Posts for category: Otolaryngology
Find out what to do if you or your child develops an ear infection
Some ear infections can be downright painful, while others can go unnoticed (but still cause complications in the long run). It’s essential to spot the symptoms of an ear infection and recognize the signs that it’s time to turn to an ENT doctor for treatment. Here’s what you should know about ear infections,
What Are the Different Kinds of Ear Infections?
The ear is made up of the middle, outer and inner ear. Ear infections can occur in another of these three parts, but middle ear infections (otitis media) are prevalent. While a virus causes most ear infections, ear infections can also result from bacteria or fungi. Most children will develop an ear infection by the age of three.
What Are the Classic Signs of an Ear Infection?
Could you be dealing with an ear infection? Here are the telltale signs,
- Ear pain (often intense and throbbing)
- Pressure or fullness in the ear
- Limited hearing or hearing loss
- Ringing or humming in the ear
- Drainage from the ear
- Loss of balance
If your child is too young to tell you that they have an ear infection, it’s essential that you’re able to spot the warning signs,
- Pulling or tugging at the ear
- Pus or drainage coming from their ear
- Redness or swelling
- Increased fussiness or clinginess
- Crying or irritability that gets worse when lying down
- Trouble sleeping
Recognize these signs? If so, it’s a good idea to call your ENT doctor.
When Should I Turn to an ENT Doctor?
When it comes to an ear infection, you may be able to take a wait-and-see approach; however, if your earache is severe, you may want to turn to a doctor who can ease your symptoms until the body fights the infection. Of course, you may want to turn to an ENT doctor if,
- You notice flaky skin along with the symptoms above (these can be signs of a bacterial infection)
- An itchy ear along with the symptoms above (itching is often a sign of fungal infection)
- You develop an ear infection after swimming, water sports or if you’re living in a tropical or subtropical climate (this puts you at risk for fungal ear infections)
- You notice changes in hearing or hearing loss
- You are dealing with severe pain
- Your symptoms don’t improve within three days
- You develop a fever over 100.4 F
- You or your child is dealing with recurring infections
How Is an Ear Infection Treated?
Antibiotics or antifungals will be prescribed to treat the infection if you are dealing with a bacterial or fungal infection. These types of infections will not clear up on their own. The body will fight ear infections caused by viruses; however, we can still provide you with ways to ease pain and manage symptoms until the infection goes away.
If you’re dealing with a severe earache or your child is dealing with multiple ear infections a year, it’s time to turn to an ENT doctor that can provide you with the specialized, custom treatment you need.
Having trouble breathing or catching your breath can certainly be a cause for concern. While it’s normal to be out of breath after an intense workout there are times when symptoms such as chest tightness, persistent coughing, wheezing and trouble breathing appear and any of these symptoms are usually signs that something more serious is going on.
As you might imagine, most breathing problems are associated with lung or respiratory conditions. These are problems that an otolaryngologist can easily help you treat or manage. Common lung conditions that can affect breathing include:
Asthma: a chronic condition that affects millions and causes inflammation and airway constriction, which results in coughing, wheezing and chest tightness. Symptoms can range from mild to life threatening.
Pneumonia: an infection of the respiratory tract that causes inflammation and fluid buildup in the lungs. It’s important to see an otolaryngologist immediately for treatment, as untreated pneumonia could be dangerous (and also highly contagious). Symptoms of pneumonia include:
- Shortness of breath
- Shallow breathing
- Productive cough, often with yellow or green mucus
- Chest pain that occurs when breathing deeply or coughing
- Muscle aches
- Sweating and fever
- Loss of appetite
Chronic obstructive pulmonary disease (COPD): this is a group of chronic inflammatory lung diseases that cause airway obstructions within the lungs. The most common types of COPD are chronic bronchitis and emphysema, a condition that most often occurs in smokers. Common symptoms of COPD include:
- Mucus production
- Persistent cough
- Trouble breathing
- Chest tightness
This is a progressive condition that will make breathing even more difficult as the condition advances. It’s important to see an ENT doctor right away if you notice any symptoms of COPD. Early symptoms include exercise-induced rapid breathing, a persistent cough, and clearing your throat often (usually in the morning).
