Why ear discharge can indicate a more serious condition and should never be ignored

Ear Discharge can indicate something serious as in the case of Mr Loganathan from Tamil Nadu who has been suffering from severe ear discharge coupled with intense headaches and sharp pain in the right ear! On medical investigation, it was found that the discharge was caused due to Cerebrospinal Fluid(fluid surrounding the brain) leaking through his ear. Mr Loganathan was saved by timely medical intervention and surgery.

Our expert take, “Ear discharge can often be due to ear wax but can also indicate something more serious such as ear infection, ruptured ear drum, mastoiditis, head injury, etc. Ear discharge is just a symptom which can have a serious underlying cause. If you notice ear discharge in your family member, rush to your nearest ENT specialist like Dr Rao’s ENT to get a thorough diagnosis as any delay can prove fatal depending on the cause.”

The problem –

Mr Loganathan met with a road accident in 2010 where he escaped a head injury, following which he underwent tympanomastoidectomy (surgery to treat infections) in his right ear. In 2012, Mr Loganathan was given ear drops to dissolve the ear mass in his external ear.

Know more here – http://www.newindianexpress.com/cities/chennai/2018/dec/18/namakkal-native-suffers-brain-palpitation-apollo-docs-save-life-1913304.html

Symptoms –

  • Mass in his external ear
  • Severe ear discharge
  • Pulsating sound in his right ear
  • Pink, insensitive mass filling his external auditory canal

Treatment –


Breathing through the mouth - Causes, symptoms & harmful effects

Is mouth breathing bad for your health?

In human beings nasal passages perform multiple tasks, the air we breathe when it goes through the nasal passages gets warmed, humidified and filtered before it reaches our lungs. Dust, allergic items like pollen and other debris which may carry microbes are removed thereby acting as a natural filter and a first line of defence. We are deprived of these benefits when we breathe through our nose. Also nose performs the dual purpose of sensing smell which is totally lost when we breathe through our mouth.

 

What are the types of mouth breathing?

Mouth breathing can be classified into three types –

  1. Obstructive
  2. Habitual
  3. Anatomic

What causes mouth breathing?

There may be various causes for mouth breathing and it may vary from children to adults. The common causes of mouth breathing are as follows –

  1. Blocked sinuses
  2. Swollen tonsils or adenoids
  3. Deviated septum
  4. Obstruction of nostrils
  5. Facial irregularities
  6. Dental issues
  7. Allergies
  8. Chronic respiratory infections

Children or adults who breathe through their mouth chronically may be deprived of sleep which may cause long periods of fatigue, affecting studies and work. Prolonged mouth breathing may result in facial and dental abnormalities making matters worse. It is also noticed that mouth breathing may result in insufficient oxygen supply causing heart issues, high blood pressure, snoring and sleep apnea.

Hence it is highly advisable to visit an ENT doctor if you notice a prolonged period of mouth breathing. Often in kids, mouth breathing manifests as mouth odour, snoring and irritable behaviour due to insufficient sleep.

You can consult a doctor if your family members exhibit any of the following symptoms –

  1. Snoring
  2. Bad breath
  3. Dry mouth and hoarseness of voice
  4. Chronic fatigue and tiredness
  5. ADD (Attention Deficit Disorder)
  6. Nasal tone while speaking

Early detection always results in taking necessary corrective measures thereby preventing lasting damage and issues at school or work. Book an appointment with the ENT experts at Dr. Rao’s ENT to diagnose your mouth breathing issues.


Stridor – Nothing sound about this!

Stridor is usually caused by a blockage in the windpipe or obstruction in the upper airway. It is important to detect the cause for the proper treatment of Stridor, as it can occur due to illness, infection, the presence of foreign objects or congenital throat abnormalities.

Types

Inspiratory Stridor: It is caused by airway obstruction above the glottis.

Expiratory Stridor: It is indicative of an obstruction in the lower trachea.

Biphasic Stridor: It suggests a lesion in or below the glottis.

Causes

Laryngomalacia is the most common cause of chronic Stridor in children. Croup is indicative of acute Stridor.

Anatomy: The anatomical structure of a child’s airway can also be a cause of Stridor. The upper airway in children is shorter and narrower than that of an adult, and is therefore, more likely to lead to obstruction breathing problems.

