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Nose Job

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To most people a nose is just an organ in the centre of our face. It may be straight and aquiline (enhancing perceptions of classical beauty), snub or button-shaped, flat or crooked. Some of us do not like the way our nose is structured and try to change its appearance. Elderly relatives may pull a baby’s nose several times a day in an attempt to make it grow longer. Others may grab a wallet and head to the nearest plastic surgeon for a “nose job” (rhinoplasy)….…CLICK & SEE

Whatever the shape, the nose warms and humidifies the air that enters our body. It is lined with fine hair that prevents dust from going into the lungs. This acts as a first line of defence against viral and bacterial infections. On contact with an organism or a noxious chemical, it secretes fluid that washes out the offending material (causing a dripping nose).

Sometimes violent sneezing is triggered which expels these substances far away from the body.

Until the age of 18 years, the nose grows and changes in shape and size. As we get older, the nasal cartilage loses its elasticity. This causes the tip of the nose to lengthen and droop. This makes the nose appear larger in older people.

The nose enables us to smell. This helps us identify substances and distinguish between pleasant harmless odours and noxious harmful ones. Like other animals, man once had a keenly developed sense of smell. This helped him identify potentially dangerous animals as well as warring strangers from other regions and tribes. We adults have lost this ability with evolution. However, smell is the best developed of all the five senses in a baby. Infants can distinguish between their mothers, other lactating women and strangers.

The sense of smell contributes to the taste of our food. People suffering from anosmia, or loss of the sense of smell, do not find food palatable. This causes them to lose weight. Anosmia may be a temporary phenomenon when the nose is blocked as a result of a cold. It may occur when the “smell centre” in the brain is damaged, or if the person has Parkinson’s disease. Attempts to relieve a blocked nose with repeated use of nasal sprays can damage the lining of the nose sufficiently to cause a permanent loss of smell.

Some people tend to pick their using their fingers. This is an unsavoury, socially unacceptable habit. It may also resul noses t in damage to the lining of the nose and bleeding. Constant trauma to the nostrils can cause infection of the hair follicles in the nose. This can result in fever, swelling and pus formation.

A pierced nose is perceived to enhance the beauty of a woman. It is a common practice in India from ancient times and was believed to ease the pains of childbirth. The area that should be pierced is just below the cartilage. If the nose cartilage is accidentally pierced instead, serious complications like bleeding, infection and permanent deformity can occur. Even otherwise, infection, redness, swelling and scar formation may occur.

The jewellery used may cause problems. It may come loose and be accidentally swallowed. The back of the stud can become embedded in the skin, or nose rings can get caught in clothing and violently pulled out. Also, once you have pierced your nose, even if you change your mind and decide against jewellery, there will always be a little hole.

About 60 per cent of people experience nose bleed (epistaxis) at some time in their lives. It occurs most often under the age of 10 and over the age of 60 years. This is usually due to a local problem in the nose like a cold, nose picking, a foreign body, irritants like cigarette smoke, or an injury. Less often it may be due to a systemic disease like high blood pressure or clotting disorders like haemophilia. It can also occur owing to blood thinning medicines such as aspirin, clopidogrel, heparin or warfarin. The patient may have purchased medicines over the counter, or may be taking non-allopathic drugs and may be unaware of their side effects.

Most nosebleeds can be tackled at home:

*Make the person sit up. This prevents blood from filling up in the throat and choking the person

*Pinch the nostrils firmly and maintain steady pressure for 10 minutes

*Instill a decongestant nasal spray containing oxymetazoline (Nasivion or Otrivin).

Most nosebleeds are harmless. Very rarely, they can be fatal. You need to seek medical help if the bleeding has lasted for more than 20 minutes, or if it followed a fall, a blow to the head or an accident.

Epistaxis
Epistaxis (Photo credit: Wikipedia)

Recurrent nosebleeds with no identifiable or correctable cause need to be tackled by an ENT surgeon.

Source : The Telegraph ( kolkata, India)

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High Heels are Heath-Wreckers

Like the tall Lara Dutta or the shorter Rani Mukerji, you might want to flaunt stilettos to look glamorous and sleek. But experts feel this style statement can cause serious harm to the body if proper care is not taken.
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“Increased pressure puts the forefoot at risk of injuries such as stress fractures, bunions and hammer toes. Knee pain is also common when high heels are involved,” says Ashish Jain, M.S. (orthopaedics), consultant joint replacement specialist at Max Hospital.

“The heel height causes increased strain on the knee joint and associated tendons. The quadriceps muscle group in the front of the thigh works harder, increasing pressure on the kneecap by up to 26 percent.”

“This can ultimately increase the incidence of osteoarthritis of the knee and quadriceps tendonitis,” Jain added.

Jain also spoke of other hazards
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He revealed that when the heel is constantly elevated, the calf muscle and Achilles tendon can contract and shorten. Wearing high heels habitually can result in a woman not being able to tolerate a flat shoe. On occasions, this can even require surgery to lengthen the Achilles tendon.

Sometimes the tight fit of many heels will force the toes to conform to its shape. The pressure of the shoe itself can cause corns to form. Furthermore, the compression of the metatarsal bones can cause pressure on the nerves that run between them.

“The toenails are also at risk as the incidence of in-growing toenails and nail infections is higher in heel wearers. In-growing toenails can be very painful, unsightly and require surgery to correct,” Jain added.

Women feel high heels like gladiator sandals, tip toes and others add a touch of elegance and glamour to one’s overall style and the legs appear longer and slimmer. Thus, to look special in that chic footwear and not experience painful after effects, many are going in for dermal fillers.

“It has been observed that women are undergoing filler injections to plump up the underside of their feet, thus filling them out and providing padding inside the foot to relieve the pain that comes from wearing high heels,” said Satish Bhatia, dermatologist and skin surgeon, Lady Ratan Tata Medical and Research Centre.

“This trend is rising despite the fact that the effect does not usually last for more than six-seven months,” Bhatia added.

Given that certain industries like hospitality, aviation and fashion place a premium on height and appearance, wearing heels becomes a norm, thus making women opt for the expensive solution to ease pain arising out of use of high heels.

“The dermal filler injection is injected in the ball of the foot to ease the pain caused by wearing high heels. The injection costs between Rs.12,000 and Rs.15,000,” he added.

Rajesh Malhotra, professor of orthopaedics, AIIMS, threw light on a few other ways of curing the pain arising out of extended use of stilettos.

“The best way to avoid pain is that one stops wearing high heels at all because they are the cause of the problem. But if that is not possible then there are a few treatments,” he said.

“The entire body pressure is on the ball of the foot; so among many treatments one is that we put the metatarsal bar on the sole of the footwear so that the entire body weight is not on the ball of the foot, which results in less pain,” Malhotra told.

If it is very essential to wear heels, the maximum height advised by doctors is not more than an inch.

“The height of the heel also changes the amount of weight on the forefoot. A one-inch heel will increase the pressure by 22 percent, a two-inch heel by 57 percent and a three-inch heel by 76 percent. So anything not more than an inch is fine,” said Jain.

Source:
The Times Of India. June 12. 2010

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