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Lymphoid Tips

Adenoid Surgery: Caring For Your Child After the Operation!

MBBS, MS - ENT
ENT Specialist, Delhi
Adenoid Surgery: Caring For Your Child After the Operation!

Adenoidectomy is a surgical procedure to remove the adenoid. The adenoid is a lymphoid tissue which is present on the roof of the mouth; its role is to produce antibodies to protect the body against infections. Usually the adenoid lymphoid tissue diminish during your adolescence and disappear by the time you are an adult. Respiratory and throat infections that are chronic in nature, are the main causes of infection in the adenoid lymphoid tissue.

Adenoidectomy can be performed, one of any mentioned techniques:

  1. Curette technique 
  2. Debrider assisted adenoidectomy 
  3. Coblation assisted Adenoidctomy

Reason for the removal of adenoids
Throat infections that occur frequently can lead to the enlargement of the adenoid lymphoid tissue. When these lymphoid tissue become enlarged, it results in breathing problems and blockage of the Eustachian tubes. Blocked Eustachian tubes can cause infections in the ear which, in turn, causes severe hearing problems.

The procedure
The surgical procedure is performed under general anesthesia in an outpatient mode. The removal of the adenoid lymphoid tissue takes place through the mouth. Initially, a small instrument is put inside the mouth to keep it open. After this, the adenoids are located in the mouth, following which they are scrapped off with a curette or by applying heat to the area by the process of diathermy (a technique to stimulate circulation by heating up a part of the body with the application of localized heat currents). Once the procedure is completed, you will be discharged on the same day.

Post procedure
Post-surgery, you may experience a sore throat for a few weeks. You must drink plenty of fluids to prevent dehydration. Keeping yourself hydrated also helps relieve symptoms of post-surgical pain, if any. Oily and spicy foods should also be avoided as it may cause pain inside the mouth. Applying ice can also relieve pain symptoms. However, don’t apply ice directly wrap it in a cloth and then apply it on the neck. Do not undertake any stressful or strenuous activity for 7-10 days post-surgery to further facilitate the recovery process. Post-surgery, the risks of throat and ear infections are greatly reduced. Breathing through the nose also becomes relatively easier.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2607 people found this helpful

Appendix Stores Good Bacteria

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Appendix Stores Good Bacteria

The human appendix which thought to be of little use to the body may actually serve as a reservoir for beneficial gut bacteria a new study has found. The appendix a narrow pouch that projects off the caecum in the digestive system has a notorious reputation for its tendency to become inflammed (appendicitis) often needing surgical removal as in the study found on mammal species that species with an appendix have higher average concentration of lymphoid (immune) tissue in the caecum, which can stimulate growth of some types of benefecial gut bacteria.


www.pmnspeciaality.com

5 people found this helpful

Post-Transplant Lymphoproliferative Disorder (PTLD) - How To Diagnose It Correctly?

MBBS, MS - General Surgery, FRCS (edinburgh), MD - R & D, FRCS Intercollegiate
Liver Transplant Surgeon, Bangalore
Post-Transplant Lymphoproliferative Disorder (PTLD) - How To Diagnose It Correctly?

Post-Transplant Lymphoprolipherative Disorder (PTLD) is a condition or a reaction that happens post your liver transplantation or any kind of organ transplantation. There is a rapid increase in the immune cells or more precisely, the lymphoid cells in the body. These cells start increasing without any control. The seriousness of this growth can be harmless but sometimes, it can develop into lymph node cancer as well.

The major reason behind PTLD is the anti-rejection medicines that are taken by the patient to avoid rejection and attack by the immune system.

Types of Post-Transplant Lymphoprolipherative Disorder (PTLD)

  1. Early lesions: This will go away by itself, if the dose of anti-rejection medicine is reduced.
  2. Polymorphic PTLD: This is a mixture of different kinds of lymphoid cells.
  3. Monomorphic PTLD: This is the most common type of PTLD found in many people who have undergone a liver transplantation. This has just one type of lymphoid cell.
  4. Hodgkin Lymphoma: This is a very rare kind of PTLD.

