoms associated with angina include:


    Chest pain or discomfort
    Pain in your arms, neck, jaw, shoulder or back accompanying chest pain
    Nausea
    Fatigue
    Shortness of breath
    Sweating
    Dizziness


The chest pain and discomfort common with angina may be described as pressure, squeezing, fullness or pain in the center of your chest. Some people with angina symptoms describe angina as feeling like a vise is squeezing their chest or feeling like a heavy weight has been placed on their chest. For others, it may feel like indigestion.

The severity, duration and type of angina can vary. It's important to recognize if you have new or changing chest discomfort. New or different symptoms may signal a more dangerous form of angina (unstable angina) or a heart attack.

Stable angina is the most common form of angina, and it typically occurs with exertion and goes away with rest. If chest discomfort is a new symptom for you, it's important to see your doctor to find out what's causing your chest pain and to get proper treatment. If your stable angina gets worse or changes, seek medical attention immediately.

Characteristics of stable angina


    Develops when your heart works harder, such as when you exercise or climb stairs
    Can usually be predicted and the pain is usually similar to previous types of chest pain you've had
    Lasts a short time, perhaps five minutes or less
    Disappears sooner if you rest or use your angina medication


Characteristics of unstable angina 


    Occurs even at rest
    Is a change in your usual pattern of angina
    Is unexpected
    Is usually more severe and lasts longer than stable angina, maybe as long as 30 minutes
    May not disappear with rest or use of angina medication
    Might signal a heart attack
    Thanks

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I am suffering from ENT problem. Both of my ears are having itching and rashes and I m continuously rubbing my ears both outside and inside. What should I do?

BHMS
Homeopath, Faridabad
I am suffering from ENT problem. Both of my ears are having itching and rashes and I m continuously rubbing my ears b...
Hello, Kindly visit an ENT specialist for correct diagnosis. The rashes are outside the ears or present inside? Medication: Take Rhus Tox. 30 and Urtica Urens 30 - both 3times daily for 3-4days.
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Nose Surgery - Why Should You Consult Your Doctor Before Opting For It?

M.Ch (Plastic)
Cosmetic/Plastic Surgeon, Chennai
Nose Surgery - Why Should You Consult Your Doctor Before Opting For It?

A nose surgery (rhinoplasty) is performed to alter the structure and shape of your nose and improve its function and or appearance. Here are a few things you should know about nose surgeries: 

  1. Consult your doctor: Before deciding on undergoing a nose surgery, speak with a doctor regarding issues with your nose. Your doctor will check your problems and judge whether or not surgery is a feasible option. It is only with your doctor's confirmation that you should go for the surgery.
  2. Procedure:
    • The surgery is done either with local anesthesia (your nose and surrounding areas will be numbed) or general anesthesia (you will fall asleep).
    • The surgeon will make incisions in your nostrils and base of the nose and alter the shape, structure and position of the cartilages in your nose for appealing shape and better functionality. Polyp removal is also done by rhinoplasty.
  3. Recovery after the surgery: You will be required to wear a nose splint. You can expect swelling around the eyes, which will begin to subside after the third day. Swelling in the nose will go away after six months. Therefore, do not expect to see your results immediately, final condition of your nose will be apparent after the recovery period is over. You should avoid strenuous activity for 3 to 6 weeks. Do not smoke or drink alcohol during recovery. Smoking slows recovery time and alcohol reduces normal effects of drugs.


Type of rhinoplasty you can opt for

  1. Closed rhinoplasty: Incisions are made inside the nostrils and hence there is no scarring.
  2. Open rhinoplasty: An additional cut is made along the columella and this may result in scarring. However, the position of the scar is such that it is almost unnoticeable.


Risks associated with it 

Any surgical procedure has certain risks. These risks associated with nose surgery include:

  1. Infection
  2. Adverse effect to anesthesia
  3. Unfavorable outcomes
  4. Visible scarring
  5. Numbness
  6. Difficulty breathing
  7. Chronic nosebleeds
  8. A perforated septum
  9. Hematoma
  10. Burst blood vessels
  11. Nervous damage
  12. Possibility of revision surgery
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I Am Prateik 23, I have been continuously suffering from cold ND cough for around 20 days. Now I m having some kind of irritation in my throat. What should I do.

