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Dr. R N Raja

ENT Specialist, Thane

Dr. R N Raja ENT Specialist, Thane
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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. R N Raja
Dr. R N Raja is a trusted ENT Specialist in Ulhasnagar, Thane. You can visit him at Raja ENT Clinic in Ulhasnagar, Thane. Book an appointment online with Dr. R N Raja on Lybrate.com.

Lybrate.com has a number of highly qualified ENT Specialists in India. You will find ENT Specialists with more than 32 years of experience on Lybrate.com. Find the best ENT Specialists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Raja ENT Clinic

Raja ENT Clinic,305, Doctor House, Kalyan Ambernath Road, Ulhasnagar 3, Ulhasnagar, Thane, ThaneThane Get Directions
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I am having headaches for 1 month. I feel dizzy almost every alternate day. Long visions are also not clear. Which doctor I should consult? Thank you.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
I am having headaches for 1 month. I feel dizzy almost every alternate day. Long visions are also not clear. Which do...
Hello. I feel that you should consult a physician first for your headache and dizziness issues. You need to get your blood pressure and systemic status evaluated by the physician. If concluded normal by the physician, it would be a good idea to get your eyes evaluated by an eye specialist. Do not delay it further if your symptoms have been there since a month now. Take care. Regards.
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Presently I am having the urge to clear my throat repeatedly. I do not not have any throat pain while talking or eating. There is only this urge to clear my throat repeatedly.

CCH (Wa.,DC), BHMS
Homeopath,
Constant inclination to clear the throat suggest past cold & cough not treated rationally. Proper Homeopathic treatment would be beneficial. Thanks
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My throat is choked, paining and I can't speak properly. No coughing. Should I take antibiotic like augumentin or just gargle and wait for things to settle?

MD-Homeopathy, BHMS
Homeopath, Chikhli
no need gargle , if you do this problem will persist & may arises further complications . you have to take regular diet avoid cold food . If pain is more just have a glucose-d which will give you temporally relief .
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I'm 22 years old I am having suddenly having alcohol problems, I get rapid heartbeat, metallic taste in mouth, dizziness, red eyes after a drink, if I drink more these symptoms gets severe even vomiting. Please help me find a solution to this problem. I never had these kind of problems before.

MS - ENT,MBBS
Ear-Nose-Throat (ENT) Specialist, Kolkata
I'm 22 years old I am having suddenly having alcohol problems, I get rapid heartbeat, metallic taste in mouth, dizzin...
These are symptoms of alcohol intoxication occurring due to abnormal rise in blood alcohol level. The dizziness occurs as the inner ear hair cells (responsible for balance) malfunction because of high alcohol levels. Initially this will become normal once blood alcohol normalises with repeated such symptoms there's a real risk of permanent problem. Get a pta tympanometry lft (liver function test) done to rule out any damage. You can share your reports on lybrate. Hope this helps
1 person found this helpful
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Have a severe pain in left ear, not able to swallow. What i can do immediately to get relief?

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
Pain in the ear can be due to wax or any infection like otitis externa/otitis media that may require an antibiotic course.For pain u can take tab.Ibugesic plus twice a day and get an ENT consultation done to find out the culprit.
1 person found this helpful
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Generally I suffer from breathing problem on bed as my nostrils get blocked when I prefer to sleep in A. C. Also I starts sneezing continuously when I wash my face with cold water in the morning after waking up. Tell what should I do get relief from this problem.

DORL, MBBS
Ear-Nose-Throat (ENT) Specialist, Faridabad
Generally I suffer from breathing problem on bed as my nostrils get blocked when I prefer to sleep in A. C. Also I st...
This is caused due to dry nose, as this is due to lack of mucus in the nose, mucus is basically a protective layer in the nose which helps to keep nose wet, as nose gets dried up this leads to recurrent infection of nose along with sneezing.
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I am 12 year old boy, yesterday I ate ice cream at 12 at night and when I woke up I had a very sore throat and a runny nose.