Larynx Collapse
: This is a very common cause for Stridor. The narrowed or collapsed parts of the larynx (commonly referred to as voice box) cause obstruction in the airway.

Subglottic Hemangioma: Arare airway disorder in children, it is characterised by the formation of a mass, consisting of blood vessels in the voice box, which causes obstruction in breathing. The child may require a surgery if the obstruction is severe.

Vascular Rings: It is an unusual condition when the abnormal formation of the aorta or other structures like arteries or veins compress the airway or windpipe.

 

Tonsillitis and ViralCroup can also cause Stridor in children.

Symptoms

Abnormal sound: Stridor can be identified with the abnormal sound when we breathe in or out.This sound indicates a problem with the tissue above or near the vocal cords.

Windpipe blockage: Expiratory Stridor creates discomfort particularly during breathing out, and is accompanied by abnormal sounds.The reason could be a blockage in the windpipe.

Shortness of breath: The individual may not be able to take deep, long breaths because of the narrowing of the windpipe.

Diagnosis
Identifying and establishing the exact cause for Stridor is of utmost importance to treat Stridor accurately. The specialist may ask you questions that include:

  • Whether skin and nails have changed colour to blue
  • Whether the child has inserted any foreign object in the nose/mouth
  • If the person is finding it difficult to breathe
  • The rate of breathing
  • If the person is suffering from a cold or bronchial infection

The consulting physician may also prescribe tests such as X-rays, bronchoscopy and laryngoscopy for better diagnosis.

 

In the event that your specialist presumes a disease, he/she may advise you to undergo a sputum culture. This test checks mucus from the lungs for infections. It enables the specialist to check whether a contamination, for example, Croup is present or not.

Treatment
Treatment options vary from person to person, depending on the age, cause and severity of the problem.

The Specialist may also:

  • Suggest that you visit an ENT specialist
  • Prescribe oral or injected medication to reduce swelling in the airway
  • Recommend hospitalization or surgery in acute cases


Rheumatic Fever – Symptoms, Causes and Diagnosis

Everything in this universe is consequential, so is human life on this planet. A human body is probably the finest machine that one can find on this planet, and everyone should treat their bodies as they would treat a prized possession. We should ensure that we take a proper care of bodies. Rheumatic fever is an inflammatory disease that arises as the result of the untreated or inadequately treated strep throat or scarlet fever. A throat infection which is caused by the bacterium Streptococcus pyogenes, if left untreated may cause rheumatic fever.

Children belonging to 5-15 years of age are commonly diagnosed with the disease but it could also happen to the adults. This disease still remains common and prevalent in South Central Asia and African counties. Rheumatic fever could be a serious life-threatening disease because if it is not treated properly it can lead to Rheumatic heart fever. Rheumatic heart fever can cause infection to the valves and heart failure.

Causes of Rheumatic fever:

Rheumatic fever is caused by Group A Streptococcus bacterium which causes strep throat, and in some individuals, it may also cause an inflammatory disease called scarlet fever.

The strep bacteria have a similar protein that resembles the one found in certain tissues of the body. It manipulates the immune system into the treating the body’s own tissues as an infection and produces the antibodies which attack the body tissues specifically the tissues of heart, joints, skin and nervous system.

Symptoms:

Rheumatic fever symptoms do not remain same for all and may vary from person to person. These symptoms usually develop within 2-3 weeks after strep throat infection manifests. The symptoms include the following.

  • Painful joints or arthritis
  • Fever with a temperature above 101F
  • Sore throat
  • Fatigue
  • Nausea and vomiting
  • Headache
  • Swollen tonsils
  • Difficulty in swallowing
  • Chest pain
  • Difficulty in breathing

Treatment:

Treating the rheumatic fever involves completely getting rid of the traces of the Group A Streptococcal bacterium, treating the symptoms and controlling the inflammation. It includes the following

Anti-inflammatory treatment:

Anti-inflammatory treatment includes the prescription of pain relievers like aspirin or naproxen to relieve the pain, break the fever and reduce the inflammation. If the patient does not respond to the medication, the doctor might recommend corticosteroids.

