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Posts for category: ENT Care

By Missouri Ear, Nose and Throat Center
April 16, 2020
Category: ENT Care
Tags: Nasal Polyps  

 If you are having trouble breathing or have recurrent sinus infections, you may also have nasal polyps. Nasal polyps are noncancerous growths which hang down from the walls of your nasal passages or sinuses. You are at greater risk of having nasal polyps if you have:

  • Asthma or allergies

  • Allergic fungal sinusitis

  • Recurring sinus infections

  • Aspirin sensitivity

  • Cystic fibrosis

If you are at greater risk of forming nasal polyps, there is a lot you can do to prevent them. Remember to:

  • Get treatment to manage asthma and allergies and prevent inflammation of your nasal passages and sinuses.

  • Avoid tobacco smoke, fumes, dust, and allergens to prevent nasal irritation.

  • Wash your hands frequently to prevent transmission of virus and bacteria which can cause infection.

  • Use a humidifier to moisten the air in your home which keeps your nasal passages moist.

  • Use a saline solution to rinse your nasal passages and sinuses and to help remove irritating substances.

You may not experience any symptoms if you have small nasal polyps, however, larger nasal polyps can cause:

  • Breathing difficulties

  • Postnasal drip

  • Constant stuffiness

  • Loss of smell or taste

  • Headaches or facial pain

  • Chronic inflammation in your sinuses (sinusitis)

  • Frequent nasal or sinus infections

  • Snoring or sleep apnea

Fortunately there are effective treatments for nasal polyps. Your doctor may suggest:

  • Medications to shrink the size of the polyps or eliminate them; some common medications include:

  • Nasal corticosteroid spray to reduce inflammation

  • Injectable or oral corticosteroids in addition to spray

  • Antihistamines to reduce inflammation from allergies

  • Antibiotics to treat chronic sinus infections

For larger nasal polyps that don’t respond to treatment with medications, surgery might be indicated. Surgery is performed endoscopically using an endoscope with a camera attached which is inserted into your nostril and guided up your nasal passages into your sinuses. Tiny instruments are used to remove the polyps or other growths interfering with breathing.

Call your ENT today and start breathing better tomorrow!

By Missouri Ear, Nose and Throat Center
March 16, 2020
Category: ENT Care
Tags: Sore Throat  

A sore throat will happen to most people, and while this is usually the result of an infection, if you are dealing with persistent or recurring symptoms, you may be wondering when it might actually be time to see an ENT specialist.

Contagious infections are usually the cause behind most sore throats and these infections are either viral or bacterial. Sinus infections can also cause sore throats, particularly if you are dealing with postnasal drip. If you battle allergies to mold, dust, pollen, or pet dander, then you may also experience a sore throat along with a stuffy or runny nose, itchy eyes, and sneezing.

The most common viral infections to cause sore throats include everything from a simple cold and flu to whooping cough and mononucleosis (mono). Mono is one infection that can last weeks and cause severe symptoms including fever, chills, trouble breathing, and extreme exhaustion. If you suspect that your sore throat could be due to mono, it’s important that you see your otolaryngologist for treatment.

Bacterial infections can also lead to a sore throat, more particularly infections caused by the strep bacteria. These infections include pneumonia, sinus infections, and tonsillitis. Along with a sore throat, you may also experience a fever, red or white patches in the back of the throat, inflamed tonsils, and/or swollen lymph nodes in the neck.

Sometimes, your sore throat can simply be irritated, whether that be from the weather, environmental pollutants, or vocal strain. From shouting and singing loudly at a concert to mouth breathing at night, there are many scenarios in which the back of the throat can dry out and cause discomfort. This is usually something that will go away on its own and is usually nothing to worry about.

However, if you find that your sore throat is persistent and occurs most mornings when you first wake up, this could be a warning sign of acid reflux. Acid reflux causes partially digested food and acid from the stomach to flow back up into the throat, which can cause burning and irritation of the throat’s delicate lining. If left untreated, acid reflux can do serious damage to the throat.

If your sore throat is accompanied by vocal changes including hoarseness, trouble swallowing, or difficulty breathing, these issues require an immediate checkup from an ENT doctor, as they could be signs of a polyp, growth, or tumor on the throat or voice box.

If you have been dealing with recurring sore throats or symptoms that last anywhere from 7-10 days then you should seek care. An otolaryngologist will be able to diagnose and treat any and all conditions affecting the ear, nose, and throat, as well as the head and neck. If you are concerned about your sore throat, schedule an appointment today.

By Missouri Ear, Nose and Throat Center
July 01, 2019
Category: ENT Care
Tags: Asthma   Breathing Problem  

From outdoor allergies to asthma, there are many reasons why you or your child may be having trouble with your breathing. Breathing problems can be distressing and it’s important to understand when symptoms warrant seeing an otolaryngologist for a proper evaluation.

Common Causes of Breathing Problems

You may have trouble breathing if you are dealing with:

  • Common cold
  • Acute or chronic sinusitis
  • Asthma
  • Allergies
  • Deviated septum
  • Chronic obstructive pulmonary disease (COPD)
  • Emphysema
  • Bronchitis
  • Other upper respiratory infections (e.g. pneumonia)

While some conditions like the common cold will only cause mild and temporary symptoms, if you notice that your symptoms are serious, don’t respond to at-home care or are getting worse then it’s time to seek medical attention. After all, there are certain conditions such as sinusitis that can become chronic if not properly treated. An ENT doctor will know exactly what medications and treatments to offer to reduce sinus inflammation and to make breathing easier.

