Ear, nose,throat.

 Age is a essential factor, which a needing to pay attention for ENT   doctor, prescribing cure for adult, who visited him, but with ages an human s organism ageing with years and problems for throat-ear-nose in  our   readers staying popular ,  and topical, and about is confirmed a reaction mails.Any  today by correspondent a vestnik  G.Chernavina, who selected mails for our readers for consultation, correspondence reception for patients is lead a doctor, otorhinolaryngologist , candidate for medical science E.Saveljev.

1. On my 87 y.old , on begun 2020 am lost hearing wrote in letter Elisabeth , visited ENT , prescribed me audiogramma. Diagnosis is destroying sound conducting and sound perception from both sides, destroying hearing nerve.And begin from an end of left ear begun itched, am never had hurt ears, and still in this ear, like water dripping,lke tap is  uncorrected.

What is it? 

Dear Elisabeth , your complaints on the lowering hearing describing as an old adult changes, and Thanks god, till this venerable age you are not having hearing problems.By audiometric research stats, an objective rate for  your hear , you are having appearances for sensorineural deafness, or hearing lowering for a calculation perception hearing by head brain. And its having in atherosclerosis of vessels head brain, so as a common disease.Feels in ear are different as a noise, ring, chirping cicadas, and dripping watter, like in you. A cure is long, and consult not just in ENT doctor, but in neurologist, problems here not just in ears, but in vessels of head brain.

2. What is it?Am always having tickling in throat, dried cough, salivation, asking here Ivan , and when tickling throat,right away saliva coursing and cough having, for night a few times splitting her, doctor prescribed me spiral computer tomography are all in norm, by KT not found pathologies, throat is ok. And what will be with saliva, tickling, coughing, am need in cure, but he said, throat is k. Am having allergy on sweets, pills helping for a short time, after again all having, from LOR visited therapeutist, he prescribes  pills emaner and said: Maybe would help, but am home am read they are using in stomach ulcer, which is never had in me, maybe you would help me.

 Dear Ivan  , your symptoms  are having in lots of diseases, and so you are tested in Lor doctor , used KT for throat, and nothing found, but a most often complaints having in abandoned containing of stomach in gullet and throat so as a calling Gastroesophageal/GERD disease .And your  allergy on sweets, and a how she is displaying, you are not shared, thus your must visit gastroenterologist and use esophagoduodenal research , and after this visit for LOR doctor.

4. Many years having itch in ears, how to fight his?Itch in ears is symptom of different diseases, as in fungus damages of skin a hear passes using anti fungus therapy. But,  itch in skin disease its a dermatologist in cure. In neurodermitis is skin itch on changing atmosphere pressure , changing temperature of surrounding environment, in nerve stresses -a cure is doing with neuropathologist. And you must visit for doctor for a putting right diagnosis , and doing cure with profile specialist.  

Genetical breaking.

 In my friend on 11 y ,old are yellowness eyes,weakness. Doctors said about a Gilbert s disease , what is it? Does  she dangerous? Which cure is?

Its right calling his syndrome Gilbert s , is genetical peculiarity, and partially destroying bilirubin metabolism in blood, conditions not leading to destroying organism function and its lifelong complexes for symptoms-displays , and not looking by doctors as disease. First time his described on 1901 y. by French gastroenterologist Oposten Gilbert , are paid attention on the relatives groups patients with periodically jaundice, which not leading to global changes in organism. For  100 years syndrome is good learned and received a few calls as simple family cholemia,  constitutional hyperbilirubinemia, not hemolytic family jaundice, idiopatical  non conjugates hyperbilirubinemia , benign hyperbilirubinemia.

And  you can be heard   about bilirubin, but a not an all knows, that is a one from product for destroying are obsoleted are own date erythrocytes as red blood cells ,delivering from lungs is oxygen to organs and taking dioxide gas. Are two fractions of bilirubin having:

1. Not straight, non-conjugated in splitting erythrocytes getting , and in abundant quantities, travelling  in organism, and accumulating in tissues, dying in yellow colour an creating intoxication.