BHMS
Homeopath, Raebareli
I Am Prateik 23, I have been continuously suffering from cold ND cough for around 20 days. Now I m having some kind o...
Drink plenty of warm fluids. Drinking warm fluids helps to loosen the secretions in your sinuses so that your mucus flows more freely, making you feel better faster. Studies show that drinking warm fluids relieves cold symptoms such as runny nose, cough, sneezing, sore throat, and fatigue. Also take Hepar sulph thrice daily for next few days. For further queries get back to me.
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Can a Sinus Infection (Rhinosinusitis) Cause Spinal Meningitis?

MBBS, MS - ENT
ENT Specialist, Delhi

The answer is unfortunately. Yes!
Meningitis, sometimes referred as spinal meningitis, is an inflammation of the membranes surrounding the brain and spinal cord. Usually caused by a viral infection, but it can also be caused by a bacterial or fungal infection.
 
Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Infection of the sphenoid sinuses, however, merits concern. These thin-walled sinuses develop late in childhood, and their deep location places them adjacent to the dura mater and other critical structures.
 
Sphenoid sinusitis is identified in approximately 3% of cases of acute sinusitis, typically in the context of pansinusitis. Significant development of the sphenoid sinuses does not begin until age 4 to 6 years, thus, sphenoid sinusitis is restricted.
 
Viral infection causes most cases of spinal meningitis. Viral meningitis is usually mild and heals without treatment. Bacterial meningitis is more severe and requires treatment with antibiotics. Streptococcus pneumoniae and neisseria meningitidis are strains of bacteria that cause pneumococcus and meningococcus meningitis respectively.
It can be life threatening condition owing to its proximity to brain and spinal cord and infective media is the fluid surrounding them.
 
Diagnostic tools:
• Lumbur puncture – csf examination (cell count, glucose, proteins) and culture
• Blood culture
• Chest x ray
• CT scan of head and nose – pns
• MRI brain
 
Symptom checker in meningitis secondary to sinusitis:
• Fever (92%)
• Headache (85%)
• Nausea, vomiting (62%)
• Altered consciousness (31%)
• Seizure (31%)
• Hemiparesis (23%)
• Visual disturbance (23%)
• Meningismus (23%)
 
Conclusion and quick pearls:
• Complications that are less common with antibiotics
• Orbital (cellulitis, abscess)
• Intracranial (subdural empyema, thrombosis of cavernous sinus)
• Bony osteomyelitis.
• Can result in drastic sequelae
• Drain abscess and open involved sinuses
• Ent surgical involvement – functional endoscopic sinus surgery
- Usually amenable with medical treatment
- Drain sinuses if no improvement after 48 hours
• Ophthalmology check up
• Neurosurgery intervention
 
A low index of suspicion is necessary for early diagnosis and treatment of sphenoid sinusitis, orbital complications and prevention of intracranial complications including meningitis.

1 person found this helpful

I have problems on my nose. Always snoozing and flowing liquid through my nose, I am very irritated from six months I will treated so many types of medicine via best doctors but no effect on my disease. Plese help me. Best regards.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Tumkur
I think you're suffering from allergic rhinitis. You need to avoid the substances that cause such symptoms.
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Two balls are develop inside the left and right side of throat so what are the precaution be need to remove them?

PGDHHM, MBBS
General Physician, Delhi
Two balls are develop inside the left and right side of throat so what are the precaution be need to remove them?
U seems to have tonsillitis. Gargle with warm salt water. Take over-the-counter pain relievers if intolerable pain. Take adequate rest and eat healthy diet. Antibiotics might be required. Hope this helps u
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WHAT IS THE SOLUTION FOR MORNING PHELM AND THROAT IRRITATION. SINCE 10 YEARS. Pls TELL ME RIGHT ADVICE TO RELIEF FROM THIS. I AM sinus OPERATED.

MD- Ayurvedic Pathology
Ayurveda, Amritsar
WHAT IS THE SOLUTION FOR MORNING PHELM AND THROAT IRRITATION. SINCE 10 YEARS. Pls TELL ME RIGHT ADVICE TO RELIEF FROM...
Take sitopladi churna 2g and kaphketu rasa 250 mg. Three times a day with gojivhaadi kwath (from nearest ayurvedic store)
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I have a hole in ear. Fuss coming out of ear every day. When I have contacted ENT specialist ,he is advising me to go for operation. Can you give me a advise which can the problem with medicines.

