ALLERGIC RHINITIS
Allergic rhinitis is a common disorder which is characterized
by spasmodic attacks of severe sneezing and nasal discharge. It affects young
adults from the age of 15 onward, and also both sexes are affected.
The
predisposing factors
Heredity is a main factor. If both parents are allergic,
the risk of allergic rhinitis in children are high.
Hormonal factors.
Climate-humidity and atmospheric factors play an
important role.
Emotional factors-psychological factors also have a
role in allergic rhinitis.
Precipitating factors can also be-
1. External factors like-inhalants which can be dust,
pollen, feathers, animal odor.
Food like eggs, fish, milk, citrus fruits.
Cosmetics and powders.
Irritants like fumes and smoke.
Infection like bacterial and fungal.
2. Factors within the body like -
Intestinal helminthes (worm infestations)
Tissue proteins.
Clinical
features
Irritation in the nose is the starting symptoms.
Recurrent paroxysmal sneezing which exhausts the patient.
Copious watery discharge from the nose
Nasal obstruction due to venous stasis.
Anosmia (Loss of smell)-may be temporary or continuous.
Headache may be present.
Signs
Acute stage- the mucous membrane becomes pale with
excessive watery secretions.
Chronic stage-the nose may appear to be normal or
the mucosa is bluish or purplish due to venous stasis
Infection may occur along with it.
Polyps may be present.
Allergic salute-due to irritation to the nose with
watering the patient frequently lift the tip of the nose upwards with palm.
This is known as the salute sign.
Itching of the eyes, throat and ear. There may be a
middle ear problem.
Asthma may be present.
CLINICAL TYPES
1. Seasonal- hay fevers due to pollen grains occur
at the time of pollination.
2. perennial-affects the patient throughout the
year.
Treatment
Keep away from triggering factors as mentioned above
for a period of time.
Homeopathic
treatment.
Since we cannot avoid some triggering factors like
smoke and dust, complete cures with homeopathic medicines need a long time.
Medicines have to be changed frequently depending up
the present symptoms, because symptoms' changes to the change of seasons, and
also the type of predisposing factors. Once the acute symptoms' are controlled
very well then the next step is to change the medicines to miasmatic level.
Medicines like Ars alb, sabadilla, histamine, bromium , lemna minor, allium
cepa are used frequently to control the
acute episodes. This is followed by medicines like thuja, tuberculinum,
sulphur, psorium etc; as deep acting miasmatic remedies. However, as long the
patient is still in the surroundings of precipitating factors, complete cure is
difficult.
SINUSITIS
Sinusitis
is the inflammation of the tissues lining the sinus. It may be acute or
chronic. The most frequently infected sinus is the maxillary sinus. And frontal
sinus and ethmoidal sinus are affected less frequently.
ACUTE MAXILLARY SINUSITIS
The
maxillary sinus is in close relation to teeth, and it opening is slightly at a higher
level. And due to this the drainage of mucous is inadequate.
Maxillary
sinusitis may affect at any age group starting from 5 years of age.
The main predisposing factors are.
1- Common
cold and influenza.
2- Nasal
obstruction due to deviated nasal septum, polyp, enlarged turbinates, will
obstruct the drainage of sinus and thus there is stagnation of the mucous in sinus,
which results in infection.
3- Due
to allergic rhinitis, there is also blocking of the nose which affects the
proper drainage from sinus.
4- Forcible
blowing through the nose forces the infection from nose to sinus.
5- Swimming
also causes maxillary sinusitis.
6-Dental infection-Infected upper molar and premolar
may lead to maxillary sinusitis.
Chronic tonsillitis and adenoids may act as
predisposing factors.
Atmospheric pollution, especially dust may cause
sinus infection.
Causative
organisms.
Bacteria or virus may cause infection.
Symptoms.
Pain may radiate to teeth, ear, and frontal sinus.
Coughing, sneezing, bending forward may aggravate the pain.
Nasal discharge-initially mucoid, later become
purulent and bloody. Foul smelling discharge suggests the possibility of dental
infection.
Dry cough- due to postnasal discharge, there may be
dry cough.
In severe infection, there is bleeding from the
nose.
Along with these symptoms, there is fever malaise,
chilliness and body pain.
On examination, there may be tenderness in the
maxillary sinus.
