Tag Archives: Otolaryngology

Nose Job

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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Some Health Quaries & Answers

Say no to performance drugs :-
Popular Spanish athlete Marta Dominguez who is allegedly involved in a doping ring.
Q: I am an athlete competing at the district level in shot put and hammer throw. My coach says I am not performing to the best of my potential and that this is because I am not taking “supplements”. I saw some competitors injecting themselves a few hours before the finals. Others were taking tablets. My coach wants me to do this too.

A: The supplements your coach suggests are probably anabolic or androgenic steroids. They are abused by people in sports and bodybuilding. They can be detected in urine tests. If caught, the athlete is stripped of the medal and may be banned from the event for several years.

Performance enhancing steroids cause side effects like liver damage, jaundice, high blood pressure, rise in LDL (or “bad” cholesterol), renal failure, acne and tremors. In men, they may also cause shrinkage of the testicles, reduced sperm count, infertility, baldness, development of breasts and increased risk of prostate cancer. They affect the brain, causing mood swings, and aggressive and psychotic behaviour. They may eventually result in addiction.

You should just perform to the best of your natural ability and also concentrate on your academic performance. You can then study sports at the college level and become a sincere and principled athletic coach to other youngsters.

Bent penis :…………

click to see
Q: My son was born through normal delivery, but his penis was bent sideways. The doctor says it requires surgery. I am worried.

A: Your son has a congenital condition called “chordee” where the shaft of the penis is bent. It may be an isolated defect. The reason for its occurrence is not known. Surgical correction by a paediatric surgeon is advisable between the ages of six months and a year. Following it, the penis becomes straight and normal so that the child can stand and pass urine. His sex life, too, will not be a problem.

Tonsil removal :………………

click to see
Q: My tonsils and adenoids were removed when I was six years old. I suffer from frequent coughs and colds. Although there is no sore throat, the situation is pretty bad. I feel I have no immunity.

A: The tonsils are composed of lymphoid tissue. They stop a bacterial or viral infection at the throat itself, preventing it from proceeding to the lungs. Tonsillectomy is advised if the tonsils are too large and are frequently infected. There are no serious ill effects from the removal of these glands. Immunity is not permanently compromised.

Awake at night:-
Q: I am 76 years old. I have mild hypertension which is controlled with medication. I have difficulty falling asleep and then wake up by 3 am or 4 am. I lie in bed till the rest of the house wakes up. Can I take medication?

A: As people get older their sleep pattern tends to change. They sleep less and wake up early. It is better to manage as long as possible without medication. All sleeping tablets are addictive, though some less than others. Try to sleep an hour later at night. Fill that time by reading or watching television. Do not sleep in the afternoon. Walk for 40 minutes morning and evening.

Night cough :……………..


Q: My child coughs whenever she lies down. I have tried all kinds of cough syrups but nothing works.

 

A:Sometimes the child may have a “post nasal drip”. This means the discharge irritates the throat as soon as the child lies down. It can be tackled by administering saline nasal drops at bedtime and an anti histamine an hour before bedtime. Also, check if there is something in the house or bedroom irritating her respiratory system like mosquito repellants or room fresheners.

Calcium dosage :…………..


Q: How much calcium does one need daily?

A: Four to eight-year-olds need 800mg, nine to 18-year-olds need 1,300mg, 19 to 50-year-olds need 1,000mg, and those above 50 need 1,200mg. Pregnant or lactating women require 1,000mg every day

Source : The Telegraph ( Kolkata, India)

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Cold Allergy

Every year, millions of people use over-the-counter (OTC) products to relieve nasal stuffiness and congestion, sneezing, runny noses, sore throat, and cough. The common causes of these symptoms include the cold virus, influnza virus, allergic rhinitis (hay fever), and sinus infections (sinusitis). Viral infections can also cause headache, body- aches, fatigue, and sometimes fever. Hay fever symptoms can also include itchy eyes, nose, and throat, and watery eyes.

