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Dr. Agnieesh Patial

MS - ENT

Ear-Nose-Throat (ENT) Specialist, Mumbai

9 Years Experience  ·  600 at clinic
Dr. Agnieesh Patial MS - ENT Ear-Nose-Throat (ENT) Specialist, Mumbai
9 Years Experience  ·  600 at clinic
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Personal Statement

To provide my patients with the highest quality dental care, 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 dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Agnieesh Patial
Dr. Agnieesh Patial is a popular Ear-Nose-Throat (ENT) Specialist in Andheri West, Mumbai. He has helped numerous patients in his 9 years of experience as a Ear-Nose-Throat (ENT) Specialist. He studied and completed MS - ENT . You can meet Dr. Agnieesh Patial personally at Panchjanya Clinic in Andheri West, Mumbai. Save your time and book an appointment online with Dr. Agnieesh Patial on Lybrate.com.

Lybrate.com has a nexus of the most experienced Ear-Nose-Throat (ENT) Specialists in India. You will find Ear-Nose-Throat (ENT) Specialists with more than 27 years of experience on Lybrate.com. You can find Ear-Nose-Throat (ENT) Specialists online in Mumbai 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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Specialty
Education
MS - ENT - J J Medical College - 2008
Languages spoken
English
Hindi

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1st Floor, B Wing, Sitladevi Chs, Link Road, Andheri West, D N Nagar, Opposite Indian Oil NagarMumbai Get Directions
600 at clinic
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I have sinus problem and from a year I am using home medicine. As I was using that medicine I am feeling that my nervous not working properly. Is it only my feeling or medicine impact.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
Keep yourself hydrated in this dry weather, take good amount of semi solids like shakes lemon juices, sugarcane juice, and lassie curds any of milk products like cold coffee, hot coffee, this will definitely benefit you. If you do not get the solution than go ct scan done for nose.
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My mother is suffering from chronic cold for last 8 years. She had gone through 2 minor operations and allopathic medicines, it seems the cold is driven by some of the allergies and suffering from sinusitis. She had taken anti-allergic medicines recommended by the doctor but no relief as of now and her eyes get swelled and itchiness start happens. Are there any alternative remedies available for us?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
1. Avoid exposure to cold 2. Take bath with little warm water 3. Do steam inhalation regularly at least once a day 4. Warm salt water gargles daily 5 no cold water / cold drinks / ice creams and so on for medicine contact on private chat.
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Hello doctor. Good morning. actually I went for swimming 2 days back. Some water went to my ears. Today my head feels lil bit weight. And what we have to do if water went into our ears. Can you pls suggest me doctor. Tq.

BHMS
Homeopath, Lucknow
Hello doctor. Good morning. actually I went for swimming 2 days back. Some water went to my ears. Today my head feels...
Dear lybrate-user, you should kept a cotton ball inside your ear. It should be change for 3-4 times in a day. And must b kept while taking bath. Thanks.
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Have thyroid reading is 8.54 taking thyronorm 75mcg. Now facing the problem of giddiness often. Some doctors have said this is vertigo and nausea and now suggested for CT brain test. What should I do now and how can I get back to my normal state. Please suggest me the best.

MBBS
General Physician,
This thyroid value that you are telling, is it t3 or tsh? please specify or consult your doctor to assess if you are hypo/hyperthyroid or in a normal state with 75 mcg thyronorm. Thyroid abnormalities may also cause you these symptoms. However vertigo and nausea problem may be due to disease of ear like miniers disease, or labrynthitis for which you need to consult an ent specialist. Ct brain will help to identify the doctor any neurological diseases if any. Hope this helps.
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Good afternoon, i am 26 years old suffering from throat infection as swelling for 2 weeks and taken medicine but I am not felling well Plz suggested me

