Articles on sinus

5 Natural Remedies to Keep Your Sinuses Clear

Dr. Rajesh Kr. Bhardwaj
There is usually some amount of lack of knowledge amongst non medical persons regarding "sinus"First of all it is not 'a sinus' but Sinuses - there are four pairs of para nasal sinuses in the human body.Secondly, the statement "Doctor I have Sinus" makes no sense - Everyone has a Sinus - what you are probably referring to is an infection of the para nasal sinuses - a condition called "Sinusitis".Thirdly most patients who say ' I have sinus' are usually found to have a nasal allergy or a simple Rhinitis. Sinusitis is a very specific diagnosis and is usually best left to the Specialist to diagnose.So, what are these 'Sinuses'?Para Nasal sinuses are air filled cavities surrounding the nose and there are four paired sinuses (one on each side) - Frontal, Maxillary, Ethmoid and Sphenoid Sinuses.Though no clear role has been established to these sinuses, it is felt that they keep the weight of the skull bones light, help in ventilating the inhaled air as well as add resonance to the human voice.Sinuses are as prone to Allergy and Infection as the rest of the nose since the mucosal lining of the two are in continuity with each other.So how do we keep our sinuses healthy and clear?1. Steam Inhalation - doing a good steam inhalation at night helps in clearing mucus and make you breath better - best time is to do it at night.2. Breathing Exercises - whether you like to call them Yoga or just plain deep breathing exercises - they help in keeping your nasal passage clear3. "Jal Neti" - a native Indian concept, the idea is to clear the crusts in the nasal passage by the gentle flow of water4. Avoid visiting dusty, polluted areas5. Use face mask if travelling through very polluted areas.

Manage Sinus: Everything You Need to Know

Mr. M N Sheriff, Acupuncturist
Sinus problem and its treatment in AcupressureIf you are plagued by sinus problem, take a moment to consider these valuable parts of your head. What can turn good sinuses into problem sinuses?Your sinuses are hollow air spaces within the bones between your eyes, behind your cheekbone, and in the forehead. They produce mucus, which helps keep the inside of your nose moist. That, in turn, helps protect against dust, allergens, and pollutants.Interesting Sinus FactsNo one is completely sure why we have sinuses, but some researchers think they keep the head from being too heavy. Sinuses are also are responsible for the depth and tone of your voice. This explains why you sound like Clint Eastwood when your sinuses are all stuffed up. If the tissue in your nose is swollen from allergies, a cold, or environmental triggers, it can block the sinus passages. Your sinuses can’t drain, and you may feel pain.There are eight sinus cavities in total. They are paired, with one of each in the left and right side of the face. Two sinus cavities are located in the forehead. Two are behind each cheekbone. Two sinus cavities are within the bones between your eyes. Two are behind each eye.Acupuncture & Acupressure treatment method for this problem:Acupressure and Acupuncture treatment is one of the best and proved method to relieve this lung related problem and as per this method, so many reasons cause this problem, like cold in winter, cold in summer and a traditional acupuncturist is capable to provide permanent relief for this problem through diagnosing the condition of pulse of an individual. Acupressure Points for relieving this problem:To relieve your upper or frontal sinuses, use B2, located at the bridge of your nose. This mental stress point is located in the indentation of your upper eye socket, where the bridge of the nose meets the ridge of your eyebrows.To open the maxillary sinuses in the cheek, use the foremost acupressure points for the sinuses: LI20 and St3, underneath your eyes, just below your cheekbones. Use gentle pressure. These points are safe and useful to teach children as well.Have a healthy life!

