Dr. Dr. Prakash Kulkarni

Hello- try these effective ayurvedic treatment this time- 1)Tab Septilline 2 tab twice daily. 2)Tab Nerocil 1 tab thrice daily. 3)Avoid excess drinking of water. 4)Wakeup before 6:30 in the morning and go to bed before 10 Pm 5)Use Shadbindu tail nasal drops along with the above treatment for better results.

1.Do steam inhalation by steam inhaler 2-3 times daily with Karvol plus inhalant capsule. 2.Put otrivin nasal drop 1 drop thrice daily. 3.Take one tablet of Levocetrizine(5mg) at bed time. 4. If you have recurrent attack of cold you may be having sinusitis 5. consult ENT specialist

You maybe suffering from a common cold or another viral fever. You maybe suffering from allergic rhinitis and pharyngitis. You need to avoid the cause of your allergies and also take anti allergy medications. Please consult for prescription. If you have an infection and have fever you will need to do a course of antibiotics. For now do warm saline gargle and steam inhalation 3 times a day.

Bleeding from nose happens either due to dryness and crusting in the nose or maybe due to other illnesses with medical problem. Generally people of your age have a habit of excessively cleaning their noses with finger or tissue, this leads to erosion of the crust or fine lining of the nose and thus bleeding. If this is the case, then please keep your nose lubricated with some vaseline, cream etc and do not manipulate your nose. If this is not the case, you need to see an ent consult.

Hi lybrate-user. In case you are having polyps you require endoscopic sinus surgery because nasal blockage causes decrease oxygen supply at night and you will not feel fresh in morning. It will also hamper your daily activity. But one thing you need to remember is that this surgery is meant to open your sinuses and you require to be on followup with your doctor so that this problem can be controlled in future as well. Regards

Hi If you have never experienced  this problem, then you need to start  *an antibiotic  immediately.  *A decongestant  medicine *Avoid water entry in the ear. *Avoid shampooing for atleast 10 days till the ear discharge dries up. *Get a Pure tone audiometry and tympanometry done. These tests can detect ear drum perforation. Otoendoscopy  may also be done Ear discharge may occur due to acute or chronic otitis media. Your symptoms  appear to be of Acute otitis media. In this case ear discharge occurs after a small perforation  in the ear drum due to pus buildup.  But if you have had the problem previously  too it may be due to Chronic otitis media. In that case you have to also start an ear drop and may need surgery. Share your test reports like PTA, Tympanometry, otoendoscopy. Then I can help you

Pain in throat may be due to allergy cum infection in throat. Through examination of throat is required. If required after taking throat swab for culture and sensitivity, accordingly antibiotics and antihistamincs, analgesics can be given.

Usually headphone use wont cause ear pain. It may be some kind of infection. Better to get ear checked.

I will suggest you to take tablet folvite twice a day for two weeks and revert back after completion

Your ear pain could be due to several causes, you need to consult an ent surgeon and get your ears checked to find the cause for your problem so that it can be treated accordingly.

It seems you have otitis media we need to start third generation cephalosporin antibiotics for your problem.

Hi, take lach 30 2 times day merc 200 once day all for 4 days inform me progress after wk for further rx take care thanks.

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

1tab sinarest before bed,steam inhalation. saline gargles, do tooth brush before going to bed it will help you. Thank you

Take salt water gargles, drink honey/ginger water, avoid straining your voice. Homoeopathy shows great results in such problems. Regards,

Fine do not panic if there is no cough or coryza. Get some warm salt water gargles done and have some soothing hot drinks it might just help you for time being.

lybrate-user, Ethmoidal Polypi have an underlying Allergic etiology which needs to be properly evaluated by a trained Allergist. You may need to undergo immunotherapy for the same. In the meantime, I would suggest short course high dose oral steroid therapy to shrink the ethmoid polyps if they are causing a nasal obstruction. This treatment is not without side effects but under the supervision of a good ENT Surgeon, these can be easily managed. You are welcome to come down to my clinic in Bangalore to undergo the treatment, but you will need to remain here for at least 2 weeks!

No connection between DNS and balance problem. This may be Due to hypertension or some ear problem

Diminished hearing acquity commonly occurs in ear wax impaction. Or middle ear infection when there will be pain with deafness. Get you ear cleaned in a local clinic if found to be loafed with wax. If no such cause found. Consult an ent specialist please.

Vertigo is a medical term which describes a sense of rotation even while stationary. It can often be confused with lightheadedness, generalised weakness, dizziness. Vertigo may be caused by problems in your peripheral (Ear &balance mechanism inside ear known as the vestibular system) or central nervous system. A complete checkup is required to isolate the cause. Peripheral vestibular  system causing vertigo symptoms may need initial medications to stabilise followed by Vestibular Rehabilitation  exercises. A good quality  of life can be achieved if properly managed. Basic investigations: A Pure tone audiometry  and tympanometry  can detect any problem in the ear nerves and tympanic membrane pressure (both of which can be abnormal in case of ear diseases) An Xray of the Cervical Spine (AP /Lat/Lat-oblique to check for cervical spondylitis CT brain and a complete  haemogram  are some of the baseline tests needed for a good evaluation  of vertigo. A cause of vertigo often difficult to diagnose is BPPV Benign Paroxysmal  positional vertigo BPPV can be treated with Epleys manoeuvre  and Vestibular  Rehabilitation  exercises. With regular vestibular exercise you can be symptom free  and lead a normal life. *Tips for starting vestibular exercise: No. 1: Sit on your bed with legs hanging. Keep your head straight and just by moving your  pupils first look to the right. Hold this position. Count to 10. If you have dizziness  with right gaze still hold that gaze. Then move your pupil to the left. Do this for 10 minutes for two weeks. When you can move your pupil to either side without symptoms, you can start another exercise. All vestibular exercises are started after acute symptoms decrease with medicines. You can share your reports on Lybrate. Then I can help you better.