Frequently asked questions about ear, nose and throat conditions.

ear, nose and throat conditions.
  1. What are the common causes of nasal obstruction?
    Common causes of nasal obstruction include a bilateral turbinates hypertrophy, deviated nasal septum and nasal polyps. Rarer causes is cancers of sinuses and nasal region.
  2. What is ear discharge? Which needs treatment?
    Ear discharge is any fluid that comes from the ear. Or medical terminology called as otorrhea. Most of the time your ears will discharge ear wax, an oil that your body naturally produces which you need not worry about. Ear wax’s function is to make sure that dust, bacteria, or other foreign bodies do not get into your ear. However, foul smelly ear discharge with painful ears require urgent attention. At times require surgery if it is due to cholesteatoma.
  3. What causes sinusitis?
    Infection of the sinus cavities often occurs due to inflammation and obstruction of the sinus drainage pathways. Typical symptoms of a sinus infection include facial pain and pressure, nasal obstruction, yellow or green nasal drainage, fatigue and fever. Don’t misunderstand allergic rhinitis with sinusitis because both are different entity but inter-related. Some Malaysian says ‘resdung’ which is both sinusitis and allergy.
  4. Frequent headaches, is it related with nose?
    Yes. Most common cause of headaches are due to sinusitis. Furthermore, some people have deviated nasal septum with nasal septal spur which diagnosed as Sluder’s neuralgia.
  5. What is epistaxis?
    Epistaxis means nose bleeding. It can be trickling blood, bloodstain to a strong flow, and the consequences can range from a minor annoyance to life-threatening haemorrhage. Most nasal bleeding is anterior, originating from a plexus of vessels in the anterior inferior septum (Kiesselbach’s area). Less common but more serious are posterior nosebleeds, which originate in the posterior septum overlying the vomer bone, or laterally on the inferior or middle turbinate. Posterior nosebleeds tend to occur in patients who have preexisting atherosclerotic vessels or bleeding disorders and have undergone nasal or sinus surgery.
  6. When should I get the tonsils removed?
    There are few indications for tonsillectomy such as the recurrent attack of tonsillitis, unilateral enlargement of tonsils, snoring, frequent peritonsillar abscess and many more. I would be very conservative in removing tonsils because it is part of Waldeyer’s ring to provide first-line protection to you.

Our clinic is open from 9:00 am to 5:00 pm on weekdays. Saturday from 9:00 am to 12:.00 pm. Closed on Sunday and public holidays. 

Dr Puvan ENT (Ear Nose & Throat ) Specialist Clinic

Columbia Asia Tebrau Hospital Persiaran Southkey 5 Kota, Southkey, 80150 Johor Bahru, Johor.