http://www.aarogyahealthcare.com.np/

Aarogya ENT Center Butwal, Butwal (2026)

25/03/2026

🚨 अझै पनि “आफैं ठीक हुन्छ” भनेर बसिरहनु भएको छ?
त्यो सानो समस्या…
भोलि ठूलो रोग बन्न सक्छ।

😷 कान, नाक वा घाँटीको समस्या छ भने
यी संकेतलाई बेवास्ता नगर्नुहोस्👇

❗ बारम्बार घाँटी दुख्ने वा आवाज बस्ने
❗ कान बन्द भएको जस्तो लाग्ने वा कम सुन्नु
❗ नाक सधैं जाम हुने / सास लिन गाह्रो
❗ कानमा अजिब आवाज आउने (Tinnitus)
❗ बच्चालाई बारम्बार कान दुख्ने

⚠️ यी सामान्य होइनन् — संकेत हुन्।

ढिलो गर्नु = समस्या झन् बढ्नु

👉 आजै ENT Specialist सँग जाँच गराउनुहोस्।

📞 9745416955
📍 बुटवल–८, सुक्खानगर

22/03/2026

हाम्रो समग्र स्वास्थ्य तथा आरोग्यतामा मुखको स्वच्छता र स्वास्थ्य 👄 पनि समावेश छ। मुखको स्वास्थ्यको बारेमा तपाईंले जान्नुपर्ने के के महत्त्वपूर्ण कुराहरू छन् त ? 👇

19/03/2026

❗❗❗ थकान, वजन परिवर्तन र घाँटी सुन्निने समस्या छ? ❗❗❗
😔 दिनभर थकान महसुस हुन्छ?

😟 घाँटीमा केही असहज लाग्छ?

यी साना संकेतहरूलाई बेवास्ता नगर्नुहोस्।⚠️

यो थाइरोइड समस्याको सुरुवात हुन सक्छ।
थाइरोइड सानो ग्रन्थि भए पनि,
यसले हाम्रो सम्पूर्ण शरीरलाई असर गर्छ।

💡 समयमै जाँच गराउनुभयो भने,
यो समस्या सजिलै नियन्त्रणमा आउन सक्छ।
📞 9745416955
📍 बुटवल–८, सुक्खानगर

18/03/2026

😴 राति धेरै घुर्नुहुन्छ?
बिहान उठ्दा पनि थकान हट्दैन?

यो सामान्य समस्या मात्र नहुन सक्छ —
यो स्लीप एप्निया हुन सक्छ।

निद्राको क्रममा बारम्बार सास रोकिने यो समस्या
मस्तिष्क, मुटु र समग्र स्वास्थ्यका लागि खतरनाक हुन सक्छ।

✅ समयमै जाँच र उपचारले निद्रा सुधार हुन्छ
✅ थकान कम हुन्छ
✅ भविष्यका गम्भीर जोखिम घटाउन मद्दत हुन्छ

🏥Aarogya ENT Center Butwal

📞 ९७४५४१६९५५
📍 बुटवल–८, सुक्खानगर

18/03/2026

ENT Red Flags You Should NEVER Ignore:

• Sudden hearing loss
• Difficulty breathing or swallowing
• Persistent nosebleeds
• A neck lump that doesn’t go away
• Severe ear pain with fever

These symptoms may require urgent medical attention. Acting early can be life-saving.

16/03/2026

❗❗❗नाक लामो समयदेखि बन्द भइरहेको छ?❗❗❗

यसलाई सामान्य रुघाखोकी भनेर बेवास्ता नगर्नुहोस्।
यो साइनस समस्याको संकेत पनि हुन सक्छ।

⚠️ समस्या बढ्न नदिन
समयमै जाँच गराउनु आवश्यक छ।

🏥 Aarogya ENT Center
📞 9745416955
📍 Butwal–08, Sukkhanagar

12/03/2026

Noise Exposure with Threshold Shift: Should We Prescribe Steroids?

A colleague recently asked an important clinical question:
Should corticosteroids be given after noise exposure associated with a hearing threshold shift?

The answer depends on whether the hearing loss represents Temporary Threshold Shift (TTS) or Permanent Threshold Shift (PTS) following Acoustic Trauma.

1. Temporary Threshold Shift (TTS)

TTS occurs after short-term exposure to loud noise and typically recovers within hours to several days.
The underlying mechanism includes metabolic exhaustion of outer hair cells, oxidative stress, and temporary synaptic dysfunction.

In most cases:

• Spontaneous recovery occurs

• Routine steroid therapy is not mandatory

Management usually includes:

• Immediate noise avoidance

• Observation with audiological follow-up

However, if the threshold shift persists beyond 24–48 hours, or the hearing loss is significant, many clinicians treat it similarly to early Sudden Sensorineural Hearing Loss, where systemic corticosteroids may be considered.

2. When Steroids May Be Justified

Steroid therapy may be considered when:

• Hearing loss does not recover within the expected TTS window

• Moderate to severe threshold shift is present

• There is suspicion of cochlear inflammatory response or hair cell injury

The rationale is that steroids may:

• Reduce cochlear inflammation

• Decrease oxidative damage

• Improve cochlear microcirculation

3. Role of Intratympanic Steroid Injection

Intratympanic Steroid Injection has an emerging role in acoustic trauma and persistent threshold shifts.

