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Author: admin | 04.12.2014 | Category: Ringing In The Ears Causes

A recent study on cod liver oil and ear infections shows you may reduce the severity and duration of the infection by using this healthy oil. Researchers claim that up to 75% of children will have up to three more ear infections before they turn 4 years old. This procedure is only temporary and it helps to equalize the pressures in your middle ear. You can get more detailed information on otitis media at the National Institute on Deafness and Other Communication Disorders website.
New York - A recent study indicates cod liver oil may reduce the duration and amount of antibiotics needed to treat middle ear infection. Researchers at Columbia University discovered children undergoing surgery for inner ear tube placement had below normal levels of selenium, vitamin A and the omega 3 fatty acid, eicosapentaenoic acid (EPA).
Doctors asked what would happen if these patients had increased their dietary intake of these nutrients? Researchers found that children using cod liver oil reduced the number days on antibiotics by 12%. Now that's not a lot, but researchers believe the supplementation of a multivitamin and cod liver oil may reduce an ear infection's duration and the length of time needed to stay on antibiotics; and it may also delay the need to prescribe antibiotics. While this is only a small scale study, the results are encouraging and more larger scale studies are needed to learn the benefits of using cod liver oil on ear infections. Please consult your health-care provider if you wish to follow up on the information presented. Chronic dysfunction ventilating eustachian tube, Eardoc natural alternative middle ear infection treatment, drainage fluid buildup middle ear ear pain relief. Patulous eustachian tube - wikipedia, free encyclopedia, Patulous eustachian tube, patent eustachian tube, physical disorder eustachian tube, closed, stays.
Ask a Doctor Online Now!Aerotitis media is the medical term for unequal air pressure on either side of the eardrum.
The problem that develops in flight ear or airplane ear is due to the pressure difference between the outer and middle ear. However, the Eustachian tube is narrow and many problems can develop which affects the pressure.
Although the problem in plane ear is caused by pressure difference on either side of the eardrum, the underlying problem is usually with the Eustachian tube.
Allergies can affect the Eustachian tube in the same way as infections inflame the wall and cause mucus obstruction.
An otoscope, a small device with a light at the end, will be used to examine the ear canal and the ear drum.
If the symptoms are severe and persistent, then the treatment will aim at opening up the Eustachian tube. Anti-inflammatory drugs like ibuprofen and acetaminophen to relieve pain and help reduce any swelling in the Eustachian tube.
Decongestant nasal sprays and antihistamines can be used as a preventative shortly before the flight. Chewing gum, sucking sweets and the Valsalva maneuver may be helpful during ascent and descent. All information and advice on this website is of a general nature and may not apply to you.
As part of the same air passages, and lined by the same mucous membrane, the nose and sinuses tend to be affected by the same problems. Normal opening into left maxillary sinus (the natural ostium) seen through a nasal endoscope. Sphenoid – At the very back of the nose, above the throat, behind the eyes, at the base of the brain.
Under extremely high powered magnification, the surface of the mucous membrane looks hairy – tiny, short hairs, like a velvet lawn, or a carpet pile. The mucus, and anything stuck in it, are swept to the back of the nose by the cilia (silly – ah). The cilia must work together, all beating in the same direction, otherwise they won’t achieve much. The contaminated mucus is either swallowed, spat, sneezed or coughed out, while fresh mucus is produced by the mucous membrane. As well as the physical mechanism of mucociliary clearance, there are chemical defences in the mucus. Anything which interferes with the normal functions of the mucous membrane predisposes to rhinosinusitis. It is much commoner for the mucous membrane to be damaged during the course of life, rather than being born with a defect.
Broken nose with sharp spur of deviated nasal septum pressing on root of left inferior turbinate.
Physical narrowing of the sinus openings and mucociliary clearance pathways can also predispose to recurrent sinusitis.
Same patient’s large polyps seen by simple examination with a Thudichum speculum in the nostril.
Same patient’s CT scan showing nasal bones pushed apart by mass of polyps filling and blocking the nose. Ethmoiditis causes pain between or behind the eyes and pressure over the bridge of the nose. If the mucus from an infected sinus is able to drain, rather than being blocked up, thick green or yellow mucus appears.
Earache, discharge and deafness results from middle ear disease, caused by interference with the Eustachian tube. Sore throat and hoarseness are symptoms of laryngitis, caused by the infected post nasal drip. Orbital cellulitis due to spread of infection from the right ethmoid sinus into the soft tissues around the eye in a four year old child. Severe headache with vomiting – indicates the possibility of meningitis or spread of infection into the brain. Swelling of the cheek is hardly ever caused by sinusitis, dental infection is much more likely.
Although most cases resolve completely, sinusitis can, rarely, have serious complications, especially in children.
Spread of infection into the brain or its coverings can result in meningitis, brain abscess and death. Prior to the discovery of antibiotics, sinusitis was a killer disease, and major surgery was often necessary to treat it. Mists, sprays, steam inhalations and mineral rinses are traditional remedies for sinus problems. Herbal extracts such as menthol and eucalyptus stimulate the sensation of nasal airflow, making your nose feel clearer. Traditional washing of the nasal lining with salt water, alkaline nasal douches (sodium bicarbonate and salt) and various mineral extracts is useful when the mucus is abnormally thick, and in dry arid environments. Antibiotics can be taken by mouth, intravenously for severe acute cases, or topical creams & sprays as a preventive measure.


