are my observations on E.N.T. problems :
of the Yemenis want ear ("Edoun"),
and throat ("Hanjara")
check up even if they have no symptoms.
Rhinitis though rare in Arabs, is found
in nomadic races especially in Yemenis.
most common nose symptom heard of in
Arabs is loss of smell ("Sham""Mush
tamaam"). Often it is
associated with loss of taste ("Taam""Mush
Tamaam") as well.
So common is this symptom of "Anosmia"
especially in Yemems, that if asked as a
leading question, it will be present in
nearly 30 to 40 percent of population.
There is hardly ever any organic cause
detected. Too much use of strong perfumes
and scents ("Attar")
may be responsible.
of adenoids and tonsils is extremely
common specially in Bahrain population.
Nearly every second or third Bahraini
visiting Bombay has hypertrophied
tonsils, though some of them have no
symptoms. Though excessive use of cold
drinks, icecreams, drinking refrigerated
water could be responsible, the other
factors appear to be :
and imbalanced diet.
upper respiratory tract
infections. These are so
common in Arab
population, that they do
not permit regression of
this Iymphoid tissue.
media and mastoiditis are very common in
Arab population. This is because enlarged
tonsils and adenoids result in frequent
attacks of cold and infection leading to
perforation of tympanic membrane which in
turn leads to otitis media and
headache has been discussed in the
chapter on "Common Symptoms".
of "tinnitus" ("Sareer")
is extremely common specially in
Bahrainis and Yemenis. Usually no organic
cause is detected.
and smoker's pharyngitis ("Assassiya
Hanjara") are very
common especially in Bahrainis. This
results in chronic cough.
I find so many Arabs specially Yemenis,
in whom uvula has been
"circumcised" by their doctors,
because of the symptom of chronic
persistent cough!! I am convinced that
these patients suffer from allergic
pharyngitis (and in my opinion a
pathological uvula cannot produce cough).
But after discussing with the doctors who
have performed these operations, I find
that they are sure that the
"pendulous, oedematous" uvula
is often responsible for producing
irritating cough. According to these
doctors, excessive use of voice,
recurrent pharyngitis and allergy to some
food products may be some of the factors
rhinitis is extremely common in all Arab
countries, surprisingly more common in
Bahrain. In the mild form, it presents as
watering of nose and frequent sneezing.
is very often encountered. Repeated
infections and allergy have probably some
role to play. Also it is possible that
because of extremes of climate, dry
weather, dust and sand, the nasal mucosa
has to work more.
is relatively more common in Arab
population. Apart from the hot climate,
dryness of the air and more exposure to
dust, the habit of frequently rubbing the
nose and putting the fingers in the nose
is possibly responsible for the symptom.
Mostly the bleeding is from the little's
nasal septum (D.N.S.) ("Aadam
Chidi") is an
extremely common condition in Arab
population. Past history of an accident
is very common in Arabs and injury to the
nose is frequent. Such patients need
plastic repair of the nose along with
of Oro-pharynx and larynx is very
uncommon in Arab population.
is my observation that the Arabs are very fond of
undergoing E.N.T. surgery. An Indian patient
seeks a second opinion if he is advised surgery
by an E.N.T. Specialist. An Arab patient seeks a
second opinion if he is not advised surgery.