Aarogya ENT Centre

02/02/2026

❗❗❗ कानको सानो समस्या पनि ठूलो रोग बन्न सक्छ!
यदि तपाईंलाई
• कान दुख्ने
• भारी हुने
• कानबाट पानी/पिप आउने
• सुन्न गाह्रो हुने
समस्या छ भने ढिलाइ नगर्नुहोस्।

👨‍⚕️ ENT विशेषज्ञद्वारा विश्वसनीय उपचार – Aarogya ENT Center

📞 9745416955 | 📍 Butwal-08, Sukkhanagar

30/01/2026

❗❗❗कान संक्रमण❗❗❗
कान संक्रमण चुपचाप सुरु हुन्छ,
तर संकेत भने स्पष्ट हुन्छन्।

⚠️ कान दुख्नु वा भारी महसुस हुनु
⚠️ सुनाइ कम हुनु
⚠️ कानबाट पानी वा पिप आउनु
⚠️ कानभित्र आवाज गुञ्जिनु
⚠️ चक्कर लाग्नु
समयमै जाँच गरेमा दीर्घकालीन सुनाइ क्षति रोक्न सकिन्छ।
कान दुखाइलाई बेवास्ता नगर्नुहोस्।
✔️ डाक्टरले भनेको औषधि पूरा खानुहोस्
✔️ कान सफा राख्नुहोस्, आफैं केही नहाल्नुहोस्
✔️ कानमा पानी पस्न नदिनुहोस्
✔️ समस्या बढ्दै गयो भने ENT विशेषज्ञ भेट्नुहोस्

ENT विशेषज्ञ कहिले देखाउने?

आफैं अनुमान गरेर उपचार गर्न बन्द गर्नुहोस्।
तलका समस्या भएमा ENT विशेषज्ञलाई तुरुन्त देखाउनुहोस्:

▪️ लामो समयसम्म कान दुखिरहनु
▪️ सुनाइ कम हुनु वा कानमा आवाज आउनु
▪️ बारम्बार घाँटी दुख्नु
▪️ नाक बन्द हुनु वा साइनस दुखाइ
▪️ आवाज परिवर्तन हुनु वा भारी हुनु
▪️ चक्कर लाग्नु वा सन्तुलन गुम्नु

ENT समस्या आफैं निको हुँदैन।
सही उपचार नै सुरक्षित उपाय हो।

30/01/2026

शहीद दिवसका अवसरमा सम्पूर्ण शहीदहरूप्रति सम्मान

29/01/2026

❗❗❗ Sleep Apnea ले❗❗❗❗
▪️ निद्रामा सास रोकिने
▪️ बिहान टाउको दुख्ने
▪️ दिनभर थकान र निद्रा लाग्ने
▪️ एकाग्रता घट्ने
जस्ता समस्या निम्त्याउन सक्छ।

✅ समाधान के छ?
✔️ सही सुत्ने बानी
✔️ तौल नियन्त्रण
✔️ मदिरा तथा धूम्रपान त्याग
✔️ आवश्यक परे CPAP मेसिन
✔️ Sleep Study मार्फत सही जाँच

🏥 AAROGYA Health Care Center मा
अनुभवी स्वास्थ्यकर्मीबाट
👉 Sleep Apnea को जाँच र उपचार सेवा उपलब्ध छ।

📞 सम्पर्क: 974-5416955
📍 स्थान: सुखनगर, सुन्दरचोक, बुटवल

👉 आजै परामर्श लिनुहोस्।
स्वस्थ निद्रा = स्वस्थ जीवन 🌙💙

25/01/2026

MIGRAINE AND NECK PAIN: WHAT IS THE RELATIONSHIP?

Neck pain is frequently reported in patients with migraine and is now recognized as more than a coincidental symptom. Studies suggest a bidirectional relationship between migraine and cervical musculoskeletal dysfunction.

