Traumatic ear drum perforation

Dr. Ajay Jain's ENT Clinic

 

Endoscopy Suite

Address : Shop number 1,2,3 DDA Market-1, G-block, Preet Vihar, Vikas Marg, Delhi-92. 

Landmark : Enter G-Block of Preet Vihar adjacent to Lajwab Banquet hall or Shree Rathnam.

Timings: 

Monday to Friday 9-1 PM

Saturday 5-8 PM

Sunday : off

(Prior appointment mandatory)

Fees : Valid for 3 days

Rs. 800 for first time new patients
Rs. 600 for returning old patients after long time.
Rs. 500 for follow up within a month.

For Appointments:

Call or Whatsapp on 9871166370

See Map on Google

Facilities

1. Parking- Usually not a issue.

2. Toilets- Available

3. Drinking water- Available 

4. Refreshments-Available in DDA Mkt.

5. ATM- 100m away

6. Metro station- Walking distance- 300 meters. 4 mins walk. 

7. Payments: Any UPI App or Paytm or Cash

Speech Delay in Children

Prevalence: 13 to 27% of school children may have speech disorders.

( JIPMER and Trivendaram study)

In India, Autism has increased  to 8/1000 children.  and such Autistic child have often speech delay and speech therapy is not a option for such children.

Auditory stimulation (like anklets of mothers are missing and joint families are converting to nuclear family and lullabies from grand parents are missing) has become less.

Increased screen time has influence on speech development.

Speech is the motor act of communicating by articulating verbal expression.

Language is a system of symbols that individuals use for communication based on their culture.

Communication of ideas, information, thoughts and feelings between senders and receivers.

It could be verbal or non verbal.

Facial expression/ gesture/ postures/ eye contact/ head & body movement does not require speech or language.

Water sounds in my ear

What causes a water sound in my ear?

Water sound could be because of some fluid in outer or middle ear or because of a process known as Tinnitus happening due to inner ear perception of unknown sounds.

Let's put this way. If your outer ear has some fluid entered during swimming or bath or else because of discharge coming from middle ear from ear drum perforation, All this will give water sounds in ear.

Tinnitus happens usually when you have some hearing loss and in absence of external masking sounds, Cochlea picks up sounds of its own outer hair cells as some whistling or bird chirping or machine sounds especially in a quiet environment.

Dr. Ajay Jain

Consultant Otolaryngologist

Role of Zinc supplements during Coronavirus pandemic

There is no direct evidence for ZINC in COVID-19. All evidence is general.

1. Zinc has context dependent effects on NF-kB. It can inhibit NF-kB in some scenarios, and activate the same in other context. - Net effect in vivo on NF-kB – not clear.

2. Zinc is recommended in common colds, there are references that Zn reduces inflammatory cytokines. This could definitely help in controling cytokine storms.

3. Zinc supplementation of zinc increases NK cells.

4. Zinc deficiency decreases T lymphocyte number.

5. Zinc inhibits SHP, thus increasing signaling from TCR.

6. Zinc binds IKKB and reduces NF-kB activation, with beneficial effects in sepsis.

Relevant ref -

Self-Care for Common Colds: The Pivotal Role of Vitamin D, Vitamin C, Zinc, and Echinacea in Three Main Immune Interactive Clusters (Physical Barriers, Innate and Adaptive Immunity) Involved during an Episode of Common Colds-Practical Advice on Dosages and on the Time to Take These Nutrients/Botanicals in order to Prevent or Treat Common Colds.

Regulation of T cell receptor signaling by activation-induced zinc influx

https://fit.thequint.com/fit-webqoof/fit-webqoof-can-taking-vitamin-a-and-zinc-prevent-covid-19-fact-check

In summary, Zinc deficiency can make Covid19 worse but supplementing it above and beyond the daily requirement is unlikely to do much.

Regular supplement doses cannot hurt.

(As posted by Dr. Ravi on our whatsapp group of PGIMER Alumni) 

No evidence about zinc. In Covid pandemic. I recall  Prof Mehra  talking about George shambough  that these days he is selling zinc for COM. This was during 1985 86.  No harm though cap zevit containing 22.5 mg zinc twice a day could not be an unsafe bet (Posted by my teacher n mentor Prof: Naresh Kumar Panda on our WhatsApp group) 

Myths about wax and ear cleaning,

Traumatic ear drum perforation

Ear drum injury is a very common event in my practice which is completely preventable. After injury, people do foolish things to complicate the matter.
ENT Surgeon describes simple Do and don'ts to facilitate natural healing of eardrum. The author also explains about medico-legal aspect of eardrum perforation. Slap by husband to wife is very common in the Indian scenario. Wife often hides this thing and this is also covered.