BHMS
Homeopath, Faridabad
Good afternoon, i am 26 years old suffering from throat infection as swelling for 2 weeks and taken medicine but I am...
Hello, You are suffering from throat infection for the last 2 weeks, will recommend you homoeopathic medicines, but in case don't get any relief, get back to me with rest other details, further intervention may be needed there after! Take Biocombination- 6/ 4 times a day and Bronia 30/ twice daily - take them for 3-4 days only.
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I am having sinus, so can you suggest what should I do? When I use metaspray then it is under controlled but if I stop taking it then I again have cold.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
Sinus is a normal roomy structure around nasal cavity its infection called sinusitis, if a person suffering from nasal obstruction along with sinusitis and mild to moderate nasal allergies it means most probably he is suffering from dns (deviated nasal septum. Nasal obstruction is because of the deviated portion of the nasal septum (this is the bony partition of the nose cavity. Allergies are because of the hampered muco-ciliary mechanism (normally mucus is produced in the nose to moisten our nose cavity, oral cavity, and help food bolus to move downward, this mucus is basically moves on the cilia of the nasal mucosa) this mechanism gets hampered and mucus start accumulating in the nose and sinus cavity which is why thick mucus comes from nose in patients of nose obstruction and person develops sinusits. When a surgeon removes the nasal septum deviation has not been removed properly the symptoms persists, and patient thinks that the nose bone has again regrown. It is not because of regrowth but because of half surgery done or due to the non removal of the deviation (reason can be many) nowadays nasal septal deviation can be removed endoscopic.
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My father is having sinus problem. He regularly takes otrivin nasal spray to open his nose. Is there any permanent solution for it?

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
I st of all stop using otrivin nasal drops" the main culprit here. Start him on tab. Allegra-m daily 1 at bed time and flomist nasal spray 2 puffs twice a day for 2-3 weeks. Get ct scan done after this.
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I have ache in my throat sometimes what to do. please suggest me sir.

BHMS
Homeopath,
I have ache in my throat sometimes what to do. please suggest me sir.
Whenever there is pain in your throat you can take glycyrrhiza glabra 1x, 2~2 tablets, thrice a day. Thanks.
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I feel so uncomfortable because of dried mucus of noise. I have regularly clean my noise 4-5 times a day. Suggest me some tips or medicines to get rid of this bad thing.

MS - ENT, MBBS
Ear-Nose-Throat (ENT) Specialist, Mumbai
I feel so uncomfortable because of dried mucus of noise. I have regularly clean my noise 4-5 times a day. Suggest me ...
Take steam inhalation regularly. Put nasoclear nasal drops 3 drops five times daily in each nostrils.
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I have a sour throat. What should I do?

MBBS
General Physician,
I have a sour throat. What should I do?
take tab levofloxine 500 1 tab od , tab sinarest hs, 5 day steam inhalation, saline garglesit will help. welcome.
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I am suffering from weakness of ear nerves. 2-3 year ago. My hearing audiometry is above 45db. What should I do to improve it.

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist, Delhi
I am suffering from weakness of ear nerves. 2-3 year ago. My hearing audiometry is above 45db. What should I do to im...
Hi, if you are suffering from nerve weakness of ear since last 2-3 years and your hearing threshold is 45db, it is better for you to go for a digital hearing aid accordingly by your hearing loss, because there is almost no solution for nerve related hearing loss, except a hearing aid. Also, medicine and surgery has no such effect on nerve related problem.
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My friend was recently operated (ear drum, tympanum). Unfortunately the operation was not successful. The puss from his ear is still coming out with traces of blood stain (Cotton squab). What is his problem? Could this be cured?

MS - ENT(Gold Medalist), MBBS
Ear-Nose-Throat (ENT) Specialist, Delhi
How do u know that operation was unsuccessful? It can be due to secondary infection in the ear that can be treated by antibiotics and ear drops so consult ur operating surgeon to find out the cause and treatment of the same.
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If someone is suffering from sinus then what precautions have to take before going outside even inside home.