CHRONIC MAXILLARY SINUSITIS
In chronic maxillary sinusitis, the pain and
tenderness are absent. All other features are similar to acute infections.
There may be hyposmia (reduced ability to smell and
detect odors) and cacosmia (hallucination of a disagreeable odor).
ACUTE FRONTAL SINUSITIS.
It is less common than maxillary sinusitis.
Unlike maxillary sinusitis, dental infection won’t
cause a frontal sinusitis.
But maxillary sinusitis may cause frontal sinusitis.
Signs and
symptoms.
Pain- may radiate to front side of the forehead.
Pain is worse during the morning hours and better during
the day.
Tenderness over the root of the nose will be
present.
Along with these, there is fever, malaise, body pain,
etc.
CHRONIC FRONTAL SINUSITIS.
In chronic sinusitis, the pain and tenderness may be
mild or absent.
All other features same as acute frontal sinusitis.
Treatment
Homeopathic medicines are very and effective in the
treatment of acute as well as chronic sinusitis. Irrespective of whether acute
or chronic, and irrespective of sites homeopathic medicines help to root out
the tendency. As usual, the treatment strategy is that the acute infection is
controlled by medicines selected by acute simillimum and then the treatment is
followed by deep acting constitutional remedies.
There is a tendency in certain patients to recur; a
prolonged treatment is needed for the complete cure.
The main remedies are Kali bich, Silicia, Merc sol,
Psorinum, etc.
Dr Akbar has developed a special protocol in the
treatment of sinusitis. And in experience, this protocol result is very
promising.
For treatment-related matters contact Dr Akbr-www.onlinehomeocure.com
Mail to mail@doctorakbarkp.com
ACUTE TONSILLITIS
Acute inflammation of the tonsils is one of the most
common conditions encountered in day to day practice. Tonsils are known as the
policemen of the throat because they prevent the infection from going down.
It occurs frequently up to the age of 15 years, and
both sexes are affected equally.
Predisposing
factors
a) Pre existing chronic tonsillitis
b) Pre existing upper respiratory tract infection
c) Postnasal discharge due to sinusitis
d) General lowering of the resistance
e) Taking cold drinks or foods
f). The infection may be contacted from other
individuals having infection
c) Pollution and crowded ill ventilated environment
d) Embedded foreign body.
Symptoms
Raw sensation in the throat is the first symptom.
Pain in the throat aggravated by swallowing, and
pain may be referred to ear.
The child may refuse to eat to eat-because of
odynophagia (painful swallowing)
Voice may be thick and muffled due to thick
secretion.
Fever, headache, and tachycardia.
Duration of acute tonsillitis may be 4 to 6 days.
Signs
1) Tonsil becomes congested and swollen.
2) Secretions increase and become tenacious.
3) Movements of the palate become impeded due to pain.
4) Halitosis- Foul breath may be present.
5) Jugulodiagastric lymph nodes may become enlarged
and tender.
CHRONIC TONSILLITIS
It is one of the commonest chronic infections characterized
by recurrent acute attacks.
Symptoms
1) Recurrent pain in the throat
2) Cough
3) Halitosis due to the cheesy material in the tonsillar
crypts.
Signs
1) Appearance
Chronic
parenchymatous tonsillitis- characterized by hypertrophied tonsils.
Chronic follicular tonsillitis- where the tonsils
are normal or small and fibrotic. There may be yellowish cheesy debris. It
often occurs in adult.
2) On squeezing the tonsils pus may ooze out.
3) Retension cyst: seen on the surface of the tonsils.
They appear as cystic yellowish swelling containing yellow liquid.
4) Persistent enlarged jugulodigastric lymph nodes.
Complications-
Tonsillar abscess may occur in adult.
Infection may spread to ear causing acute middle ear
infection.
The bacteria may invade the heart causing bacterial endocarditis,
or may aggravate rheumatism, and acute inflammation of kidney-nephritis.
Treatment
General treatment
In mild case fruit juices and vitamins may help.
Tonsillectomy is the method of choice in chronic tonsillitis
in modern medicine.
Homeopathic
treatment.
Out of my long years of experience, it is clinically
verified that homeopathic treatment is highly effective not only to control the
acute infection, but also to prevent the recurrence. In majorly of the cases
surgery can be avoided.