Pilonidal Sinus - Everything You Need to Know

Dr. Deepak Rathi, Ayurveda
Pilonidal Cyst or SinusPilonidal means a 'nest of hair'. A pilonidal cyst is found near the tailbone or top of the buttocks crease. It may look like a pit or small depression. In some cases, it may have a hollow tunnel (sinus tract) that connects it to the surface of the skin. Normally, a pilonidal cyst does not cause symptoms. But if it becomes infected, it can cause pain and swelling.CausesThe cause of these cysts is not clear. They may form when a hair is forced under the skin or when a hair follicle ruptures. Or, a person may be born with the cyst.These cysts are often diagnosed in people between the ages of 16 and 26. But people of any age can have a pilonidal cyst. And they affect both men and women, although more common in persons having excessive hair in the gluteal folds.How it is formedIt is commonly seen in hairy men. When a person sits, buttocks takes maximum pressure. As they rub against the clothing etc, hair breaks off which gets collected in the cleft between the buttocks. These gradually penetrate the skin or enter the opening of the sweat gland forming sinus. Gradually more hairs are sucked into the sinus forming a tuft of hair.Nearly all patients have an episode of an acute infection (the area is swollen, tender and may drain pus). After the infection settles, many patients develop a sinus, which is a cavity below the skin surface . The sinus extends into the subcutaneous planes as an infected track. There may be branching side channels that connects to the surface through one or more small openings.Symptoms A Pilonidal cyst does not cause symptoms unless it becomes infected. Infection may cause the following symptoms:Symptoms vary from a small dimple to a large painful massOne or more Pits are formed in the skin of gluteal foldPits may be plugged with hairAbscess forms when drainage of pit is blocked.Pain, redness, and swelling of the cyst and area around itThere may be a discharge that is clear, cloudy or bloody.Foul-smelling drainage from the cystFeverDiagnosisA Pilonidal cyst can be diagnosed by how it looks and by its location. Your doctor will examine the suspected cyst to confirm a diagnosis. You will be told if any tests are needed.TreatmentMost pilonidal cysts are left alone, if not causing any problem. But, If a cyst becomes infected, treatment is required. It may include the following:•Antibiotic medications for the infection. You should know that medications do not make the cyst go away, medicines can only give temporary relief. They also won't keep a cyst from becoming infected again.Hot water soaks to help draw out the infection and relieve pain and itching.Incision and drainage, if needed. The cyst is cut open and pus and other infected material is allowed to drain.Kshar Sutra Therapy : It is an Ayurvedic Surgical technique and is very effective and convenient for the patients. Kshar Sutra is placed in the whole infected tract. It helps in eliminating all the infection, hair and infected tissue. Kshar Sutra is changed at regular interval. Number of seatings and Duration of treatment depends upon the extent of infection. This is the Best treatment availbale for Pilonidal Sinus. It is safe , effective and chances of recurrence is almost nil.Surgery : Excision or removal of the cyst for infection that is severe, does not respond to medications, or keeps coming back. A surgeon cuts and removes the cyst and the tissue around it. There are always chances of recurrence after surgeries. Many patients failed to get cure even after multiple surgeries. Thus Kshar Sutra Therapy is a better treatment option in patients who does not responds to the medicines and other measures.Preventing InfectionA pilonidal cyst can easily become infected. Do the following to help prevent infections:Keep the cyst and surrounding skin area clean.Remove hair from the area of the cyst regularlyAsk your doctor about safe hair removal products or procedures.Avoid sitting in one position for long periods of time. This helps to reduce weight and pressure on your tailbone area.Sitting on a special cushion to relieve pressure on the tailbone may also help.Avoid tight-fitting clothing to reduce skin irritation around the cyst.If discharge is present, keep a cotton pad over the opening to avoid soiling of clothes. 

What You Need to Know About a Sinus Lift Procedure?

Dr. Kamlesh Kothari, Dentist
Sinus augmentation is also known as sinus lift or sinus graft. This is commonly done by the dentists when they are planning a dental implant treatment. Maxillary sinus floor augmentation aims at increasing the volume of the bone present in the maxilla. This is usually targeted in the premolar and molar teeth areas. This leads to the compromising of the maxillary sinus to some extent but then it is of great advantage for implants done in the maxilla. Sinus augmentation is indicated in patients who have lost more than one tooth in the posterior part of the upper jaw. It is also recommended in the cases of loss of excess bone in the posterior upper jaw, teeth missing due to congenital defects and requirement of the strong sinus floor for the multiple implants.Some of the most common materials used in the sinus augmentation are body's own bone or bone procured for human use,  biomaterials as well as platelet rich fibrin. Autogenous bone is a the term given for ones body s own bone graft. First, the surgeon creates an incision which is the basis of the surgery. Then the surgeon reaches to the side wall of the maxillary sinus. From there, the surgeon creates a window and then the membrane is lifted from there. Then the bone graft is inserted through the space. Later, the implant fulfills the space and thus the implant is held properly in the bone. There is another technique which is less invasive. But the augmentation is less effective than the lateral wall of maxillary sinus procedure.The implant is usually placed 6 months after the sinus lift procedure. One of the major factors behind the success of the dental implant is the quality and quantity of the bone present for the implant procedure. If the amount of bone present is thin then it can lead to an unsuccessful dental implant. The patient can face a lot of problems after the procedure is done. But if the bone amount in the upper jaw is sufficient then you can have a successful dental implant. These types of dental implants last for more than a decade and provide the best experience to the patient for rest of the life.Care should be taken by the patient after the procedure. Two sites are to be taken care of the recipient site. Patient should void blowing at least till a couple of weeks after the surgery. Moreover, if bleeding occurs then dentist should be approached immediately. Proper use of gauge is recommended so as to ensure that there is normal pressure on the area where bone augmentation is done. Nasal discharge is quite common. Traces of blood can be seen sometimes in this discharge. Patient should be following the antibiotic course for the surgery even after that procedure. There should be regular check up appointments set up with the dentist so as to monitor the recovery of the patient. It is preferred to ask the patient to eat before the surgery is done. Also, patient should avoid spitting till next 2-3 days to avoid disturbance to the blood clot formed during the recovery of the patient.

