May 2021 – Agarwal Hospital and Research Institute

Nosebleeds or epistaxis, can be quite scary but are not usually indication of anything serious. This involves bleeding from one or both the nostrils. It generally sustains from a few seconds to 1 minute. Front and back of our nose contain several blood vessels that are quite delicate. AHRI Gwalior provides the best treatment for nosebleeds. Under the leadership of two highly experienced and well-qualified ENT Specialist in Gwalior Dr. SR Agarwal and Dr. Rahul Agarwal, the team stands the best in the city.

Nosebleeds can be categorized into two types, anterior and posterior. Anterior nosebleed takes place when the frontal blood vessels of nose break whereas posterior nosebleed occurs in the backward portion of nose. Posterior nosebleed involves flowing of blood through the throat and can be therefore quite dangerous.

Most nosebleeds don’t require medical attention. However, you should seek medical attention if your nosebleed lasts longer than 20 minutes, or if it occurs after an injury. This may be a sign of a posterior nosebleed, which is more serious.

Causes of nosebleed

Nosebleed can take place due to various reasons out of which, dry air is the most commonly observed. A dry environment causes dryness in tissues inside the nose that are also known as nasal membranes. Further, this dryness becomes a reason for crusting inside the nose leading to itching and irritation. Generally in due to this irritation, patient scratches his nose that causes bleeding.

Apart from the above, there exist several other causes of nosebleeds as well that majorly include;

Heavy doses of aspirin
Chemical irritants
Respiratory infection
Nasal injury of any kind
Picking in nose
Blood clotting
High blood pressure
Cancer

Nosebleeds that take place after an injury may signify skull fracture, broken nose or any other severe nasal damage.

Treatment of nosebleeds depends upon their type. Anterior nosebleed takes place in the frontal area of nose, usually through nostrils. This is not so serious and can be handled effectively by sitting up and squeezing the softer portion of nose.

Lean down forward keeping your nostrils closed and breathe through your mouth. Repeat this for 8-10 minutes and monitor your bleeding accordingly. If the bleeding remains, repeat this exercise for another 10 minutes.

Besides this, a nasal spray or decongestant can also be used. If you are unable to control bleeding on your own, visit your doctor as soon as possible as it may be a sign of posterior bleeding that requires proper medication.

Posterior nosebleed, being more serious and dangerous than anterior nosebleed involves flowing of blood through the back of nose, down the throat. It should not be treated at home.

For treating persistent and frequent nosebleeds, cauterization is used.

AHRI Gwalior provides the best treatment for nosebleeds. Under the leadership of two highly experienced and well-qualified ENT Specialist in Gwalior Dr. SR Agarwal and Dr. Rahul Agarwal, the team stands the best in the city. Then ENT vertical at AHRI Gwalior has an extremely qualified squad of professionals with years of knowledge to satisfy all ear, nose, neck and head-related healthcare requirements. The vertical in its best capacity utilizes all the technological advancements and aims to facilitate its patients with utmost care.

gynecologist in Gwalior

It is necessary to have a regular exercise routine during pregnancy. It not only increases stamina but also minimizes pain and fatigue. Exercising improves posture and reduces stress that is extremely important for a healthy pregnancy. Work-out during pregnancy is crucial and must be practiced after proper advice. Pregnant women remain confused with the kind of workout they should have, the span of each session, precautions to be taken, etc. If you too want to get these queries cleared, you are in the right place. This blog contains advice of Dr. Veena Agarwal is best gynecologist in Gwalior, practicing surgeon at gynecology and obstetrics center AHRI Gwalior.

Dr. Veena Agarwal is one of the senior-most and acclaimed gynecologists in the country. With experience of conducting 4800+ successful surgeries, she stands as the best gynecologist in Gwalior.

According to Dr. Agarwal, pregnant ladies who exercise have less back pain, more energy, a better body posture and decreased stress level. She suggests a few simple and easy-to-practice exercises that must be performed by expecting mothers.

Plie : You require a chair to practice this exercise. Stand parallel to back of chair having feet hip-distance apart. Bend your knees, keeping back straight and lower down your torso. Get back to the original position and repeat the same steps 5-10 times. This exercise strengthens quadriceps and improves body posture.
Side-lying : Lie on your right side and keep your left leg straight (opening outwards). Right leg must be tilted inwards at an angle of 45 degrees. Bring your leg down and repeat this process. This exercise is beneficial for inner thighs.
Planks : Lie down on your hands with palms facing downwards. Now lift your belly, chest and knees upwards. Make sure that the total balance of your body remains on toes and hands. This exercise helps strengthen the back and arms.
Curl and lift : For this you need a chair and weights ranging from 5 to 10 pounds. Sit on chair with back straight and feet on floor. Now hold weights in both hands and align your arms in a way that they remain at 90-degree angles. Lift the weights to shoulder height and hold them there for 10 seconds. Get back to original position and repeat this at least 5-10 times. This exercise is beneficial for your shoulders and arms.
One-arm row : Take a chair and keep your right knee on its seat. Bend a bit forward keeping your back parallel to floor and place your right hand on chair so that the body remains balanced. Now hold a weight (5-10 pounds) in your left hand and lift it as much as you can bear comfortably. Return to original position after holding the weight for almost 10 seconds and repeat this with the other hand. This exercise strengthens the back and biceps.