MBBS
General Physician, Jalgaon
Please I will suggest few points.. Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Pranayam will help you a lot Put ANU telam in both nostrils and take deep breath twice a day Take Tab septilin by Himalaya 2. . 2 for 3 mths Take steam inhalation three times a day for 5 days Avoid direct air to face Avoid cold drinks ice cream etc The above points will help you to clear sinusitis and will prevent recurrence
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I am suffering from some nose ailment, what actually happens is. My nose gets blocked every night till the morning and I cant even breathe properly and even pain in my chest

MS - ENT, DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Delhi
This could be because of some bone being bent inside your nose, some swelling or a polyp in the nose. This will need further evaluation. However, it should be easy to treat once the cause is established. Regards
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Every evening I am suffering from headache factor and in the throat is aching what i do please suggest

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Every evening I am suffering from headache factor and in the throat is aching what i do please suggest
Please take following medicine:- ocyl. 0/2 three times a day for one month. Revert back after one month with feedback.
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I have sinus and sneezing every day what should I do for this problem? I have a permanent solution on this problem.

BHMS
Homeopath, Raebareli
Please do a x-ray of para-nasal sinuses. Also let me know if you are having nasal polyp. You should avoid, cold exposure/cold drinks/dust/smoke/fruits/ even exposure to sun. Till the time please take the following medicines -- bacillinum 200- 6 pills, once a week. Sang. Nit 200-6 pills thrice daily for next 2 weeks and get back to me.
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Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Belgaum
Waxed with Allergic Rhinnitis and Sinusitis Hear is the Solution

It is difficult to distinguish between allergy symptoms allergic rhinitis and sinusitis. This is no small problem. Of all the chronic diseases from which we suffer, allergic rhinitis is the most common. Approximately 30 million Indian or 15% of the Indian, population suffer from allergic rhinitis. Sinusitis, on the other hand, is one of the most common complications of allergic rhinitis. The problem with differentiating these two conditions occurs, because allergic rhinitis and sinusitis may both present with the same symptoms, such as fatigue, runny nose, chronic cough, congestion, post nasal drainage, headaches, facial or teeth pain, loss of taste or smell, and difficulty sleeping. Asthma, the other major complication of allergic rhinitis, is a lower airway lung disease that may present with cough, shortness of breath, and chest tightness, and in some studies, up to 40% of patients with allergies, have asthma.

Think then of a triangle: with allergic rhinitis on the left, causing sinusitis on the right, and both conditions causing asthma on the bottom. All three conditions can occur separately, but are closely interconnected. Remember that sinuses are simply empty cavities that surround the eyes. Air must be present in the sinuses to allow the linings of the sinuses to breathe and this is accomplished via small openings from the sinuses into the nasal passages. These openings also allow mucous from the sinuses to naturally drain into the nasal passages. If anything causes a blockage of the openings, the lack of air causes linings to use up the surrounding air supply, and like a vacuum, the resulting negative pressure will draw fluid out of the sinus linings. Fluid may then collect and fill the sinuses, which allows for bacteria to grow and cause infections. This can lead to facial pain, infected post nasal drainage and headaches. With increasing inflammation and thickening of the sinus linings, swollen tissue may round up and form nasal polyps that may cause and lead to loss of taste and smell.

Allergic rhinitis and common viral colds are the leading causes of sinusitis, and the history and physical examination will help your provider distinguish the two conditions. Allergic rhinitis may be seasonal, lasting weeks, months or even year round, and is caused by pollen, dust mites. Fever and discolored nasal drainage are uncommon, unless sinusitis is also present. Conversely, typical viral colds last 3-7 days, so any fever, discolored drainage, sore throat, headache or fatigue lasting longer that 7 days is very unlikely to be a simple viral cold, and is most probably sinusitis. On physical examination, patients with allergic rhinitis and sinusitis may both have dark circles under the eyes (shiners), swollen, pale nasal tissue, congestion and discharge. Patients with sinusitis, however, may also have discolored discharge. Studies have shown that greater than 50-75% of allergic adults and children with asthma have abnormal sinus, and asthmatic symptoms did not improve until the sinusitis is treated completely.
ALLERGIC RHINITIS
Most patients 10-20% of the population with sneezing, congestion, runny and itchy nose rhinitis, postnasal drip and itchy, red eyes during spring and fall have allergies to seasonal pollens. A high percentage of allergic individuals will be children. Whether someone will develop