Decongestant nose drops and sprays such as Otrivine and Vicks Sinex should only be used for short periods – a week at most. They are very effective at shrinking the swollen lining of the nose, which improves breathing and helps open the sinuses. Damage to the lining of the nose caused by prolonged use of decongestants is known as rhinitis medicamentosa.
Decongestants are not suitable for prolonged use as they will cause rhinitis medicamentosa.
Where blockage of the nose is a prominent symptom, steroid nose drops or sprays are the most useful medical treatment for chronic rhinosinusitis. Sometimes a short, sharp course of steroid tablets such as Prednisolone ec is used to shrink polyps. The general principle of steroid treatment is to use the minimum amount which will keep things under control. Lying on your stomach, head over the side of the bed, produces the correct position for nose drops.
You may be advised to use steroid drops such as Flixonase Nasules™ in the head down and forward position. After putting in the drops, keep your head down for at least one minute to allow them to percolate into the narrow spaces. Lying on your back, and tipping your head backwards over the edge of the bed, is another option. Sinus endoscopy (sometimes called FESS) is the modern way to diagnose rhino-sinusitis and plan treatment. A small instrument, like a silver pencil with a light on the end of it, is passed gently along the nose.
The rigid nasal sinus endoscope has an angled lens which lets the surgeon see into all the nooks and crannies of the nose, showing the exact location of any narrowings, bony deformities, polyps and the source of any pus drainage.
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This mainly arises with air travel but can also occur when working in a pressurized environment or traveling over different altitudes in a short period of time.
The term aerotitis refers specifically to air pressure while barotitis refers to any form of pressure, including pressure from water as is seen with scuba diving.  Aerotitis media and barotitis media are ear problems arising from rapid pressure changes but other air spaces like sinuses and even gas in the blood can also be affected. In children the main structural factor that can lead to plane ear is that the Eustachian tube is shorter than normal and easily blocked by nasal mucus or becomes infected quicker. Since the Eustachian tube is connected to the area at the back of the throat and nose on one end and the middle ear on the other end, infections in these areas can also affect the tube. Allergic rhinitis, commonly known as hay fever, is the main allergic condition that can contribute to plane ear.
By keeping the mouth closed and not swallowing air in an attempt to clear out any imbalance, the pressure difference is more likely to occur. It is commonly referred to as a blocked ear because the sensation of stuffiness coupled with the diminished hearing. Usually with aerotitis media, there is an inward or even an outward bulging of the ear drum. The pressure will imbalance that builds up during the flight will equalize on its own over time, usually within minutes or hours but sometimes within days. Sometimes a small crescent shaped incision is made in the eardrum to allow for the ear pressure to equalize.
This medical information is provided to enhance and support, not replace, individual advice from a qualified medical practitioner.
It is a very active organ, constantly working to provide clean, humidified air at the correct body temperature to the lungs. Like the fins on a radiator, they increase the surface area of mucous membrane in contact with the air. Your nose can turn dry air fully humidified, and raise freezing cold air to body temperature, in under a second, before it reaches the throat. Sensitive organs and nerve endings in the mucous membrane trigger automatic reflex changes. Natural antibacterial and antiviral substances are produced, together with white blood cells which can recognize and destroy foreign material. The left middle turbinate is swollen and inflamed, blocking normal mucociliary clearance from the ethmoid and maxillary sinuses. The cilia, instead of being lined up in proper patterns to sweep the nose, sinuses and bronchial tree, are arranged at random.
No inflammation at time of photograph, but patient had a history of recurrent episodes of sinusitis, always on the left side.
The polyp is the paler, softer looking, more gelatinous structure hanging below the middle turbinate.
The site of pain depends on which sinuses are involved, but often more than one set of sinuses is involved at the same time. Thick sticky discharge streaming from the back of the nose over the left Eustachian tube, causing secondary glue ear.
Urgent hospital treatment with intravenous antibiotics, and surgical drainage prevented blindness in this case. They can thin down thick sticky mucus, helping your natural mucociliary clearance system to work better.
They should not be confused with dangerous anabolic steroids abused by some athletes – you will be perfectly eligible for the Olympics on these treatments.
The risks of steroid side-effects from short courses of treatment are fairly small, but long term steroid tablets are likely to give rise to serious side-effects. If there is a bony narrowing, or polyps which are too large and established to be shrunk by steroids, surgical treatment may be needed. This is because most cases of sinusitis start with swollen mucosa high up in the nose and ethmoid sinuses, between the eyes.
Some may feel a slight discomfort, other a slight popping sensation when landing or even with takeoff.
Air pressure within the ear canal and on the outside of the eardrum (tympanic membrane) is the same as the environment.
Adults who smoke omay also experience some dysfunction as the tiny hairs that clear the mucus out of the ear are damaged. When awake, a traveler can chewing gum, talking or just swallowing helps the muscles of the Eustachian tube open.