Diagnosis of Post-Transplant Lymphoprolipherative Disorder (PTLD)

  1. Small and painless lump under the armpit, groin, or neck area
  2. Night sweats
  3. High fever
  4. Excessive weight loss
  5. Low appetite
  6. Unwell feeling

Usually, it is not at all easy to diagnose PTLD. The lump may grow so deep inside the body that it can be hard to see or feel it from outside. Apart from the lump, others are general symptoms and they can be a reason for any kind of infection in the body post transplantation. It can be a reaction to any new medicine taken by you or a reaction to rejection. Early diagnosis can help you in increasing the chances of a successful treatment. A biopsy is also a good way to detect PTLD, where a small piece of the liver is taken and tested under a microscope to detect PTLD.

Management of Post-Transplant Lymphoprolipherative Disorder (PTLD)
Your liver transplant surgeon is going to work closely with the lymphoma doctor in order to provide the best treatment for you. For early lesions or Polymorphic PTLD, reduction of the anti-rejection dose can give you better results. Your immune system will restore back and will destroy all the abnormal cells in the body. But it has to be done slowly so that it does not cause organ rejection again. If reduction of anti-rejection medicine is not possible or if reduction causes any kind of harm, then other treatment methods like antibody medicine such as Rituximab, or chemotherapy regimen or radiotherapy may be used.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2943 people found this helpful

6 Best Homeopathy Medicines For Adenoids

BHMS, MD - Homeopathy
Homeopath, Bhubaneswar
6 Best Homeopathy Medicines For Adenoids

What is adenoid?

Adenoids are the mass of pair soft tissues present in the back of nasal cavity which can also be known as pharyngeal tonsils. Adenoids are part of lymphoid system and made of same types of lymphoid tissues. Everybody has adenoids at birth and in childhood, but gradually it shrinks with aging and by adulthood maximum people’s adenoids have disappeared.

Structure and function of adenoids :-

Adenoids glands are the pair of patch tissues present behind the uvula on upper part of naso-pharynx.

The upper surface of adenoids has a thin layer of ciliated epithelial cells covered by a thin film of mucus.

The cilia are the microscopic hair like projection from epithelial cells those moves constantly in wave like manner to propel the mucus secreted from the mucus layer downward to pharynx. The adenoids have the protective action against the infection. When you breathe you take lots of bacteria virus, various dusts and foreign bodies with the air. Those are trapped in the epithelial mucus membrane of adenoids and the cilia present in the epithelial tissues throw out them towards the pharynx to swallow

 

Clinical significance of adenoid

In child hood every one’s immune e system is week in comparison to a adult person. So there are maximum chances of getting sick. As the age increases the immune system get more Adenoids have protective role for the body. Those two masses present at back of the nasal cavity. They consist of lymphoid tissues like all lymph nodes. Those two adenoids help to clean the bacteria and other foreign substances that do enter inside our body by the air we breathe in.  So it protects our body from the outside enemies. By repeated exposure to the foreign substances they gradually get enlarged. 

Symptoms of enlarged adenoids :-

  • A hypertrophied or enlarged adenoid used to block the airflow pass through the nasal passage.
  • Blocking of nose or stuffy nose
  • Talking as if the nostrils are pinched
  • Noisy breathing
  • Ear problem like frequent middle ear infection and pain in ear
  • Problem in sleeping like suddenly wake up from sleep (obstructive sleep apnea)
  • Frequent attack of sinusitis
  • Snoring
  • Sore throat or difficulties in swallowing
  • Difficulties in breathing through nose
  • Sleeps with opened mouth
  • Swollen of glands in neck

Cause for enlarged adenoids and the scope of homeopathy treatment in it:-

Adenoids are located at the back of the nasal cavity. They protect the body from the infection to spread down ward to lungs.  They are present at birth and grow until the child is between the ages of 3 and 5. Then they usually begin to shrink after around age 7. At the time of infection the adenoids get enlarged and automatically come to its normal size when the infection is gone.

