Nasal – Sequela

Nasal – Sequela

The consequences of nasal obstruction in children are usually stertor with or without apnoea.  This can result in cardiac failure which is seen in the younger child usually about the age of one.  A blocked nose can affect teeth and palate growth with malalignment of...
Treatment of Globus Pharyngus

Treatment of Globus Pharyngus

Treatment of secondary globus is lesion specific.  In primary Globus Pharyngus, patient reassurance is essential.  Medical therapy revolves around decrease of acid production (PPI).  This treatment is usually given in a twice a day dose over a period of three months...
Nasal Congestion in Adults

Nasal Congestion in Adults

As with Children, upper respiratory tract infections can occur with or without sinus involvement.  Adenoids are usually not a cause of nasal congestion in adults, unless the patient is HIV positive or has a tumour in the back of the nose, for example, nasopharyngeal...
Nasal Congestion in Children

Nasal Congestion in Children

Nasal congestion is very common affecting everybody at some stage.  It can be very frustrating and has sequelae to the patient and obviously to the family.  It affects quality of life and can be associated with other symptoms or other organs involved, for instance,...
Globus Pharyngus Investigations

Globus Pharyngus Investigations

A thorough history it important to identify those at high risk including smokers.  Clinically, a full Ear Nose and Throat and Neck examination including a flexible nasopharyngolaryngoscopy would help identify or exclude secondary disease.  Once a working diagnosis has...