Antibiotics: You will be treated with antibiotics like penicillin to destroy all the traces of the strep bacteria. This antibiotics medication may continue for 5 years to prevent the recurrence of rheumatic fever. In case of a damage to the heart, the doctor will recommend antibiotics medication for 10 years or longer


Alcohol effects on Sleep Apnea

Sleep apnea and alcohol is a dangerous cocktail mix. Alcohol consumption before going to bed can induce sleep apnea and other sleep disorders. A study by the researchers reveals that the alcohol consumption at night may cause obstructive sleep apnea, since alcohol tends to relax the muscles in your body which include the throat muscles that collapse, blocking the airway that leads to the lungs. When the airway is blocked, the brain usually sends a signal forcing you to wake up and clear the airway passage. Alcohol reduces the chances of your reflexes, diminishing the chances of your awakening from the sleep during the sleep apnea.

Does alcohol invite the Sandman?

Not really. In fact, alcohol decreases the amount of your REM sleep. It is a myth that a swallow of your favorite drink before going to bed will help you sleep well because the human body tends to develop tolerance to the alcohol after a few nights.

Lack of sleep forces you to increase the quantity of the alcohol consumption, but it results in frequent disruption of the rest. When your body metabolizes the alcohol, it causes excessive sweating, loud snoring, headaches and the regular visits to the bathroom apart from the sleep apnea.

So, Quit alcohol?

If you are diagnosed with sleep apnea, the best advice is to abstain from alcohol. If you wish to enjoy a drink or two (not more than that), consider drinking several hours before you go to sleep. Limit the alcohol consumption if you have to drink.

Does alcohol affect men and women differently?

Sleep apnea is relatively common among the males than the females. However, women absorb alcohol more because they have fewer enzymes to break down the alcohol molecules. Women are likely to get the higher concentration of liquor despite drinking the same amount as men, which may cause disrupted sleep, snoring, nightmares and headaches.

Women are advised to have alcohol at least 4 hours before the sleep, and the quantity should be restricted to as minimum as possible.

If you have snoring or OSA (Obstructive sleep apnea), it is time to visit best ENT doctor in hyderabad at Dr. Rao’s ENT hospitals


Snoring in children

Snoring in children

Mouth breathing and snoring in children is not healthy. Snoring in children is caused because of enlarged adenoids, tonsils, with or without co-existing allergies. If medical treatment is unsuccessful and the problems are recurrent, surgical removal should be planned.

Adenoids and snoring

Adenoids is a lymphoid tissue sac situated in the roof of the throat behind the soft palate, where the nose opens into the throat.

It is a vestigial organ whose absence will not have any adverse effects on the human body. It is seen in children up to 7 years of age, after which they atrophy and disappear entirely.

Adenoids enlarge in size due to recurring nose and sinus infections, which do not give an opportunity for adenoids to subside in size. Adenoids also act as a reservoir for bacteria during infections and protect them from the antibiotic action, slowly releasing them later leading to recurring nose and sinus infections.

Adenoids block the eustachian tube openings present just behind the nose. Proper functioning of eustachian tube is essential for ventilation of the ear, the absence of which leads to ear pain, ear blockage, fluid formation in the middle ear. Children with fluid in the middle ear may complain of intolerance to loud sounds.

Tonsils and snoring

Tonsils, another vestigial organ, when enlarged also lead to snoring by compromising the space available behind the mouth, through which air has to pass once it reaches the back of nose while breathing.

Allergic rhinitis and snoring

Allergic rhinitis causes enlargement of tissues of the nose, especially turbinates compromising the nasal space available for the air to flow through.

Snoring is harmful

Breathing through the nose is essential as nose acts as an air conditioner and filter protecting the lungs from harm and stress. Enlarged adenoids and tonsils cause mouth breathing which causes bypassing of critical functions in the nose.

Snoring is associated with sleep apnea in most of the children which cause disturbed sleep. Children with sleep apnea struggle for breath while asleep, and keep moving all around the bed in the process of finding a sleeping position where they can breathe well. Sleep apnea causes the child to be cranky, hyperactive. The child will lack concentration and stability. Most of these children tend to overeat causing obesity.

Management of snoring in children

Medical management with nasal decongestants, oral decongestants, nasal washes, nasal steroid sprays can be tried for snoring and mouth breathing.