Lung cancer: this type of cancer develops anywhere in the lungs, allowing abnormal cells to multiply until a tumor forms. While many people who develop lung cancer are smokers, this form of cancer can also develop in those who have never smoked a day in their life. Early warning signs of lung cancer include:
- Vocal changes
- Chronic cough
- Bloody mucus when coughing
- Shortness of breath
- Feeling weak
- Unexpected weight loss
Since the early warning signs associated with lung cancer can also be caused by other respiratory conditions it is important to turn to an ear, nose, and throat doctor who will be able to perform the proper diagnostic tests to determine the cause of your symptoms.
If you are having trouble catching your breath it’s important that you find out why this is happening to you. Call your ENT doctor today for an evaluation.
Dealing with an earache can be quite painful. Children are often more likely to develop ear infections than adults, which is why it’s important to understand why ear infections happen and how to spot the warning signs. After all, the majority of children will experience at least one ear infection by the time they turn three years old.
Causes of Ear Infections
Within the ears lie Eustachian tubes, which are small passages that connect the middle ear to the back of throat. Every time you yawn or swallow the Eustachian tubes open, which is why when an ear infection occurs this causes pain and pressure whenever you sneeze or swallow. During an infection, the Eustachian tube either swell or become blocked, which causes fluid buildup within the middle ear.
There are many things that can cause an ear infection but the most common causes include:
- Changes in air pressure
- Common cold
As we mentioned above, children are more likely to experience ear infections because they have narrower Eustachian tubes. Children are also more likely to develop ear infections if they are dealing with another illness or infection such as a cold, are exposed to smoke or experience changes in climate or altitude.
Symptoms of an Ear Infection
Unfortunately, young children can’t always tell us when they are experiencing an ear infection; however, there are signs you can lookout for. A classic sign is pulling or tugging at the ear. You may also notice that your child is fussier than usual or cries when lying down. Your child may also become clingier.
If you notice pus draining from the ear or if your child is displaying sudden symptoms of hearing loss (e.g. not responding to vocal cues or sounds) then it’s time to bring them to an otolaryngologist as soon as possible. If your child’s ear infection is accompanied by a fever over 102 degrees F, it’s also important that you seek immediate medical care.
Of course, older children will be able to complain about pressure or pain in their ear, common signs of an infection. The pain may be dull and achy or it can be sharp and stabbing. Any ear pain warrants seeing an ENT doctor just to be on the safe side.
Treating Ear Infections
A simple ear exam is often all that’s needed to be able to diagnose an ear infection. While some ear infections will clear up on their own sometimes your ear, nose & throat doctor will provide you with antibiotic drops or even drops to help soothe pain. Children under 2 years old who have an ear infection will likely receive antibiotics.
Dealing with an ear infection? Think your child may have an infection? If so, an ENT doctor is the right person to turn to when these infections start brewing.
It’s normal to experience bouts of dizziness if we are stressed, taking certain medications or haven’t eaten in a while; however, what might be going on if your dizziness persists? Dizziness isn’t an uncommon symptom. In fact, most people will experience dizziness that is serious enough to warrant seeing a doctor. While you may visit a family physician to find out what’s going on, don’t be surprised if you end up being referred to an ear, nose & throat doctor.
What causes dizziness?
Dizziness refers to a serious of sensations that make you feel lightheaded, off balance, unsteady or feeling like the world around you is spinning (vertigo). Sometimes dizziness may be accompanied by nausea and vomiting, particularly during more severe episodes. These symptoms can be unnerving but an otolaryngologist can often help.
The most common causes of dizziness that we see include:
Benign paroxysmal positional vertigo (BPPV): This problem affects the inner ear and can lead to persistent episodes of vertigo. Symptoms usually last no more than a minute and will typically come and go. Unfortunately, there often is no cause of BPPV; however, sometimes migraines or inner ear damage may be to blame. Sometimes this condition will go away on its own but an ENT doctor can also provide you with treatment options such as physical therapy that can get rid of symptoms sooner.