And after a few months of treatment, the patient can
very well enjoy the ice cream and cold drinks and foods.
The commonly prescribed medicines for acute
tonsillitis are merc sol, belladonna, aconite, hepar sulph, silica etc;
Once the acute infection is controlled next aim is
to prevent recurrence, for that medicines like psorinum, tuberculinum,
syphyllinum etc. are used.
For treatment contact Dr Akbar through www.onlinehomeocure.com
Mail to mail@doctorakbarkp.com
DEVIATED NASAL SEPTUM (DNS)
Deviation of the septum occurs very frequently, but
it requires treatment only if it produces symptoms.
1) Usually, it starts around puberty and fully develops
by the age of 20yrs.
2) Both sexes are affected.
3) Heredity may be a cause.
4) Septum should grow at the same rate as that of
face, if the septum starts growing at a rapid rate, it becomes buckled to accommodate
itself. This is the common cause.
3) High arched palate- lack of descent of the palate
causes buckling of the septum.
6) Congenital- abnormal intrauterine posture results
from compression of nose and upper jaw.
7) Trauma may cause DNS.
Symptoms
1) Asymptomatic-only deviation of the septum but no
symptoms
2) Blocking of the nose
3) Headache: It may be due to sinusitis.
4) Recurrent colds
5) Bleeding from the nose
6) Loss of smell
7) Deformity of the external nose.
Signs
1) External nose may be deformed.
2) Anterior rhinoscopy reveals the deviation of the
nasal septum.
3) Posterior rhinoscopy shows no abnormality.
Complications
1) Recurrent sinusitis
2) Middle ear infection
3) Mouth breathing
4) Asthma
5) Atrophic rhinitis
Treatment
The conventional treatment is septoplasty. This is
done only if the patient is suffering from recurrent or persistent symptoms.
Homeopathic
treatment
Homeopathy can very well control the symptoms and
complications. Recurrence of symptoms
can be controlled by homeopathic medicines. However, the deviation being a
defect the septal correction can be done only through surgery. As seen from
clinical experience, the septoplasty alone will not prevent the symptom
recurrence. The patient may feel relived for a few months after septoplasty,
but symptoms will slowly begin to reappear. Even so, after surgery by prescribing correct
homeopathic medicines the symptoms and prevention of complication can be guaranteed.
Usual medicines are ars alb, calc flour, silicia, tuberculinum,
sangunaria etc. are the medicines usually prescribed.
For treatment and talk to doctor
EPISTAXIS
Epistaxis
is the bleeding from the nose. The blood loss may range from few drops to
massive loss.
Epistaxis
may be due to -
Disorder
from birth itself- Haemangiomas in the nose is the main cause.
Epistaxis
may also due to a trauma or injury to nose or paranasal sinus, or head
itself. Here the bleeding stops within a
short time.
After
any operation on the nose or paranasal sinus may also cause epistaxis.
Boring
or picking the nose is one of the main causes of epistaxis. There is a
vulnerable area in the nose called Little’s area where the blood vessels are
situated superficially (submucosally), so slightest trauma or picking results
in bleeding from the nose.
Barotrauma
(changes in air pressure) also causes epistaxis.
Epistaxis
may also be due to inflammatory causes like.
1-nasal diphtheria
–in children blood stained discharge from both nostrils in children. Presence
of diphtheria bacteria- Corynebacterium diptheria in the smear confirms the
diagnosis.
2-inflammation
of the vestibules of the nose or a furuncle in the vestibule may cause epistaxis.
3-acute sinusitis or rhinitis
also may cause epistaxis.
4-inflammation
of the adenoid may cause congestion in the nose, and it may result in epistaxis.
5-chronic inflammation
like chronic sinusitis, chronic rhinitis and severe case of atrophic rhinitis
also causes epistaxis.
6- Rhinisporidiosis
syphilis, tuberculosis, leprosy may also cause bleeding from the nose.
7-Malignancy
of the maxillary sinus or ethmoidal sinus also causes bleeding from the nose. Bleeding
from the nose, especially one-sided in an elderly patient should be
investigated to rule out malignancy.
