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Dr. R M Shah

ENT Specialist, Mumbai

1500 at clinic
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Dr. R M Shah ENT Specialist, Mumbai
1500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. R M Shah
Dr. R M Shah is a popular ENT Specialist in Vile Parle West, Mumbai. You can consult Dr. R M Shah at Shruti Clinic in Vile Parle West, Mumbai. Save your time and book an appointment online with Dr. R M Shah on Lybrate.com.

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English
Hindi

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Shruti Clinic

Shrinath Darshan Building , S V Road, Vile Parle West,Landmark: Near Golden Tobacco, MumbaiMumbai Get Directions
1500 at clinic
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Pain & itch in left side of throat difficulty in swallowing checked by myself its white colour mark inside.

DORL, MBBS
ENT Specialist, Faridabad
Pain & itch in left side of throat difficulty in swallowing checked by myself its white colour mark inside.
This is due to the drymouth and this is becoz of lack of hydration of the mouth, this can be replenished with good fresh fruits, shakes, banana, milk products, raisins and other iron rich diet.
1 person found this helpful
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I am a 22 year old male struggling with throat infection periodically, what is the preventive measure?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Start tab. Septilin twice a day for 1 month and do betadine mouth gargles twice a day. Avoid sour and spicy food.
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I was diagnosed with chronic pharyngitis and tonsillitis. I had consulted an e.n.t specialist and taken the medicines. But it gave me relief for a very short period. I am again feeling some irritation in my throat which causes severe cough. The cough is very embarrassing which occurs 5 to 6 times a day, at regular time intervals. What should do now. Have also tried many natural remedies and gargles. Now I have also got runny and blocked nose. Please help. I am very worried.

MBBS, PG Diploma In Emergency Trauma Care, Fellowship in Diabetes
General Physician, Delhi
Prevention of Asthma, Cold and Allergies. Increasing Immunity. 1. Stay away from Dust and Pollution. 2. Increase your immunity, eat plenty of Fruits and vegetables. 3. Keep Hydrated. Drink plenty of water and soups. 4. Exercise - Make it a habit to exercise or run for 45 minutes daily. This will improve your immunity. 5. Green Tea - Drink green Tea and coffee, They contain flavnoids and will. Improve your immunity. 6. Multivitamin - A good multivitamin of Antioxidants will also help you avoid cold and allergies. 7. Avoid eating outside food. 8. Handful of nuts like walnuts and almonds will improve your immunity to fight of the cold and allergies. 9. Maintain Healthy weight. 10. Yoga may also help in improving once immunity and inner strength. Also you need some vaccinatins and medicatiions. Please let me know if you need further medication with all your details.
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There is lot of wax in my ears. I tried to remove it by my fingers but still there is wax inside my ears and I have also put some drops of mustard oil in my ears but even that drop was convert into wax and now my ears are paining. What should I do? My right ear is paining very badly.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
There is lot of wax in my ears. I tried to remove it by my fingers but still there is wax inside my ears and I have a...
This may be due to impacted wax. Doing some home remedy may aggravate your pain or may cause damage to ear drum. Ideally you should see your doctor or preferably ENT specialist for direct examination, diagnosis and removal of wax manually or by vacuum extractor.
1 person found this helpful
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I am using neti pot manufacturer by patanjali, but when I pour water inside nose, it starts paining allot in nose plus eyes becomes red. The pain is unbearable but lasts only for 5 minutes maximum. I am using Luke warm water without any salt. My questions are: 1. Why such pain and burning sensation? 2. Is salt required to be added? If yes, can I use salt like tata salt used in home? 3. Proper method to use it. After using though, feels good. Breathing becomes also earlier.

Bachelor of Ayurveda, Medicine & Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra For Piles, Pilonidal, Sinus & Fistula Management, Post Graduate Diploma In Hospital Administration (PGDHA), Certificate In Diabetes Update
Ayurveda, Navi Mumbai
I am using neti pot manufacturer by patanjali, but when I pour water inside nose, it starts paining allot in nose plu...
Its great, but hope you got trained n observed by Ur coach, Rock salt i.e. a pinch of saindhav Lavan must be added. whole process has pre n post requisite. session n protocol needs to follow then only u can expect boost in Health n Fittness of all senses.
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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.
5 people found this helpful

M 25 years old. Suffering from one side deafness. Right side having 90%hearing loss, but left side completely fine. Doctor suggesting ear aid. But in ayurveda, alopati or in homeopathic treatment will cure it 100%?

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Audiologist, Noida
M 25 years old. Suffering from one side deafness. Right side having 90%hearing loss, but left side completely fine. D...
Hi lybrate-user, You have got Unilateral hearing impairment, for that you can go for CROS hearing aid. I am doubtful that it can be cured with other treatment. Takecare.
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I have sore throat from past week and also have severe cough, please suggest me a remedy thank you.

BHMS
Homeopath, Faridabad
I have sore throat from past week and also have severe cough, please suggest me a remedy thank you.
Hello. For sore throat, need to follow the points: - Avoid cold things, fried/ oily food. -Avoid excessive use of voice/ roughly using voice or else shouting. - Gargle with salt and warm water solution thrice daily. - Take Ginger tea. - Avoid excessive cold air or sudden change of temperature (like coming from heat/ sunlight to an A/C room). - Can cover your throat with a stole. Take homoeopathic medications - Schwabe's Kali Mur. 6x/ 4 times a day and Alpha- CF/ 1 tab. - both twice a day daily- for 3 days. Revert me back.
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I have throat problems since from a week. I took tablet but not help. So kindly suggest me tablets.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I have throat problems since from a week. I took tablet but not help. So kindly suggest me tablets.
Please take following medicine:- belladonna 200 / 5 drops in little water thrice a day for one week. Revert back after one week with feedback.
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I have swollen throat. I am taking homepathic medicine for last two days. But things are getting worse. Could you please suggest any medicine for relaxing the throat ?

ARCD in Critical Care
Unani Specialist, Delhi
nise 100 mg twice a day montemac fx once a day betadine gargles twice a day all medicine up to three days n ull recover very fast
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