Archive for the ‘Ear Nose Throat Disorders’ Category

What Are Tonsiloliths?

Sunday, September 2nd, 2007

What are tonsiloliths? Some people notice that they have small white hard lumps in the back of the throat in the tonsil region. The lumps range in size from quite tiny to pea size and they tend to remain lodged in the tonsillar area for some time, until they eventually become dislodged. They are often associated with a bad smell coming from the tonsil area, and may create the physical sensation of having something lodged in the back of the throat.

Tonsiloliths are accumulations of dead skin cells and other cellular and noncellular debris that wash down the back of the throat from the sinuses and nasal cavities. People who suffer from post nasal drip often have tonsiloliths because they have a regular flow of mucus and sinus drainage past the tonsils. The little stones occur in the tonsillar crypts because this is one place where material can become lodged. Because they contain abundant protein, they provide a fertile place for bacteria to flourish, particularly the anaerobic bacteria that live on the back of the tongue and in other airless places in the mouth. The growth and metabolism of these bacteria produce bad breath from tonsils - halitosis.

Tonsiloliths, sometimes also referred to as tonsil stones, can be very difficult to get rid of. Though the individual stones eventually become dislodged and get swallowed, more will soon begin to form. Individuals who have had their tonsils removed usually do not suffer from tonsiloliths, but tonsillectomy is not a recommended treatment for the problem: remedies are best directed at the bad breath from tonsils as this is the most troublesome symptom.

The odor that emanates as bad breath from tonsils is caused by sulfur compounds produced by bacteria. The bacteria live and multiply in and on the tonsil stones, thus they will not be affected much by brushing the teeth or tongue, or rinsing the mouth with antibacterial mouthwashes. Breath sprays and mints are also likely to be ineffective. The best approach is to gargle regularly with a good mouthwash that is designed to reduce the numbers of anaerobic bacteria in the mouth. This will not only reduce the odor, it may also help to dislodge the tonsil stones.

Living With Hyperacusis

Sunday, September 2nd, 2007

Hyperacusis is a medical condition wherein the person’s tolerance for normal sound in his environment is lowered. This lowered tolerance is manifested by the person’s sensitivity to otherwise normal sounds in his surroundings. As a result, he feels as if the whole world is screaming at him. The dripping of water in the faucet, a child crooning to himself, a radio playing from a distance, car horns from the road outside - all these sounds are perceived by the person with hyperacusis as loud and blaring.

The bad thing about having hyperacusis is that the person has no way of “turning the sounds off.” Hyperacusis is a chronic disorder and tends to come and go. People who suffer from hyperacusis may also tend to suffer from tinnitus. Tinnitus is the ringing that you hear in your ears. However, hyperacusis may occur in people who have no other hearing problems.

So what can you do to if you have hyperacusis? Sad to say, but the progression of this disease is quite unpredictable. As of now, the only sure thing that researchers know is that exposure to loud noises contributes to the progression of the disease.

Pink noise and white noise are commonly used to treat patients. They are quite similar to each other although for pink noise, the sounds with lower frequencies are louder than those with higher frequencies. On the other hand white noise has the same amplitude for all frequencies. The importance of these two types of noise is that they increase the tolerance for the normal range of noise that we hear everyday.

There are some therapy regimens that patients with hyperacusis can go through. One such therapy is the use of special hearing aids for several hours a day. These special gadgets work by desensitizing the ears to sound. This treatment is called Tinnitus (Hyperacusis)Retraining Therapy or TRT. Another way to treat hyperacusis is to listen to a pink noise CD. This also serves to desensitize the ears to sound.

Though these procedures have proven to be successful in helping many people suffering from hyperacusis, they are not considered as cures. The best course to take when you suddenly find yourself suffering from “loud” noises is to visit your healthcare professional as they can better determine your specific needs.

Hyperacusis: A Hearing Impairment

Sunday, September 2nd, 2007

Most people know of only one type of hearing impairment - deafness. Hearing no sound at all can be very difficult but looking at the opposite side of it, hearing too much may also prove to be as hard. Hyperacusis is defined as the intolerance to normal and everyday sounds.

To give you a concrete illustration of hyperacusis, take for example a glass being put down on top of a desk. To ordinary people, the sound produced by such an act is hardly noticeable. For someone who is suffering from hyperacusis, such sound may be described as loud, even disturbing.

Symptoms of hyperacusis include pain or pressure in the inner ear. Because of the added noise they hear, individuals with this ailment may find it difficult to adapt to the flow of everyday life and may be deemed as socially unfit.