8-Foreign bodies
- insertion of the foreign body, especially in a child is a main cause of
bleeding from the nose. Blood-stained discharge from one side of the nose with a
foul smell in a child should raise the suspicion of a foreign body in the nose.
Removal of the foreign body may cause bleeding but only for a short duration.
9-Systemic causes
like hypertension, bleeding disorders also cause epistaxis,
10-Infection
may cause epistaxis. Influenza, measles, rheumatic fever, typhoid may also cause
epistaxis.
11-In many cases no cause
for epistaxis is detected even after thorough investigations.
Treatment
General treatment
Apply
ice or cold pack on the bridge of the nose.
Pinching
the nose for a while may stop bleeding, if the bleeding is from Little’s area.
Homeopathic treatment.
Homeopathic
treatment is based on the cause of the disease plus considering the mental and physical characteristics in
chronic cases.
If
it is due to foreign body removal of the cause is the primary aim and the
bleeding if occur after the removal can be managed by medicines like Hamamelis,
Arnica, etc.,
If
due to infections, inflammations the basis causes are treated by medicines
selected by the present symptomatology and location and site of the cause of
the disease. Sometimes, the acute infection may subside and in certain patients,
there is a tendency to recur the infection, like sinusitis, the constitutional
medicines come into play.
The
overall result is very favorable to homeopathic medicines.
To
know more log on to www.onlinehomeocure.com
NASAL POLYP
A nasal polyp is a fleshy growth from the edematous
mucosa of the nose or the paranasal sinuses.
TYPES OF POLYPS
1. Antrochoanal it arises from the maxillary sinus
and grows backwards and reaches the nasopharynx.
2. Ethmoidal- they are multiple bilateral and arise
from the ethmoidal sinuses. They protrude forward.
Causes
Antrochoanal polyps usually occur in children and
young adults. Ethmoidal polyps occur at any age.
Predisposing
factors-
1. Ethmoidal polyps are usually of allergic origin.
2. Infection-it may produce polyps, which are single
or multiple.
4. Mixed-a combination of factors mentioned above
may be responsible for polyps.
Clinical features
1. Blocking of the nose -the nose becomes blocked
and is not relieved by nasal decongestion drops.
2. Allergic polyp causes sneezing.
3. Discharge-purulent discharge may be present with
infection. But clear mucous discharge is from the allergic polyps.
4. Expansion of the nose. Due to increase in size of
the polyp, there is an expansion of the nose.
5. Loss of smell is usual with the polyp.
6. Due to obstruction by the polyp, there will be
Snoring and mouth breathing.
7. Headache, and postnasal drip are rare.
8. Speech may be hyponasal.
Signs
1. External nose may be broadening in long standing
polyps giving a frog like appearance.
2. The polyps are smooth, pearly white, pale and pulpy,
and they are painless on touch.
3. Antrochoanal polyp may be seen hanging in the
nasopharynx. If it is very large, it is
visible in the oral cavity as a pear shaped swelling, hanging behind the soft
palate.
Investigation.
X ray paranasal sinus-the polyp can be seen as
opaque mass in concerned areas.
CT paranasal sinus
Polyp has to be differentiated from turbinates.
Turbinates are pink, and painful on touch, and they shrink once the allergy is
over.
Rhinosporidiosis-it bleeds on touch and usually gets
after bathing in ponds and rivers.
Angioma –it is single, smooth red growth, which
bleeds easily.
Treatment-in
modern medicine removal of the polyp-polypectomy- is the treatment of choice.
But chance of recurrence is high as seen in clinical
practice.
Homeopathic
treatment
Homeopathic medicine act constitutionally and hence
to root out the tendency for polyp formation homeopathy has got a promising
role. Even after the surgery there is a
chance of recurrence, which indicates the basic cause for the polyp is still
operating within the body. This tendency can only be removed by a medicine that
acts deeply in the constitution of the body. Hence homeopathy has a curative as
well as the preventive role in the treatment of a polyp.
To know about the treatment
HOARSENESS OF VOICE
Hoarseness
of voice occurs due to lesions of the vocal cord.
For
hoarseness of voice to occur, the movements of the vocal cord should be affected.
There may be some mass on vocal cords,
or due to tension of the vocal cords.
In
hoarseness of voice the voice become rough, and unpleasant,
The
voice may be muffled if there is a mass on vocal cord. In such case, the person
speaks as if he has a hot potato in his mouth, which is neither being swallowed
nor being spat out.
