Tooth and ENT Doctor

Associated Press. Mon, Jul 12, 2010 Alas, here's more proof that most people have habits that aren't very sanitary — and sometimes can be plain disgusting. The good news is that about three of every four people cover their cough or sneeze, in at least a token attempt to prevent germs from flying through the air. The bad news is that most people — about two of three — used their hands to do it. "When you cough into your hands, you cover your hand in virus," said study author Nick Wilson , an associate professor of public health at the Otago University campus in Wellington. "Then you touch doorknobs, furniture and other things. And other people touch those and get viruses that way," he explained. Health officials recommend that people sneeze into their elbow, in a move sometimes called 'the Dracula ' for its resemblance to a vampire suddenly drawing up his cape. But only about 1 in 77 did that. Using a tissue or handkerchief...

Last Saturday, a 57 year-old man came for consult because of ‘cough headache’ for 2 months. He was apparently seen by a neurologist already and an almost complete work-up, i.e. Cranial CT Scan, Cranial MRI, duplex scan, blood chemistry, etc., has been done. However, no definite diagnosis has yet been made and the medications given did not relieve the condition. It was his first ENT consult. I could not think of an impression that the neurologist might not have considered. With the diagnostics done, I am sure he/she has thought of all the possible causes of this cough induced headache. All I could come up as a working diagnosis then was nonspecific neuralgia versus a vasculitis, to consider temporal arteritis. Here’s what Mayo Clinic say about this condition. Cough headaches are an unusual type of headache triggered by coughing and other types of straining — such as sneezing, blowing your nose, laughing, crying, singing or bending over, and straining when having a bowel mo...

The most common symptom of LaryngoPharyngealReflux (LPR) is laryngitis. Hoarseness is found in almost 70% of cases. Close to half of patients complain of feeling "a lump in the throat" that makes it difficult for them to swallow, which they often mistake as a ‘thyroid problem’, and about 51% have a chronic or recurrent cough, unrelieved by cough preparations. Chronic throat clearing of "phlegm", and sore throat are also common symptoms. Reflux laryngitis is characterized by hoarseness, voice fatigue, and breaking of the voice, especially towards the end of the day. This is commonly experienced by teachers and speakers/lecturers. Reflux has also been associated with vocal cord polyps, vocal cord granulomas, laryngospasm, and paradoxical vocal fold movement. These disorders may sometimes necessitate surgery already. In worse cases, LPR may lead to laryngeal cancer and a condition called subglottic stenosis, which is a narrowing of the air passage, making it hard...