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Otitis Media With Effusion (Ome) ‘Glue Ear’

Otitis Media With Effusion (Ome) ‘Glue Ear’ 85% of children experience glue ear at some stage. 50% will resolve spontaneously within three months. Peak ages are two and five years and a hearing assessment quantifies severity. Winter, URTI’s, child care settings and passive smoking are accepted environmental risk factors. Symptoms and signs:   According to  ENT Specialist In National Hospital There will be a noticeable hearing impairment and/or speech and language difficulties and behavioral problems. There may be an association with recurrent acute otitis media. The salient features on otoscopy are a drum that appears dull, retracted or poorly mobile. There may be an air-fluid level or bubbles visible behind the tympanic membrane. Such changes, which are usually bilateral, are best seen using a pneumatic otoscope. Tympanometry can be used to confirm the presence of an effusion. Treatment:  Reduce exposure to cigarette smoke. Persistent effusions do not respond to oral decongest
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ENT Referral Guidelines For The Ear | Otitis Externa

Otitis Externa Otitis externa is extremely common according to ENT Consultant in Lahore . Predisposing factors are scratching of the external canal with cotton buds or other implements and narrow external auditory canals. A particularly important factor is wet ears (humid climates, swimming, syringing without drying the canal, frequent hair washing or lying in the bath to wash the hair). Symptoms and signs:  Whatever the predisposing factor, the skin of the external auditory canal becomes oedematous. Otalgia, otorrhoea and a blocked sensation in the ears with a mild hearing loss are common in the acute stage. In the chronic form itching is a frequent complaint. my site Treatment : It is essential that debris in the ear canal is removed so that the ear drops are absorbed effectively. If the practice nurse is not trained in the aural toilet, this may require the patient to be referred for suction clearance. Systemic antibiotics are not usually required unless there are signs of as
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ENT Guidelines for EAR | Vertigo And Dizziness

Vertigo And Dizziness The majority of dizziness in the elderly is of vascular or degenerative origin. Unsteadiness and lightheadedness are usually non-otological. Aetiology          Medical :            Cardiovascular, metabolic and neurological conditions, anaemia, ocular disease,medications and cervical spine problems.                                   Psychological: Anxiety and hyperventilation                                   Otological:        Benign paroxysmal positional vertigo, acute vestibular failure (labyrinthitis), Meniere’s disease, some middle ear disease and very rarely acoustic neuroma. Symptoms : If the symptoms are from the inner ear then the patient will describe a hallucination of movement, usually rotational in nature and frequently accompanied by nausea, vomiting, and nystagmus. Meniere’s syndrome consists of a triad of episodic vertigo, associated tinnitus, and a fluctuating hearing loss. In benign paroxysmal positional vertigo (BPPV), short-lived episode
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ENT Referral Guidelines For The Ear

Tinnitus Tinnitus is the sensation of sound which does not come from an external source. Tinnitus is a troublesome and common condition which is not always curable. It can occur in any age group but is more common with increasing age. According to ENT Consultant in Lahore Persistent tinnitus occurs in about 10% of the population. It is essential to exclude serious pathology (such as an acoustic neuroma if the tinnitus is unilateral) and then to treat and to support the sufferer as best one can. Etiology Local:               Any hearing loss. General:               Hyperdynamic circulations (as in hypertension or anemia), carotid bruits (associated with a carotid artery stenosis). Drugs: eg. NSAIDs, caffeine, alcohol. Symptoms : Tinnitus affects people in different ways. On the one hand, it may be nonintrusive or on the other can contribute to suicide. Most patients recognize the link between their level of emotional and physical stress and the perceived “loudness” of the t
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ENT Nose Referrals

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Nasal Obstruction More than a fifth of people have nasal complaints, who sixty-six percent report nasal obstruction. The nasal blockage might be connected with home loan business quality of existence, lack of work productivity, sleep problems and from time to time eustachian tube disorder. Causes: Rhinitis, septal deviation, nasal polyps, adenoid hypertrophy, alar collapse, foreign physiques and bare tumors from the sinonasal region When you should refer: Rhinitis: Allergen avoidance, particularly of a house dust mite is vital in treating chronic allergic rhinitis. Additionally, a three month trial of the topical nasal steroid spray ought to be used. This can be coupled with a topical or systemic antihistamine. Failure to solve warrants a regular ENT Consultant in Lahore  referral. Septal deviation: If the apparent septal deviation exists a routine ENT referral is suitable. Nasal polyps: A 1-month span of steroid nose drops might be more efficient than sprays but the
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Nose problems Guidlines ENT

Epistaxis Recurrent nose bleeds are normal in many age brackets. Youthful children usually bleed from Little’s area surrounding the anterior septum, seniors patients from greater or further throughout the nose. Common risks include nose picking, high blood stream pressure, and aspirin / NSAID / warfarin usage. Treatment: First-aid measures apply ice and pressure round the anterior, soft part of the nose. Sit the person upright while using mind toward avoid swallowing blood stream. In case your bleeding point is viewed round the anterior septum, consider cautery with silver nitrate sticks. Topical vasoconstrictors may be helpful. Vaseline or anti-staphylococcal cream can be utilized in minor cases. For severe bleeding attempt packing with ribbon gauze or nasal tampons and reference Best ENT Cosmetic Surgeon in Lahore . When you refer: Reference the emergency Ing clinic should there be persistent or severe bleeding, or possibly a suspected clotting disorder. Snoring And Obstructi
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Nose problem and its guidelines | ENT

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Sinus problems Signs and symptoms: Acute sinus problems: Acute facial discomfort following a URTI (maxillary/upper dentition, frontal or nasal bridge discomfort). The discomfort is generally unilateral and connected with purulent rhinorrhoea and fever. Chronic sinus problems: is connected with less discomfort along with a purulent rhinorrhoea or publish-nasal drip. It's frequently supported by chronic rhinitis signs and symptoms. Treatment: In acute sinus problems, discomfort relief and decongestants (for example ephedrine or xylometazoline nasal drops) might be sufficient. If the antibiotic is needed, amoxicillin (or erythromycin) for five days is generally sufficient. When the patient does not respond consider the potential of anaerobic or beta-lactamase microorganisms. Plain sinus x-sun rays have limited use within the routine control over rhinosinusitis. When you should refer: Make reference to the emergency Facial Plastic Surgeon in Lahore clinic should there
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