In
paralysis of vocal cord, the air escapes between the paralyzed vocal cords and
the voice become a breathy voice.
Causes of hoarseness of voice
Hoarseness
may be congenital due to congenital cyst and tumours in the larynx.
Hoarseness
may be also due to -
1-Over
use or misuse of voice as in continuous speech or loud speech. This is the
common cause of hoarseness. Moreover, singing in an improper manner and
excessive coughing will cause hoarseness. It is due to injury of the vocal
cord.
2-External
injuries like contusion injuries to the larynx, or cut throat, etc.
Irradiation
may damage the vocal cords.
3-Common
cold may cause hoarseness. It is due to bacterial or viral infection causing
laryngitis. It is the commonest cause of hoarseness.
4-Membrane
formation on vocal cord in diphtheria produces hoarseness.
5-Chronic
laryngitis also is the main cause of hoarseness of voice.
6-Benign
tumors like cyst, chondroma, and fibroma also cause hoarseness, but rare.
7-Singer’s
nodes are the common cause of hoarseness of voice. It is characterized by the
formation of nodule on the edges of both vocal cords.
8-Laryngeal
oedema due to -
Infection
Trauma
Allergy
Neoplasm
Laryngeal
polyp causes hoarseness.
Paralysis
of recurrent laryngeal nerve may cause hoarseness.
Investigations
Thyroid
function test
X
ray larynx
C
T scan
Laryngoscopy
Treatment
General
treatment
Voice
rest-avoid misuse and overuse of voice.
Steam inhalation.
Speech
therapy is also effective.
Homeopathic treatment
Along
with general treatment as mentioned above, homeopathic medicines like Thuja,
Calc carb, Calc flour, Arg met, Causticum etc. is the main remedies.
The
treatment is based upon the cause, as well as the time of aggravation of
hoarseness. And depending up on these and also the miasmatic background, the
remedy is selected. And prognosis is very good, and in the majority of cases
complete cures without recurrence.
For
treatment log on to www.onlinehomeocure.com
Or
mail to mail@doctorakbarkp.com
LARYNGITIS
ACUTE LARYNGITIS
It is the commonest cause of temporary hoarseness.
Etiology
Acute laryngitis occurs at all ages.
However, in children, it may be due to following reasons.
1. Slight edema or swelling in a child may narrow
the lumen of larynx or laryngeal tube.
2. The larynx is more excitable and may develop
spasm easily.
3. Cough reflex of the child is weak.
4. Viral or bacterial infection may affect the
larynx.
5. Exanthemata makes the larynx susceptible to infection.
6. Sinusitis, tonsillitis or bronchitis may cause
inflammation of the larynx.
7. over use of voice
8. Smoke, fumes, alcohol causes irritation in the larynx.
9. Seasonal changes may affect the larynx causing laryngitis.
Symptoms
Hoarseness of voice
A feeling of rawness in the throat
Pain in severe cases
Irritating cough
Stridor
Constitutional symptoms like fever, malaise, body
pain may occur.
Signs
1) The vocal
cords become congested, and color may vary from pink to red.
2) Edema may be present.
3) Mucoid discharge from the throat
4) Movements of the vocal cords may be hampered.
CHRONIC LARYNGITIS
Chronic laryngitis is a common condition which is
caused by chronic irritation of the vocal cords.
Etiology
1) Occurs over the age of 20 yrs.
2) Common in males.
3) Predisposing factors like
a) Misuse or over use of voice
b) smoking produce chronic inflammation of the
larynx
c) Atmospheric pollution by dust
d) Chronic tonsillitis, dental sepsis and chronic
paranasal and nasal infection
e) Hawking and coughing increase laryngitis.
Symptoms of
laryngitis
Hoarseness, which is worse in morning hours.
Dry irritating cough
Raw sensation in the throat
Frequent desire to clear the throat worsens the situation.
Signs
The vocal cords remain congested.
The vocal cord becomes edematous.
Secretions from the mucus glands may stick to the
vocal cords.
Treatment
General treatment
Voice rest
Stop smoking
Avoid alcohol
Steam inhalation
Homeopathic
treatment
Both acute as well as chronic laryngitis can be
managed very well by homeopathic treatment.