MBBS
General Physician, Cuttack
I am 12 year old boy, yesterday I ate ice cream at 12 at night and when I woke up I had a very sore throat and a runn...
1. Do warm saline gurgling and steam inhalation 2-3 times daily with Karvol plus inhalant capsule 2. Take throat lozenges 3. Put otrivin nasal drop one drop three times daily 4. Take one tablet of sinarest at bed time 5. Avoid drinking cold water and taking ice cream 6. consult for further advice
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I have been experiencing a lot of cough for quite some time. It feels like there is mucous stuck in my throat. How can I treat this. Can these be symptoms of LPR.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have been experiencing a lot of cough for quite some time. It feels like there is mucous stuck in my throat. How ca...
Hi take following remedies 1. Take steem at chest and face 2. Tab. Tribhuvan kirti ras vati 1 tab 2 time a day before lunch and dinner 3. Sut shekhar ras vati 1 tab before lunch and dinner.
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Swimmer's Ear - Symptoms That You Might Be Suffering from it

Fellowship of the Royal College of Surgeons (FRCS), Diploma in Otorhinolaryngology (DLO), DNB (Otorhinolaryngology) , MS - ENT , MBBS
ENT Specialist, Delhi
Swimmer's Ear - Symptoms That You Might Be Suffering from it

Swimmer’s ear is a condition, which is characterized by an infection in the outer ear. This infection usually stems from the water that remains in the ear after swimming, forming a moist environment that allows bacteria to grow and procreate. This condition can also develop if you happen to insert your finger or other foreign objects into the ears.

Symptoms

The symptoms of this disorder are usually mild in the beginning, but may worsen if left untreated. In its germinating stage, this condition exhibits symptoms such as itching in the ears and a watery discharge. If the disorder has progressed to an advanced stage, then the symptoms become slightly different. An intense pain on the particular side of the face, swelling in the ear and blockage of the ear canal are some of the common symptoms. In extreme cases, swelling of the lymph nodes and moderate to high fever can be indicative of this condition.

Causes

The causes of swimmer’s ear are bacteria that are found in soil and water. Your ears have a natural defense system against infections; glands in the ear secrete an acidic substance called ‘cerumen’ that kills the bacteria. The ear canal has a downward slope from the middle ear to the outer ear, thus allowing the water to drain out. Swimmer’s ear occurs when these defenses fail to work. This happens when there is excessive moisture in the ear canal, creating an environment for the bacteria to grow. In addition, certain factors such as swimming in dirty water, a narrow ear canal and excessive cleaning of the ear canal can lead to this condition.

Treatment

The aim of the treatment is to prevent the infection from progressing and allow the ear to heal. The first step is to clean the ear canal so that the eardrops can reach the affected area. Once the ear is cleaned, eardrops are administered to get rid of the bacteria. The various medications that are used in the treatment of swimmer’s ear are:

1. Antibiotics: They are used to combat the bacteria that cause the infection.

2. Acidic solutions: It is used to restore the normal environment in the ear.

3. Steroids: These help in reducing the inflammation.

You may also be prescribed pain medications to treat the pain resulting from this condition. Try to avoid swimming till the condition heals completely. Make sure you aren’t inserting any foreign object in the ears as that may aggravate the situation further. If you wish to discuss about any specific problem, you can consult an ent-specialist.

2673 people found this helpful

Benefits for Doing Swimming

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad

In summers swimming is wonderful for soothing pitta dosha. Other water-based sports and ice-skating are also good choices. Leisurely evening strolls after the heat of the day is relaxing for both mind and body. An occasional moonlight walk soothing for pitta-ruffled emotions.

2 people found this helpful

Sir I have small inflammations on the pharynx layer ie. Back to the throat. What is the cause of it? and which medicines that I have to take? please answer me sir.

MBBS
General Physician, Delhi
Sir I have small inflammations on the pharynx layer ie. Back to the throat. What is the cause of it? and which medici...
It might be a viral or streptococcal infection causing pharyngitis. Take tablet azithromycin 500 mg once daily empty stomach for 3 days.
1 person found this helpful
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I have never had any disease but yesterday I felt bit giddy. I checked my bp. It was 150/100 in right arm and 120/80 in another arm. I also felt palpitation. Now today I m bit better. Bp is now 130 /90 in right arm n 120/80 in left arm. I am studying most of the time. So I have a sedentary lifestyle. I dnt go for walk or exercise. I sit for most of the time. I m only 27 years old. What is the reason for this?