When someone suffers from hyperacusis it would be likely that he or she would soon develop tinnitus. Tinnitus is an odd sensation in your ear that is coupled with a ringing or whistling sound. Phonophobia is also a disorder that is associated with this condition. This is characterized with the fear of exposure to sounds that may do damage to their hearing. In such situations, a person with hyperacusis may be under a lot of stress. This would be evident in how one performs in the workplace, at home and in social gatherings. Lack of sleep is also attributed with such stress.

Hyperacusis is said to be caused by a malfunction in the sound regulatory system of the brain. It can also be a result of a serious head injury, over fatigue or epilepsy. Disease such as Bell’s Palsy and Lyme disease is also related with such hearing impairment. Intake of synthetic drugs could also have some negative effects that can cause hyperacusis.

One popular treatment for hyperacusis is sound desensitization. In this procedure, a patient is exposed to pink noise (a term referred to a random noise with equal amount of energy in one octave) at a volume lower than one’s discomfort level. He would be subject to such process for about two hours everyday. Results will not be achieved in a snap of a finger, but with enough support from family and friends, one should be in the path of full recovery in about six months.

Hyperacusis - A Life Changing Condition

Sunday, September 2nd, 2007

Hyperacusis makes life in a noisy and fast paced world really difficult to those who have it. Traveling, communicating and working can all become a challenge with so much noise around them. For example, traveling to and from work on a train will seem impossible without some sort of ear protection such as ear muffs. Even so these are not enough to block out certain frequencies.

So imagine your life not being able to go watch a movie at a cinema, or not being able to travel by planes and not even being able to attend big social events all because it’s ‘too’ noisy. How would your life be? Many people have to go through everyday life with this because of their condition.

Those with hyperacusis cannot simply walk away from noisy places because the volume of the entire environment is perceived as heightened and elevated from what any normal person would hear. This is where it starts to get painful.

Many people regard recruitment to be similar to hyperacusis, but the truth couldn’t be any farther. Recruitment is an abnormal growth of the awareness of volume surrounding a person thus making noisy environments seem uncomfortable. Also with recruitment comes a loss of hearing. Hyperacusis however, is a whole different story. Unlike recruitment where noisy surroundings and environments are perceived as uncomfortable, hyperacusis makes all sounds too loud.

Most patients of hyperacusis suffer from inner ear aches, ear pressure and bad headaches when their surroundings become too noisy to handle. This extra sensitive hearing condition causes many problems in the lives of people who unfortunately end up with it. Some of these are problems in relationships, family, social life and professional lives.

So as a patient of hyperacusis, life is not easy to cope with as things can get really noisy and painful. Also worth mentioning is that currently doctors have a very limited knowledge and understanding of this condition. This alone can make hyperacusis patients feel alone when in their struggle with this rare condition.

Hyperacusis And Associated Risk Factors

Sunday, September 2nd, 2007

Hyperacusis is a particular condition, in which the tolerance for various audible frequencies is collapsed. Hyperacusis is not a congenital condition; it develops in the later stages of life. Hyperacusis has to be clearly distinguished from other hearing impairments, to practice adequate treatment strategies. Patients do not have any considerable hearing loss, but only uncomfortable to common sounds. The normal bearable sound range is 100 decibels and the characteristic problem of hyperacusis is the false perception of common sounds, even in lower decibels as loud sounds and inability to adjust the sensitivity according to loudness. The disease, hyperacusis has significant relevance in modern life, as the day to day environment is flooded with a variety of large and moderate sounds.

The risks associated with it mainly include the difficulty of the patient to pursue his life. They feel the normal sounds such as speaking, walking and even combing, as very loud disturbing voices, depending on the seriousness of disorder. This will lead to them to many psychological disorders such as phonophobia, the fear of sound, anxiety, depression, and loss of sleep. The chance for the occurrence for other complicated disorders, as a result of the manifestation of underlying cause of hyperacusis, is also a major risk factor. The complications of the diseases such as Lyme disease, Temporomandibular Joint Syndrome, Bell’s palsy, Tay-Sach’s disease, and post trauma effects of head injury can affect the patient since these diseases can be actual reasons for sudden outbreak of hyperacusis. The collapsed sound conditions and associated manifestations will ultimately lead the patient to total deprivation from social living.