Straight is conjugated , from a not straight getting in biochemical processes, easy secreting from liver in bowel, and free removing with urine and faeces, and not accumulating in organism. In Gilbert s syndrome in person having genetical defect, preventing a full transferring a bad not straight bilirubin in a good is straight. Meeting in 1-5 per of peoples are on the planet and first time displaying on the sex developing, displaying a without symptoms.And,  its interesting geographical peculiarities spreading  in Europeans are 2.5 percents of livers, in Asian 3-5 perc, Africans are 36 percents, and in males data genetical breaking meeting by different dates, from 3-4, till 8-10   times are often, that in males, and are third with Gilbert s enduring his without symptoms.

 A main triad for signs a condition.

Yelowsness  are eyes scleras different dye level, skin of face, rare are palms, feets, armpits holes, triangle nasolabial, mucus mouth cavity. As its an accumulating in blood toxic not straight bilirubin, and other displays having of intoxications, sleepiness, nausea, appetite lost.

Xanhtelasmas of eyelids are yellow plaques , different sizes by, over skin.

A periodically  displaying symptoms as in certain condition, syndrome is giving about itself to know. And provokes are different stress factors, as destroying rhythm regime as starving, over eating, fatty , fat meal, alcohol, remedies, physical, psychical over tiredness, bacterial, virus infections, surgeries, injuries. And remember in ignoring provoked factors or not informed about this syndrome are  ability to complicate an other conditions of organism, as a few diseases having jaundice  is importance sign for Gilbert s syndrome.Thus, for confirming diagnosis is importance differential diagnosis are doing paediatrician/therapeutist, gastroenterologist with hepatologist. And with a common biochemical blood tests, coptorogram , as faeces test, urine common test, ultrasound for peritoneum organs and genetical tests.

 It's a not disease, its genetical breaking of symptoms-complex and cure is nothing, just is preventing needing, what is to advice?

 Avoiding over loading physical, psychical, stress, check for meal, low fats, alcohol, smoked, fried, alcohol, abiding starving, over eating, use diet nr 5 is your diet therapy. And for preventing gall stone with Gilbert having periodically used a cholagogue therapy are using agrimony, corn stigmas, artichoke, tansy,  or remedies of them.

 A bilirubin abundant remove with selected remedies as adsorbents, phenobarbitals, vitamins groups B, not B 3, AS HE IS RISING BILIRUBIN LEVEL IN BLOOD!

For destroying bilirubin in tissues using phototherapy by a light of blue lamps, but sun rays are avoiding!

 In finding  Gilbert s syndrome prognosis is favourable is hyperbilirubinemia having benign character and with using healthy life mode and for excepting complications for other organism condition! A life continuation is a not limited! And actual on today a moment:Syndrome Gilbert s is a not contraindication to vaccination !By N.Korsakova, pediatrist , dr by a high category.  

3. Niina shared, that suffered from dermatomyositis and having weakness in legs, hands, hard wearing, walking by steps, hold plate..

     Skin is rough, spots of brown colour having, face is oedema, and asking about a how to cure is next?

Dermatomyositis is autoimmune diseases systemic , with skin and muscles damaging, patients curing at stationary with a high dosages glucocorticosteroids and cytotoxic with a same time using vitamin D, Calcium preparations. And when a feeling stabilizing, you are for restoring muscles forces using medical gymnastic, breath gymnastic, for improving lungs'  ventilation, doctor will prescribe it an show theirs as complexes of exercises by your age, displaying a diseases and chronic diseases having.  At home using massage:very care  stroke muscles as not injuring , rub, knead, and slightly beating are damages extremities. For skin are benefit compresses with infusion of buds and leafs of willow 1 tbl.sp. of mass add in glass of the hot water, infuse, filter, wet towel, apply as warm on damages sides , keeping till cooling. From pharmacy use ointments of chelidonius or toadflax. Dermatomyositis often having edemas, thus add to cure with diuretic herbs as infusion of leafs lingonberry, 2 tbl.sp. of mass add in 0.5 l. of water, boil 15 min in weak fire, filter, use for days for 3-4receptions before 40 min to the meal.

