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लंबे समय तक एलर्जिक राइनाइटिस और कान से डिस्चार्ज की चिंताएं
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Allergic Conditions
Question #27494
103 days ago
522

लंबे समय तक एलर्जिक राइनाइटिस और कान से डिस्चार्ज की चिंताएं

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The text is in Bengali, not English. Therefore, no translation to Hindi is needed.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
103 days ago
5

Hello

You likely have chronic allergic rhinitis and chronic ear infection with a perforated eardrum.

What you should do: 1. See an ENT specialist for proper evaluation. 2. For allergic rhinitis: • Regular antihistamines and steroid nasal spray may be needed. • Avoid triggers like dust, smoke, cold air, and pollen. • Saline nasal rinse can help reduce symptoms.

3. For the ear discharge: • A perforated eardrum with long-term discharge may need antibiotic ear drops and proper ear cleaning. • If it does not heal, eardrum repair surgery (tympanoplasty) may be required.

4. Keep the ear completely dry (no water entry).

Because both problems have lasted 10–12 years, a direct ENT examination and possible CT scan may be necessary for proper treatment.

I trust this helps Thank you Take care

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
102 days ago
5

Hello dear See as per clinical history it seems chronic allergic sinusitis along with suppurative otitis media. There is presence of allergy due to Dust Pollen grains Blood allergy Also presence of bacterial infection making the healing difficult due to persistent discharge Infection Trauma I am suggesting some tests for confirmation Please share the result with ent surgeon in person for better clarity and for safety please donot take any medication without consulting the concerned physician Esr CBC Audiometry Otoscopy Microscopy Intradermal skin test RBS Ct scan of sinuses Patch test Immunoglobulin ratio test Blood allergy test In addition Kindly avoid exposure to Dust Pollen Cold food Hopefully you recover soon Regards

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এলার্জিক রাইনাইটিস দীর্ঘদিন ধরে সমস্যা হয়ে থাকলে, আপনার অনুশীলিত চিকিৎসার সাথে অন্যান্য কিছু বিষয় চেষ্টা করতে পারেন। প্রথমত, আপনার ট্রিগার ফ্যাক্টরগুলি খুঁজে বের করুন যা এলার্জিকে বাড়িয়ে দেয় এবং যতটা সম্ভব সেগুলি এড়িয়ে চলুন। নিযমিতভাবে নাকের স্যালাইন ওয়াশ বা ইনহেলেশন ব্যবহার করতে পারেন যা নাকের প্যাসেজে স্রাব কমাতে পারে। এন্টি-এলার্জিক ওষুধ বা নাসাল স্টেরয়েড স্প্রে হতে পারে আপনাকে আরও সাহায্য করবে। তবে এগুলোর ব্যবহার করার আগে অবশ্যই আপনার ডাক্তারকে কনসাল্ট করুন। বর্তমানে আপনার যে নাকের পলিপ ফুলে যাওয়া এবং দীর্ঘমেয়াদি সমস্যা রয়েছে, সেক্ষেত্রে অটোল্যারিঙ্গোলজিস্টের সাহায্য নেওয়া ভালো হবে; তারা যদি মনে করে তাহলে সার্জারি অপশন হতে পারে।

কানের সমস্যার ক্ষেত্রে, বারবার কানে পুঁজ বের হওয়া এবং গন্ধ হওয়া গুরুতর হতে পারে। কানের পর্দা (টিম্প্যানিক মেমব্রেন) ছিদ্র হয়ে গেলে, সেটা থেকে সংক্রমণ হতে পারে এবং দীর্ঘদিন ধরতে থাকলে কম শ্রবণশক্তি হ্রাস হতে পারে। অবহেলা করবেন না, দ্রুত ENT বিশেষজ্ঞের চেম্বারে পরামর্শ নিন। তারা বিস্তারিত পরীক্ষা করে ফাটলের প্রাধান্য বুঝে চূড়ান্ত ব্যবস্থাপনা প্রস্তাব করতে পারেন, যার মধ্যে শারীরিক থেরাপি বা মাইরিঙ্গোপ্লাস্টি (টিম্পানোপ্লাস্টি নামে পরিচিত) সার্জারিও থাকতে পারে। ততক্ষণ পর্যন্ত, কানে জল দেওয়া এড়িয়ে চলুন এবং মুখ্যত সংক্রমণ প্রতিরোধে ওষুধের পরামর্শ নিন। দীর্ঘস্থায়ী কানের নালীর সমস্যা বোঝার কোন সুবিধা নেই, কারণ এর ফলে ক্লোজার টিস্যুর অবস্থা আরও খারাপ হতে পারে।

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