NASAL FOREIGN BODY MANAGEMENT TYPES OF NASAL FOREIGN BODIES ORGANIC MATERIAL Includes food particles, seeds, and plant matter. These are particularly concerning because they can swell and cause infection. INORGANIC MATERIAL Beads, small toys, paper, and plastic pieces often fall into this category. METALLIC OBJECTS Items like small screws, coins, and batteries. The latter are especially dangerous due to the risk of leakage and tissue damage. SYMPTOMS Patients, especially children, who have inserted a foreign object into their nose may exhibit: NASAL DISCHARGE Often one-sided and sometimes foul-smelling, especially if the foreign body has been present in the nose for a while. NASAL OBSTRUCTION Difficulty in breathing through the affected nostril. PAIN AND DISCOMFORT This varies depending on the size and nature of the object. BLEEDING Possible if the object has caused any internal abrasions. DIAGNOSIS PATIENT HISTORY Upon arrival at the clinic, patients are promptly evaluated. In cases where the patient is unable or too young to explain, history from caregivers is invaluable. A history of sudden onset persistent cough, wheezing or shortness of breath in a young person may indicate aspiration of the foreign body and needs to be assessed immediately. CLINICAL EXAMINATION A thorough examination of the nose is carried out, usually employing an otoscope or nasal endoscope for precise visual assessment. IMAGING X-rays or CT scans may be advised for deeper or non-visible objects. TREATMENT IMMEDIATE REMOVAL For easily accessible objects, Dr Sandeep may use forceps or hooks for immediate extraction if the foreign material is present in the anterior nasal cavity and is easily accessible. Suction Devices: Useful for smaller objects that are difficult to grasp. Local Anaesthesia or Sedation: Administered to ensure patient comfort, especially in children or anxious patients. SURGICAL REMOVAL Reserved for complex cases where the object is deeply embedded or for batteries that pose immediate risk. Long standing foreign bodies form into a rhinolith that is more challenging to remove and this is usually done in an operating room under general anaesthesia. ANTIBIOTIC TREATMENT Sometimes necessary post-removal to prevent infection. FOLLOW-UP APPOINTMENT To ensure that the nasal cavity is healing properly. SYMPTOM MONITORING Parents are advised on what symptoms to watch for, such as signs of infection or discomfort. PREVENTIVE EDUCATION Dr Sandeep and his team often take this opportunity to educate caregivers and children on the dangers of inserting foreign objects into the nose. UNBLOCK THE BARRIERS: EXPERT CARE FOR NASAL FOREIGN BODY Struggling with the discomfort of a nasal foreign body? At The ENT Clinic, Dr Sandeep Uppal and his specialized team prioritize a complete care approach tailored to the unique challenges of nasal foreign bodies. We are fully equipped to address the urgency and discomfort associated with such conditions, providing prompt and adept care. Initiate your return to comfort. Secure your appointment with us and together, we’ll navigate towards restoring your nasal well-being!

BIOLOGICS FOR NASAL CONDITIONS Dr Sandeep Uppal and his team at The ENT Clinic are at the forefront of employing advanced treatments for nasal conditions, including the use of biologics for nasal polyposis and nasal allergies. Biologics are a class of medications derived from living cells and are designed to target specific components of the immune system. They have gained prominence in recent years for their effectiveness in treating various chronic conditions, including severe asthma, rheumatoid arthritis, and certain skin conditions. BIOLOGICS FOR NASAL POLYPOSIS Biologics like Dupilumab are increasingly being used for treating severe cases of nasal polyposis that are unresponsive to traditional treatments such as corticosteroids. These medications are often considered for treating severe eosinophilic forms of chronic sinusitis with nasal polyps, especially when other treatments have proven ineffective. These medications work by inhibiting specific pathways involved in inflammation, thus reducing the size of the polyps and alleviating symptoms like nasal obstruction and loss of smell. Dr Sandeep Uppal and his team are committed to a patient-centric approach, providing comprehensive information and closely monitoring patients who are on Anti-IL5 therapies. This ensures that the treatment is not only effective but also safe for the patient. BIOLOGICS FOR NASAL ALLERGY Similarly, biologics are also proving effective in managing severe nasal allergies that are unresponsive to antihistamines and other traditional medications. By targeting specific cytokines and inflammatory pathways, these drugs can offer significant relief from symptoms such as sneezing, itching, and nasal congestion. Dr Sandeep keeps abreast of the latest advancements in biologics for nasal allergies and is experienced in tailoring these treatments to individual patient needs. EVIDENCE-BASED APPROACH Dr Sandeep and his team strictly adhere to evidence-based guidelines for the use of biologics in treating nasal conditions. Their commitment to scientific rigor ensures that patients receive the most current and effective treatment available. SAFETY AND MONITORING The use of biologics is generally well-tolerated but requires close monitoring for potential side effects, such as increased susceptibility to infections. Dr Sandeep and his team place a high emphasis on patient safety and will conduct regular follow-up appointments to monitor treatment efficacy and any potential adverse effects. Dr Sandeep Uppal and his team at The ENT Clinic are vigilant about informing patients regarding the potential side effects and precautions associated with Anti-IL5 therapies like Mepolizumab, Reslizumab, and Benralizumab. Here is a detailed overview:         POTENTIAL SIDE EFFECTS Injection Site Reactions: Redness, swelling, or itching at the injection site is common. Respiratory Issues: Some patients may experience a worsening of asthma symptoms or bronchospasm. Headaches: A common side effect that usually resolves with time. Fatigue: Patients may feel unusually tired or lethargic. Muscle Pain: Some people report mild to moderate muscle soreness or cramps. Hypersensitivity Reactions: Including rash, itching, or severe allergic reactions. Elevated Blood Parameters: Changes in blood counts or liver enzymes may occur and are usually monitored via regular blood tests. Increased Risk of Infections: Particularly upper respiratory tract infections. PRECAUTIONS TO BE TAKEN DURING TREATMENT Prior Allergy Assessment: A thorough review of any past allergic reactions to similar medications is essential. Concurrent Medications: A complete medication review is undertaken to identify potential drug interactions. Pregnancy and Breastfeeding: These therapies should be used cautiously in pregnant or breastfeeding women, and only if the benefits outweigh the risks. Vaccinations: It’s advisable to update vaccinations before starting therapy, as the medication could potentially interfere with the effectiveness of certain vaccines. Regular Monitoring: Blood tests to monitor eosinophil levels, liver function, and other parameters are often performed. Emergency Plan: Due to the risk of severe allergic reactions, an emergency action plan is usually discussed with the patient. Informed Consent: Detailed discussions are held with the patient to ensure they are fully aware of the risks and benefits of the treatment.