Episode 6 – Tinnitus, bloody noses and pediatric vertigo

hello everybody my name is dr. Craig fight Chandler with advanced Antion allergy each week we take your questions and answer them on this episode I would like to talk about bloody noses tinnitus and children who experience bertigo all winter my mucus has been thickened bloody my nose is crusted in the morning and when I blow my nose there's always blood what could this be so this is a question we get a lot especially in the winter months what tends to happen to people is we're indoors more the heat is on that tends to dry out on nasal passages and the mucus in it gets thicker in addition when you dry out the nasal passages that makes the blood vessels right underneath the surface much more susceptible to bleeding so what ends up happening is you're sleeping in the dry air all night you wake up in the morning you blow your nose it's thick it's bloody very very common usually what the easy treatment for that is adequate hydration meaning making sure you're drinking enough water if you're on antihistamines but don't need to be that can certainly dry things out if you're a smoker you're definitely gonna be more prone to that if you're on you know blood thinners or aspirin or ibuprofen that can make you bleed more but also putting a humidifier in your room can be very helpful in eliminating that dryness and thin out the secretions a little bit some people will use nasal saline or ointments in the nose and all those helped there are certainly medical conditions and medicines that can make you more prone to this but just generally keeping things humid and moist in the nose will kind of go a long way to prevent things from getting real thick and getting very bloody secretions but again very common in the winter so if that does not help I suggest going to see a medical professional about that what is the cause of constant tinnitus a morning year that has persisted for two years that's a tough question because without actually talked to a person or doing a physical examination I can't really tell you what the actual cause is I'll give you a few disclaimers first of all a lot of times we never really identify what the cause of tinnitus is secondly if you haven't seen anybody for persistent tinnitus particularly in one a year after six months I definitely recommend coming in to be evaluated particularly by an ENT and an audiologist we have a very good audiology staff here and we value their opinions on things it's not just a hearing test so they can make some good recommendations ringing in the ears most commonly is caused by several things loud noise exposure it tends to happen as we age a lot of people have tinnitus in both ears but hearing loss in one year and that can make it seem like the ringing is louder in the other ear but there are several other medical conditions that can cause it otosclerosis is one of them there can be some anti cranial or brain or nerve issues that can do it things like diabetes which is very common medications can cause ringing now ten tenten when it's medical or medicine induced that tends to be on both sides but up to 20% of tinnitus can be on one side so it doesn't mean that something's bad or you need an MRI but getting an evaluation will be very helpful other things such as stress vascular disease carotid artery disease can cause ringing even other psychiatric issues can be a cause so having a full evaluation is a really good idea again especially if it's been more than six months so I certainly recommend getting that checked out can't children experience vertigo the short answer says yes children can experience vertigo the more interesting question is what are they actually experiencing and why a vertigo by definition is a sense of mint usually it's a linear movement usually at a rotational or spinning sensation its more common in adults but children can experience that and they have to be evaluated for multiple things have they had any trauma to their head or their ears do they have any visual issues are they having any hearing issues are they on any medications that could cause this the most common reason that we probably see vertigo which is still pretty rare in children is an ear infection so having us evaluate them and having an audiological uation or a hearing test done is very helpful in that situation interestingly vertigo and children is actually linked to migraines later on in life so that's something that would be me would need to be monitored if they do truly have vertigo but yes if you're suspicious about vertigo or even dizziness I would say bring them in for us to evaluate them

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