Despite long-term medication, if the resolution of symptoms is incomplete or symptoms are recurring on a regular basis, we have to plan for surgical removal of adenoids, tonsils with or without turbinate reduction for allergic patients. If the fluid is present in the middle ear, grommetplacement in eardrum can be clubbed with adenotonsillectomy.

Allergic children will have to use anti-allergic medication and nasal sprays even after surgery to mellow down the hyper-reactivity of the nose in response to exposed allergens.


Can snoring kill you?

Have you ever wondered why young people in their 30’s and 40’s are getting heart attacks and some sadly are passing away? Snoring and associated obstructive sleep apnea is now emerging as one of the causes.

Snoring which until recently was considered a nuisance to your bed partner is now emerging as a killer. Snoring, the harsh sound produced by air forcing its way through narrow passageways in the throat, causing the relaxed muscle tissue to vibrate.

How can snoring kill you?

There are now multiple studies showing the link between snoring, obstructive sleep apnea and early onset of co-morbidities such as diabetes, hypertension, heart attack, stroke, obesity, daytime sleepiness – causing falling off asleep at driving wheel leading to vehicular accidents.

Snoring is most of the times a symptom of Obstructive sleep apnea, a now emerging dangerous health condition.

Do I have obstructive sleep apnea?

You most likely have obstructive sleep apnea if you are experiencing any of the following

  1. Your snoring is so loud that it can be heard in the next room
  2. Your bed partner is noticing that you are suddenly stopping snoring (and breathing) in the midst of your sleep or you are seeing that you are choking for breath in your sleep.
  3. Lack of freshness in the morning after a regular 7-8 hour sleep
  4. Sore and dry throat when you wake up in the morning
  5. Lack of concentration at work
  6. Dozing off in between meetings or when inactive at work for 5-10 minutes
  7. Kids respond differently to disturbed sleep because of snoring and sleep apnea by being hyperactive throughout their active hours.

What causes snoring and obstructive sleep apnea?

When you breathe, the air has to pass through many passageways before reaching the lungs.

In order, the air passes through

  1. From front to back of nose reaching the top of throat
  2. Through the throat behind the soft palate, the muscular structure at the roof of your mouth
  3. Through the throat behind the tongue
  4. Through the throat into the Larynx – the voice box
  5. Windpipe

During sleep

The throat is surrounded by sheet-like muscles called constrictors and other palatal muscles.

These muscles maintain a particular tone under signalling from the brain when you are awake, keeping the air passageway patent. When you sleep, the brain stops signalling the muscles to maintain tone, and they relax, narrowing air passageway to a certain extent. The following conditions can further narrow down the air passageway, forcing the air through very narrow passageways causing relaxed neck muscle tissue to vibrate causing snoring.

  1. Nose and sinus conditions such as deviated septum, hypertrophied turbinates, sinusitis, nasal polyposis
  2. Palatal conditions such as bulky and elongated soft palate (the muscular structure at the roof of your mouth), elongated uvula (the triangular structure hanging from soft palate), enlarged tonsils.
  3. Fat deposition in the neck circumferentially as seen in obese people
  4. Bulky tongue and small jaw pushing the tongue back

In obstructive sleep apnea, the obstruction to air passageway becomes so severe, that only very little air is allowed and sometimes no air is allowed to reach the lungs. This causes the oxygen levels in the body to drop to alarming levels, and these low oxygen levels (and high Co2 levels) signal the brain to immediately wake you up so that you can deeply breathe and replenish the oxygen levels in your body. Your brain responding to such an emergency releases certain chemicals such as adrenaline to force-start your breathing, and these chemicals are what is responsible for the early onset and progression of co-morbidities which we spoke about previously.

How can Obstructive sleep apnea (OSA) be diagnosed?

An ENT surgeon following a physical examination of your ENT may request for one or many of the following diagnostic tests. The idea is to recognise the site of blocks in air passageway

  1. Sleep study
  2. Dynamic MRI – OSA protocol
  3. CT of Nose and Sinuses
  4. Cephalometry
  5. Sleep endoscopy

How can OSA be treated?

OSA can be treated in a multitude of ways. The following are the options available. Few of them can be used standalone, and few need to combine to get the required results

  1. Oral appliances
  2. CPAP
  3. Upper airway tract surgery

Remember the saying “A stitch in time saves nine”, Don’t merely ignore snoring – make sure you do not have OSA and if you do, it is better to start treatment immediately to let your family members sleep in peace – with you by their side.


