ENT Emergency – Nose Bleeding

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Nose bleeding is a common problem and may happen in children, teenagers or adults. It is called Epistaxis in medical terminology. Nose bleed can be anterior, which is more common or posterior.

What you can do

Paediatric age group – Nose bleed is most commonly anterior and self limiting

  • Pinch the nostril
  • Ask child to breathe through mouth
  • Keep head back
  • Reassure
  • Ice pack can also be applied on the nose, neck etc.



  • Hypertensive patients are more prone.
  • Check blood pressure and reduce if elevated
  • Pinch the nostril and reassure the patient
  • If it is recurrent see your doctor- coagulogram
  • Stop blood thinners eg ecosprin etc
  • Avoid blowing nose hard
  • Avoid moving in hot sun

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Allergic Rhinitis- Symptoms, Treatment & Tips

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Allergic rhinitis is defined clinically by the symptoms caused by immunologically mediated (most often IgE-dependent) inflammation after the exposure of the nasal mucous membranes to offending allergens.

The problem with allergies such as Hay fever and Allergic Rhinitis is that it is considered to be a trivial and inconsequential disease. Symptoms such as runny nose, itchy eyes and nose with sneezing and blockage are obviously not life threatening, but affect up to 25% of the population and are the cause of significant disability and cost to society. Patients may also experience fatigue, irritability, as well as mood, cognitive and sleep disturbance in addition to the nasal, ocular and throat symptoms. Allergic rhinitis has important co-morbid associations such as chronic sinusitis, glue ear, asthma exacerbations, nasal polyps, sleep apnoea and dental malocclusion.


Symptoms of allergic rhinitis include

  • Rhinorrheoa
  • nasal obstruction or blockage
  • nasal itching, sneezing
  • postnasal drip that reverse spontaneously or after treatment.
  • Allergic conjunctivitis often accompanies allergic rhinitis.

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Adenotonsillectomy – Tonsils Operation

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Adenotonsillectomy is an operation performed to remove both the adenoids and tonsils. Tonsillectomy is another operation to remove the tonsils.

These operations are done on patients who suffer from repeated tonsillitis or have an obstructed breathing, pauses between breathing at night, obstructed sleep apnea and abscess. Tonsil operation is one of the most common procedures in children. It takes about 2 weeks for children to recover from the operation.


The first Tonsillectomy was performed by Shushrut in the year 1000 BC. The surgery performed using fingernails.

De Medicina is a medical treatise (book) by Aulus Cornelius Celsus 25 BC- 50 AD, a Roman encyclopaedist. Celsus describes Tonsillectomy as a complete removal of tonsils.

They ought to be disengaged all round by the finger and removed. If they are not separated by this method, it is necessary to take them up with a blunt hook and separate them with a scalpel; then to wash them with vinegar and anoint the wound with a styptic application.

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Hearing Problem Hampers Emotional Growth

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Statistics on hearing problem in children?

Many studies have been carried out to determine the prevalence of hearing loss in children. It is generally accepted that from 6 to 12 % of school going children have some degree of hearing loss. With a total of about 150 million children in the age group of 0-6 years, this is a huge number. The percentage is higher in rural than urban children, the commonest cause being Otitis Media, a condition that is easily treatable. It is also known that earache is amongst one of the most common causes for a parent to bring a child to an ENT doctor.
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