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Showing posts from July, 2019

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After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...

Nasal Bone Fracture / Broken Nose

What to look for when you have a broken nose? The nose is made of two parts solid nasal bones in upper third and lower two third of cartilage. Trauma to the nose due to a road traffic accident, fall, contact sports, or fight can cause fracture of the nasal bone. What symptoms to look for when you have a broken nose? Swelling of the nose- swelling and bruising on the nose should settle down in 3-5 days. If the swelling stays longer than this seek advice from the doctor. Bruising under the eyes will settle in a week. If there is a blurring of vision, you need to attend A&E. Nose bleed and or clear discharge from the nose - Trauma to face can cause a nose bleed. If the nose bleed does not stop by using an ice pack on the forehead or you have a clear watery discharge from the nose, then you should attend A&E. These could be a sign of head injury. Difficulty in breathing through the nose can be due to swelling inside the nose or blood collection under the lining...

Sudden sensorineural hearing loss

Why is it essential to identify Sudden hearing loss? Treatment of sudden hearing loss due to inner ear infection is a medical emergency. Sudden hearing loss could be due to simple cause due to wax in the ear canal or inner ear infection. If the treatment of inner ear infection is delayed by more than 7days, it can lead to permanent hearing loss. 10-20 people every 100,000 per year can get sudden sensorineural hearing loss.   How do I know that it is a sudden sensorineural hearing loss? It is straightforward to test by humming test. If you suspect your hearing is down in one ear. Humming "aa" and "ee" can help. If you hear, sound louder in the ear you feel deaf then the chances are you have conductive hearing loss due to wax or glue ear. If the sound is louder in the better ear, then chances are you have sensorineural hearing loss, and you need to see a doctor urgently. Example, you had flu for a few days, and suddenly you feel that hearing is ...