LCPS, BAM&S
General Physician, Pune
I have never had any disease but yesterday I felt bit giddy. I checked my bp. It was 150/100 in right arm and 120/80 ...
Go for 30 minutes of casual walk in the evening every day. That's all you need. You will get blood pressure and may be other diseases if you neglect your health. Check your blood sugar, thyroid also. Nowadays people in 20 get sugar.
9 people found this helpful
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My husband is having severe pain in throat, doctors say its swollen tonsils, but inspite of taking antibiotics its still too painful for him to swallow even the saliva please do help me out Thnx.

MS - ENT
Ear-Nose-Throat (ENT) Specialist, Gandhinagar
My husband is having severe pain in throat, doctors say its swollen tonsils, but inspite of taking antibiotics its st...
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.
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My mother is 66 years old. BP and Sugar also. Few things which are disturbing her these days., Pain in legs, swollen feet, lot of vertigo when getting up or lying down, high pain in head, high BP. Pls help.

MBBS, F.E.M-RCGP(UK)
General Physician, Gurgaon
My mother is 66 years old. BP and Sugar also. Few things which are disturbing her these days., Pain in legs, swollen ...
Consult a nearby physician. Get full body checkup done. Important to keep sugar in normal range ,otherwise it affects almost all systems in body.
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I have a throat infection. when I try to swallow anything it's painful.what should I do?

BHMS
Homeopath, Faridabad
I have a throat infection. when I try to swallow anything it's painful.what should I do?
Hello. As you do have throat infection, avoid having cold things, fried food, using your voice harshly like shouting/ speaking loudly. Gargle with salt & warm water - thrice a day. Take homoeopathic medicatiton - Lachesis 30/ twice daily and Ferrum Phos. 6x/ thrice daily - both to be taken for 3days. There after, revert me back.
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My wife age is 36 years old and she is frequently suffering from throat burning, vomiting and acidity since last 6 months. She tense too much. What could be the cause and what is the remeady.please suggest

MS - ENT, DNB (ENT)
ENT Specialist, Delhi
Ask her to try and relax a bit, take simple antacid tablet and if it does not improve, consult with a good ent specialist. Regards
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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 sore throat since many months. I have been unable to remove the condition since long. What should I do?

BAMS
Ayurveda, Ambala
I have sore throat since many months. I have been unable to remove the condition since long. What should I do?
Apply these home remedies for relief: • Take 1/2 piece of ginger, crush it and squze its juice and mix it with one teaspoon of honey and take 1/2 spoon of this mixture 2 times in a day. • Take 4 - 5 tulsi leaves and 1/2 piece of ginger and 1 glass of water mix both of them in water and boil it till half glass of water remain in the container then drink it by add 1/2 teaspoon of sugar. • Avoid cold water, ice creams, and pickle. • Take strepsils or sualiin (hamdard pharma) 1 tablet 3 times per day or slowly suck a piece of mulethi. * Cover your body properly by layers of cloths and make it warm. • Doing gargles with lukewarm water it will reduce your pain. Drink lukewarm water.
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I have one problem when I get up in the morning I starts sneezing very badly and my from my nose water starts coming out continuously. please help me what to do.?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
You are probably allergic. The trigger you have to find out yourself. Try changing your bedsheets and pillow covers daily. Keep the room dust free hope that helps.
1 person found this helpful
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Dear Dr. I have continuous snoring and insomnia during my sleep and I feel more sedative when I wake up in the morning. Can you please guide me how to recover from this.

PDDM, MHA, MBBS
General Physician, Nashik
Clear nasal passages. If you have a stuffy nose, rinse sinuses with saline before bed. Using a Neti pot, nasal decongestant, or nasal strips can also help you breathe more easily while sleeping. If you have allergies, reduce dust mites and pet dander in your bedroom or use an allergy medication. Keep bedroom air moist. Dry air can irritate membranes in the nose and throat, so if swollen nasal tissues are the problem, a humidifier may help. Change your sleeping position. Elevating your head four inches may ease breathing and encourage your tongue and jaw to move forward. There are specially designed pillows available to help prevent snoring by making sure your neck muscles are not crimped. Sleep on your side instead of your back.
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