Questions & Answers

Q&A

Answered by Dr. Bhadragiri Vageesh Padiyar

How quickly do Phenylephrine and Pseudoephedrine start to work?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Thanks for briefing me regarding the problem of concern. To understand the difference between Phenylephrine and Pseudoephedrine, you need to know about the receptors in the nasal cavity that govern congestion and decongestion. There are two main receptors in the nasal cavity known as alpha and beta.

July 9, 2026

What could be the cause of enlarged tonsils and white mucus?

Hi, Welcome to icliniq.com. I understand your concern. There is nothing that you need to be worried about, as this is a very common entity that we come across and is treatable. Tonsillar stones as such form only when the size of the tonsils increases to such an extent that the food debris accumulates and calcifies over a period of time. You can follow the advice to prevent recurrent infections in the throat.

June 26, 2026

Middle ear infection due to enlarged adenoids has affected my child's hearing. Please help.

Hi, Welcome to icliniq.com. The reason why she is still not hearing properly is probably due to remnant adenoids, which could have been left behind and would have undergone compensatory hypertrophy, causing the same problem for which surgery has been done. I would recommend she use Metatop (Mometasone Furoate Monohydrate) nasal sprays, two puffs in each nostril, two times a day for the next three weeks. This nasal spray shrinks the adenoid tissue, which would have become inflamed and increased in size, blocking the eustachian tubes and causing the issues out there. Along with this, please apply Otrivin P (Xylometazoline Hydrochloride solution) nasal drops, three drops in each nostril three times a day for one week.

June 25, 2026

How does Dupixent help to reduce nasal polyps?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. Thanks for the briefing regarding the problem. Firstly, you need to understand that nasal polyps are a consequence of chronic allergy. Allergy is a hyperactive response to allergens coming in contact with your respiratory tract, causing an inflammatory cascade beginning with mere watering of the nose, recurrent sinusitis, causing headaches, nasal obstruction, and so on.

June 24, 2026

Please suggest some medications for my ear pain and ear infection.

Hi, Welcome to icliniq.com. I understand your concern. Unless and until there has been obvious continuous discharge from the ear, infection is unlikely. However, if you feel that it is inflamed and there is an infection, I suggest you start on the following medications: 1. Tablet Ciplox 500 mg (Ciprofloxacin 500 mg) one tablet in the morning and evening after food for one week.

June 17, 2026

Why am I hearing a strange sound in my right ear?

Hi, Welcome to icliniq.com. I totally understand how frustrating a blocked ear can be. With the symptoms that you have, the most probable possibility would be having impacted wax. This can be extremely frustrating as it blocks the entire ear canal and can cause pain and decreased hearing. You can consider the following advice: Please stop using earbuds at any cost as it introduces new infection into the ear canal and can be the reason for an excruciating folliculitis.

June 11, 2026

Is a septal fracture without pain of serious concern?

Hi, Welcome to icliniq.com. Thanks for the query. I want to ask a few questions to get more details about your query. Is there is any obvious external nasal deformity post-trauma? If the answer is yes, and if there is a gross nasal deformity, it will require proper surgical correction only for cosmetic purposes. Is there any nasal obstruction associated? If there is a very mild nasal obstruction that is reasonably expected, it is fine.

June 9, 2026

There is obstruction in the nostrils even after three weeks of septoplasty. Is it normal?

Hi, Welcome to icliniq.com. On post septoplasty and turbinate reduction, there is some amount of temporary obstruction on one side due to crusting and accumulation of secretion. The block gets reduced when the crust gets dislodged. After removing nasal packs on the second day of post-surgery, one-time suction clearance has to be done to prevent having crust accumulation. Try to have nasal wash five to six times a day.

June 8, 2026

What are the common causes of chronic phlegm in the throat?

Hi, Welcome to icliniq.com. Constant irritation in the throat with phlegm can be due to two significant reasons: Allergic issues in the nose, wherein there is some irritative substance entering; thereby, the nose initially produces a sneezing reflex to remove the offending agent. Besides, the nasal mucosa produces mucus to trap the offending agent so that it does not go into your lungs along with your breath. Irritative substances usually include dust, smoke, fumes, pollen, and animal dander most commonly. Take adequate precautions by wearing an N95 mask.

June 3, 2026

Though mumps infection resolved before 8 years, submandibular swelling remains the same. Why?

Hi, Welcome to icliniq.com. There is absolutely nothing that you need to worry about. Can you specify which glands have an underlying hard lump? If it is the parotid gland and you feel there is an underlying hard mass below, I would recommend an ultrasound of the same to ascertain what is the cause of such long term hard lump. Lymphomas present in a different fashion and there is nothing that you need to worry about. First, we need to get to know what is the probable reason for the persistent swelling in the gland and if require a fine needle aspiration cytology can also be done to confirm the cause out there.

June 1, 2026

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