Skip to main content

Lesson from Kerala floods : Human activities, climate change has disastrous effects on environment

  Lesson from Kerala floods : Human activities, climate change has disastrous effects on environment   Sagaya Fernando Mumbai: 19 October 2021   Overexploitation of natural resources and haphazard development by humans has led to climate change, resulting in long-lasting consequences on the environment. This is increasing health hazards and natural disasters, and more, day by day. The torrential flooding being witnessed recently in the state of Kerala in India is a prime example of this, say many experts.   This is not the first time that Kerala, a state of 34 million people, has been devastated by floods. It saw the worst floods in a century in 2018 when severe rains caused flash floods and landslides, killing nearly 500 people and leaving a million homeless. The following year, more than 125 people were killed in flash floods and landslides across the state. More than 50 were killed in August last year after landslides struck the hilly Munnar region.   The latest spell of torrential

Doctors remove button from 22-year-old’s nose stuck there for almost 20 years!

Sagaya Fernando
Mumbai: 7 January 2019

In a bizarre case, doctors at BR Life SUT Hospital at Thiruvananthapuram, Kerala in India, removed a plastic button lodged in the nasal cavity of a 22-year-old woman. The young woman was having acute breathing difficulty and there was a foul smell emanating from her nose for the last twenty years. 

It is believed that the button got lodged in her nose when she was aged one or two years. The difficulties increased as she grew.

Though her parents tried all possible treatments, none of them gave her relief. Recently, she decided to try her luck with the ENT department of BR Life SUT Hospital. 

Dr Ammu Sreeparvathi, the Associate Consultant at the hospital’s ENT Dept, found that the growth inside the patient's nose and the bad smell from it was very unusual and went for detailed investigations, including a scan.

She felt sure that there was a ‘foreign body’ inside that growth and conducted a Rhinolith surgery to remove it.

 “The patient had approached me on December 12 with complaints of halitosis for many years, and as her marriage was at the end of the month her relatives had thought it fit to get the condition treated before that. As she had this complaint since many years she was shown to local hospitals and evaluated in dental, gastro-medicine and ENT departments. According to the patient she was always given multiple courses of antibiotics as it was considered as sinusitis, with which she had temporary relief for few days following which halitosis re-occurred,” said Dr Sreeparvathi.

She added, “On examination, her oral cavity and oropharynx were within normal limits. Her nasal cavity showed unilateral (right) mucoid discharge. A diagnostic nasal endoscopy was done and mucoid discharge was suctioned out and a greyish mass was seen. On palpating it with a probe it was found stony hard (rhinolith) and painful for the patient.” 

“As this was unusual for a 22-year-old, a CT PNS was suggested”, said Dr Sreeparvathi.

The CT scan conducted by consultant radiologist Dr Manju Annie Rajan revealed a rounded foreign body with surrounding dense irregular calcific margins, measuring 16 mm x 18 mm x 6 mm in the posterior aspect of the right nasal cavity.

In the light of the findings the patient and her family members were enquired regarding any history of insertion of foreign body in the nose but neither the patient nor the relatives had any memory of such an incident.

“The Endoscopic Rhinolith removal under general anaesthesia was carried out on December 13. The procedure lasted for about 45 minutes. On endoscopy the choana of the right nasal cavity was not visualised due to the mass. For easy maneuvering the inferior turbinate on the right side was outfractured and the rhinolith was broken into pieces and removed with Tilley forceps, wherein a blackish-brown foreign body was noted within the rhinolith and was maneuvered out with a LUCS forceps and removed completely,” said Dr Sreeparvathi.

When it was removed, the pus collected for long drained out. After removal, the foreign body was identified as a button measuring 1.7 cm diameter with 6 mm thickness at centre portion.

“The area, where the button had got lodged, had granulation and minimal bleeding was noted. Multiple saline washes were given post-procedure and hemostasis achieved. The patient was stable post-operatively and discharged the very next day with oral antibiotics and nasal wash,” said Dr Sreeparvathi.

After the button was removed, the patient her relatives were surprised and relieved. The patient was in a shock as she had never expected a button to be in her nose for so long with no memory of inserting it.

“A week after the surgery, the patient was reviewed. She is very happy as her halitosis and the foul smell surrounding her had disappeared and was confidant to step into marriage bliss,” informed Dr Sreeparvathi. 


Popular posts from this blog

Doctors remove 1 kg hairball from 6-year-old girl who weighed only 14 kgs

Video Link :- Sagaya Fernando Mumbai: 18 September 2018 In a very rare medical case, doctors in India removed a lump of hairball weighing 1 kg and about a meter long from the stomach of a 6 year-old-girl who was suffering from trichophagia along with wheat allergy. The girl from Dad village on the outskirts of Ludhiana city in Punjab, India, was diagnosed with wheat allergy in April this year.  “Her parents brought her to me in the last week of August with severe abdominal pain and a lump in the stomach. They also informed that she has been eating her hair, which in medical terms is called trichophagia,” informed Dr Daljit Singh of Anmol Hospital, Ludhiana, who conducted the surgery. He further added, “She was very underweight and weak for her age. Though she was 6 years old, she weighed only 14 kilograms.” “We got an ultrasound test done which showed some mass in her stomach. Because of her history of e

In a rare surgery, underdeveloped fetus removed from a 20-days-old infant in India

In a rare surgery, underdeveloped fetus removed from a 20-days-old infant in India Story by Sagaya Fernando Mumbai:  March 14, 2018 In a rare case of foetus in foetu, a 20-days-old infant underwent surgery for removal of an underdeveloped foetus at Shalby Hospital in Ahmedabad – the capital of the state of Gujarat in India. The infant’s parents took him to the hospital on February 28 with an abnormal swelling in his abdominal area. Medical examinations revealed that the child had been suffering from the rare medical condition called retroperitoneal mature teratoma or foetus in foetu. The rare condition is defined as the presence of one of the twins in the body of the other. This condition occurs in one in five lakh cases and, only around 200 such cases have been recorded in medical history so far. Gastrointestinal Hepatobiliary Consultant and Liver Transplant Surgeon Dr. Bhavin Vasavada conducted the surgery. He said that the CT scan was showed the rare co

Snake rescuer bitten by venomous cobra lives to tell the tale

"Snake rescuer bitten by venomous cobra lives to tell the tale" For video click here:-  > Sumesh Rajan Mumbai: August 21, 2018 A snake rescuer in India almost paid with his life when a venomous cobra snake bit him while he was rescuing it. 35-years-old Tushar Patel of Dharampur town in Valsad district of Gujarat is lucky to be alive to tell his tale after being bitten by the venomous snake which he mishandled during the rescue. “For the past 14 years, I have been rescuing snakes in and around Dharampur. Till now I have rescued over 5000 snakes. Spectacled Cobra, Krait, Bamboo Pit Viper, Saw Scaled Viper and Russel’s Viper are some of the most poisonous snakes found in our area. On July 25, I got a call from workers in a scrap godown in Valod Faliya close to my house, about a Spectacled Cobra lurking there. I found the Cobra slithering near a parked car and was rescuing it when it suddenly bit me on my right ha