Advantages include:

• High cochlear drug concentration

• Minimal systemic side effects

Possible indications:

• Persistent hearing loss after acoustic trauma

• Patients who cannot tolerate systemic steroids

• Salvage therapy when systemic steroids fail

4. Practical Clinical Approach

A reasonable clinical strategy may be:

1. Immediate audiometry after noise exposure

2. If mild threshold shift → observation for 24–48 hours

3. If persistent or significant hearing loss → start systemic steroids

4. Consider intratympanic steroids if recovery is incomplete

Take-home Message

Not every noise-induced threshold shift requires steroids, as many cases represent reversible temporary threshold shifts.
However, persistent or significant hearing loss should be managed aggressively, similar to early sensorineural hearing loss, where systemic or intratympanic steroids may improve outcomes.

12/03/2026

😴 Sleep Apnea लाई सामान्य नसम्झनुहोस्।

अध्ययन अनुसार
Sleep Apnea भएका महिलामा हृदय रोगको जोखिम बढ्न सक्छ।

⚠️ समस्या देखिएमा समयमै जाँच गराउनुहोस्।

🏥 Aarogya ENT Center
📞 9745416955
📍 Butwal–08, Sukkhanagar

10/03/2026

😵 चक्कर आउने समस्या छ?

यो भित्री कानको समस्याको संकेत पनि हुन सक्छ।

⚠️ समयमै ENT विशेषज्ञसँग जाँच गराउनुहोस्।

🏥 Aarogya ENT Center
📞 9745416955
📍 Butwal–08, Sukkhanagar

09/03/2026

Diagnostic Nasal Endoscopy

1. Patient Preparation
-Procedure can be performed in sitting or recumbent position.
-Topical anaesthesia: mixture of 2% Lignocaine + nasal decongestant
(e.g., Xylometazoline / Oxymetazoline).
-Delivery methods:
Nasal spray
Cotton patties soaked in solution

2. Equipment Preparation
-Before starting, check:
-White balance of endoscopic camera
-Colour setting of monitor
-Ensures clear and accurate image resolution.

3. Selection of Endoscope
- 30° endoscope – preferred (better visualization of nasal cavity corners).
- 0° endoscope – easier for beginners.
- If 4 mm scope cannot pass due to anatomical constraints, use 2.7 mm scope.

4. Technique of Endoscope Insertion
-Insert with gentle sliding movement.
-Avoid touching septum or lateral nasal wall to prevent pain and mucosal trauma.
-Never use force while introducing the scope → may cause bleeding and injury.

5. Instrument Handling
-Suction cannula / instruments should remain ahead of the endoscope.
-Allows free instrument movement while the endoscope stays behind the working field.

6. Visualization During Procedure
-After initial inspection, gently suction secretions for clear view of nasal meati.

7. Important Area to Examine
-Pay special attention to Little’s area (anterior nasal septum).
-This region is commonly missed during casual endoscopy.

09/03/2026

👂 के तपाईंको सुन्ने शक्ति पहिलेभन्दा कम भएको छ?

सुन्ने शक्ति घट्नुका केही सामान्य कारणहरू:

🔹 ठूलो आवाजमा लामो समय बस्नु
🔹 उमेर बढ्दै जानु
🔹 वंशानुगत कारण
🔹 केही औषधिको असर
🔹 कानको रोग वा संक्रमण

⚠️ समस्या बढ्न नदिन समयमै जाँच गराउनुहोस्।

🏥 Aarogya ENT Center
📞 9745416955
📍 Butwal–08, Sukkhanagar

08/03/2026

Gargling in laryngitis

Gargling (often with salt water) is usually recommended for sore throat, but in laryngitis it is often not very helpful and sometimes discouraged.
Because of
1. Gargling does not reach the larynx
-Laryngitis = inflammation of the larynx (voice box), which sits below the throat (pharynx).
-When you gargle, the liquid mainly stays in the mouth and upper throat.
-It rarely reaches the vocal cords, so it cannot directly treat the inflamed larynx.

2. Can trigger coughing or irritation
-Gargling can stimulate the gag or cough reflex.
-Coughing and throat clearing strain the vocal cords, which can worsen laryngitis.

3. Excess throat clearing
-Gargling sometimes makes people clear their throat repeatedly.
-Throat clearing causes additional friction on inflamed vocal cords, delaying healing.

usually suggest:
-Voice rest (most important)
-Warm fluids (tea, soup, water)
-Steam inhalation / humidified air
-Avoid smoking and irritants
-Hydration

Gargling isn’t harmful in most cases, but it doesn’t reach the vocal cords and may provoke coughing, so it’s not very useful for laryngitis.

Aarogya ENT Center Butwal

25/03/2026

22/03/2026

19/03/2026

18/03/2026

18/03/2026

16/03/2026

12/03/2026

12/03/2026

10/03/2026

09/03/2026

09/03/2026

08/03/2026

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