But in some cases it persists in enlarged condition years together. It is caused by the allergic condition. Hence if a child has chronic adenitis then it is sure that it is due to the allergic caused. But why all are not getting chronic adenitis in an area but only some are getting affected. It is because the child having enlarged adenoids has a very hypersensitive immune system that reacts vigorously to many allergens or antigens. Others are not suffering because their immune system is not so much susceptible to those allergen. 

The symptoms are just the manifestation of enlarged condition of adenoids. So to clear out the symptoms of adenitis for a temporarily period of time by any medicines or to cut down the enlarged adenoids is not the real solution of this disease. Those adenoids are in fact helping our body by protecting the outward infection.  So without removing them if some treatment is given to check the repeated infection that can rather helpful. Here the repeated infection of adenoids is occurring due to the hyposensitized immune system of the child. So it is highly required to start a treatment to minimize the hypersensitivity of the immune system to work healthily so that the child will not get frequent attack of adenitis and in the course of time when there will be no further infection automatically the adenoids would be shrink. Homeopathy treatment target to cure the hypersensitivity of the immune system , so that after a course of homeopathy treatment the child will not get frequent attack of adenitis.  This type of treatment is called constitutional homeopathy treatment. In constitutional homeopathy treatment there is needed to take detail case history of the patient in homeopathic way and on that basis the medicines are selected. Besides that for acute crises there are good homeopathic medicines that are sufficient enough to control the acute symptoms in a very short period of time. 

2 people found this helpful

Appendicitis - Top Homeopathy Remedies For It!

BHMS, BSc
Homeopath, Delhi
Appendicitis - Top Homeopathy Remedies For It!

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria. Surgical removal of the appendix is suggested as the most common treatment for the ailment.

One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix. The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendix is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen called McBurney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection or even a kidney stone. Further blood tests, urine tests and MRIs or ultrasounds are used to pinpoint the area causing the pain.

In most cases of advance appendix, a surgical intervention is necessary. The type of surgery will vary on a case to case basis.

Homeopathy can be tried in early stages and is especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like' which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason of the problem and the individual's susceptibility to it. Here are some of the remedies:

1. Arsenicum album: This is used when the appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
2. Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
3. Bryonia alba: This is an effective remedy when the pain aggravates with movement. 
4. Colocynthis: This is a recommended remedy when the patient experiences spasmodic or entwining pain which worsens with indigestion. Applying warm pressure over the area helps in such cases
5. Rhus Tox: This remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4992 people found this helpful

Appendicitis - How Homeopathy Can Be Of Help?

BHMS
Homeopath, Delhi
Appendicitis - How Homeopathy Can Be Of Help?

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria. Surgical removal of the appendix is suggested as the most common treatment for the ailment.

One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix. The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendix is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen called McBurney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection or even a kidney stone. Further blood tests, urine tests and MRIs or ultrasounds are used to pinpoint the area causing the pain.

In most cases of advance appendix, a surgical intervention is necessary. The type of surgery will vary on a case to case basis.

Homeopathy can be tried in early stages and is especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like' which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason of the problem and the individual's susceptibility to it. Here are some of the remedies:

1. Arsenicum album: This is used when the appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
2. Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
3. Bryonia alba: This is an effective remedy when the pain aggravates with movement. 
4. Colocynthis: This is a recommended remedy when the patient experiences spasmodic or entwining pain which worsens with indigestion. Applying warm pressure over the area helps in such cases
5. Rhus Tox: This remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.

To customize the selection of the remedies according to your specific symptoms, it is best to consult with a practitioner.

Appendicitis - Homeopathic Treatment For It!

BHMS, MD - Homeopathy
Homeopath, Delhi
Appendicitis - Homeopathic Treatment For It!

