Thursday 20 April 2017

Ear discharge


Ear discharges are the most common symptom in the ear problems. About more than 10 million cases in a year suffer from the ear discharges. Ear discharges may lead to loss of hearing in many cases. Ear discharge is common among all age group. It can affect from the children to the aged people.

The causation for the ear diseases may be of acute origin or the chronic reasons. The most common causes include the foreign bodies, middle ear infections, injury to the ear drum or the other allergies like Eczema. The discharges may be thick, whitish or yellow in colour. They are thick and foul smelling in nature. It may be occasionally blood stained. Ear discharges are the most common symptom if the disease or infection is involved in the ear.

Ear infections

Ear infections or the Otitis Media are the most common cause for the ear discharge in many people. It is usually acquired or congenital. In this condition there is a keratinized growth of squamous epithelium in the middle ear called as Cholesteatoma. In complications it may be associated with hearing loss, facial palsy, CNS dysfunctions and vertigo. Causes include Viral, bacterial and fungal infections like E. coli, Staphylococcus aureus, Candida albicans, Rhino virus etc. Many risk factors also include smoke exposure and Nasal discharges, where the force blowing of the nose will lead to middle ear infections. Symptoms include ear discharge with foul smelling and white or yellow discharge, ear pain, Fever, tinnitus, Loss of hearing and poor sleep.

The treatment for the ear infections includes the analgesics, topical ear drops and antibiotics for the pain, fever and discharge. The medications for ear infection include Ibuprofen, Paracetamol, drops with Benzocaine are advised by the ENT doctors. If there is chronic ear infection for more than a year then surgical procedure like Radical mastoidectomy with cavity obliteration is followed under trained and professional ENT specialists and for irreversible hearing loss, hearing aids are provided.

Treatment of Ear discharge

The treatment for other diseases involving the ear discharge depends on the cause. In some cases, the child unknowingly pushes the objects like seeds, nuts, peas or cotton and in adults insects like cockroaches, moths, and flies get in to the ear and start the problems like pain, tinnitus with foul smelling discharge from the ears. This has to be removed with the great tactfulness and only by the ENT surgeons. Other causes like rupture of the ear drum or any injury to the ear drum can also leads to the discharges and sometimes bleeding too.

The ear discharge treatment is usually done on the basis of the cause involved. In case of only discharge with no pathological indication then cleaning, suction and dry swabbing is done but if there is rupture of the ear drum then surgery of the injured tissue is done. Common medicines for ear discharge involves analgesics and antipyretics such as paracetamol, ibuprofin, aspirin and opioid drugs and antibiotics like Amoxicillin is frequently used in the treatment of the ear discharges. In severe cases Corticosteroids are applied in form of topical ear drops. Tympanoplasty and Tympanic membrane repair or the ossicular reconstruction is done.  


For more information, mail us: info@vikramenthospital.com / call: +91-422-2550633

Wednesday 5 April 2017

Sleep Therapy


Sleep is a state of unconsciousness in which the person can be aroused by the sensory stimuli. A good sleep is very much necessary for the proper functioning of the brain and Human body. A man requires about 7-8 hours of sleep, if there is continuous disturbance in the sleep then it may lead to behavioral abnormalities, cardiac diseases like hypertension, stroke and cardiac arrest, metabolic diseases like Diabetes and irritability, restlessness, anger and other altered behavior.

Sleeping also has the positive effects on our human body. It is been proved that in sickness we sleep more just to relax our body and brain and in turn this helps the immune to build up to fight against diseases. This sleep is disturbed by many reasons primarily being the Sleep Apnea and Snoring disorders. This disturbance can be treated by the sleep therapy for the individual causes.

The specialized and trained ENT doctors are striving each day hard to relieve the sleep disorders and get the new innovative devices and therapies for the following diseases.

Snoring

Snoring is a condition where there is a vibration of sounds due to the airway obstruction of the pharyngeal walls. It may be due to thickening of the walls of pharynx as in Obesity, or due to any other obstructions like large tongue, Tonsillitis, Adenoids, Nasal polyps and Deviated nasal septum. Though sleeping do not have any immediate effects on health, a long time sleep disturbance leads to cardiovascular diseases. It may affect anyone and in any age group. Female attaining Menopause also gets Snoring due to hormonal changes.

Sleep Apnea

When there is a severe obstruction of the air way by the complete air entry stoppage leading to the breath gasping, it leads to a condition called Sleep Apnea. This can be acute attacks with instant air blockage during sleep where the patient gets up from sleep, takes breath and sleeps again. This attacks may be of 10 seconds with repeated frequency of about 30 bouts in a duration of 6 hours of sleep. This Obstructive sleep apnea is a complete sleep disturbance. The patient repeatedly wakes and sleep leading to poor and restless sleep.

The long term effects of Sleep Apnea leads to many accidents like car accidents while driving or industry accidents due to the disturbed sleep and sleeplessness in the previous night. This also leads to the altered and poor performance in the next day work. Other effects also include Heart related diseases like Hypertension, stroke and cardiac arrest.

The sleeplessness disorder may be due to the obesity and other diseases like Adenoids, Nasal polyp, Tonsillitis, large flabby tongue, loose pharyngeal walls and Deviated nasal septum. These diseases are manageable and treatable depending on the cause.

Treatment for Sleep Apnea & Snoring

The sleep apnea treatment depends on managing the cause of the disorder. In severe cases of Obesity, weight reduction can be helpful. Continuous positive air way pressure (CPAP) is administered to the patient, a device where the patient is connected to the ventilator where there is continuous flow of air making him get sound sleep. Though this is most effective it is not well accepted by the patient due to the discomfort.

The treatment of Snoring depends on the cause involved. Surgical methods are followed in cases of any anatomical obstructions like Adenoids, or polyps or Deviated Nasal septum. In some cases with loose pharyngeal walls, tissue tightening or wall stiffening methods are followed. There are even devices like Fitness Trackers which are helpful to record snoring time and proper sleep.

For more information, mail us: info@vikramenthospital.com / call: +91-422-2550633

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