4. Ekaterina from Moscow having sugar diabetes, joints are hurt, am heard that this disease having with rheumatic complications, asking about this to share more.

 A most often rheumatic displaying in sugar diabetes is limiting mobility for hands of joints, without inflammations signs, changing cartilage and bone are not finding, but affecting are ligament apparatus, skin is thickening, and forming contractures Dupuytren  is developing palm aponeurosis. A base form for a bone-joint pathology is diabetic osteoarthropatia, degenerative changing joint cartilage and subchondral bone.A most often damaging joints for shin, feet, rare are knee and hip.  A most hard complications is diabetic itch with itch on begin, redness, and in small skin damaging are long  not healing ulcers having, with spreading inflammatory, tissue necrosis, that leading to amputation. A how to prevent theirs?Use physical exercises, everyday walks, Scandinavian walking, homework in garden, its improving glucose utilization, muscles blood supply and inside organs.And physical culture and other trainings doing by diseases clarifying  ,especially a cardiovascular.

 5. A Mail by Yury, what is effectivity for bursitis cure as warming for knees or cold.

 And before advice you, you must to clarification diagnosis, bursitis is a not symmetrical, disease damages just one joint, if oedema having on the 1 knee, on a other her is not having, its distinguishing bursitis from arthrosis which too having oedema. Any warming, insulating here are avoiding, just cold is benefit. A try not injury damage joint, over exertion, fixing his in hard work doing, do not forget add pauses.

  

Cure at home.

 For a selecting mails we are checking theirs by authors, who  sharing about a hard disease, where curing at hospital, and with remedies prescribing, but readers asking a how to keep cure at home after hospital? To  prolong remission time, slow  down diseases course. And these are all advices by doctor of medical science, professor R.Balabanova  answered on your mails.

1.  For my hubby put diagnosis   is disease Forestier , prescribed cure, but visible improves are not having, hard waking up from a bed on the morning , fearing, that soon this will be a hard, maybe vestnik s specialist something to him advices?

Disease Forestier  is adult , on an organism ageing process developing, its a big growth for bone tissue in ligaments ,in tendons with a forming coracoid protrusions, which are growing are blocking mobility  in vertebra, right reasons for disease are not known. A special preparations here are not having, just   doctor will advise  a therapy, carry orthopaedic bandages or corset   for unloading top and breast regions of vertebra, It's helping to support his in right position and nor allowing for shifting  intervertebral disks, wearing theirs beginning from 15 min/day, slowly  increasing time till 6-8 hours and removing for relaxing, when  are feeling discomfort. And also will benefit are spine massage, magnet therapy, these are improving blood circulation, decreasing ache or removing, relaxing are warm baths with sea salt, needle extract, leafs of birch, better take baths before sleep.

And a day begin with exercises for vertebra:

Stand up, straight, writs of hands, bent in elbows lie on the shoulders, doing turning for hands and legs for front and back, trying a how a possible straight spine.

Tight  lean to wall, shoulder  blades  are reducing, keeping this position for 3-5 min.

Sit on chair, straight spine, hands are on the waist, slowly turn body to left and right. After put under legs a small chair, and very care doing inclines to the front, trying touching by head are shins. Exercises  doing a few times/day, they are improving vertebra mobility, delaying disease developing.

2.In Antonina is scleroderma , lied at stationary, now in remission a disease staying, and a how to prolong her? Systemic scleroderma is hard autoimmune diseases, scienists   are keeping researching reasons for her appearance, and possible a virus infection a role . A complex medicament therapy are anti inflamed remedies, anti fibrosis, vessel, and immune depressants, recently using beginning are biological/gene-engineering remedies. And to prolong remission time use these rules , they are very importance: Avoiding or limiting strong caffeine, caffeine causing spasms for periphery vessels, avoiding smoking, nicotine is narrowing vessels, destroying blood current in extremities.

