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Dr. Sailaj Kanugukar

ENT Specialist, Mumbai

300 at clinic
Dr. Sailaj Kanugukar ENT Specialist, Mumbai
300 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Sailaj Kanugukar
Dr. Sailaj Kanugukar is a popular ENT Specialist in Jogeshwari East, Mumbai. He is currently practising at Shalyak Hospital in Jogeshwari East, Mumbai. Save your time and book an appointment online with Dr. Sailaj Kanugukar on Lybrate.com.

Find numerous ENT Specialists in India from the comfort of your home on Lybrate.com. You will find ENT Specialists with more than 30 years of experience on Lybrate.com. You can find 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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Hindi

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Shalyak Hospital

Building No 2, S K Appartment, Dalwai Compound,Gumpha Road, Jogeshwari East,Landmark:Near Police Station, MumbaiMumbai Get Directions
300 at clinic
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Sir I have small hole in my ear drum last 1 month by stick. When I clean my ear. Please Could someone tell me. How to heal this. What eat for superfast recovery. Is it possible for by medicine. What should be take for heal. I am feel depressed what to do about it.

MBBS, MS- ENT, DNB (ENT)
Ear-Nose-Throat (ENT) Specialist, Asansol
Sir I have small hole in my ear drum last 1 month by stick. When I clean my ear. Please Could someone tell me. How to...
For hole in ear of recent onset, wait and watch for 6 weeks. If it doesn't fill up then go for tympanoplasty.
1 person found this helpful
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I have pain in the left ear from two days and I have cold please educate me on this. Thank you.

MBBS
General Physician, Cuttack
I have pain in the left ear from two days and I have cold please educate me on this. Thank you.
1. pain ear could be due to cold 2. take one tablet of sinarest twice daily after food 3. Do steam inhalation with Karvol plus inhalant capsule 2-3 times daily 4. Consult for further advice
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I am 60 years old healthy man. But right now I developed a severe cough with sore throat. There is a slight fever also. Should I start antibiotics now and if so which one?

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
I am 60 years old healthy man. But right now I developed a severe cough with sore throat. There is a slight fever als...
U need medication. 1. Avoid exposure to cold 2. Do not take cold water 3. Do steam inhalation 2/ 3 times 4. Take bath with little warm water 5, do warm salt water gargles.
1 person found this helpful
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I am 27 year old woman. I am having itching in my ears (tympanic membrane) every morning and feel to have some watery substance along with itching. Is this a kind of infection?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
It can be fungal infection (otomycosis) so start candid/candibiotic ear drops 2-2-2-2 and tab. Lcz 5 mg daily at bed time.
1 person found this helpful
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Muhje bahut tonsal's problem hai thik nahi ho rahi hai or muhje usme right side stone bataya hai Dr. ne xray m 2 jis wajha se khana khane me dikkat hoti please solution batae kuch.

DHMS (Hons.)
Homeopath, Patna
Hello, take, homoeo-medicicne** @ baryata carb 1000-6 pills, once a wk. @ baryta iod 30-6 pills, thrice a day. * avoid, cold, intake, cold exposure, dust, smoke. Report fortnightly.
1 person found this helpful
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Sinusitis: Management and Prevention

MBBS, Diploma in Diabetology
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

2 people found this helpful

I have nose allergy from two years I have went to many doctors . Doctors treatment has cured but it not cured completely only up to the doctors medicine.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
I have nose allergy from two years I have went to many doctors . Doctors treatment has cured but it not cured complet...
Dust allergy is partly genetic and partly environmental. Thus it never goes away. With better ,less dusty environment  the extent if the problem gets reduced. Medicines help to downregulate the immune response of your body to these environmental allergens. Long term lifestyle  changes with gradually tapering medication  helps to tackle chronic sinus problems.  Start taking Steam inhalation twice a day. *For chronic allergic rhinosinusitis you will need to take a long term course of antibiotics  together  with Nasal sprays . *You will need to avoid dusty environment  and dust mites, animal dander etc. Regular cleaning of AC air filters. Wearing mask while driving 2 wheelers/working in dusty  areas Medical  management  is done for 3 months and then patients  condition is reviewed.  Intermittent treatment is not beneficial  in the long run. Around 30 %of people with allergic rhinitis  will develop Asthma if not treated .But majority of patients with asthma are allergic to dust .Active treatment  of nasal allergy reduces Asthma attacks and medicine requirements. This improve  quality of life .allergens.
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I am 51 year old and suffering lot of problems i. E. Hypertension, Sinus, Headache, Cervical, numbness on some body parts.

