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  • Allergic Rhinitis: Treatment Medication vs Relief Medication | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    often falls ill from colds or has regular runny nose mouth breathing noisy breathing or snoring then he or she should be evaluated for allergies Seeing a Doctor When one sees an ear nose and throat doctor a thorough history is taken This may be followed by a nose examination and or an endoscopy If allergy is suspected skin or blood test will be done The commonest allergen in this part of the world is the house dust mite Management of Allergic Rhinitis Avoidance if there was no exposure to the allergens then symptoms will not occur By reducing the exposure load the symptoms can be minimized This is however not entirely possible with dust mite allergy Medication If avoidance does not resolve the symptoms sufficiently medication may be needed A Nasal Spray Steroid Nasal Spray effective in controlling symptoms and is the most effective of the medication They are available in both the aqueous or power form eg Rhinocort both forms Anti Histamine Nasal Spray quick and effective has bitter after taste not widely available in Singapore Decongestant Spray Over the counter medicine for blocked nose need to be used sparingly eg oxymethazoline Side effects of dryness rebound effects and cardiac effects on prolonged use B Oral Medication Antihistamine effective in reducing symptoms The newer generation are less sedating and well tolerated This can be used for long term without much side effects eg Telfast Aerius Clarityne Zyrtec Antihistamine with Decongestant if blocked nose is significant this combination medication can be helpful eEg Clarinase Zyrtec D One should avoid taking this in the evening as the side effect is hyperactivity Decongestant Tablets Effective for blocked nose eg pseudoephedrine but has similar side effect of hyperactivity and palpitation Should not be taken for long term due to cardiac effects Steroids effective but has side effects with prolonged use This should be taken with the advice of a doctor Cromolyn Safe but benefit takes a while to occur Works by decreasing the activity of the mast cells More useful in allergic eyes than nose Anti Leucotriane useful when asthma is present as well eg Montelukast Pranlukast C Immunotherapy Specific This works like a vaccine to induce a tolerance by the body to protect against the allergen effects usually given in the injection or oral form In recent years the oral form sublingual immunotherapy SLIT has made a great impact in the management of allergy This is given under the tongue for and over time the body reacts less to allergens This has shown to be effective against dust mite pollens cats and dogs After a period on the SLIT usually one year allergy symptoms can be controlled upwards of 10 years With appropriate use of some of the mentioned medication and immunotherapy patient can now regain control of their quality of life for the long term Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required Your

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/allergic-rhinitis-treatment-medication-relief-medication.html (2012-12-21)
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  • Coughs & Colds in Children (Chinese) | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    Allergies Sinus Sinusitis New Treatment for Sinusitis Sinus Sinusitis Balloon Sinuplasty Latest Technique in Sinus Treatment Ear Hearing Causes of hearing loss Hearing Aid Structure of the ear Noise Induced Deafness EAR WAX Children ENT Common Ear Nose Throat Problems in Children General Information NOSE BLEEDS Nose Cancer Salivary Gland Stones Thyroid TINNITUS Tonsils Adenoids CONTACT Coughs Colds in Children Chinese Published in Pregnancy Parenthood Guide September 2005 Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required Your Email Address Required Country Your Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Timor Leste Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Congo the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Holy See Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia the Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Federated States of Moldova Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/coughs-colds-children-chinese.html (2012-12-21)
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  • Say Goodbye to Allergic Rhinitis | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    testing Both tests are accurate however the number of allergens tested is fewer for the skin prick test and some medicines such as tl antihistamine as well as cold and flu medicines can interfere with skin tests Hence one needs to stop taking these medicines one week prior to the skin test I prefer skin prick tests as they show results within 15 to 20 minutes compared to blood tests which require two to three weeks for the results This means my patients will have to come back to see me he adds Manage your options What are the current methods used to manage allergic rhinitis Contrary to the widespread belief of medical personnel and the rest of the community we no longer have to grin and bear with allergies for life According to Dr Pang what used to control allergies now give way to the possibility of ridding allergic symptoms for life The identified allergen may be avoided in some cases or relief of symptoms may be sought via inhalers steroid nasal sprays or oral antihistamines However treating the cause of the allergy rather than its symptoms actually exists immunotherapy in the form of injections or drops administered under the tongue sublingual Immunotherapy works by the principle of desensitising the body to the allergen or re training it to not react or react differently and not manifest as symptoms Both methods are just as effective although sublingual immunotherapy SLIT would be the preferred choice as it does away with the need for weekly or monthly visits to the doctor for injections This helps patients save time and money says Dr Pang Is SLIT the cure Immunotherapy is the only cure for allergies as endorsed by the World Health Organisation WHO By what mechanism does SLIT desensitise the body to its identified allergen s According to Dr Pang as the drops are placed under the tongue for two minutes before swallowing the allergen enters the bloodstream via the numerous blood vessels under the tongue to the surrounding lymph nodes where the immune response of the individual to the allergen is slowly modified over time The beauty of this treatment is there are no drugs involved it works like a vaccine he says The sublingual drops used contain engineered protein based on the identified allergen s This method of immunotherapy has been a rousing success in treating allergies caused by inhalants such as dust mites pet dander or pollen this extends to symptoms other than rhinitis especially asthma Data over the last 10 years have shown that in two groups of asthmatic sufferers allergic to dust mites the SLIT treated group has continued to suffer very few asthmatic attacks compared to the control group even after 10 years with no treatment in between explains Dr Pang What does it involve So how do you prepare in terms of cost adherence to the programme and frequency of visits to your specialist if you decide to give SLIT a shot One of Dr