Take contrast shower, he is preventing for blood stagnation.  And  stay under hot water for 2 times longer, than   under cool,   not a cold, and doing energy moves, after shower energy rub body with towel. Avoiding visiting solarium and less staying under sun rays, and on frost or cold, avoiding freezing , frost intensifies spasms of vessels, gloves leave till spring, wear  warm mittens, free shoes, socks without are tight rubbers, against destroying blood  micro circulation. In any possible doing exercises  for improving blood supply for capillaries  , knead fingers of legs, drumming  by ends on table, squeeze and unclenching wrists. Grease skin dry with an any vegetable oil, are benefit paraffin    applications, they are stimulating blood circulation, but edemas fighting, improving condition for skin covers, healing cracks. 

When vaccination threatens an anaphylactic shock.

On my 71 y.old every year vaccinating against flu, but am going vaccinating from COVID-19, but a one from contraindication is anaphylactic shock in anamnesis.

My history is such , that on 1984 am received intramuscular injection with chymotrypsin  ,which prescribed my gynaecologists , but am a little not dead.A strong itch begun in all body, vomiting opened, sense lost, and its a good, that am working  as  nurse  stayed at hospital, and woke up on the third day in palate for intensive therapy. And  am had a strong Quince edema, allergy development and on an all, as on dust, light, strong smells, remedies, food.. My doctor ,when am consulted said: in your diagnosis is a not having date for prescription, thus a vaccination from COVID-19 avoiding doing, what are advices by vestnik specialists?

Dear Valentina, am often meeting with these questions and always answering for my patients: despite on history of your diseases a vaccinating from COVID-19 is a needing -answers doctor-immunologist , candidate for medical science V.Treskunov. A data risk ,when organism on much external factors reaction with allergy reaction is having. Chymotrypsin is a very allergy remedy and am never would be advice for patient with a not enduring  home dust, medicaments, meal. And vaccination from corona is an other, in her having adenovirus carrier ,which you are meeting for many times in your life , and gene fragment, coding S protein virus  COVID-19 ,with a which virus attaching to the cell, and penetrating in human s organism.And  today are patients-allergic never complained , that after vaccinates Sputnik Light, Sputnik 5 reacted on these components, when a fear of anaphylaxis has been  in everybody. But other, if you are not vaccinating, you are in risk for receiving bilateral virus pneumonia with a result unknown, its  serious and probable risk .And for insurance you can say for nurse about a beginning possible reaction and to have a ready injection with  adrenalin.In skin entering 0.1-0.2 ml of preparation stopping any displaying for anaphylactic reactions. But I  think all will be without  these extreme measures.  

From hypotonia to epilepsy.

 Again  asking you dear vestnik, for finding a help , that a few years with me happening something magic , am suddenly falling, and not ability stand up, on buttocks favour till a phone and calling to sun or daughter, they are rising me, am moving a few times. And its a happened, that on day am stronger fallen,  and  hit  by head in closet cabinet , big bump formed, am kept ice for 2 hours, tumour decreased, but in  breast and spine region kept hurt, called doctor, they are done analgetic injection, and prescribed still are ten injections.And , again on the night a falling, now its spine hurt, hard to sit, visited neuropathologist, prescribed many  remedies, am using theirs an all, but not improving having .Am a diabetic, use insulin, maybe you  can help me to relieve my aches and allowing never falling.  Dear   Ljudmila, answers neurologist, doctor, candidate for medical science A.Pjatkov , and by your mail, am suggesting, that fallings are regular having and with sense lost, and a first to find a reason for fallings, that  allowing risks for repeats and prevent are possible complications. And pay attention on the diseases, which are causing suddenly falls , theirs separating on the blocks: Jumps for arterial pressure is hypotonia tendency, destroying heart rhythm, pathology for aortal valve , stenosis for sleep or vertebra arteries, hemoglobin lowering. And in all these cases needing visiting cardiologist and heart vessel surgeries. Not stable glucose level in blood as suddenly sugar falling level, thus consulting in endocrinologist. A possible epileptic activity of head brain, and raws of diseases by mobility sphere as polyneuropathy, Parkinson s, syndrome for rigid human. And on a investigation time, when diagnosis will put, am advice to pay attention on a few methods for savings and preventing complications. And at home remove all items with sharp edges, minimize affecting for unevenness and slippery for floor, are affecting on additional factors for falls, and by your age , ask in doctor for preventing osteoporosis with using vitamin D and preparations groups of bisphosphonates   are allowing decreasing risks for fractures in fallings. 

