Tempero-mandibular Joint Dysfunction
TMJ disorders can often be missed by a physician as it can often be referred to by the patient as an earache, ear ringing, sinus pressure or pain or sinus headache , and/or a fullness sensation in the throat or a post nasal drip feeling
What are fever blisters?
fluid-filled blisters that commonly occur on the lips. And gums sually painful; pain may
precede the appearance of the lesion by a few days. blisters rupture within hours, then crust over. last about seven to ten days.
Herpes simplex virus that becomes active. This virus is dormant.
In afflicted people can be activated by stress, fever, trauma, hormonal changes and exposure to sunlight. When lesions reappear, they tend to form in the same location.
fever blisters are contagious?, the time from blister rupture until the sore is completely healed is the time of greatest risk for spread of infection.
The virus can spread to the afflicted person’s eyes and genitalia, as well as to other people.
Coating the lesions with a protective barrier ointment containing an antiviral agent, eg. 5% acyclovir ointment.
Tips to prevent spreading fever blisters
· Avoid mucous membrane contact when a lesion is present.
· Do not squeeze, pinch or pick the blisters.
· Wash hands carefully before touching eyes, genital area or another person.
NOTE: Despite all caution, it is possible to transmit herpes virus even when no blisters are present.
Canker sores (also called aphthous ulcers) are different than fever blisters.
Are small, red or white shallow ulcers occurring on the tongue, soft palate or inside the lips and cheeks; do not occur in the roof of the mouth or the gums.
They are quite painful, and usually last 5-10 days.
Because they are not caused by bacteria or viral agents, they are not contagious
Altered local immune response associated with stress, trauma or irritation
Acidic foods (e.g., tomatoes, citrus fruits and some nuts)
Directed toward relieving discomfort and guarding against infection.
- A topical corticosteroid preparation such as triamcinolone dental paste (Kenalog in Orabase 0.1%®) is helpful.
- Chemical cautery of the lesion can speed healing.
Tips to prevent mouth sores
· Stop smoking.
· Reduce stress.
· Avoid injury to the mouth caused by hard tooth brushing, hard foods, braces or dentures.
· Chew slowly.
· Practice good dental hygiene, including regular visits to the dentist.
· Eat a well-balanced diet.
· Identify and eliminate food sensitivities.
· Drink plenty of water.
· Avoid very hot food or beverages.
· Follow nutritional guidelines for multivitamin supplements.
· Be aware of Oral Cancer
May appear as a white or red patch of tissue in the mouth, or a small ulcer that looks like a common canker sore.
Other than the lips, the most common areas for oral cancer to develop are on the tongue and the floor of the mouth.
Other symptoms include a lump felt inside the mouth or neck,
pain or difficulty in swallowing, speaking or chewing
, , hoarseness that lasts for more than two weeks
numbness in the oral/facial region.
Is an inflammation of the (larynx).
Symptoms are an unnatural change of voice, such as hoarseness, or even loss of voice that develops within hours to a day or so. Symptoms vary with the severity of the inflammation
Vocal cord nodules/polyps
Vocal cord nodules are small growths on both vocal folds that are caused by vocal abuse.
Vocal cord paralysis
Everyone has two vocal cords in his or her larynx. If one or both vocal cords are paralyzed, and are unable to move, then the person will experience voice problems and possibly breathing and swallowing problems.
The treatment of hoarseness depends on the cause
. Most hoarseness can be treated by simply resting the voice or modifying how it is used.
What can I do to prevent and treat mild hoarseness?
· If you smoke, quit.
· Avoid agents which dehydrate the body, such as alcohol and caffeine.
· Avoid secondhand smoke.
· Drink plenty of water.
· Humidify your home.
· Watch your diet: Avoid spicy foods.
· Try not to use your voice too long or too loudly.
· Use a microphone in situations where you need to protect your voice.
· Seek professional voice training. Avoid speaking or singing when your voice is injured or hoarse. Don’t sing when you are sick.
When Should I See an Otolaryngologist (ENT doctor)?
· Hoarseness lasting longer than two weeks, especially if you smoke.
· Pain not from a cold or flu.
· Coughing up blood.
· Difficulty swallowing.
· Lump in the neck.
· Loss or severe change in voice lasting longer than
Feeling unsteady or dizzy can happen due to poor circulation, vertigo, injury, infection, allergies, or neurological disease.
Dizziness is treatable but it is important for your doctor to help you determine the cause so that the correct treatment is used.
Consult your doctor if you:
· have never experienced dizziness before,
· experience a difference in symptoms you have had in the past,
· suspect that medication is causing your symptoms
· experience hearing loss.
Tinnitis (Ear ringing)
By finding a specific cause of your tinnitus, you may be able to eliminate the noise. But, this determination may require extensive testing including X-rays, balance tests, and laboratory work.
However, most causes cannot be identified.
Occasionally, medicine may help the noise. The medications used are varied, and several may be tried to see if they help.
Tips to lessen the severity of tinnitus
· Avoid exposure to loud sounds and noises.
· Get your blood pressure checked. If it is high, get your doctor’s help to control it.
· Decrease your intake of salt. Salt impairs blood circulation
· Avoid stimulants such as coffee, tea, cola, and tobacco
· Exercise daily to improve your circulation
· Get adequate rest and avoid fatigue.
· Stop worrying about the noise. Recognize your head noise as an annoyance and learn to ignore it as much as possible.
Loss of hearing is described by varying degrees, not percentages.
. Hearing loss may be mild, moderate, or profound and vary across pitches.
It is determined by a simple hearing test
Conductive Hearing Loss
there is a problem with the way sound is conducted to the inner ear or cochlea.
The problem may lie in the outer ear (lobe or ear canal), eardrum (tympanic membrane), or the middle ear (ossicles and eustachian tube).
The inner ear remains unaffected in this type of hearing loss.
Conductive hearing losses may be temporary or permanent, depending on the source of the problem.
Medical management can correct some cases of conductive hearing loss, while amplification may be a recommended treatment option in more long-standing or permanent cases.
Sensory-neural Hearing Loss
Occurs when there is a problem with the sensory receptors, in the cochlea of the inner ear.
Result of an abnormality or damage to the hair cells in the cochlea. This abnormality prevents sound from being transmitted to the brain normally, resulting in a hearing loss.
The hair cells may have been abnormal since birth (congenital)
damaged as a result of, infection, drugs, trauma or over-exposure to noise, or
as a result of the aging process, a kind of hearing loss known as presbycusis (pres-be-cue-sis).
Sensorineural hearing losses are generally permanent and may stay stable or worsen over time.
Routine hearing tests are needed to monitor the hearing loss.
Amplification, including hearing aids or cochlear implants in the most severe cases, is a common treatment recommendation.
Individuals with sensorineural hearing loss may report muffled speech, ringing in the ears (tinnitus), difficulty hearing in background noise or that others do not speak clearly.nd it, it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.