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Dr. Vinal Shiva Dev

ENT Specialist, Mumbai

400 at clinic
Dr. Vinal Shiva Dev ENT Specialist, Mumbai
400 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Vinal Shiva Dev
Dr. Vinal Shiva Dev is a popular ENT Specialist in Powai, Mumbai. You can consult Dr. Vinal Shiva Dev at Powai Polyclinic & Hospital in Powai, Mumbai. Save your time and book an appointment online with Dr. Vinal Shiva Dev on

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Powai Polyclinic & Hospital

Plot No 19/A, IIT Main Gate, Powai. Landmark: Near Lakshmi Hotel, Opposite South Indian Bank, MumbaiMumbai Get Directions
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I have pain in my throat since three months and I am a thyroid patient what is the cause of this pain.

General Physician,
Along with thyroid you may be having chronoic allergic pharyngitis or bronchitis. Do warm saline gargle regularly two to three times daily have homemade freshly prepared lemon juice which is rich in vitamin c thereby incresing your body autoimmunity which prevents infection including viral infection.
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I am having pain in my left ear and in the left side of my head. The pain is more when I feel some vibration. Why?

MBBS, MBA (Healthcare)
General Physician, Delhi
take crocin pain relief one sos for severe headache. check your BP. check your eye sight. take proper rest and sleep. avoid stress and anxiety. inform if not ok.
1 person found this helpful
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I am a boy of 19 years old. I'm suffering from nose bleeding on every seasonal change. How will I stop it? Please advice.

General Physician, Gurgaon
Hello I am giving you health tips to prevent Nasal Bleeding 1.Humidify your home, especially the bedrooms and do not exposed to hot dry air Keep the heat low in the sleeping areas. 2.Avoid injury to the nose lining by forceful blowing, nose picking, or vigorous rubbing. 3 Avoid smoking 4. Get checked your BP 5. ENT physician and/or your primary physician TO STOP NASAL BLEEDING: when ever there is bleeding from nose kindly follow given advises: •Lean forward to prevent blood from flowing into your throat. •Do not stuff tissue, cotton •Firmly pinch the nostrils closed by squeezing the soft part of the nose . Hold steady pressure for 10 minutes
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As she is getting cough and sneezing. ON/OFF from past 8 months As per doctor advise we took x- Ray for sinus and chest. These are the reports below X-Ray of sinus- bilateral maxillary sinus on both sides X-Ray of chest - hyperinflation bronchi pulmonary markings Please advice is it serious.

General Physician, Mumbai
It's not serious but we have to treat it and apart from taking symptomatic treatment take a flow of steam (of plain water only) over the forehead through a crescent steam inhaler, eight hourly.
1 person found this helpful
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Hi, iam 28 years old man suffering from heavy phlegm in chest and throat which interns causing throat irritation. When I was in india, doctors said, it is due to dust allergy. But now iam in europe here pollution is some what less still same issues. Please help me and i am not travelling more on roads also.

Fellowship in Clinical Research, Medical Informatics, Bio-Informatics, BHMS
Homeopath, Hyderabad
Do pranayam daily and take below suggested homoeo medicine. 1. Take ant tart-0/1 pills (homoeo medicine), add 12 pills in one glass of water and rotate anti clockwise 12 times. Take 2tsp every half an hour. Repeat daily. 2. Take kali bichrom -0/1 pills (homoeo medicine), add 12 pills in one glass of water and rotate anti clockwise 12 times. Take 2tsp every half an hour. Repeat daily.
1 person found this helpful
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I have nasal congestion problem dit it add to my snoring problem as I start snoring harder and harder day by day.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
It is not the nasal congestion that is the problem for you causing snoring but it is your excessive weight which is the real culprit------------But yes, congestion can add to your existing snoring problem--------- Homoeopathic medicine------------- LEMNA-MINOR Q (SBL) Drink 15 drops in 20 ml fresh water 3 times daily for 5-7 days------------------------- Report me after 7 days------------- Snoring is also the most common symptom of a potentially serious health problem—obstructive sleep apnea (OSA. People who suffer from OSA repeatedly and unknowingly stop breathing during the night due to a complete or partial obstruction of their airway. It occurs when the jaw, throat, and tongue muscles relax, blocking the airway used to breathe. The resulting lack of oxygen can last for a minute or longer, and occur hundreds of times each night. --------------------If you are suffering from any one of the below given causes of OSA, then please consult me with details. Myself being a homoeopath will surely advise you some very effective medicines to treat your OSA as we cannot treat all cases of OSA without knowing the proper cause otherwise a general medicine for OSA will only suppress the problem for a shorter time-- OSA has been linked to:--- •Acid reflux---- •Frequent nighttime urination--- •Memory loss-- •Stroke-- •Depression-- •Diabetes- •Heart attack- •Consistent lack of sleep-- Discuss with me if you have symptoms of anyone of the above problem--
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My chest and throat is very sensitive to cold, A/c and for certain foods due to which I feel lot of reflex in throat and breathlessness due to sputum stuck. Can you help me with suggestion.

Homeopath, Faridabad
Hello, Take Schwabe’s Alpha-CF and Biocombination-11, both after every 2 hourly for 4 days. Management: - Avoid cold drinks and fried food, take healthy food. -Avoid exposure to Air-conditioner or cold air (wrap a warm stole or mufflar around neck). -Avoid excessive or rough use of your voice/ shouting. -Gargle with warm water and salt 3 times a day and take steam-inhalation once before going to bed. -Take enough sleep and rest.
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I am always suffering from throat pain from two years I checkup with so many doctor but its not going so pls can you suggests me something.