Allergies depends on two factors: (1) Hereditary - Is there a family history of allergy?
(2) Environmental- Is the individual old enough and been exposed to enough pollen? Symptoms due to allergies may be severe enough to cause a loss of time from work and school.

Interestingly, a percentage of patients with classic symptoms will be absolutely and unequivocally negative on skin testing. Allergy injections are not indicated and not possible, because these patients are not allergic. And yet patients are just as symptomatic, and just as miserable as the rest of us. How is this possible and what treatment is available?
Definition and Pathophysiology
The diagnosis of rhinitis without positive skin tests is divided into two subgroups. One subgroup, non-allergic rhinitis with eosinophilia, presents with allergy symptoms in addition to conditions such as nasal polyps and nasal eosinophilia, asthma and frequently sinusitis. The other subgroup, vasomotor rhinitis, presents with symptoms, especially congestion, but lacks other associated conditions.

The nasal mucosal lining has a rich blood supply that is under the control of the nervous system called the autonomic nervous system. Nonspecific stimuli such as rapid changes in weather, temperature and humidity, drafts, exposure to chemicals, odors, perfumes, smoke and dust, emotions or stress may increase blood flow to tissue, resulting in swelling, congestion and rhinitis. A significantly deviated septum may induce changes in the mucosa, worsen the non-allergic or vasomotor rhinitis and cause more nasal congestion and drainage. Hormonal changes that occur with pregnancy, menstruation, menopause, hypothyroidism and oral contraceptives may cause symptoms of chronic non-allergic rhinitis.
Clinical Features
Patients complain of chronic nasal congestion, rhinitis, postnasal drip and sneezing. Congestion and blockage may alternate from side to side and are usually constant, though seasonal weather changes may trigger symptoms that mimic dust allergies. Symptoms may be worse upon awakening in the morning. Examination reveals marked pink or pale nasal swelling obstruction and thick nasal secretions. In all cases, skin tests are negative. Patients with non-allergic but not vasomotor rhinitis will have eosinophils present in nasal secretions and frequently nasal polyps complicating the obstruction.
SINUSITIS
Sinusitis
Sinusitis is an infection or inflammation of sinuses. Sinuses are the air-filled pockets or spaces found in the bones of face, around eyes and nose. They produce mucus, which, under normal circumstances, drains into the nose. Normally the sinuses produce about 1.5 litres of mucus a day and the quantity increases during allergy, inflammation and infection and this also changes the character of the mucus. Infection of sinuses is one of the common health care complaints.

Pathology
Sinusitis occurs when the mucus-producing lining of sinuses become inflamed and block the opening of the sinuses. Due to this, foreign material cannot get out, oxygen levels drop within the sinus and bacteria in the nasal cavity slither into the sinuses causing the sinus walls to swell and fill with pus. If the infection does not subside, the body sends in disease-fighting cells to kill the bacteria, which in turn can do considerable damage to the sinus walls. These defender cells can damage the cilia, the hair-like structure in the sinuses that help expel foreign matter. In addition, scarring can be caused which can result in the formation of sores.