BHMS
Homeopath, Delhi
I am 51 year old and suffering lot of problems i. E. Hypertension, Sinus, Headache, Cervical, numbness on some body p...
Hello,you can take homoeopathic medicines 1. Calc Fluor 30 ( 4 drops in little water) every morning empty stomach only one dose in a day for a week. 2.Rhus Tox 30 ( 4 drops in little water) thrice a day for a week and revert.
12 people found this helpful
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My age is 23, I have sinus problem, my 50% hairs are greyed out, so I use Loreal colour and I am facing hair loss problem, can you please provide me a solution?

MD - Homeopathy
Homeopath, Aurangabad
My age is 23, I have sinus problem, my 50% hairs are greyed out, so I use Loreal colour and I am facing hair loss pro...
Acid phos 30 take 1 drop 3 times x 7 day above is homeopathic medicine and available in homeopathic store also safe to take and no side effects do not take more days without my consent.
1 person found this helpful
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I have deviated nasal septum .So doctor said that it can be treated by allopathic medicine .Can you tell what medicine to use?

MS - ENT, Fellowship in Head and Neck Oncology
ENT Specialist, Ghaziabad
I have deviated nasal septum .So doctor said that it can be treated by allopathic medicine .Can you tell what medicin...
Listen friend more than 70 percent have some form of nasal septal deviation. Many are asymptomatic. They are treated surgically is a true statement but only if they are symptomatic. Like nasal obstruction, recurrent nasal bleed and obviously obstructive sleep apnoea a spectrum of disease associated with snoring, excessive day time somnolence and frequent night awakenings.
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I am a 20 ear old guy. I have stomach ache since past few weeks. I don't understand the problem whether its a cramp or acidity. Please help me out.

BHMS, MO (RBSK), CERT (ARSH), LT
Homeopath, Kolkata
I am a 20 ear old guy. I have stomach ache since past few weeks. I don't understand the problem whether its a cramp o...
If its associated with costipation, heartburn, eructation or flatulence then most likely the cause is acidity. Otherwise you may think of cramp. Advice to increase the water intake first. It will take care of both the causes.
4 people found this helpful
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Hi I am traveling to leh ladak can you tell me diamox tablet is good for altitude sickness.

C.S.C, D.C.H, M.B.B.S
General Physician,
Acetazolamide (Brand Name: Diamox) is a "water pill" (diuretic) used to prevent and reduce the symptoms of altitude sickness. Acetazolamide is also used with other medications to treat a certain type of eye problem (open-angle glaucoma). Acetazolamide is available in generic form.
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Eating eggs for curing sinusitis helpful or not? Or is there any natural remedy to cure it.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Eating eggs for curing sinusitis helpful or not?
Or is there any natural remedy to cure it.
Eggs is no cure for sinusitis.. steam inhalation can control/improve symtoms. Avoid smoke, pollution, cold drinks and allergens.
1 person found this helpful
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Slight throat pain beginning of cold no headache or body pain tell me to cure cold at the beginning stage doctor no symptoms of fever.

MS, FAIS, MBBS
General Physician, Patna
Slight throat pain beginning of cold no headache or body pain tell me to cure cold at the beginning stage doctor no s...
We should know the exact cause. .this is only possible by clinical examination .for best result, please consult earliest with all previous reports and drug details.
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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.
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Sar mere gale mai kharas orJalan or kharab rahte I hai mai or masoom krta hu ki jakhm hai.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Sar mere gale mai kharas orJalan or kharab rahte I hai mai or masoom krta hu ki jakhm hai.
Dear take Laxmi vilas ras 2 tab daily And haridra khand 1 spoon Avoid oily and fast food Consult me.
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I feel so dizzy all day please suggest me some power drinks or druids or healthy diets.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Drink ors water solution or make it on ur own...u can also take lemon water drinks ... Power drinks are not good for health on long-term... Get ur blood hemoglobin levels checked Take orange juice daily
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I have pain in both my ear from last week it sometimes slow but sometimes fast what should I do?

MBBS, cc USG
General Physician, Gurgaon
I have pain in both my ear from last week it sometimes slow but sometimes fast what should I do?
let me know if you are having symptoms like Ear discharge/ hearing Problem etc. 3. History of water entry in ear? 4. h/o any ear trauma? This problem may be due to Wax in ear/ or may be Eustachian tube blockade follow advises given below 1.do not pore anything in ear 2.avoid water entry 3.As you need internal examination of ear by Otoscope so consult ENT surgeon
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Suffering from tinnitus from the past 7 years Wats d solution for tht Kindly reply.

M S, MBBS
Ear-Nose-Throat (ENT) Specialist, Gurgaon
Tinnitus at times could be real difficult to treat. Kindly get yourself examined for hearing loss by getting pure tone audiometry. You may use sound generators to mask and suppress tinnitus. If there is associated anxiety, reducing the anxiety also helps.
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