Fishbone in the throat

If it is a Sunday, our endoscopy department would be working full force with many patients visiting us with foreign bodies. The most common culprit is the fishbone, throwing its one last punch before being assimilated by the gastric juices.

Fishbone and any other foreign body if stuck in the throat can most of the times be pushed away with a gulp of water or with a large soft bolus of rice. If this manoeuvre doesn’t relieve you of your pain or discomfort after trying a few times, it means that the foreign body has lodged deep in your throat. It is imperative at this point not to meddle your throat with your fingers or induce gawking or vomiting as this would only worsen your discomfort. It means the time has come for you to visit your ENT surgeon.

Most of the foreign bodies we have seen till now either lodge into the tonsils, back of the tongue, side walls of the throat and few times deep in the throat at the entry of the food pipe.

On visiting your ENT surgeon, He will thoroughly examine your throat under headlight for any visible foreign bodies.

Any foreign bodies lodged in the tonsil can be visualised and removed under headlight illumination.

The foreign bodies in the back of the tongue, sidewalls of the throat and in the deeper parts of the throat cannot be visualised with headlight when he will suggest a Video laryngoscopy.

Video laryngoscopy (VLS) is a very well tolerated outpatient procedure in which a small amount of anaesthetic is sprayed onto your palate, back of tongue and back of the throat to numb them. An endoscope is advanced through your mouth to visualise the back of tongue, voice box and entry of food pipe. Once the foreign body is visualised, it is removed with the help of instrumentation.

In very few cases your doctor may not be able to remove the foreign body under VLS guidance, when he may suggest its removal under general anaesthesia.

On VLS, Sometimes no foreign body is visualised, but the patient still feels the discomfort, pain. In most of these cases, it could either be because the foreign body caused abrasions on the way to the stomach or because of the finger manipulation done by the patient before visiting the doctor. In very few of these cases, the foreign body is very deeply seated, not visible to naked eye, when radiological investigations will be ordered or “wait and watch policy” is undertaken. A two day period is given when the patient is asked to carefully watch for increasing pain, the start of fever, swallowing or breathing problems, and if they occur, he is asked to visit the doctor immediately.

This is a video of one of my patients who had fish bone lodged deeply into the entry region of the food pipe (aka cricopharynx). You can see me and my colleague Dr Laxminath removing it. At our hospital, we have two doctors working in tandem to remove such deeply lodged foreign bodies. While one doctor visualises the throat with the endoscope, another doctor uses his two hands on instrumentation to precisely remove the foreign body.

This is a box with all the removed foreign bodies stored from the past year (sometimes the patients insist on taking the removed foreign body with them) stored at a top secret place in our hospital. Maybe next time you visit us, you can ask us to have a look at it.


Nose-Bleeds- Symptoms, Causes and Diagnosis

Most of the adults, when they were children, sat across their classmate with cotton plugs up their nostrils to prevent the nosebleeds. These nosebleeds are caused due to the shock and injury caused when the fist of your classmate lands on your nose. The nostalgia will on bring back the fond memories of the incident, the punishment and also the memory of one classmate who had frequent nosebleeds without anyone’s help and was always in need of medical attention.

Anyone can have a nosebleed but they are more common in children between the age group of 2 and 10. This is because many blood vessels are located near the area of the nose. These vessels are fragile and any excessive irritation can cause the nose to bleed. These bleedings may be brief and last for few seconds or can continue for few minutes.

 

Causes for the nosebleed:

Nose-BleedingNose-Bleeding

 

There are multiple reasons which can trigger the nose to bleed. The following causes can be listed as the reasons for causing the nosebleed.