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/goodbye-allergic-rhinitis.html (2012-12-21)
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  • Testimonial: Stephanie Hoeftz (Germany) | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    Stephanie Hoeftz Germany Expat Living August 2007 I was suffering from severe allergies so my doctor at the International Medical Clinic suggested I make an appointment at HealthSense Dr PANG Yoke Teen took a detailed history examined me to confirm my symptoms and then did a skin test to see exactly what I was allergic to He recommeded immunotherapy which is a programme thart gradually desensitises you to your allergens In the past it was only available in injection form but now an oral preparation is available which makes things a lot easier Treatment can take over two years to work but after only six months I ve seen good results I no longer have to use a nasal spray or any other medication Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required Your Email Address Required Country Your Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Timor Leste Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Congo the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Holy See Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of Kuwait

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/testimonial-stephanie-hoeftz-germany.html (2012-12-21)
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  • Medical News: Celon Technique for Snoring | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    and stiffening of the treated region Likewise the procedure is also indicated for the shrinkage of nasal turbinates in the treatment of nasal congestion According to Dr Pang Yoke Teen senior consultant ENT surgeon at Centre of ENT Allergy Snoring HealthSense Specialist Clinic Paragon Medical Suites Singapore the bipolar electrode configuration of the RFITT applicator allows surgeons to be in better control of how much energy to deliver for precisely defined treatment In addition automatic dosimetry control by the CelonLab ENT power control unit ensures that coagulation auto stops to avoid excessive tissue burning and carbonization Often under diagnosed OSA affects one to 10 percent of the population Risk factors are obesity male gender age over 40 years and menopause in women Cardinal night time symptoms include loud snoring witnessed apnea restless sleep frequent toilet visits and awakenings due to gasping or choking or with a sense of anxiety In the day individuals may awake with a sore throat or dry mouth fatigue headaches and excessive daytime sleepiness Over time this may give rise to difficulty concentrating impaired memory personality changes and diminished libido More importantly unmanaged OSA poses serious health risks including hypertension heart disease stroke myocardial infarction sudden death and polycythemia and is associated with increased mortality Obese patients who present with a history of snoring enlarged tonsils swollen soft palate or a receding jaw should alert doctors to the possibility of excessive snoring and OSA advised Pang Initial management of OSA includes weight reduction in overweight persons and medication to relieve nasal congestion in those with nasal blockages Failure to improve may warrant invasive surgical interventions Increasingly RF reduction of the turbinates soft palate tonsils and tongue such as the Celon method is being employed for the management of mild to moderate OSA Other options include laser treatment and palate implants although the former has now been superceded by less costly and painful methods In Singapore Tan Tock Seng Hospital Singapore General Hospital Alexandra Hospital and some of the private ENT practitioners at HealthSense and Mount Elizabeth Medical Center are offering the RFITT Celon service The Celon probes used are semi disposable in most practices they are sterilized and given to patients for safe keeping should they require repeat procedures particularly for mild OSA Hence patients pay a one time probe charge regardless of the number of treatments required To date Pang has been using the Celon method in his ENT practice for the past 12 months with success rates of between 80 and 90 percent Having performed about 50 procedures with it I ve seen the most benefit in mild to moderate OSA involving tissues of the soft palate and nose It also works well for hyperplasia of the nasal concha Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required Your Email Address Required Country Your Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/medical-news-celon-technique-snoring.html (2012-12-21)
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  • Sleeping with the enemy? | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    stiffening of the treated region Likewise the procedure is also indicated for the shrinkage of nasal turbinates in the treatment of nasal congestion According to Dr Pang Yoke Teen senior consultant ENT surgeon at Centre of ENT Allergy Snoring HealthSense Specialist Clinic Paragon Medical Suites Singapore the bipolar electrode configuration of the RFITT applicator allows surgeons to be in better control of how much energy to deliver for precisely defined treatment In addition automatic dosimetry control by the CelonLab ENT power control unit ensures that coagulation auto stops to avoid excessive tissue burning and carbonization Often under diagnosed OSA affects one to 10 percent of the population Risk factors are obesity male gender age over 40 years and menopause in women Cardinal night time symptoms include loud snoring witnessed apnea restless sleep frequent toilet visits and awakenings due to gasping or choking or with a sense of anxiety In the day individuals may awake with a sore throat or dry mouth fatigue headaches and excessive daytime sleepiness Over time this may give rise to difficulty concentrating impaired memory personality changes and diminished libido More importantly unmanaged OSA poses serious health risks including hypertension heart disease stroke myocardial infarction sudden death and polycythemia and is associated with increased mortality Obese patients who present with a history of snoring enlarged tonsils swollen soft palate or a receding jaw should alert doctors to the possibility of excessive snoring and OSA advised Pang Initial management of OSA includes weight reduction in overweight persons and medication to relieve nasal congestion in those with nasal blockages Failure to improve may warrant invasive surgical interventions Increasingly RF reduction of the turbinates soft palate tonsils and tongue such as the Celon method is being employed for the management of mild to moderate OSA Other options include laser treatment and palate implants although the former has now been superceded by less costly and painful methods In Singapore Tan Tock Seng Hospital Singapore General Hospital Alexandra Hospital and some of the private ENT practitioners at HealthSense and Mount Elizabeth Medical Center are offering the RFITT Celon service The Celon probes used are semi disposable in most practices they are sterilized and given to patients for safe keeping should they require repeat procedures particularly for mild OSA Hence patients pay a one time probe charge regardless of the number of treatments required To date Pang has been using the Celon method in his ENT practice for the past 12 months with success rates of between 80 and 90 percent Having performed about 50 procedures with it I ve seen the most benefit in mild to moderate OSA involving tissues of the soft palate and nose It also works well for hyperplasia of the nasal concha Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required Your Email Address Required Country Your Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/sleeping-with-the-enemy.html (2012-12-21)
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  • Allergic Rhinitis | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    child often falls ill from colds or has regular runny nose mouth breathing noisy breathing or snoring then he or she should be evaluated for allergies Seeing a Doctor When one sees an ear nose and throat doctor a thorough history is taken This may be followed by a nose examination and or an endoscopy If allergy is suspected skin or blood test will be done The commonest allergen in this part of the world is the house dust mite Management of Allergic Rhinitis Avoidance if there was no exposure to the allergens then symptoms will not occur By reducing the exposure load the symptoms can be minimized This is however not entirely possible with dust mite allergy Medication If avoidance does not resolve the symptoms sufficiently medication may be needed A Nasal Spray Steroid Nasal Spray effective in controlling symptoms and is the most effective of the medication They are available in both the aqueous or power form eg Rhinocort both forms Anti Histamine Nasal Spray quick and effective has bitter after taste not widely available in Singapore Decongestant Spray Over the counter medicine for blocked nose need to be used sparingly eg oxymethazoline Side effects of dryness rebound effects and cardiac effects on prolonged use B Oral Medication Antihistamine effective in reducing symptoms The newer generation are less sedating and well tolerated This can be used for long term without much side effects eg Telfast Aerius Clarityne Zyrtec Antihistamine with Decongestant if blocked nose is significant this combination medication can be helpful eEg Clarinase Zyrtec D One should avoid taking this in the evening as the side effect is hyperactivity Decongestant Tablets Effective for blocked nose eg pseudoephedrine but has similar side effect of hyperactivity and palpitation Should not be taken for long term due to cardiac effects Steroids effective but has side effects with prolonged use This should be taken with the advice of a doctor Cromolyn Safe but benefit takes a while to occur Works by decreasing the activity of the mast cells More useful in allergic eyes than nose Anti Leucotriane useful when asthma is present as well eg Montelukast Pranlukast C Immunotherapy Specific This works like a vaccine to induce a tolerance by the body to protect against the allergen effects usually given in the injection or oral form In recent years the oral form sublingual immunotherapy SLIT has made a great impact in the management of allergy This is given under the tongue for and over time the body reacts less to allergens This has shown to be effective against dust mite pollens cats and dogs After a period on the SLIT usually one year allergy symptoms can be controlled upwards of 10 years With appropriate use of some of the mentioned medication and immunotherapy patient can now regain control of their quality of life for the long term Book an appointment with HealthSense Specialist Dr YT Pang to look at your ENT problems and get cured Search Quick Enquiry Name Phone Required