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria. Surgical removal of the appendix is suggested as the most common treatment for the ailment.

One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix. The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendix is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen is called Mc Burney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection or even a kidney stone. Further blood tests, urine tests and MRIs or ultrasounds are used to pinpoint the area causing the pain.

In most cases of advance appendix, a surgical intervention is necessary. The type of surgery will vary on a case to case basis.

Homeopathy can be tried in early stages and is especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like', which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason of the problem and the individual's susceptibility to it. Here are some of the remedies:

  1. Arsenicum album: This is used when the appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
  2. Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
  3. Bryonia alba: This is an effective remedy when the pain aggravates with movement. 
  4. Colocynthis: This is a recommended remedy when the patient experiences spasmodic or entwining pain, which worsens with indigestion. Applying warm pressure over the area helps in such cases
  5. Rhus tox: This remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.

To customize the selection of the remedies according to your specific symptoms, it is best to consult with a practitioner.

5742 people found this helpful

Homeopathy Treatment for Appendicitis

MD - Homeopathy, Masters Degree of Homoeopathy
Homeopath, Mumbai
Homeopathy Treatment for Appendicitis

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria. Surgical removal of the appendix is suggested as the most common treatment for the ailment.

One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix. The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendix is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen is called Mc Burney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection or even a kidney stone. Further blood tests, urine tests and MRIs or ultrasounds are used to pinpoint the area causing the pain.

In most cases of advance appendix, a surgical intervention is necessary. The type of surgery will vary on a case to case basis.

Homeopathy can be tried in early stages and is especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like', which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason of the problem and the individual's susceptibility to it. Here are some of the remedies:

  1. Arsenicum album: This is used when the appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
  2. Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
  3. Bryonia alba: This is an effective remedy when the pain aggravates with movement. 
  4. Colocynthis: This is a recommended remedy when the patient experiences spasmodic or entwining pain, which worsens with indigestion. Applying warm pressure over the area helps in such cases
  5. Rhus Tox: This remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.

To customize the selection of the remedies according to your specific symptoms, it is best to consult with a practitioner.

7313 people found this helpful

Appendicitis - How Homeopathy Can Help You?

BHMS
Homeopath, Mumbai
Appendicitis - How Homeopathy Can Help You?

Appendicitis is a chronic or acute medical condition where the appendix gets inflamed and causes severe pain.  If left untreated, the condition can prove to be fatal. The appendix is a small tube shaped sac at the end of the large intestine. In humans, it is typically not known to have any functional value although some studies suggest that it helps digestion by creating a conducive environment for friendly bacteria. Surgical removal of the appendix is suggested as the most common treatment for the ailment.

One of the key causes of appendicitis is believed to be the partial or complete obstruction at the mouth of the appendix. The common causes of obstruction include accumulation of fecal matter, worms, enlarged lymphoid follicles, trauma or tumors. It is also possible that an infection in the stomach could have extended into the appendix.

Appendix is commonly detected because of its progressive worsening pain in the stomach which narrows down to the lower right side of the abdomen called McBurney point. Half of the patients though do not have this typical symptom and instead come in with a complaint of gastroenteritis, urinary tract infection or even a kidney stone. Further blood tests, urine tests and MRIs or ultrasounds are used to pinpoint the area causing the pain.

In most cases of advance appendix, a surgical intervention is necessary. The type of surgery will vary on a case to case basis.

Homeopathy can be tried in early stages and is especially useful to treat chronic and recurrent cases. It works with the principle of 'like cures like' which means that the elements that cause the problem are a key to its solution too. It employs a holistic healing methodology getting rid of the signs and symptoms and restoring complete health. While other treatments focus on curing the 'problem', homeopathy also deals with the basic reason of the problem and the individual's susceptibility to it. Here are some of the remedies:

1. Arsenicum album: This is used when the appendicitis has resulted in sepsis and the patient also suffers from diarrhea.
2. Belladonna: This is an early stage remedy for cases where appendicitis is accompanied by headache, fever
3. Bryonia alba: This is an effective remedy when the pain aggravates with movement. 
4. Colocynthis: This is a recommended remedy when the patient experiences spasmodic or entwining pain which worsens with indigestion. Applying warm pressure over the area helps in such cases
5. Rhus Tox: This remedy is also called the 'homeopathic knife' to treat appendicitis. It is used when the pain is constant and the patient is never free from pain.