The sensation is similar to being underwater where the ears feel full and sound is muffled. When the condition persists for hours or days then the hearing loss becomes more severe yet its still reversible to a large extent. Simply closing the nostrils with the fingers, closing the mouth and gently forcing air or swallowing will allow the pressure to equalize. Most cases of sinusitis start off as rhinitis, so we usually get rhinosinusitis rather than pure sinusitis. The bone separating the sinuses from the eye sockets is paper thin – like an eggshell.


Air in the sinuses lightens the structure of the head, and provides resonance for the voice. The cilia beat through the thin sol layer in coordinated waves, sweeping the surface gel layer along.
They beat like tiny oars in the film of mucus, constantly moving it along, a wet sticky conveyor belt. Sometimes the inflammatory response is triggered by mistake, for no good reason, by harmless substances. Some of these are due to the formation of biofilms, persistent colonies of slow-growing bacteria and other micro-organisms which attach themselves to surfaces. Mucus can’t drain from the sinus because the pathway is blocked by swelling of the middle turbinate (see endoscope view above). Impaired mucociliary clearance then opens the way for secondary infection by resident bacteria. Cystic fibrosis patients suffer chronic rhinosinusitis as well as chronic lung disease and poor absorption of food through the gut. Often described as being like grapes, they are more like raw oysters, slippery and squashy.
Only in rare cases like when there is a sudden increase in outer ear pressure will the damage occur almost instantly. This encourages the air to enter the middle ear an equalize with the air pressure in the outer ear. Sometimes however, hearing loss and tinnitus can be permanent and this is one of the more serious complications of plane ear. However other tests may also be necessary to exclude damage to the hearing apparatus and to see any areas of damage. They lie horizontally, front to back, stacked one above the other along the side walls of the nose. Their toxic products cause more inflammation, more swelling and more blockage – a vicious circle. Out-patient rigid nasal sinus endoscopy carried out under local anaesthetic at the same consultation revealed the cause. It is painful, affects hearing, may trigger vomiting, dizziness and even cause bleeding from the ears.
Air travels from the back of the throat up the narrow canal known as the Eustachian tube into the middle ear.
In some cases there could have been other ear problems that were undetected until plane ear starts up. At the peak of their stroke, like an oar dipping into the water, the tips of the cilia catch onto the mucus layer and move it along.
If it isn’t kept moving, germs will breed in the mucus, like they do in a stagnant pond. This is especially the case in allergy, but excessive reactions against fungal material, and certain products of bacteria including biofilms, may well underly the development of nasal polyps and other chronic inflammatory diseases of the mucous membrane. Inflammation does not mean the same as infection, though infection is one of the commoner causes of inflammation.
Half of them have their heart and other organs the wrong way round – the mechanism that causes things to line up correctly in the body is generally defective. They may form a biofilm, which is resistant to antibiotic treatment, and acts as a reservoir for recurrent infections. A complicated set of responses is designed to keep the air conditioner working efficiently.
The sneeze is often followed often by excessive watery running of the nose in an attempt to wash away any remaining irritant. It depends on the temperature and humidity of the air you are breathing in, and the rate of airflow you need. The nose can adjust very rapidly to changes in the external environment, and to the body’s requirements for airflow. The problem is when the nose mis-identifies harmless substances as irritant, and this triggers excessive and inappropriate sneezing. If and when we reach a dose where symptoms begin to come back, the dose is increased to the previous level. The superior turbinate is tiny in humans, it has a specialised membrane for the sense of smell. Excessive or inappropriate triggering of normal reflexes is a cause of some nasal symptoms. Any who stray deeper into the nose are picked up and swept away by the mucociliary clearance system.
The inferior turbinates are bigger than normal, they are swollen due to chronic inflammation. The nose, sinuses, trachea (windpipe) and bronchi (tubes carrying air to lungs) are all lined with the same soft tissue mucous membrane.
The turbinates are made of erectile tissue – like the sexual organs, they can swell up and shrink down considerably. If a sinus opening or mucociliary clearance pathway gets blocked by swollen mucous membrane, stagnant mucus builds up. The maxillary sinuses (antra) are seen above the roots of the teeth, both have grey swollen linings indicating inflammation. Careful regulation of bloodflow and surface area allows us to survive in a variety of climates.
Mucus that is not kept moving, like a stagnant pond, provides a fertile breeding ground for bacteria. Polyps have no nerve endings, and are not painful, unlike the turbinates which are very sensitive. It constantly produces a surface coating of wet mucus, which moisturises and humidifies the air. But get it wrong, and you might end up with too much pooling of blood, swollen engorged turbinates, and a blocked nose which won’t clear when you blow it. As soon as the mucociliary defence mechanism is down, the bacteria move in and replicate, producing toxins. The mucous membrane lining the nose and sinuses has some further modifications, to guard and protect the entrance to the lower airways and the lungs. Unfortunately this causes yet more swelling of the mucous membrane, resulting in more congestion and blockage – a vicious circle. Histological examination by a qualified pathologist will tell us what kind of polyps you have.



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