  • Dry air: Dry air is a common cause for nosebleed and can happen as a result of being in a dry climate. Such climate will lead to drying of nasal membranes and crusting in the nose. This crusting in nose irritates the blood vessel and cause them to bleed.
  • Trauma: Nose is situated in a very vulnerable position and many blood vessels are located in this area. So, any kind of trauma resulting from even a minor injury to the nose will lead to its bleeding.
  • Repeated sneezing and nose blowing: When you catch a cold, it is common to have stuffy and running nose which requires you to blow your nose repeatedly. This will irritate the blood vessel and can cause them to bleed.
  • Common causes:


The common causes for the nosebleed include the following

  1. High blood pressure
  2. Infections
  3. Use of blood-thinning medications
  4. Some Cancers

 

Symptoms:

When it comes to most of the people, nosebleed does not show any symptoms. But in case of severe bleeding from both the nostrils, it can have the following symptoms

  • Dizziness
  • Exhaustion
  • Fainting
  • Light-headiness

 

Treatment:

Nose-BleedingNose-Bleeding

In most of the cases, nose bleeding can be managed at the home and does not need any professional medical assistance. The following things can help in controlling or stopping the blood flow from the nasal cavity.

  • Do not pick your nose
  • Avoid frequent blowing of the nose
  • massage your nose with an ice-pack

Pinch the soft part of your nose by applying light-pressure for 10-15 minutes.


Hay Fever- Symptoms, Causes and Diagnosis

Hay-fever

The list of not so debilitating but very annoying disease is incomplete without the mention of hay fever. Hay fever is also called as allergic rhinitis. Hay fever is a distant cousin of the common cold, and share a lot of things in common – like a runny nose, itchy eyes, nasal congestion and sinus pressure. Contrary to the popular myth, you don’t get hay fever because you work in the fields. It is a common allergic response to the airborne substances like pollen, dust mite, particles of animal fur or soft toys, bird feathers, etc. Some people develop hay fever because of the seasonal changes, and a few unfortunate ones have to put up with this hassle throughout the year. This disease affects up to 30 percent population of the world, nearly 10% of the children and 8% of the adults develop this condition. In India, it is estimated that 25% of the population suffers from allergic rhinitis, among them, one in every five suffers pollen allergies.

 

Causes of hay fever:

Hay-fever

Hay fever is caused when the person is exposed to the allergic substances present in the air. When the person comes in contact with the harmless allergen pollen grains, it triggers the body’s immune system by sending it signals. Once it receives these signals, the immune system releases chemicals like histamine and leukotrienes into the bloodstream that inflame the nasal passage, lining of our sinuses and ensure that the pathogen does not enter the body. As a result of this inflammation and congestion in the lining of the sinuses, hay fever is caused.

 

Symptoms of hay fever:

Hay-fever

Depending on which allergens an individual is sensitive to, symptoms of the hay fever may vary. When the pollen count is high in the air, individuals allergic to pollen experience more severe symptoms. Hay fever may include any or all of the following symptoms

  • Persistence of sneezing
  • Stuffy, runny nose
  • Nasal congestion
  • Severe exhaustion
  • Headaches
  • Watery, itchy eyes
  • Shortness of breathing

 

Treatment for hay fever:

Hay fever is just a minor inconvenience that can be managed with help of the over-the-counter (OTC) and prescription medications, and by minimizing the exposure to the allergens.  The treatment includes the following

Antihistamines: Antihistamines like loratadine, cetirizine, etc. are available in the form of nasal sprays, pills, and eye drops. These antihistamines stop the release of the chemical histamine into the bloodstream. This can help with the sneezing, runny nose, and itching but can do very little about congestion.

 

Nasal corticosteriods: Nasal corticosteroid sprays are popular for being effective in giving immediate relief. These sprays help and treat the nasal inflammation, itching and runny nose caused by hay fever. Examples of nasal corticosteroids include fluticasone, triamcinolone, mometasone, etc.
 

 

Immunotherapy: Immunotherapy is for the people with severe sensitivity for the allergens. This therapy includes administering allergy shots or sublingual drops over the period of three to five years. This prepares you for the lasting resistance to the allergy symptoms, and prevent the development of asthma


You smoke, Your kid also pays the price – Passive smoking and its ENT effects in children

When we visit the cinema theatre eagerly waiting to watch our favourite heroes movie, Passive smoking and children we have few government commercials running before the movie trying to increase our awareness regarding the ill effects of smoking. Just to recap, below this text is one
such video. Try listening carefully to the ending of the video, smoking not only affects you but also your close ones (especially your children). The commercial may be boring, the production values may not be Hollywood, but what they are trying to convey is the ABSOLUTE TRUTH about smoking and passive smoking. Read on…