The symptoms are : headache,body-aches, flue like fever, nasal congestion,running nose,sneezing and then cough and some times sore throat.

Often the patient is having symptoms such as nasal congestion, drainage, coughing, sneezing, low grade fever (under 101 degrees). These are symptoms of “colds.” But they are also symptoms of allergy. These symptoms can be confusing. It helps to note on the calendar when symptoms begin and end. You may notice a “pattern;” particularly, if the cause is allergy. The “pattern” may be symptoms that occur at the same “pollen” season each year.

For example, many people get “colds” during December, January and February of each year. Others have “cedar fever” during these months, each year. Patients realize they are having “cold” symptoms, including “cedar fever,” all of which are really “allergies” giving rise to these symptoms. “Cedar fever” or “hay fever” are simply descriptive labels describing the low grade fever that accompanies most allergy reactions. It usually is under 100 degrees and often is accompanied by “night sweats.”

The fever of a real-cold is usually much higher – often 103-105 degrees. The symptoms are similar but are usually much more severe and overwhelming with a “cold.” So we often confuse the two.

These are just a few guidelines to help you tell the difference, but basically one rule helps differentiate allergy from almost every other medical disorder: it comes and goes, comes and goes. Almost any other disorder gets worse . . . or better; but, they don’t appear and disappear, come and go week by week, month by month, season by season, year in and year out.

According to Ayurvedic thought, seasonal allergies are connected to the earth. As the earth is more saturated during this time of the year due to the increased rain, the earth is holding on to more water than usual. This then is also occurring in our bodies, and is what we refer to as congestion. In order to figure out what the best remedy for our bodies would be, we need only refer to what is going on with the earth. During spring, the earth produces many different vegetables and berries. These foods are naturally healthy and fat-free and are exactly what our bodies need to rid ourselves of congestion and counteract all of the increased fats we absorbed.

The Journal of Allergy and Clinical Immunology reports that Allergic disorders affect at least 50 million people in the US. Common symptoms range from Asthma, Eczema, Hay Fever, Headaches, swellings, fatigue, chills, sensitivity to light and Loss of Appetite. These symptoms can be worsened by inherited tendencies, or exposure to environmental toxins such as smog, pesticides, even the food we eat and the water we drink! Allergies are often manifestations of the immune system being overloaded by the constant assault of pollution associated with modern life.

Olive Leaf the Allergy Buster:
The botanical Olea Europaea (olive leaf) tea, extracts and capsules are immune system boosters known to help control and eliminate various allergies. The antioxidants of olive leaf act directly to eliminate free radicals from the body, as well as aiding with digestion. The less energy that your immune system uses acting as a “cleanup crew” for the body, the more of it’s resources are available for combating environmental allergens such as Pollen, Dust and Mold. The key to utilizing olive leaf as consistency so that the immune system may permanently shift it’s focus to environmental allergens, and away from internal toxins, leaving you happier, healthier and more able to enjoy life.

Some home remedies for common cold:

For dry and stuffy nose, try normal saline or salt water nasal drops made by adding 1/4 teaspoon of table salt to about 4 ml lukewarm water. Make a fresh solution every few days keeping it in refrigerator. Use a clean dropper to instill 1 to 2 drops in each nostril about 3 to 4 times daily for common cold .

Do not use medicated nasal drops without physician’s consent as excessive use will cause chemical rhinitis with rebound block

Garlic juice made by adding few drops of garlic oil to a teaspoonful of onion juice and diluting it in a cup of water is helpful for common cold

Ginger tea or a teaspoonful of ginger juice taken with equal quantity of honey brings relief from common cold


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According to me, we can get more benefits if we treat Cold Allergy of all kind with HERBAL REMEDIES .We may visit this web site and at the same time try to develop the immune system that is within our body. Regular Yoga exercise and sometimes Urotherapy may be a few of several natural process of developing this.

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