All the above exercises suggested by Dr. Veena Agarwal are easy to perform and result-oriented. These exercises will not only ensure a healthy pregnancy but also keep you fit and relaxed throughout this beautiful journey.

treatments of sleep apnea

Sleep apnea is a disorder in which a patient’s breathing is interrupted during sleep. In this, the breathing of a person stops and resumes repeatedly while he sleeps. Patients suffering from severe sleep apnea cannot get complete breath cycles resulting in deficient intake of oxygen. Such patients also feel tired and un-energetic even after a long course of sleep.

Sleep apnea is observed as a common disorder among patients of almost all age groups. If you too are suffering from this ailment and are worried about this, please follow this blog till the end. Here Dr. Rahul Agarwal suggests the best treatments of sleep apnea that are time tested and result oriented.

Dr. Rahul Agarwal is a highly qualified, acclaimed and best ENT specialist in Gwalior with experience of more than a decade; he has a record of performing several highly critical surgeries successfully. He is the first doctor to bring CO2 laser surgeries for ENT in Gwalior.

Treatment :

According to Dr. Rahul Agarwal, milder cases of sleep apnea can be handled easily just by adopting few changes in daily life like quitting cigarettes, losing weight, exercising, etc. In cases where nasal allergy is the cause, specific treatment of that particular allergy is required.

Apart from this Dr. Agarwal also suggests following therapies that provide the perfect treatment for sleep apnea.

CPAP or continuous positive air pressure is a device that prevents apnea and snoring by keeping the air pressure greater than that of surrounding. CPAP is helpful in most severe cases but is generally suggested for the moderate ones.
Certain oral appliances that are customized to keep throat open can also be used. These appliances bring the jaw forward keeping throat open.
Supplemental oxygen while sleeping also helps especially in the cases of central sleep apnea.
Adaptive servo-ventilation or ASV is an airflow device that records the normal breathing pattern of the patient and stores it in a built-in computer. Further, this recorded pattern is utilized to stabilize the breathing of the patient when he falls asleep.
Besides these therapies there exist surgical methods that cure sleep apnea permanently but according to Dr. Rahul Agarwal, surgery should be used as a last resort when all the above therapies fail to treat.
Tissue removal is a process in which doctor removes the tissue present between backward portion of mouth and the upper region of throat.
Tissue shrinkage involves removal of tissue present between the rear mouth and backward region of throat by using radiofrequency ablation.
Jaw repositioning is a method in which the jaw is moved forward enhancing space between tongue and soft palate.

The ENT department of AHRI Gwalior offers the best treatment for sleep apnea of all kinds. The department has the best squad of highly qualified and well-experienced doctors accompanied by a well-trained team of medical professionals, who are focused to treat their patients with utmost care. The center is well-equipped with all the latest technological advancements which ensure the most accurate treatment.

Mucormycosis

What is Mucormycosis / Black fungus?

Mucormycosis is a fungal infection is caused by a group of molds called mucormycetes. These molds live throughout the environment. Mucormycosis is a fungal infection that is being commonly observed after the second wave of COVID-19. Fungi are present everywhere in nature and are particularly found on decaying vegetation and soil. All of us are exposed to this infection as it is caused by inhalation of spores. A healthy immune system can protect us from this Infection. Mucormycosis mainly affects people who have health problems or take medicines that lower the body’s ability to fight germs and sickness.

Technically speaking this fungus is white in colour, but the dead tissue because of its infection looks black, hence the common name “Black Fungus”

Who is at risk of mucormycosis?

Conditions like HIV/AIDS, uncontrolled diabetes, mellitus cancers, organ transplant, long-term corticosteroid and immunosuppressive therapy increase the risk of this disease. Recently Covid patients, especially those who have received steroids ( with or without oxygen supplementation or Immuno-modulatry drugs like Toclizumab) are at high risk

Is mucormycosis contagious?

Mucormycosis is not contagious, and therefore, it cannot transmit between people and animals. Individuals contract this infection by coming in contact with the fungal spores in their environment. If inhaled, the spores can infect the sinus.

What are the symptoms of Mucormycosis Infection?

Symptoms of mucormycosis depend upon the location where fungal growth takes place in the body. Based on these locations mycormycosis can be broadly categorized as following types-

Rhinocereberal,
Pulmonary,
Cutaneous,
Disseminated

Symptoms of sinus and brain mucormycosis which is commonly affected in Covid patients include:

One-sided facial swelling, Facial pain
Fever
Headache
Nasal or sinus congestion, Sinusitis
Purulent nasal discharge
Black lesions on nasal bridge or upper inside of mouth that quickly become more severe

Is black fungus dangerous?

Mucormycosis, also known as black fungus, can turn dangerous if left untreated. You need not panic about it and if you experience any of the above-mentioned symptoms, visit your doctor as soon as possible.

Precaution + A strong immune system = No mucormycosis.

What is Treatment of this disease?

A high degree of suspicion is required in early stages due to its non-specefic symptoms and if treated early then results are very rewarding. Hence an early consultation with an ENT surgeon is required. Your ENT surgeon may advise an MRI / CT scan of PNS and brain. He will do a Diagnostic nasal endoscopy and may take a swab (for KOH) or Biopsy if needed. Initial treatment is medical, but with advance stage and dead tissue, surgical debridement (Removal of fungus) is needed.

For any further query you can contact
Dr Rahul Agrawal
DLO, DNB (ENT)
ENT and Cochlear Implant Surgeon
Agrawal Hospital & Research Institute
H-204, Madhav Nagar
Gwalior (MP) 474002
India

1. For appointment Call 0751-2423700, 01
2. For online consultation WhatsApp on 7974009692

Nosebleeds or Epistaxis

Five exercise during pregnancy

Treatments of sleep apnea

Mucormycosis or Black fungus especially in Covid 19 patients

NABH Accredited Hospitals

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