Head in closed circle.

 Three years ago am endured hemmorgahic stroke, and all time my head is hurt. When am sleeping, not feeling ache , if i m head rising again all beginning, sometimes feeling better. Every   half years doing injections, using pills, and nothing helping.

To help you dear Alla, I  m need to know does a headache tie with arterial pressure? But,  not a high, just in low having in  low pressure, and most intensive -answers professor, doctor for medical science A.Kadikov  .Am advising for you for 2 times/day, for morning and evening check pressure on a data times, and try to understand on which time , and after what she is intensifies.A how in strong headache you can sleep ?A how many times having a night sleep?Its  allowing defining mechanism of your disease. And still question?Are  you taking analgesics?In organism are having systems fighting with an ache, in weak headaches you are taking pills, systems slowly blocking ,  and remedies stopping helping, or organism habit to him . A displaying closing circle, that big quantities of remedies destroying protecting, anti ache systems,  thus , you are taking more analgesics, which not helping same. Thus avoid much use analgesics . A try to fight ache tolerable with light   massage, cold,  or warm compress. 

Spots are on the cornea.

 Am having inflamed eyes and on the cornea   are strange white spots having, am very worry, are they dangerous for vision?

The white spots on cornea calling  precipitates, are protein deposits, settings on  the back surface of cornea, on begin process precipitates are grey-white, after staying pigmenting and loosing around form answers dr.ophthalmologist N.Ivanovskaja . Forming precipitates defining  ,that blood elements of a high penetrating vessels entering in back camera, and of a slow flow liquid from her    in front camera and from retina to the back surface cornea cells  of blood are sticking by fibrin in conglomerates, which  depositing on endothelia of cornea of destroying her integrity. Precipitates are different sizes having are point, small, and big fat or oily, and different saturation as light-or dark grey, pigment. Precipitates are signs for inflammation in eyes, iridocyclitis to a development of which leading virus diseases are simple herpes, flue, ARVD, ARD, rubella, chickenpox, measles etc  diseases, caused by simple parasites are malaria, ascaridosis , lambliosis, toxoplasmosis, opistorchosis, toxocarosis and fungus nature by are stomatitis, seborrhoea, bacterial infections are bolutlism, angina, lungs inflamed, meningitis, gonorrhoea, syphilis, diphtheria , tuberculosis, gastritis, rheumatic diseases are rheumatism, dermatomyositis, Bechtel s disease, systemic diseases are sarcoidosis, mucoviscidos, systemic lupus eythematodes, systemic vasculitus and metabolism destroys are obesity, sugar diabetes, anemia, gout, teeth  diseases is pulpits, top, low jaws are cysts basal, sinusitis, tonsillitis, antritis, eyes injuries and wounds, ceratitis .And what is to do if you are found precipitates? A  first is contact lens remove, carry theirs worsening condition, or common inflammation, visit ophthalmologist ,that to find a disease reason ,and prescribe right cure. Spot  small on cornea is symptom if serious  inflammation in eyes!

For a physical culture you will faithful , about hypertension you will forget!

 Am instructor for physical culture, managing groups for health are 50 plus, and in my group are often meeting problems with hypertension, obesity, support-mobility system. Hypertension having in everybody, in a half in neck osteochondrosis, these are links for one chain. Through neck region for vertebra transferring vertebra arteries, which going to head brain. When are having problems with vertebra neck, vessels going to brain are pressing, he is not getting enough oxygen and give command to rise pressure,that increase blood influx.On  begin disease stage is ability to affect her course, but in stable hypertension is improving condition ability,if regularity doing exercises.

