Nasal endoscopy is a procedure that utilizes a specialized thin and flexible instrument called a nasal endoscope that has a tiny camera and light at its end. It is inserted into the nose to view the inside of the nose and paranasal sinuses and their passages. People with nasal polyps, chronic rhinitis, nosebleeding, tumors within the nasal cavity, etc., are subjected to nasal endoscopy. This procedure causes slight discomfort.
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I have fluid in my middle ear. Is there any way to clear it?
Query: Hello doctor, My GP says I have fluid in my middle ear, especially in my right ear. I have tried antibiotics and using a nasal spray for two weeks. This has been going on for six weeks. Is there any way to clear it or like my GP says will it just take time? Can this also make you feel slightly off b... Read Full »
Answer: Hello, Welcome to icliniq.com. Fluid in the middle ear is called serous otitis media (glue ear or otitis media with effusion). What we do in such patients is give medical management (antibiotics, decongestants, mucolytics, nasal sprays) and if it fails we go for myringotomy and grommet insertion. ... Read Full »
Could sinus infection cause autophony?
Query: Hi doctor, I had a sinus problem and got cleared before two months. Now, I have been suffering from autophony in one ear for the past two months after the sinus surgery. I used to clench my jaw a lot during sinus issue and there is some jaw pain. All my audiometry and pressure tests are normal. Also... Read Full »
Answer: Hi, Welcome to icliniq.com. Autophony can be due to the patulous Eustachian tube. It is more common in female, hyperthyroidism, sudden weight loss, post pregnancy, etc. Since you had a sinus infection, it could have masked eustachian tube and you were not having this problem. Ringing sound (not aut... Read Full »
Is there a permanent cure for obstructive sleep apnea?
Query: Hello doctor, I was diagnosed with obstructive sleep apnea and secondary pulmonary hypertension two years back. I am using a CPAP but, not too regularly now. When sleeping, I often feel a blockage of my air passage, especially while exhaling, as if suddenly clogged by some tissues. This would repeat... Read Full »
Answer: Hello, Welcome to icliniq.com. We need to find your apnea score. You must have done polysomnography before using the CPAP (continuous positive airway pressure) machine. Kindly share the reports so that we can know your apnea score. OSA (obstructive sleep apnea) can be treated by the surgical re... Read Full »
Can a sinus infection cause swollen salivary glands?
Query: Hello doctor, I went to the ER for a painful gland. It turned out that I have a blocked salivary gland. When the CT scan was taken, there were notes in the report about silent sinus syndrome and other things that were never even brought up to me. I have uploaded the report. Is there anything in t... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen the attached report (attachment removed to protect patient identity). There is a calcification in the left submandibular gland, which needs to be removed, as it is troubling you. Silent sinus syndrome is due to maxillary sinusitis, which involves the orbit... Read Full »
I have sinusitis and feel like something is stuck in my neck. What can be done?
Query: Hi doctor, I have got chronic sinusitis diagnosed by ENT doctor. I am suffering from difficulties of swelling for months, feel like something is stuck in my neck like sputum or something else that is moving up and down, especially while eating or having flu. Do you think it is related to ENT or I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. In such a patient what we would do is a laryngoscopy. Just to rule out any growth or inflammation. Chronic sinusitis due to contact post nasal drip tends to cause reflux-related symptoms and globus feeling. Secondly, we need to check your hemoglobin status to rule ou... Read Full »
Why do I have a stuffy nose, headache, and pain inside the nose after the nasal endoscopy?
Query: Hi doctor, I had a nasal endoscopy without Lidocaine for rhinitis before seven months. I did not have any side effects after the procedure. However, yesterday, I had another nasal endoscopy with Lidocaine. Now my nose is stuffy, and I have also got a headache, pain inside the nose, and it hurts when... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Lidocaine can cause some mucosal membrane dryness. I suggest you continue tablet Xyzal (Levocetirizine) for a week and stop Dymista (Azelastine hydrochloride and Fluticasone propionate) because it contains an antihistamine that can treat aller... Read Full »
From the picture, could you tell me if this is a perforated septum?
Query: Hi doctor, I want to send a picture to identify if I need to go in and see an ENT. Curious about if this is a perforated septum. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. As I can see in the pictures (the attachments rae removed to protect the patient's identity), it is blurry. You seem to have right DNS (deviated nasal septum) that red bulge what you can make out, and the left caudal dislocation of the septum... Read Full »
Noticed a growth in my throat. What it could be?
Query: Hi doctor, Yesterday I felt like something was stuck in my throat. Today, I noticed a growth in my throat. I am 43 years old, non-smoker, and drink one to two glasses of wine per month. Kindly tell me what this could be? Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the photo you have attached (attachment removed to protect patient identity). Although there is a lot of reflected light, I can make out that you have enlarged tonsils and edematous uvula. However, due to the reflected light and distortion of natural color, I c... Read Full »
Nothing seems to help my allergic rhinitis. What should I do?
Query: Hello doctor, I have been diagnosed with allergic rhinitis. I saw many doctors and had a nasal septum deviation surgery last year too, to control the allergies but nothing helped. I have to take antihistamines twice every day. I take 180 mg Telfast. The symptoms are very similar to having the flu. I... Read Full »
Answer: Hello, Welcome to icliniq.com. Allergy is a genetic disorder and does not have a permanent cure. When we know we are allergic to some substance, the best way to avoid allergy is to stay away from it. This form of allergen avoidance is not practical in your case. To establish that it is an allergy i... Read Full »
What causes frequent nosebleeds?
Query: Hello doctor, My nose is bleeding often. It happened six to eight times in the past 10 months. The blood is red in color. I do not feel any pain, and the bleeding is not too much. Most of the times I do not realize that my nose is bleeding. Read Full »
Answer: Hello, Welcome to icliniq.com. Bleeding of the nose is quite common in some people. Some of the most common causes are dryness inside the nose, pollution, picking of the nose, sinusitis, deviated nasal septum, rhinitis, and bleeding disorders. Considering the myriad of causes involved, I suggest yo... Read Full »