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...
When is adenoid surgery required? Adenoids are part of the immune system like our tonsils. If your child has an enlarged adenoid, he/she can have the following symptoms. Enlarged adenoids can lead to a blocked nose. This can lead to thick secretions in the nose and bad breath. A child with a blocked nose may be mouth-breathing most of the time and can lead to prominent upper teeth. Enlarged adenoids can affect a child's sleep quality, leading to sleep apnoea and snoring. They may breathe like "Darth Vader". Enlarged adenoids can block the Eustachian Tube. The Eustachian Tube is responsible for maintaining air pressure in the middle ear. Enlarged adenoids can contribute to a glue ear and frequent ear infections. How is adenoid surgery done? Adenoid surgery is done as a day-case procedure under general anaesthesia. The procedure itself takes 20-30 minutes. ENT doctors can perform adenoid surgery through the mouth or the nose with the help of an endoscope. The child should...