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
Yes operation (myringoplasty) is needed to correct hole in the ear but for this ear should be dry means non-infected. Avoid water entry in the ear.
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My age is 35. I was teacher. Now I left my job. Now a days whenever i tired on stressed. My throat and voice get affected. Sometimes my voice sounds like a man. Sometimes I cant speak. I got bad throat. Please help me with this

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
This happens due to nodule formation on vocal cords(vocal nodules) which is very common in teachers.Start tab.Pantop 40 mg daily 1 before breakfast for 2-3 weeks, voice rest and speech therapy by a professional speech therapist.
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Whenever we get cold and throat problems should we at once take antibiotics or should we take natural things at priority first and antibiotics at last and should we try our best to get out of cold and infections the natural way only.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Whenever we get cold and throat problems should we at once take antibiotics or should we take natural things at prior...
Natural way is better, but draw a line when to seek medical assistance, if accompanied with fever, loss of appetite, discharge is yellow, green, bloood in discharge, immunotherapy &natural products, supplements. Do help.
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I have a regular tonsil problem .Jab mai pani ma bigta hu ya late karke bath kiya toh tonsil bara ho jata ha.Please tell.

PDDM, MHA, MBBS
General Physician, Nashik
You need to increase your immunity and maintain proper hygiene. The best way to boost your immunity is to take a multivitamin, a vitamin c and a fish oil tablet daily. Exercise daily. Eat a healthy diet and drink plenty of water. Avoid alcohol, nicotine and illegal substances.
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Sir I have a pain in lower part i.e left side of throat. When I turn right, it pains as if someone is pricking it. Please suggest what to do.

Master of Surgery, Post Graduate Diploma in ENT, MBBS
Ear-Nose-Throat (ENT) Specialist,
Sir I have a pain in lower part i.e left side of throat. When I turn right, it pains as if someone is pricking it. Pl...
" for mild sore throat, try with salt water gargles using little warm water, taking care not to use too hot water, and take pain killer if required. If you are not ok in 1-2 days, consult back. Try sending picture of your throat. If you have fever, you may need additional medicines as well. If symptoms are severe, please consult an ent doctor immediatly. Please see that it may be more beneficial if you add honey and salt to the gargle solution. Add 1 spoon of honey and half spoon of salt to half glass of water to make gargle solution. Also, if you are s smoker, you need to quit smiking and alocohol.
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Sir I have been suffering from sinus problem for last 2 years, please suggest me a treatment to cure it permanently.

MBBS
General Physician, Mumbai
For your sinus problems I will suggest you to buy a steam inhaler machine of crescent company and take a flow of steam (of plain water only) over the forehead through the inhaler and can repeat the process after eight hours do it for ten days.
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Doctor I am suffering from fever. And rested for 4 days Please Help Me please and the nose is filling with bulgum.

MBBS
General Physician, Cuttack
Doctor I am suffering from fever. And rested for 4 days Please Help Me please and the nose is filling with bulgum.
1. Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2. Cold sponging sos 3. Drink plenty of water 4. Take rest 4. If no relief do blood examination like esr, cbc, widal/ typhidot test, blood for mp/malaria antigen and dengue antigen (ns1) test after consulting doctor 5. Consult me for further advice 6. For cold, do steam inhalation wiyh karvol plus inhalant capsule.
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Can anyone suggest safest method of cleaning ear and ear drops for itching in the ear.

MBBS
General Physician, Delhi
Can anyone suggest safest method of cleaning ear and ear drops for itching in the ear.
See itching is due to dryness of ear canal which is done by repeated cleaning the wax which is produced in the ear protects ear canal if excess get excess removed by movement of jaw.
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I have constantly dry nasal passages and irritation which causes me to pick my nose, which I find disgusting. I try and blow my nose regularly but feel that there is dry mucus around the lining of the nasal cavity. ?

M.S(ENT),DNB,D.O.R.L, Laryngology fellow
Ear-Nose-Throat (ENT) Specialist, Mumbai
Use Nasoclear saline nose drops, 2 drops thrice daily for 1week. See an ENT specialist if the problem persists.
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Sir I have problem on throat. And have pain in throat. No swelling in or out. No tonsil.

MS - ENT
ENT Specialist, Mohali
Sir I have problem on throat. And have pain in throat. No swelling in or out. No tonsil.
Avoid tea coffee cold drinks and spicy fried food. Avoid bedtime beverages like milk. Don't lie down immediately after meals .scroll for at least 1 hr to digest food. Take plenty of water.
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