Our ENT center is providing accurate diagnosis and treatment of symptoms related to ENT and ophthalmic patients, both in adults and children. Covers the treatment and surgery in complex diseases With a team of doctors with expertise in ENT and Ophthalmology.

Our services

  • Diagnosis and treatment of all types of ENT related disorders

  • Examination of the larynx and diagnosing speech disorders

  • Hearing Check

  • Balance testing

  • Hearing rehabilitation

Sore throat

What is sore throat?

        Sore throat or pharyngitis is an irritation, pain, and feeling of scratchiness in the back of your throat. Pain could be felt when talking or swallowing.

Causes

• Viral infection such as common cold, flu, and COVID-19
• Bacterial infection – most common bacteria causing infection is Streptococcus pyogenes (group A streptococcus) called strep throat
• Allergies to pollen, dust mites, pets, molds, and other respiratory allergies
• Tonsilitis
• Pollution and tobacco smoke
• Yelling, prolonged talking, using loud voices
• GERD (Gastrointestinal reflux disease)
• Cancer – this involves hoarseness, difficulty swallowing, blood in phlegm, and prolonged sore throat

Symptoms

• Fever
• Stuffy nose
• Headache
• Fatigue
• Cough
• Hoarseness
• Runny nose
• Sneezing

Prevention

• Wash your hands regularly for at least 20 seconds after activities such as eating or using the toilet
• Avoid touching your face
• Clean items frequently used such as phones, doorknobs, light switches, keyboards
• Avoid sick people

Treatment

        Sore throat caused by virus usually resolves on its own within 5-7 days without treatment. For viral infection, antibiotics do not help. Symptomatic treatment includes using paracetamol or ibuprofen for relieving fever and pain, which can be stopped if symptoms are tolerable and relieved. Aspirin cannot be used in children or teenagers as it is linked to Reye’s syndrome. For patients diagnosed with bacterial infection, antibiotics must be taken as full course even if the symptoms have been relieved to ensure the bacteria causing the infection is eliminated.

When to see a doctor

        If you feel generally unwell, see your doctor to have your symptoms diagnosed and ensure appropriate treatment, especially children. If you have sore throat that lasts for more than a week and becoming worse with other symptoms such as hoarseness, difficulty breathing, difficulty swallowing, joint pain, fever higher than 38.3 degree Celsius, recurring sore throats, consult your doctor as soon as possible.

House Dust Mite Allergy

What is House Dust Mite Respiratory Allergy?

        House dust mite respiratory allergy is an allergy cause by house dust mites found in your home which is a core source of indoor allergen. House dust mites can cause respiratory diseases namely Allergic Rhinitis and Allergic Asthma. Both of which can have significant impact on quality of life and can be costly if left untreated. House dust mite are sensitized in about 70% in Thai people and can cause serious diseases. People with symptoms and such diseases are advised to screen for allergies they are sensitized to and confirm diagnosis by allergy specialist doctor in conjunction with medical history evaluation.

The two major species of house dust mites are Dermatophagoides pteronyssinus and Dermatophagoides farinae. Dust mites are adapted to live in similar living conditions to humans and are capable of fast reproduction, and while regular cleaning may help to reduce the concentration of mite in the home, it may be impossible to completely ‘eliminate’ mites from a household. They thrive on humid and warm mattresses, beddings, carpets, curtains, and furry surfaces. Current guideline recommends treatment to control symptoms and if possible use allergen immunotherapy to train body not to be allergic to house dust mites and have a chance to be cured.

Symptoms

        House dust mite can cause both upper and lower airway diseases, which are allergic rhinitis and allergic asthma respectively. Allergic rhinitis is linked to development of allergic asthma if left untreated. The two diseases are commonly known as one airway one disease.

Allergic Rhinitis

• Runny and blocked nose
• Itching
• Sneezing

Allergic Asthma

• Difficulty breathing
• Wheezing
• Coughing

Treatment

        Treatment is usually symptomatic for allergic rhinitis and controlling asthma symptoms however for patients with moderate or severe diseases with recurrence of symptoms, allergen immunotherapy can treat the root cause of house dust mite allergy in which the long-term medication for both allergic rhinitis and allergic asthma can be reduced.

Allergic Rhinitis

• Antihistamine oral and/or intranasal
• Intranasal corticosteroids
• Oral steroid as needed
• Surgery as indicated by an ENT doctor

Allergic Asthma

• Inhaled corticosteroids and Bronchodilators
• Oral steroid as needed
• Biologic agent for severe asthma
• Other medications such as leukotriene antagonist and PDE4-inhibitor

Allergen Immunotherapy

• House dust mite sublingual immunotherapy tablet (SLIT) taken once daily as fast dissolving tablet under the tongue for 3 years. Studies have shown reduction of symptoms for allergic rhinitis as soon as 8-12 weeks and significant reduction of asthma attacks (exacerbations)
• Subcutaneous immunotherapy requiring multiple weekly buildups during first 6 months and adjustment as needed, then administer subcutaneous injection once a month to complete 3-5 years course
• The goal of allergen immunotherapy is to cure house dust mite allergy and reduce medication needed to resolve symptoms and reduce level of symptoms to increase quality of life

When to contact a doctor

        For persistent symptoms of allergic rhinitis or currently taking asthma medication for allergic asthma, consult your ENT or allergy specialist doctor to correctly diagnose the driver of your allergy. Treating allergic rhinitis early can prevent risk of developing into allergic asthma.

For more information, please contact

EAR, NOSE & THROAT CENTER, 3^rd floor Thonburi Bamrungmuang Hospital

Telephone:  +66 2220 7999 ext.  83040