Vestibular neuronitis: Inflammation of the eight cranial nerve, known as the vestibular nerve, results in severe vertigo episodes that may cause you to lose balance. This condition can also cause nausea and vomiting. Symptoms usually last anywhere from 7 to 10 days and become milder over the course of several months. A viral or bacterial infection is usually to blame for inflammation of the vestibular nerve.
There are certain medications that can be prescribed by an ENT specialist to help lessen the severity and duration of your symptoms. Sometimes a special type of physical therapy is performed to treat this condition.
Labyrinthitis: This inner ear disorder occurs when one of the two vestibular nerves becomes inflamed. Along with dizziness, vertigo, tinnitus (ringing in the ears), and nausea you may also lose hearing in one ear. Any changes to your hearing warrant immediate medical attention. Viral, respiratory, and bacterial infections can all cause this disorder.
Medications such as corticosteroids, sedatives and antihistamines may be prescribed to help with your symptoms. Just like with vestibular neuronitis, a type of physical therapy known as vestibular rehabilitation therapy (VRT) may also be recommended.
Meniere disease: This progressive inner ear condition also causes similar symptoms to labyrinthitis including tinnitus, hearing loss, pressure in the ears, and dizziness. Symptoms will gradually get worse over time, and these attacks may also cause a rapid pulse, blurry vision and anxiety.
While there is no cure, there are treatment options that can effectively manage your dizziness and also reduce fluid in the ear. Medications such as steroids, motion sickness medicines, and diuretics are often used, as well as rehabilitation, therapy, hearing aids, and sometimes surgery.
If you are dealing with dizziness or any other warning signs of an ear problem it’s a good time to turn to an ENT doctor who can help you find the right treatment to get you back on two steady feet again.
When you or a family member presents with a respiratory infection it’s rather difficult to be able to tell which one it is. This is because many of them share similar symptoms. So how do you know whether you are dealing with tonsillitis, the influenza virus, or strep throat? Turning to an otolaryngologist can give you the answers and the relief you’re looking for.
What is tonsillitis?
The two lymph nodes located on both sides of the back of the throat are known as tonsils. They are the body’s first defense against preventing infection; however, even tonsils can become infected and when they do this is known as tonsillitis.
Tonsillitis can happen to anyone but is more common in children and teens. Tonsillitis is contagious, so it can easily spread if you come in contact with someone who is infected. There are three main types of tonsillitis: acute, chronic and recurrent. Most children will develop acute tonsillitis at least once during their lifetime.
What are the symptoms of tonsillitis?
Symptoms of tonsillitis may include:
- A severe sore throat
- Trouble or pain with swallowing
- Persistent bad breath
- Swollen, tender lymph nodes of the neck and jaw
- Red, swollen tonsils
- White or yellow spots on the tonsils
Symptoms of acute tonsillitis usually go away within 7-10 days; however, if symptoms keep coming back throughout the year then your child could very well be dealing with recurrent or chronic tonsillitis. It’s important that if symptoms of tonsillitis worsen or return that you see an ENT doctor.
Furthermore, it isn’t always easy to tell whether a sore throat is the result of a cold, tonsillitis or strep throat; however, sore throats caused by colds are usually mild and will get better within a couple of days. This type of sore throat will often be accompanied by other cold symptoms such as a runny nose.
If your sore throat is caused by tonsillitis or strep the pain will be severe and can make it difficult to swallow. Those with tonsillitis may experience pain located in the back of the throat, where the tonsils are located. In order to diagnose a strep throat your doctor will need to swab the back of the throat to look for bacteria.
How is tonsillitis treated?
Acute tonsillitis will go away on its own but rest and home care can go a long way to relieving symptoms; however, if tonsillitis is caused by a bacterial infection such as strep, your doctor will need to prescribe a round of antibiotics.
If your child is dealing with chronic or recurring tonsillitis then you may want to talk with your ear, nose and throat doctor about the benefits of having their tonsils removed (known as a tonsillectomy). This is a simple surgical procedure that can often be performed right in your otolaryngologist’s office.
If your child is dealing with severe throat pain and you’re worried that they could have tonsillitis then call your ENT specialist today for an immediate evaluation.