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Dr. Gayathri Gathre

ENT Specialist, Navi Mumbai

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Dr. Gayathri Gathre ENT Specialist, Navi Mumbai
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Personal Statement

To provide my patients with the highest quality healthcare, 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 healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Gayathri Gathre
Dr. Gayathri Gathre is an experienced ENT Specialist in Nerul East, Navi Mumbai. She is currently associated with Suyash Nursing Home and ICCU in Nerul East, Navi Mumbai. Save your time and book an appointment online with Dr. Gayathri Gathre on Lybrate.com.

Lybrate.com has a nexus of the most experienced ENT Specialists in India. You will find ENT Specialists with more than 44 years of experience on Lybrate.com. Find the best ENT Specialists online in Navi Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Languages spoken
English
Hindi

Location

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Suyash Nursing Home and ICCU

Bld No F1, Sector 3, Shivaji Chowk, Nerul East. Landmark: Near Sies Management College, Navi MumbaiNavi Mumbai Get Directions
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My blood pressure varies too much. Sometimes I find it 170/100. At other times I find it 87/65. At this time, normally I feel dizzy. I am very healthy and all parameters are normal.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Bangalore
My blood pressure varies too much. Sometimes I find it 170/100. At other times I find it 87/65. At this time, normall...
Your bp seems to be highly variable. The giddiness is because of the high blood pressure & also when the bp comes down. Are you on any bp tablets? are you a diabetic? check your bp every day for a week. Record it. We will be in a position to find out the average reading. Only after that we will in a position to guide you correctly.
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My wife has always congestion in nose, she always have to blow out the nose very loudly, she has deviated septum and also sinusitis. She is allergic to dust and used to have Asthma. She some time, once in a while take inhale-pump in case she has breathlessness. This is since last more than 20 years. Please suggest remedy.

Diploma in Otorhinolaryngology (DLO), MBBS
ENT Specialist, Bangalore
Allergy is the main cause of your wife's symptoms. Her nose & lungs seems to have got involved. Get a ct scan of the sinuses to know which of the sinuses are involved. Taking an anti allergic tablet along with a steroid nasal spray will help the nasal symptoms to a great extent. As far as the lungs are concerned a chest physician opinion is a must. Pulmonary function test will tell us how well the lungs work. This incudes how well you're able to breathe & how effective your lungs are able to bring oxygen to the rest of your body.
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Why I feel so dizzy when I get up from the bed after a long time. It feels like m going to faint.

DORL, MBBS
ENT Specialist, Faridabad
Humming sound, whistling and giddiness are the problems which are getting in people are very commom thesse days, these get complicated when they are not taken care of at proper time whistling or buzzing in the ear is getting commoner these days in people of all ages. Most common causes is wax or any object in the ear, after getting your ears clean these gets over. But if ears are already clean than this is worrisome. Common causes which are responsible are high cholesterol diet, alcohol, smoking, loud noises, cervical spondylosis, trauma (self or inflicted) over the ears. If this is the situation than report to your ent doctor immediately tinnitus is basically due to hampered blood supply to ears due to which ears start dying. As this process starts a person starts hearing noises. When a person starts hearing noises then it is already late diagnosis as these noises gets heard by someone when they are of 40 db intensity, below that threshold these noises are not heard. So it is already to late and the damage has become permanent. Problem with these noises are that we can control at what level person goes to his specialist otherwise these noises keep on increasing and can give you headache frustration and depression. Now a days tinnitus maskers are available which help you to lead your life peacefully.
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Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
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

5 people found this helpful

I have chronic sinusitis. All of sudden it starts nosing from nostril from left side. I have taken many times antibiotic and antiallergenic medicines.

MBBS
General Physician, Mumbai
I will suggest you to take a flow of steam over the forehead through a crescent steam inhaler twice a day for a week
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There is a pain in my neck and I am not feeling sensation on my right side neck behind ear what is the cause and how to cure it.

MBBS
General Physician, Delhi
There is a pain in my neck and I am not feeling sensation on my right side neck behind ear what is the cause and how ...
Some nerve compression you need some physiotherapy your young so degenerative disease is uncommon at your age exercises under supervision will help.
2 people found this helpful
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Whole body pain especially nees and shoulders feels like having slightly chillies and tonsils as well is taking salt water goggles will help or should I consult a doctor please advise.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Whole body pain especially nees and shoulders feels like having slightly chillies and tonsils as well is taking salt ...
Dear lybrate user, According to your details mentioned it seems that it is all due to throat infection. Avoid spicy coldoily food first . Do gargles thrice a day after every meal. Drink boiled milk by adding turmeric powder sugar and ghee daily at night for three days. Take fruits light meal in a day. Take Belladona 30 thrice a day five drops in water.
1 person found this helpful
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My baby (8 months) is having cold continuously. He has running nose. He is on medication from last two months?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine------------------ rhinikind (wilmar schwabe india kidi-range) either shew 4 tab every 2-3 hrly or you can dissolve in water and give every 2-3 hrly------------------
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My brother has tonsils there is swelling in upper side of neck and pain during drinking and eating something.

MS - ENT
ENT Specialist, Gandhinagar
Tonsillitis: for tonsillitis, antibiotics added to it anti allegic and analgesics and antiseptic gargle helps, if you are having tonsillitis off and on you may require to go for tonsillectomy operation.
1 person found this helpful
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I have a throat irritation which let me kept on spitting and it's sticky saliva due to that frequent spitting my throat is now burning. Please help.

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
I have a throat irritation which let me kept on spitting and it's sticky saliva due to that frequent spitting my thro...
Dear Lybrate User Let me know one thing if you are suffering from acidity. Call back imnediately. Meanwhile you can do gargles thrice a day anf avoud cold drinks spicy food oil etc. Take semi solud diet and fruits only.
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