Children are very sensitive to smoke emanated from cigarettes. It affects their quality of life tremendously especially their ear, nose, throat and lungs. It is advisable for the adults to see that this exposure is bought to nil.
When you light up a cigarette and start smoking, the smoke emanates from your cigarette and also while you exhale. This smoke emanated is known as ETS, short for Environmental Tobacco smoke and has a very distinct odour, rather unpleasant and irritating. Over 3000 chemicals were identified in ETS and 30 of them were identified as carcinogens (cancer causing). ETS settles on the house upholstery, clothing, hair leading to long term effects. This is the reason we have smoking and non-smoking rooms in hotels.
Passive smoking affects your children in a number of ways

  1. When pregnant woman smoke, the newborns are at an increased risk of being born with low birth weight, with birth defects such as cleft lip & cleft palate. These children perform poorly in schools because of slowing of mental development in them.
  2. Exposure to ETS causes recurrent nose, sinus infections and cough in children. ETS impairs your child’s lung function causing increased frequency and severity of asthma attacks.
  3. ETS exposure causes irritation and swelling of eustachian tube, a small pipe extending between the back of nose and ear, responsible for ventilation of ear. This causes recurrent ear pain, ear infections, fluid formation in the ear which affects the hearing in children.
  4. Older children on prolonged exposure to second hand smoke have exhibited mild forms of low frequency nerve deafness.
    So, maybe its time for you to stop smoking. If you were postponing your last smoke, its time now, your child will bear the brunt otherwise. Want to have one last smoke, take it far outside your home, no, not the car…


Natural remedies for common cold

Common cold is like that unwanted guest who visits you once in a while. Cold doesn’t require medical intervention. It is not a serious health problem. It is actually less debilitating, but more of an annoyance.

It is annoying because even though it doesn’t completely confine you to the bed, it can interfere big-time with your day-to-day activities affecting your performance.

Sneezes are the most irritating part of having a cold. You might feel that you are going to sneeze and blow everything in your way but the cold doesn’t grant you that relief. You can even try picking a petal off a flower and do “I’m going to sneeze, maybe not”. A case has to be made for a cold-related headache. The cold continues to show it’s affecting for a week and below are its symptoms

SYMPTOMS OF COMMON COLD:

The following are the most common symptoms of the common cold.

  • Running Nose
  • Sneezing
  • General fatigue
  • A headache
  • Body aches
  • Loss of appetite
  • A cough
  • A sore throat

REMEDIES FOR COMMON COLD:

In most of the cases, cold can be managed with the help of natural remedies. You don’t need a super resourceful butler like Mr Jeeves with a magical recipe to get rid of common cold. All you need to do is to follow a few simple remedies listed below which can comfort you during your episode with the terrible cold.

1)Drink plenty of Fluids:

Even if the weather is cold and there is no urge to drink water, you have to keep drinking every now and then. It is important for your body to stay hydrated for easy mucus clearing and a speedy recovery.

2)Ginger:

A common spice found in most of the kitchens is known for its health benefits. All you have to do is to prepare a juice with a mix of ginger, hot-water, and honey. If you are a tea-fan what better time you can find to savour a hot-ginger tea and get a relief from a sore throat.

3)Turmeric milk:

Turmeric contains curcumin which is known for its antibiotic and antioxidant properties.   Drinking a warm milk mixed with a teaspoon of turmeric before going to bed will provide a great relief from cold and cough.

4)Honey:

Raw honey has a variety of antibacterial and antimicrobial properties. Its antioxidants act as a strong agent for boosting the immune system to combat the virus and bacteria that cause cold. This can be taken with a glass of warm milk or boiled water

5)Soup:

Soups are not just good appetizers, they are also effective in getting a quick relief from the cold.  A hot soup made of fresh vegetables, a chicken soup or broth can help in loosing up the mucus secretion.

6) Warm baths:

Warm baths improve the blood circulation and offer an instant relief from the stuffy nose. Nothing helps a like a warm bath in rejuvenating. Adding Epsom salt to the warm water will also help in reducing the body-aches. The steam will also help in draining the mucus.

It is essential to have a strong immune system for quick recovery from the cold.  Sleep strengthens the immune system and helps in warding off the virus or bacteria that cause the cold. So, ensure that you get adequate sleep for a speedy recovery.

If your cold does not subside after trying home remedies, its time to visit our ENT super specialists at India’s Best ENT Hospital