Causes of Sinusitis

Infection due to bacteria, virus, fungi
Allergy: Most commonest causes are dust, animal dander, smoke, food and pollutants
Upper respiratory tract infection such as common cold or flu
Nasal polyps
Nasal Septum deviation
Chronic tonsillitis and adenoiditis
Climatic factors like sudden temperature changes
Swimming in infected water
Low immunity
Dental causes like an abscessed or badly decayed tooth, following dental treatment
Diseases like diabetes and HIV can create a predisposition to sinusitis

Symptoms of sinusitis

Nasal congestion leading to nasal obstruction, difficulty breathing through the nose
Thick nasal discharge (may be yellowish or greenish in colour in case of infection)
Sensation of fullness in the face
Sensation of pressure behind the eyes
Postnasal drip
Cheeks feel tender and pain may be similar to toothache in upper jaw
Mild fever and headache over one or both eyes (if frontal sinuses are affected)
Headache is usually worse in the mornings and made sharper by bending forwards
Sore throat
Foul smell in nose
Nasal sounding speech
Possibly, pus-like nasal discharge
Dry tickling cough
Tiredness

Asthmatic Attack
In the initial stage there is an asthmatic aura sometimes sneezing, flatulence, Drowsiness or restlessness irritability will be present. There can be a dry cough along with wheezing breathlessness these are some of the symptoms before the actual asthmatic attack.

Sense of oppression in the chest suddenly in the middle of the night is experienced.
There is a sense of suffocation and the patient leans forward fighting for his breath; or he may go to the open window to relieve the suffocation.
Anxiety, perspiration, cold extremities and cyanosis might be present.
Wheezing is present and can be heard from a distant.
In severe airways obstruction airflow maybe so reduced that the chest is almost silent on auscultation.
Inspiration is short and high pitched while the expiration is prolonged. On auscultation there are plenty of rhonchi and rales heard.
Termination is spontaneous or due to medication. As the bronchial spasm is less the patient is able to breathe and he can also cough which brings out viscid sputum which relieves him.
The duration of the attack varies from a few minutes to hours. The attacks can last for many hours in paroxysms this state is known as Status asthmaticus. In this state the patient has to be admitted to the hospital so that he can be supplied with oxygen and other auxiliary methods of treatment

For many patients with asthma, the concern that this “reversible” though serious, potentially life-threatening persistent lung disease may progress into emphysema, is real and worrisome. After all, asthma along with emphysema and chronic bronchitis, the latter two conditions known as Chronic Obstructive Pulmonary Diseases (COPD), all have inflammation with airway narrowing, mucus production and airway obstruction. Homeopathy Management

Suppression of colds by high doses of conventional medicine leads to recurrent attacks. When you use a groom to clean your room, do you push all the dust in a corner of the room or collect it and throw away? It is a common sense that if you push to the corner of the room, in due course the dust will spread in the entire room again and make it dirtier. Same is the case with the disease affecting your body. If you suppress the disease, where will it go? It will remain in dormant state inside the body and express itself again when the body meets any of the allergic triggers. The homeopathic medicines however through the principle of “like cures like” stimulate the vital force and immunity in order to enhance the body’s capacity to repel further allergies and infections. The constitutional medicines that are found by considering the physical, mental, and emotional aspects of an individual can only lead him on the road of permanent recovery from those allergic spells. Not only these medicines cater the problem of allergy but also impart great health on all planes, as it treats the patient as a whole and not just his disease.
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I have nose pain seveiorly may I know what reason?

MS - ENT
Ear-Nose-Throat (ENT) Specialist,
Pain in nose: it is rare but can be due to infection in skin of nose known as vestibulitis. Good checkup and accordingly antibiotics and analgesics and local antiseptic ointment will help.
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Droplets of blood are found in my mother's left ear and she says it causes pain. She is suffering from severe cold and have been very weak. When consulted to a general doctor, he said it should be meniere's disease. What is it actually and is it something serious?

MBBS
General Physician, Mumbai
Droplets of blood are found in my mother's left ear and she says it causes pain. She is suffering from severe cold an...
Menieres disease has a triad of tinnitus, vertigo and deafness and your mom seems to have some kind of inflammation
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