    Original URL path: http://www.entdoctor.com.sg/articles/news-paper-and-magazine-articles/allergic-rhinitis.html (2012-12-21)
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  • Snoring & Sleep Apnoea | ENT Doctor Singapore: Treatment of Ear Nose Throat Allergy and Snoring - Dr. Y T Pang at Health Sense Specialists
    for Sinusitis Sinus Sinusitis Balloon Sinuplasty Latest Technique in Sinus Treatment Ear Hearing Causes of hearing loss Hearing Aid Structure of the ear Noise Induced Deafness EAR WAX Children ENT Common Ear Nose Throat Problems in Children General Information NOSE BLEEDS Nose Cancer Salivary Gland Stones Thyroid TINNITUS Tonsils Adenoids CONTACT Snoring Sleep Apnoea Sleep Apnoea 5 Methods of Treatment Chinese Snoring More Serious than It Sounds Snoring Sleep Apnoea Snoring Sleep Apnoea Chinese Sleep Study Sleep Study Test in the Comfort of your Bed Outpatient Snoring Procedures Sleep Apnea Search Quick Enquiry Name Phone Required Your Email Address Required Country Your Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Timor Leste Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Congo the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Malvinas Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Holy See Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Republic of Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia the Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Federated States of Moldova Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New

    Original URL path: http://www.entdoctor.com.sg/articles/snoring-sleep-apnoea-articles.html (2012-12-21)
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