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  • Thyroid, Common questions about Thyroid : Centre For Ear Nose Throat Allergy & Snoring
    the size of the thyroid and also to determine if you have any signs of abnormal thyroid function In addition the following tests are performed Thyroid function test Blood this will detemine the hormal status of the thyroid Ultrasound Scan this will document any abnormal enlargement of the gland It can determine the size and nature of this enlargement Sometimes the nature of the ultrasound can determine the diagnosis Nasoendoscopy This will help assess if the vocal cord are functioning properly as the thyroid is in front of the voice box Fine Needle Aspiration a small amount of cells can be aspirated from suspicious lump in the thyroid and this can be examine under the microscope to help determine the cause of the thyroid problem This is very much like blood taking It can help us determine if the lump is benign or malignant or if there is inflammation and hence the planning of definitive treatment What are the common thyroid diseases Thyroid diseases can be divided into the following categories Endocrine Disorders where thyroid either under or over produces the thyroid hormones Treatment is generally by medication either to replace deficient hormones or to suppress an overactive thyroid Occasionally surgery or administration of radioactive iodine is needed to reduce the hyperactivitity should medication not be effective Inflammatory Disorders such as Hashimoto s thyroiditis Dequervain thyroiditis Graves disease and Multinodular Goitre Typically the management is medical to support or suppress the hormonal level In situation where MNG is very large or causing compressive symptoms surgery may be required Tumours may be benign or malignant Tumours are fairly common in our population Up to 10 of the population can develop thyroid lump that can be felt or seen Of these the majority is benign 95 To determine if a lump is

    Original URL path: http://www.entdoctor.com.sg/articles/thyroid.html (2012-12-22)
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  • Allergy & Sinus : Centre For Ear Nose Throat Allergy & Snoring
    immediate or delayed form Often food allergy is the non immediate type They appear much later and make specialised tests necessary for diagnosis Symptoms caused by food allergy include eczema chronic cough nasal polyps phlgem in absence of infection chronic headaches etc Often the symptoms are nonspecific and the individual has seek numerous medical opinions without relief Managing Allergies On identification of the allergy a program for management of the allergy is proposed This include methods of avoidance medical treatment and where appropriate immunotherapy 1 Avoidance Often the cause of symptoms of allergy can be avoided or removed For example a particular food can be avoided or a pet can be removed from the home or kept away from sleeping area Some causes of symptoms cannot be eliminated but exposure can be reduced For example pollens dust mites and molds cause most allergies among adults and kids Environmental factors Modify environment to minimize the troublesome exposures Dust allergy Use high quality air cleaner HEPA Maintain low humidity No plush toys Avoid carpets and drapes upholstered furniture Allergen proof covers for mattress and pillows Wet mop and vacuum frequently Pet allergy Make the living space and the pets exclusive For example confine the pet to an area or getting someone to care for your pet Grass pollen allergy Wear mask when mowing grass change clothes after mowing pre treat with nasal spray or avoid the job totally Mould allergy Reduce humidity to reduce mould growth Reduce the number of house plants Don t let damp clothes sit in the washing machine dry the clothes immediately Dry bathroom walls after shower Install a bathroom fan and vent 2 Medication Medications are frequently used to decrease or eliminate allergy symptoms These include steroid nasal sprays steroid tablets and antihistamines Whilst they are effective

    Original URL path: http://www.entdoctor.com.sg/articles/sinus.html (2012-12-22)
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