Headache - an Ent Problem?

Dr. Rajesh Kr. Bhardwaj
One of the commonest human ailments is headache.Amongst the various causes of headache, there are many ENT problems that can cause it.Some nasal problems can cause headaches - these are called 'Rhinogenic Headache'.Common ENT problems causing headaches are:- Sinusitis - a sinus infection can cause a headache. The location of the headache will depend upon the sinus involved. Maxillary sinus headaches will cause cheek pain, Ethmoid sinus headaches will be between the eyes, Frontal sinus headaches are over the forehead while Sphenoid sinus infection causes pain over the vertex of the head.Typically a Sinus headache starts in the morning and gradually improves as the day progresses. It is usually at the same place every time, increases on bending forward and also on coughing.Sometimes a Sinus infection may also cause a toothache because the roots of the molars rest in the floor of the Sinus.Apart from the treatment your ENT specialist may prescribe for you, steam Inhalation one to two times a day always helps. - Septal deviation can cause headaches by pressing upon a nerve and causing localised headaches.- Neuralgic pains can cause symptoms of headache - these will be sharp lancinating pains, usually following a trigger like exposure to something cold etc.- Ear infections can cause severe one sided headaches. This is specially so in elderly diabetics.In case in spite of adequate treatment your headache persists, it may be time to see your ENT Specialist.

What Keeps You Up at Night? Acid Reflux, Heartburn, Gerd, Sinus-Allergies, Colds-Flu, Migraine?

Dr. Mukul Benjwal, Ayurveda
Tip to assist treatment of Nasal Congestion, Sinusitis, gastro-esophageal reflux disease (GERD), Glaucoma (and many more diseases in which the symptoms aggravate at night) is BED HEAD ELEVATION bringing the patient in a Semi-Upright Position during sleeping hours.In Nasal Congestion, keeping your head elevated may make breathing more comfortable.Similarly in Sinusitis(acute or chronic), headache is relieved not only at night but also during the daytime, if the patient sleeps keeping the head up using multiple pillows or raising the head of the bed.As many as one in four Americans may suffer heartburn at night, according to a study published in 2005 in the journal CHEST. The figure is even higher among people who say they suffer chronic heartburn, or gastro-esophageal reflux disease (GERD). Raising the head of the bed by 4 to 6 inches, so you can sleep with your head and chest elevated can be very useful in tackling this problem. You can lift the top end of the bed by sticking blocks underneath. You could also lie on special wedge pillows designed to help you sleep on an incline.Elevated intra-ocular pressure (IOP) has been shown to influence the development of glaucomatous optic neuropathy. In addition to elevated IOP, factors such as ocular blood flow, racial factors,refractive errors, genetic factors, and low cerebrospinal fluid pressure have been associated with the glaucoma pathogenesis. However, IOP is the only modifiable risk factor; IOP lowering is the only proven therapy to prevent or slow down the development or progression of glaucoma. Body posture is one of the factors influencing the fluctuation of IOP. Compared with the upright posture;IOP has been shown to increase in the horizontal postures (supine, prone, or lateral decubitus in healthy and glaucomatous eyes. Such posture-induced IOP rise has been associated with progression of glaucomatous damage. Some researchers studied the effect of sleeping in a head-up position using a wedge pillow in glaucoma patients and healthy subjects, and they demonstrated reduction of mean IOP by 1.5–3.2 mm Hg in the head-up position compared with the flat position.However, keeping the head up can be achieved by other methods such as using multiple pillows or raising the head of the bed.There are many other diseases like migraine, head trauma,mumps, pneumonia, cardiac asthma etc in which this position is quite handy in improving patients’ health.So the next time you find yourself up at night due to any of these reasons, you know what to do.