Key points:

• Neck pain is common in migraine, reported in up to 70% of patients, and may appear before, during, or after the headache phase.
• Neuroanatomically, the trigeminocervical complex links sensory input from the trigeminal nerve and upper cervical nerves (C1–C3), allowing nociceptive signals from neck muscles and joints to contribute to migraine pain.
• Myofascial trigger points, particularly in the suboccipital, upper trapezius, and levator scapulae muscles, are more prevalent in migraine patients and may act as triggers or amplifiers.
• Neck pain can be part of the prodromal phase of migraine, not necessarily a separate cervicogenic headache.
• Recurrent migraine leads to central sensitization, increasing sensitivity to otherwise non-painful cervical muscle input.

Clinical implications:

• Neck pain alone does not exclude migraine.
• Differentiating migraine with neck pain from cervicogenic headache is essential, though overlap is common.
• Management may benefit from a multimodal approach, combining migraine-directed therapy with cervical rehabilitation and posture correction.

Conclusion:
Neck pain in migraine should be viewed as an integral component of the disorder in many patients, rather than a secondary or unrelated complaint.

22/01/2026

“आरोग्य हेल्थ केयर सेन्टर, बुटवलको तर्फबाट
बसन्तपञ्चमी तथा सरस्वती पूजाको हार्दिक शुभकामना।”

22/01/2026

❗❗❗❗👶 बच्चामा रुघा–खोकी र ज्वरो?❗❗❗
मौसम परिवर्तनको समयमा
बच्चाहरूलाई रुघा, खोकी र ज्वरो हुनु सामान्य हो।

तर लापरवाही नगर्नुहोस् ❗
✔️ बच्चालाई न्यानो पानी दिनुहोस्
✔️ हल्का र सजिलो खाना खुवाउनुहोस्
❌ डाक्टरको सल्लाह बिना Antibiotic प्रयोग नगर्नुहोस्

यदि ज्वरो ३ दिनभन्दा बढी रहिरह्यो वा
कान, नाक र घाँटी सम्बन्धी समस्या देखियो भने
👉 ENT विशेषज्ञसँग परामर्शका लागि आजै सम्पर्क गर्नुहोस्।

👨‍⚕️ Aarogya Health Care Center
📍 सुख्खानगर, सुन्दरचोक, बुटवल
📞 ९७४–५४२६९५५

👉 तपाईंको बच्चाको स्वास्थ्य, हाम्रो जिम्मेवारी 💙

19/01/2026

Three common dermatologic causes of otitis externa

Eczematous Otitis Externa

Cause: Allergic or irritant contact dermatitis. It may be part of atopic eczema.

Clinical features:
The skin appears dry, erythematous, and scaly. Fissures or mild oozing may be present.

Symptoms:
Severe itching is the main complaint. Patients may describe burning or discomfort, often worsening after using ear drops, earphones, or frequent ear cleaning.

Associated history:
Atopic dermatitis, asthma, or allergic rhinitis.

Management:
Avoid irritants and water exposure. Use a low-potency topical corticosteroid such as hydrocortisone 1%. Add a topical antibiotic only if secondary infection is suspected. Once inflammation settles, regular moisturization is helpful.

Seborrheic Otitis Externa

Cause: Chronic seborrheic dermatitis related to excess sebum and overgrowth of Malassezia yeast.

Clinical features:
Greasy yellow scales with mild erythema and flaky debris inside the ear canal.

Symptoms:
Mild itching and a greasy or blocked ear sensation. Pain is uncommon.

Associated history:
Dandruff or seborrheic dermatitis affecting the scalp, eyebrows, nasolabial folds, or post-auricular area.

Management:
Gentle aural cleaning is important. Use a low-potency topical corticosteroid combined with an antifungal agent such as clotrimazole or ketoconazole. Treat the scalp and facial areas to prevent recurrence.

Psoriatic Otitis Externa

Cause: Immune-mediated inflammatory disease (psoriasis).

Clinical features:
Well-defined erythematous plaques covered with thick, dry, silvery scales.

Symptoms:
Mild to moderate itching. Pain may occur if fissuring develops.

Associated clues:
Psoriasis elsewhere on the body, nail pitting, or a positive family history.

