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Showing posts from June, 2019

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Why Some People Can't Stop Coughing

  Understanding Refractory Chronic Cough: What You Need to Know   Have you ever faced a cough that simply refuses to subside?   While most coughs resolve independently, some persist for an unacceptable length of time—weeks, months, or even years. This condition is known as refractory chronic cough (RCC), and it is a significant issue that demands attention in the medical community, especially among specialists in ear, nose, and throat (ENT) care.   In this blog post, we will clearly outline what RCC is, why it occurs, and the most promising treatments available to those suffering from relentless coughing.     What is Refractory Chronic Cough?   A chronic cough is defined as one that lasts longer than eight weeks in adults. For many individuals, it is associated with conditions such as asthma, allergies, acid reflux, or certain medications. However, there are instances where the cough continues even after these underlying causes have been effectively ad...

Do you suffer with painful ears when flying?

Why do my ears hurt whilst flying? Our ear has three parts- the external ear, middle ear and inner ear. The external ear and middle ear are separated by the eardrum. Usually, the pressure on both sides of the drum is equal, helped by the opening and closing of the Eustachian tube. Pressure changes in the cabin of an aeroplane during climbing and landing. Middle ear pressure becomes negative, especially when landing.  When negative pressure pulls on the eardrum, it can become painful. What are other names of Barotrauma? Barotrauma is also known as Barotitis media or aerotitis media. What other symptoms can suggest Barotrauma? The most common symptom is a painful ear. This can be associated with decreased hearing, tinnitus and mild vertigo. In some cases, if associated with severe dizziness, severe deafness and bleeding from the ear due to eardrum perforation, you need to see an Ear Nose Throat Consultant immediately. Who are at increased risk of the painful ear whe...

Hoarseness or change in voice...

When should I get worried about my change in voice? Change in voice can be due to so many causes. It can be due to simple things like acid reflux, chronic cough, flu, post nasal drip leading to frequent throat clearing or due to cancer on the voice box.  "IF YOU HAVE CHANGE IN VOICE WHICH IS GETTING WORSE FOR MORE THAN 3 WEEKS, YOU NEED TO SEE AN ENT SURGEON." Other symptoms which can be present with a change in voice in cases of laryngeal cancer be weight loss when you are not dieting, a lump in the throat, earache, shortness of breath, throat pain. How does the ENT surgeon diagnose what is causing my hoarseness? Change is voice can be due to both non-cancer and cancerous reasons. On a visit to ENT voice specialist, he or she will take a full detailed history, access how your profession is affecting your voice and how voice change is affecting your job. After recording your quality of sound, an endoscope (a thin tube with a camera attached) is used to ...

Ear Drum Perforation Surgery

What is myringoplasty or tympanoplasty? If you have perforated eardrum or hole in the eardrum, then your surgeon may recommend ear surgery to close this hole and in some cases to help repair the hearing. Why do we have eardrum? The eardrum separates the ear canal from the middle ear. The sound hits the middle ear and is then transferred to the inner ear where the sound is converted to an electrical signal and taken to the brain to interpret. Our eardrum is very similar to speakers with the magnet in the centre and paper around the magnet. If there is tear in the paper, the sound dampens down. So mainly eardrum perforation can lead to an ear infection as now bacteria can reach easily into the middle ear and hearing loss as now the sound transmission is interrupted. Why do I have a hole in my ear drum? Hole in the eardrum can be due to trauma due to earbud injury or barotrauma while landing on an aeroplane. If someone has grommet or ventilation tube inserted, this...