To customize the selection of the remedies according to your specific symptoms, it is best to consult with a practitioner. In case you have a concern or query you can always consult an expert & get answers to your questions!

4917 people found this helpful

Adenoids: Causes And Treatment

BHMS, MD
Homeopath, Delhi
Adenoids: Causes And Treatment

Adenoid hypertrophy
Adenoids are a lump of lymphoid tissues situated in between your nose and back of your throat. They are part of the immune system and are present since birth. They grow in size upto the age of 6years and then tend to shrink at puberty and almost completely disappears by age of 20 years. In children, the immune system is not yet fully developed to fight infection thus, adenoids protect the body against bacteria’s and viruses that enters via the nose. Whenever there is an upper respiratory tract infection, adenoids fight by swelling up and becoming temporarily enlarged. Once infection subsides they too come back to normal size. But these recurrent attacks of rhinitis, sinusitis or chronic tonsillitis may cause chronic adenoid infection and enlargement.

Sign & symptoms:
Depending on size of adenoid mass, whether infected or not and relative availability of space in upper airway.

Mouth breathing.
Feeding/suckling difficulty (as respiration & feeding cannot take place simultaneously child/infant with severe adenoid enlargement may fail to thrive).

Snoring.

  • Breathing stopped for a few seconds during sleep (sleep apnoea).
  • Nasal discharge (bubbly/running nose as discharge cannot drain & partly due to chronic cold).
  • Chronic maxillary sinusitis/ frequent sinus infections.
  • Voice change (loses nasal quality due to nasal obstruction).
  • Frequent middle ear infections.


Characteristic facial appearance (adenoid facies) 
- elongated face with dull expression, open mouth, prominent and crowded upper tooth & hitched up upper lip.
- pinched-in appearance of nose due to disuse shrinking of wings of nose.
- highly arched hard palate.

Diagnosis 
Soft tissue lateral radiograph of nasopharynx.

General management
- breathing exercises.
- warm saline gargles.

- steam inhalation.
- avoid cold drinks 7 cold foods.
- avoid cold, damp and overcrowded places.

Medicinal management
Ent specialists mostly offers surgery for hypertrophied adenoids. Homoeopathy offers customised treatments to cure enlarged adenoids and enhances body’s immunity to fight recurrent infections. These medicines are prescribed on the characteristics of an individual rather than just the symptoms of the disease.

Tuberculinum 
- for enlarged adenoids where recurrent respiratory tract infections lead to chronic stage. 
- patient falls ill and develops respiratory problems with slightest change in weather.
- emaciation. Yet, in spite of emaciation, child is hyperactive.

Psorinum 
- child look pale, sick, sometimes with foul, filthy body odour. 
- feels extremely chilly and need to be covered up even in warm weather. 
- increases immunity against catching cold.

Baryta carb. 
- child has tendency to catch cold very easily. 
- pain in throat, difficulty swallowing, nose blockage, mouth breathing and dryness of mouth are well marked. 
- excessive drowsiness and concentration difficult. 
- slow overall development (retarded mental & physical growth) 
- increased foot sweat; offensive in nature.

Agraphis nutans
- enlarged adenoids with ear complaints such as deafness and ear discharges.
- nasal blockage.
- tonsils may also be enlarged.

Calcarea carb.
- for children who are fat, flabby. 
- catch cold very easily. 
- have blocked nose sometimes alternating with yellow discharge. 
- offensive odour in nose. 
- mucopurulent ear discharge. 
- hardness of hearing
- excessive sweating on scalp and neck.

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