Your Skin Might Be in Danger of Getting a Fungal Infection/tinea!

Dr. Dilip Hemnani, Dermatologist
How is Tinea caused?It is caused because of entry fungal elements inside the skin either via environmental trauma or from person to person.When is it caused?It is generally seen in all seasons but summer season is peak season when you suffer from fungal infection due to hot and humid climate.Who is more prone to it?Anybody from a newborn child to and old person beyond 80’s also can suffer from fungal infection. It is more common in people who have diabetes and can involve larger areas of body.Which body part is most commonly affected?It can occur anywhere on the body from head to toeWhat does it look like?Most commonly it looks like a round patch with red, brown or black coloured borders with peeling of skin at border. Other type of fungal infection may look like white coloured or dark brown coloured bindi like patches spreading over back, chest and elsewhere on body.Rare type of fungal infection may also cause sinuses and pus discharge from the foot most commonly seen in farmers. It is associated with intense itching.Can it be treated?Yes, of course it can be treated with tablets and creams to apply.How much time does it take for Tinea to be cured?Depending upon the extent of involvement it may take 15 days to one month for full cureWhat precautions should you take to avoid getting a fungal infection?Always maintain hygiene. Take bath daily, wear clean clothes, & try to stay in clean environment. In hot and humid environment try to wear thin, loose cotton clothes and take cold shower daily. Control of diabetes is must. Consult doctor before it spreads to larger areas of bodyWhy is it necessary to consult a skin specialist?Because it is a communicable disease and can spread by touching, using infected towels and clothes and may spread to larger area of body, after which treatment becomes difficult.SO IF YOU ARE SUFFERING FROM ANY SUCH TYPE OF SYMPTOMS PLEASE DO CONSULT DOCTOR IMMEDIATELY!

How Do I Know When My Child Has sinusitis.....?

Mrs. Anju Chandna, Yoga and Naturopathy
Mothers often tend to aggravate their child’s symptoms. A mild cough becomes “my child is constantly coughing”, one uneasy night due to a blocked nose gets translated into “my child never sleeps peacefully” and one incident of a viral infection is “my child is always falling sick” and sends moms scurrying to doctors for treatment. I can say this with so much conviction because I’m a mother of two grown up kids. And thank God for that! Because when they were young, my life revolved around their noses and their tummies. Little children’s noses are always an issue of discussion. Reason? They are more prone to infections of the nose, sinus, and ears, especially when they are young. Children’s sinuses are not fully developed till their late teens. Because of that, sinusitis in children is difficult to diagnose because symptoms similar to sinusitis can be caused by other problems also, like a viral infection or even allergies. But if your child shows symptoms for more than let’s say a week to ten days, a sinus infection may be the cause.Look out for the following symptoms in your child:•    Your child has cold that refuses to go with a bad nasal blockage lasting almost 10 days•    Low-grade fever with the cold •    Sore throat and nausea •    Heaviness in the head, usually children above six can express this symptom, younger children will just become cranky and irritable•    Swollen/puffy eyes These symptoms could indicate to an inflammation of the sinuses, also called Sinusitis. Since this is an allergic ailment, precaution is the key. And the first and foremost precaution is reducing exposure to known environmental allergies and pollutants.Conventional medicines would include anti-allergens or antibiotics that can help to reduce symptoms. In acute cases your child’s medical history of infections and allergies can also be considered to understand the problem. But can these medicines treat your child completely? Forever? What you need to know is that at the end of it all, allergies attack people with low immunity. And children stand at the lowest rung of the immunity ladder. So building immunity can be a good way to treat a young one’s health problem without any medication and the side effects of long term medication.Salt therapy can be a very effective therapy in treating symptoms of sinusitis in children with no medicine and no side effects. Salt inhaled by your child will cleanse his/her nasal passage, clear the sinuses and restore normal breathing. And above all enhance body immunity.So what are you waiting for? Give your child healthy sinuses with salt therapy!