This book describes The Ear and Its Disorders, Diagnosis and Treatment and Related Diseases

The ear is an organ of hearing and balance for the human body.

Tinnitus is a very frequent condition in older men and women.

There are some young people who are exposed to loud music and shooting rifles who also have it.

Ringing in Ears (Tinnitus) is the medical symptom of awareness of sound in the human ear or head when there is no outside source of the sounds.

Hearing Loss (Deafness) is a medical disorder that consists of partial or complete loss of hearing, also known as hearing impairment.

Otitis media is an inflammation or infection of the middle ear.

Eustachian Tube Blockage

Just 1 week ago I had a patient who came to the clinic complaining of blocked ear on the left side for about 3 weeks.
He saw his family doctor and was told that he had wax in the ear.
His doctor gave him some waxsol ear drops for his wax.
There was a buzzing sound in the ear and some pain.
The doctor referred him to an ENT specialist who then flushed out the wax for him but his ear blockage was still there.
The next day he asked his friend whom I treated earlier for benign positional vertigo where she was treated.
After hearing his long history, the first thing I did was to ask him to pinch his nose close and blow hard through his mouth (valsalva maneuver)
He did so and said that his left eardrum gave a popping sound and he could hear

A perforated eardrum is a hole in the thin layer of tissue called the eardrum that separates and protects the middle ear from the external ear.

Ear wax is very frequent in a family clinic setting.

Very often patients will complain of something stuck in the ear or reduced hearing.
Very often examination of the external ear with an otoscope will show the presence of ear wax.
If there is no pain or other ear history, I would go ahead with the ear syringing.
The ear syringe is filled with the warm water.
The patient's head is then tilted straight or slightly toward the affected ear.
Syringing of the ear is started with the nozzle aimed inside the ear canal towards the top of the ear canal.
You may have to syringe a few times before you can see the wax coming out with water.

Ear canal polyps or aural polyps are benign swellings that develop from the skin or glands of the external ear canal or from the lining of the ear drum.

Meniere's Disease

The main complaint was always dizziness or vertigo but seldom the associated tinnitus or deafness.

I always gave an injection of Stemetil (prochhlorperazine) which inadvertently will stop their dizziness within 10 minutes.

Acoustic Neuroma

Acoustic neuroma is a medical disorder where tumors of the vestibulocochlear nerve (eighth cranial nerve) grow from the Schwann cells of the nerve sheath.

Vertigo

Vertigo is the sensation of spinning or movement of the body even when the body is not moving.

There was a patient who had this spinning feeling for 2 months in spite of consulting several doctors, an ENT specialist and traditional Chinese doctors without improvement.

I taught her how to use the BPPV maneuver in the clinic.

One week later she was completely well with no more spinning head.

It is postulated that there may be a preceding upper respiratory tract infection before this occurrence of vertigo.

Vertigo is an unpleasant symptom where illusionary perception of movement (spinning or wobbling) of the body and of the surrounding area happens.

Balance is the 6th sense which many people have forgotten.

TABLE OF CONTENT ...read more