General Physician, Cuttack
1. Do betadine gargle 2-3 times daily 2. Avoid drinking cold water, have luke warm water, tea, coffee, hot soup 3. Take throat lozenges, 4. Give voice rest 5. Avoid smoking 6. If no relief you have to take antibiotic.
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I am 25 year old male and I have reddish ulcers in my throat. I chew tobacco. Please tell me what to do ?

International Academy of Classical Homeopathy, BHMS
Hello, take nit. Ac. 200 once day for 3 days inform me progress privately for diet for you also some tips for t. Chewing stop tobacco chewing if possible. take care god bless u.
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I am 21 years old, I feel very sick from last 1 month, Always some pain in body, after sitting 3/4 hours continuously and when get up fell some vertigo. Please give me suggestion to healthy.

Physiotherapist, Mumbai
Hi kindly rule out your diabetes, uric acid, calcium, vitamin d and other metabolic disorders. Best wishes.
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6 Common Ear Problems in Children

ENT Specialist, Gurgaon
6 Common Ear Problems in Children

The ear is made up of three parts that is outer, middle and the inner part. Infections, disorders and ailments in the ear can occur across all age groups and in any part of the ear. Ear ailments are more common in children than in adults as the Eustachian tubes (tubes which drain out ear fluid) are smaller in children.

Here are a few common ailments which occur in children:

  1. Acute otitis media: AOM is the most common ear infection in children. Some parts of the middle ear are infected, resulting in swelling and blockage of fluid behind the eardrum. This condition is characterised by earache in children and in graver conditions, can also cause fever.
  2. Otitis media with effusion: This condition usually occurs due to the infestation of an infection when the fluid gets restricted behind the ear drum. This condition doesn’t exhibit too many symptoms except mild earache. You should consult an ENT specialist who can diagnose this condition by checking the concentration of fluid behind the eardrum using special instruments.
  3. Chronic otitis media with effusion: This condition occurs in children when the fluid remains trapped behind the eardrum for a long period of time. It can lead to serious infection and can cause hearing problem in children.
  4. Barotrauma: Barotrauma occurs due to changes in atmospheric pressure changes. It can cause problems in the Eustachian tube and causes trapping of air in the middle ear. Middle ear problems can become severe if left untreated and result in a burst in the eardrum, causing excessive bleeding.
  5. Meniere's disease: This is a disorder, which comes in bouts and is characterised by vertigo and fluctuating hearing loss. This condition usually affects one ear. It can result in tinnitus (ringing in the ear) or permanent loss of hearing if left untreated.
  6. Swimmer’s ear: Swimmer’s ear, also known as otitis externa, is a common condition which is caused in the outer area of the ear. This condition is caused due to remnants of chlorine water in the ear or because of inserting swabs too deep inside the canal. This condition is characterised by earache, discomfort and itching of the ear.
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I have a problem of nose congestion. I have diagnosed and found that I have deviated nasal septum. So now I have ear fullness in left ear and it feels like water is trapped inside. Please give some solution.

General Physician,
Hello , nasal congestion is a most common symptoms of deviated nasal septum, most of times symptoms of a deviated septum can be relieved with medications. If medicine alone doesn't offer adequate relief, a surgical procedure called septoplasty may be needed to repair a deviated nasal septum.
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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.

● 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

● 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.

● 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

30 year old male lecturer foreign body sensation in throat persistence all time feeling of foreign body all the time duration 3 months felt after allergic cough and cold before 5 months symptoms of cold amd cough reduced completely tsh ,t3, t4 normal.

Acupressurist, Chandigarh
Dear Lybrate user, If you are suffering with acidity problem let me know the details. Meanwhile you can chew ginger small PC. Two three times a day and call back after two days.
2 people found this helpful
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I have MUCUS problem + constipition and Balgam, not cough in Throat. Can you please advise diet and medicine?

Homeopath, Bangalore
Avoid maida, bakery items, sweets and oily food. Take food at regular timings. Eat early dinner (by 7.30 pm). Drink 2-3 litres of water.
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A gland in my rights cheeks near my right ear. Its been to 6 months now I am having it, I consulted it with a doctor once at strong but, he said its nothing it will go slowly, and there was no pain that period. NOW I feel pain there and the gland has increased its size. I am really getting worried. Please reply fast.

Ear-Nose-Throat (ENT) Specialist, Faridabad
Never neglect any of the swelling of body which is enlarging in size, so do not wait directly go for further investigation as ct scan of the parotid region, than show to your ent surgeon.
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I am suffering from tonsils it is coming only per month two days can you have solutions for this and also that time one nose is blocked.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
When there is intense redness of the throat with heat and burning, Belladonna is one of the best homeopathic medicines for tonsillitis. The tonsils become red as if looking angry. Tonsils swell and enlarge. Swallowing is difficult and it is even more difficult to swallow liquids.
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Hi doctor I'm 38 I have sinus I have pain on both side of my head. What I can do for it. I'm having this for long time. Please give me a good treatment. Thank you.

D.N.B, D.L.O
Ear-Nose-Throat (ENT) Specialist, Bangalore
Hello lybrate-user if your suffering from a sinusitis headache you got to be doing proper steam inhalation twice a day for 5-6 days as it clears the pus collected in sinuses. Further I would recommend broad spectrum antibiotics if you haven't taken before after you answer certain set of questions relating to sinus issues. Kindly let me know in chat would help you with the problem. Take care.
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My nose is bleeding, it's only from 1 side and its like ulsur kind of become inside nose please give suggestion for it I have been taking medication, but it comes again.

General Physician, Mumbai
We need to treat the ulcer with antibiotics and anti inflammatory drugs after local examination and dont touch it directly with fingers.
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