The incompatibility of the patient with normal life depends on the level of hyperacusis and its impact on life. Hyperacusis is generally categorized into five levels, according to the sound tolerance level. The category zero patients do not experience any difficulty in normal living, even though they experience sounds above 85 decibels as very loud. The category one patient may have mild impact since they require ear protectors to bear sounds in the range of 80 to 85 decibels. Category 2 patients are moderately affected by hyperacusis as 65+ decibels sounds such as of normal conversation, seems to them very disturbing. They consider mainstream living as a challenge and prefer isolation. The category three patient suffers even from whispering sound in range of 50+ decibels. The patients have the chances to develop associated diseases such as anxiety, depression, phonophobia, and insomnia. Hyperacusis patients in category four are very critical. These patients cannot proceed a main stream living and resorts to complete isolation. The condition becomes impossible as they cannot even tolerate own voice. They are also at the risk of all associated diseases.

The improvements in the medicine have formulated efficient diagnostic tools, and effective medication to cure hyperacusis. The combined use of psychotherapy and medicine will definitely help the patient to overcome the condition.

What Causes Tinnitus?

Sunday, September 2nd, 2007

There may be times that you would hear an unusual ringing in your ears- beware you might be experiencing tinnitus. Tinnitus is a sensation in the ear, which constitutes a feeling of fullness of the ear. You can also feel some sort of pressure in it. The loud ringing within you is also dominant feeling and it is mostly a very long and sustained sound. It could last for just a few seconds but the loud ringing sound is very disturbing. And if you have Meniere’s disease and tinnitus strikes it would last for a longer period.

Tinnitus is an ear problem. Most ear problems can be caused of a number of factors of which the most common one is the infection inside the ears. The infection could manifest itself in different ways and can affect specific parts of the ear. Ear infections are usually due to poor hygiene.

Wax build-up in the ears causes ear infection too. When those ear fluids come in contact with dirt, wax forms. If the ear is not cleaned regularly, wax can buildup to the extent it causes major problems.

Foreign objects in the ear canal can definitely pose some health risks. Anything, no matter how small, that finds its way inside the ear would pose to be a problem. It would also cause multiple ear infections when not attended immediately.

Tumors growing inside the ear would cause some hearing loss. Tumors are abnormal growths and tumors may either malignant or benign. Once you experience some abnormality in your hearing, consult your physician at once.

Injuries may cause ear problems as well. Physical injuries, even if not directed to the ears may cause some serious problems. If some parts of your head may be damaged, it may cause some hearing problems even if the damage is far away from your ear.

To take care of your ears and be free from tinnitus, do not expose yourself to too much noise. Loud music would gradually cause hearing problems and try not to use headphone much if possible. When the first signs of problems in the ears are observed, check with your doctor right away.

Vertigo: A Symptom Leading To Miniere’s Disease

Sunday, September 2nd, 2007

Vertigo is the feeling of whirling or spiraling that takes place as a result of a disorder to a person’s balance. Subjective vertigo happens when a person feels dizzy from within while Objective vertigo is when the person feels that the things around him move.

Vertigo is, in fact, a symptom, it is not a disease on its own. It is a disorder in the vestibular system. The vestibular system is responsible for joining together the stimuli of the senses and a person’s movements and it is also responsible in keeping the object in imagery focus, even if the rest of the body part is moving.

Vertigo can be one of the symptoms of Meniere’s disease. Patients with this disease exhibit hearing loss and feels pressure in their ears. They also suffer from tinnitus, a state of severe imbalance. Vertigo is the most dramatic and the most disruptive symptom of Meniere’s disease. When vertigo attacks, the patient should immediately head to see his doctor for treatment as it usually hits in succession within a short period of time.

If you experience a vertigo attack, you would suddenly feel wobbly and perceive all the things around you are spinning. Your eyes can also beat from side to side. You will also feel nauseous and sweaty. It would feel as if you are riding a real shaky ship amidst a hurricane for hours.

Meniere’s disease binds vertigo to the definite hearing loss of a person. Although research shows an average of 0.01% to 0.07% people attains this disease. People above 40 are more prone to it. For people younger than that, cases are considered rare. It is also true with children.

If you have vertigo, chances are, you have contracted Meniere’s disease. You should not waste any time and head for treatment immediately. Vertigo is one symptom that should never be taken for granted. Once it strikes, take a quick rest and immediately set and appointment with your physician.

If vertigo does lead to Meniere’s disease, don’t fret. Mineare’s disease can be easily cured. Just heed your doctor’s advice and recovery would be quick and easy.


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