And am noted, that right away to stop pills avoiding, peoples are done to hypertension for many years, and slowly moving back, physical loading is slow, dosage, and selected individuality by a calculation your health condition. Here is keeping rules ,that will silence to go, will a far will be. Am always repeating this phrase to my patients in group, keeping a most retie, are fasting leading results.Just  regular exercise will add benefit. Importance a complex approach to the dosage remedies using, prescribing by doctor, adding and walks, exercises complex. After a half year regular exercises is ability with your doctor just to low dosages of remedies. Am not talking about serious hard diseases, they are rare having, than are by years earned by a wrong life methods hypertension. On begin  regularity to walk, from 3 till 5-6 km /day by slow temp.And harder disease, is less distance and speed for moving.To  orientate on this stat for loading adequate are not having dyspnoe in walking ,  and you can to talk  on the walking time, if you are hard breathing, hard talking ,thus load in high, that is bad for not trained and sicked person.Dyspnoe in walking is not must be, slowly going, if hard talking on walking. And also am advising doing   exercises by Dr. Shishonin , who is manufactured gymnastic for the neck .Right,  regular these exercises doing  will help in hypertension, a low pressure, so as improving blood supply in neck region for vertebra and oxygen delivery to head brain.We  are in my health group doing gymnastic for neck on an every training, and patients enjoyed her, thus and to do her better doing after walking measured and a few exercises as push-ups from a high support, turning by hands, after warming muscle and common improving blood circulation in organism. Its importance! Muscles, ligaments , joints need to ready, thus are fewer risks for injuries and higher recovering effect. My patients enjoying thus complex and often remind to me:When  is exercises are for the neck?

A beginning gymnastic with a wave turns of head in sides: look  to left, after before itself, after wavily turn head to right, keep head straight, chin not down. After wavily by press chin to breast and return head in initial position, stay as , head straight. Repeat every exercise on 6 times, after staying ,look before itself. Through sides rise bent hands over head, elbows not connect. They are having in one vertical plane with shoulders.Wavily turn head to right on 20-30 sec, and same wavily to left, repeat are 4-5 times. Next exercises: rise shoulders up, pull in head and shoulders an after that at the same time low straightened  hand down, like throws theirs down, repeat a few times. An exercise heron.At the same time take away straight hands doe, slightly back, behind a body corpus, pulls theirs, and at the same time PULL OUT   a chin-up, like stretching yourself on opposite sides.Repeat exercise for five times.

And exercise Goose. Stretch   neck to the front, and wavily unfolding chin to the shoulders for 30 sec, return back , after to pull by  chin to other shoulder. Repeat are  5 times. All exercises doing on slow temp and very wavily, and doing theirs a how much allowing a mobility your vertebras, conditions for ligaments, muscles. Not fast.A  loading matching for condition your health, and with a time you are manufacturing muscles, ligaments, improving quality for exercises doing, rising level for training, an importance doing regularity .And  just such you are getting visible improving for health, lowering pressure, and bonus will be a pulled up figure and rising   work capacity.

Peroxide is against parodontosis.

 Am cured parodontosis, and a how, am share. Gums are bleeded, its all affected , and felt bad, but vestnik helped me. Am read it two times his advices a how with cotton rub in mouth cavity porridge mass of soda, peroxide , a promised 100 perc. Effect, am all done it, and not remembered about a problem.

Vestnik: we are repeating a one from recipes a using peroxide ammonium by Anatoly offered , which published in Issue a healing force by peroxide.

NR  8, 2019

 On my 60 y.old in me removed are 5 teeth, and on this time am read in vestnik about peroxide benefit, healing her effects and methods for using. My wife is doctor, we are both care for teeth are good with peroxide ammonium, and drinking soda, every morning 7 drops of 3 perc peroxide  mixing in half tea.sp. of drinking soda, received  mass apply on cotton, and this cotton pad cleaning teeth  ,  as massaging gums for 4 min with. Am doing this procedure on the morning, my wife is  on the morning and before sleep. Doctor , who removed my teeth said, that other fallen in a year, but its a magic, that within 15 years teeth are staying. Since  this time,  when am taken a cure with peroxide am done a result, that she is universal effect having!