Management:
Topical corticosteroids are the mainstay of treatment and should be used cautiously inside the ear canal. Selected cases may benefit from vitamin D analogues, with dermatology follow-up for chronic disease.

Practical point

Some patients show overlapping features of seborrheic dermatitis and psoriasis (sebopsoriasis). These cases usually respond best to a combination of a low-potency steroid and an antifungal agent.

19/01/2026

नाक र पिनासको एलर्जी र मासु पलाउने रोग ।

with and without : the state-of-the-art of current treatment strategies and future developments. Open Access. https://ivancevichmd.blogspot.com/2026/01/chronic-rhinosinusitis-with-and-without.html

Aarogya ENT Center
Butwal-08
9745416955 / 071535025

"A blog about allergy, asthma & immunology"

18/01/2026

😴 रातभरि सुत्दा पनि बिहान थकान महसुस हुन्छ?
😮‍💨 घुरेको कारण परिवारले गुनासो गर्छ?

⚠️ यी संकेतलाई हल्का नलिनुहोस्।
सुत्दा सास रोकिनु, राति बारम्बार बिउँझिनु, बिहान टाउको दुख्नु, दिनभरि अत्यधिक निद्रा लाग्नु — यी सबै स्लीप एप्निया का प्रमुख लक्षण हुन सक्छन्।

🫀 स्लीप एप्निया खतरनाक हुन सक्छ!
यसले उच्च रक्तचाप, हृदयघात (Heart Attack), मधुमेहको जोखिम बढाउँछ।
त्यसैगरी दिनको समयमा अत्यधिक निद्राका कारण सवारी दुर्घटनाको जोखिम पनि धेरै हुन्छ।

⏰ ढिला नगर्नुहोस् — समयमै उपचार नै सुरक्षा हो।
आजै विशेषज्ञ चिकित्सकसँग परामर्श लिनुहोस् र आवश्यक स्लीप टेस्ट गराउनुहोस्।

🏥 स्लीप सेन्टर, बुटवल
📍 सुक्खानगर, सुन्दरचोक, बुटवल
📞 9745416955

💙 स्वस्थ निद्रा, स्वस्थ जीवनको आधार हो।

15/01/2026

Terminal branches of the facial nerve and the muscles they supply.
The facial nerve divides in the parotid gland into 5 terminal branches:

1. branch
Supplies:
• Frontalis
• Orbicularis oculi (upper part)
• Corrugator supercilii
• Anterior & superior auricular muscles
2. branch
Supplies:
• Orbicularis oculi (lower part)
• Muscles around the lateral canthus
3. branch
Supplies:
• Buccinator
• Orbicularis oris
• Levator labii superioris
• Levator anguli oris
• Zygomaticus major & minor
• Risorius
• Nasalis
4. mandibular branch
Supplies:
• Depressor anguli oris
• Depressor labii inferioris
• Mentalis
• Lower part of orbicularis oris
5. branch
Supplies:
• Platysma

Aarogya ENT Center
Butwal-08
9745416955 / 071535025

14/01/2026

⚡ Trigeminal Neuralgia: When Facial Pain Is Not Dental Pain ⚡

Trigeminal neuralgia is a chronic neuropathic condition characterized by sudden, severe, electric shock–like facial pain that follows the distribution of the trigeminal nerve (cranial nerve V). The pain is typically unilateral, short-lasting, and can be triggered by everyday actions such as talking, chewing, brushing teeth, or even light facial touch.

From a dental perspective, trigeminal neuralgia is especially important because it can mimic odontogenic pain, leading to misdiagnosis and unnecessary dental procedures. Unlike dental pain, trigeminal neuralgia:

◽️ Appears suddenly and intensely ⚡

◽️ Has no clear dental pathology 🦷❌

◽️ Resolves quickly but recurs frequently

◽️ Is often triggered by non-painful stimuli

Early recognition by ent professionals is essential to ensure proper referral, accurate diagnosis, and appropriate medical management, improving the patient’s quality of life.

🧠 Understanding neuropathic facial pain is part of comprehensive dental care.