Acute laryngitis being more common in children and
ask to avoid icy drinks for a period and advise them for minimum voice usage.
Acute condition can be managed by medicines like
Aconite, Belladona, Rhus tox, Merc sol etc.
And chronic laryngitis usually responds very well by
medicines like Causticum, Thuja, Arg nit, Arg met etc.
For treatment contact Dr Akbar through www.onlinehomeocure.com
mail to mail@doctorakbarkp.com
TINNITUS
It is an auditory sensation within
the ears or head in the absence of any relevant external stimulus to cause it.
It may be defined as the noise in
the ear or head. It may occur without any grave illness or may be a warning
sign of a serious disorder.
Tinnitus may affect only on one
side or on both sides.
TYPES 1) subjective-sound like ringing, whistling
or roaring is heard by the patient without the existence of such a sound, it is
called tinnitus.
2) objective- tinnitus is not only
heard by the patient, but also by the examiner.
Characteristics of tinnitus
1) Tinnitus may be continuous or
intermittent, with long or short irregular period of absence.
2) Continuous tinnitus- is present
all the time.
3) Fluctuant- tinnitus may vary in
intensity. It is more noticed when the patient is alone in silence, or at
night, or when he is emotionally disturbed.
4) Pitch of tinnitus may vary-it may
be high or low.
Causes of tinnitus
A) Subjective tinnitus- it includes
a) Tinnitus with deafness - any
disease of the ear which can cause deafness may also produce tinnitus
b) All general causes of deafness
b) Tinnitus without deafness- anemia,
hypertension, hypotension, carious teeth
c) Functional- emotional factors
may cause tinnitus
d) Idiopathic –may cause without
any cause.
B) Objective tinnitus-causes
a) Clicking temporomandibular
joint
b) Aneurism and arteriovenous shunt
around the ear
c) Vascular tumour inside the head
d) Live insects in ear
e) Patulous eustachian tube
Treatment
The man aim is reassurance- that it
is not at all dangerous but only a nuisance value.
Surgical treatment is not useful to
the majority of the cases.
Homeopathic treatment
The complete cure for the tinnitus
needs a prolong treatment. But the overall result is not hundred percent
satisfactory. Patients will get marked improvement with homeopathic remedies.
The main remedies are China, Calc
flour, Silica, chininum ars etc.
For more details mail to mail@doctorakbarkp.com
Alternatively, log on to www.onlinehomeocure.com
VERTIGO AND
MENIERE’S DISEASE
Vertigo
or giddiness is the disturbance in balance and movements. Here the person feels
as if he is rotating himself or his surrounding is rotating around him. In
severe case, there are nausea, vomiting, and gastric disturbance.
In
human being, the balance is maintained by a mechanism that situates in ear.
Causes of vertigo
Ear
wax
Boils
Eustachian
tube catarrh
Inflammation
in middle ear
Head
injuries with fracture of temporal bone
High-pitched
sound
Inflammation
of the labyrinth
Syphilis
Hypertension
Hypotension
Diabetes
mellitus
Hypothyroidism
Hypoglycemia
Whirling
movements
Heights
MENIERE’S DISEASE
Meniere’s
disease is characterized by vertigo, deafness and tinnitus (noise in ear).
This
occurs at an unpredictable time and at irregular intervals. Usually occur after
the age of 30.
Meniere’s disease may be due to.
Reduced
blood supply to the labyrinth
Emotional
causes
Allergy
and septic foci may cause.
Clinical features
Sudden,
recurrent spells of vertigo with varying intensity, duration, and intervals.
Diarrhoea,
headache and anxiety.
Homeopathic treatment.
Homeopathic system of treatment considers all the
clinical features of Meniere’s disease, as the single entity and medicines are
selected according to homeopathic criteria, so instead of giving separate
medicines for vertigo, deafness and tinnitus, a single remedy is selected
according to the mental physical peculiarities and also the considering the
modality of the disease symptoms. The medicine thus selected is the
constitutional remedy which when prescribed not only cures the condition but
also prevents all the chances of recurrences.
The
medicines usually given are Gelseminum, Conuim mac, Bartya carb etc.
For
more details log on to Dr. Akbar through www.onlinehomeocure.com