Chronic breathing problems, particularly those caused by allergies and asthma, may also be associated with:

  • Wheezing
  • Chest tightness or congestion
  • Nasal congestion
  • Itchy, watery eyes
  • Runny nose
  • Coughing that gets worse at night
  • Shallow breathing

Asthma symptoms are usually detected early in childhood; however, it is still possible for adults to be diagnosed later in life (known as adult-onset asthma). If you or your child are experiencing difficulty breathing and tightness in the chest made worse by cold air, stress, or exercise it’s important that you see an ENT doctor right away. While asthma cannot be cured it can be properly managed with long-term medication. Leaving asthma untreated could be harmful to your health.

Testing and Diagnosis

When you come into the office an otolaryngologist will have you fill out detailed information about your family and personal medical history. Your doctor will also perform a physical exam. Pulmonary function tests are often used to test lung function in those suspected of having asthma. Of course, there are other breathing tests such as spirometry. Your doctor will also ask you questions about the symptoms you’ve been experiencing in order to rule out certain conditions or illnesses.

The treatment plan you receive will depend on the issue you are dealing with. For example, acute sinusitis can often be managed with over-the-counter nasal decongestants and antihistamines while chronic sinusitis may require more aggressive treatment such as prescription steroid sprays, oral corticosteroids, and endoscopic nasal surgery to remove the blockage or to repair the deviated septum. Your otolaryngologist can help you get your breathing problems under control.

By Missouri Ear, Nose and Throat Center
June 03, 2019
Category: ENT Care
Tags: Breathing Problems  

Do you have breathing problems such as wheezing, shortness of breath, a chronically stuffed nose, or throat tightness? If so, you should seek a consultation with your local ENT physician. These doctors have numerous ways to diagnose and treat your breathing problems associated with the nose and upper airway so you can function well and get on with your daily life.

The symptoms of breathing problems

Breathing problems associated with asthma, pneumonia, COPD, or bronchitis usually differ from those stemming from the nasal passages, larynx, or trachea. For respiratory difficulty associated with the lungs, patients see a pulmonary specialist. For the upper airway, people see an otolaryngologist.

What are the symptoms of upper airway breathing problems? You may experience some or all of the following:

  • Wheezing which is noticeable to other people
  • Persistent coughing
  • Mouth breathing
  • Voice hoarseness
  • Fatigue to the extreme, particularly on exertion
  • Throat tightness
  • Constant nasal congestion and frequent nose blowing

What could be the cause?

According to Michigan Medicine, chronic or acute sinusitis (aka sinus infection) affects millions of people in the US. If left untreated, sinusitis leaves patients feeling fatigued due to the increased symptoms of coughing, congestion, and nose blowing.

Common causes for acute sinusitis include inflammation from allergies and exposure to viruses and bacteria from environmental pollution. Chronic sinusitis may stem from exposure to tobacco smoke, although it arises more commonly from nasal polyps, inflamed sinus turbinates, and deviated septums.

Diagnosing and treating breathing problems

As related to the upper airway, your ENT will ask you to describe your symptoms. Then, your nasal passages and sinuses will be examined with an endoscope, a thin, lighted tube which contains a small camera.

The otolaryngologist takes images of structures which could be obstructing your airway and causing your symptoms. Precise CT scanning gives the doctor more views of what's happening inside the air-filled cavities that we call sinuses.

Common treatments include steroidal sprays, oral steroids, antibiotics, allergy testing, pain treatment, and sinus surgery (a last resort option). Additionally, simple nasal irrigation with a Neti pot can flush out excess mucus, open passages, and reduce breathing difficulties.

Tackle your breathing problems

Your ENT doctor can help relieve your discomfort by listening to your symptoms, carefully performing a full assessment, and curating a treatment plan tailored to your needs. Make the call today!

By Missouri Ear, Nose and Throat Center
April 29, 2019
Category: ENT Care
Tags: Sinusitis   Sinus Surgery  

Do you find yourself dealing with persistent sinus infections? Have nasal congestion and facial pressure become the norm? If so, then it’s time to turn to an otolaryngologist who can provide you with the relief that you need! While acute sinusitis is usually nothing to worry about and will go away fully after a few weeks of treatment, chronic sinusitis often needs a more proactive solution. If you have been battling a sinus infection for over 12 weeks and it’s not responding to treatment, then it’s time to consider other treatment options. Read on to learn more!

How to Treat Chronic Sinusitis

One of the ways to treat chronic nasal inflammation and blockages is through a simple endoscopic sinus procedure. Unlike traditional surgery, this procedure is minimally invasive and doesn’t require major incisions or removal of bone or tissue.

While this procedure isn’t necessary for patients dealing with acute bouts of sinusitis, if you are someone dealing with a true chronic form of sinusitis, then it might be time to consider endoscopic sinus surgery.

When you come in for a consultation, an ENT doctor will perform a physical exam and talk to you about your symptoms. Common symptoms of chronic sinusitis include,

  • Nasal drainage
  • Nasal obstruction and congestion
  • Facial pressure or pain
  • Post-nasal drip
  • Frequent headaches
  • Reduced smell or taste

Along with a physical exam, an otolaryngologist will insert an endoscope (a small tube with a camera) into the nostrils to look for drainage, blockages, or signs of infection or inflammation. Sometimes a CT scan is necessary to diagnose your infection.

When it comes to treating chronic sinusitis, your doctor will first turn to non-surgical treatment options like prescription steroids, antibiotics, nasal sprays, or allergy treatments (e.g. antihistamines).

If these treatments aren’t giving you the symptom relief that you need, then we will talk to you about whether minimally invasive sinus surgery is the right way to treat your chronic sinus symptoms.

How Minimally Invasive Sinus Surgery Works

During this procedure, an ENT specialist will insert an endoscope into the blocked or inflamed nostril and guide it gently through the sinuses. There are different methods involved in this type of sinus surgery. Sometimes at the end of the endoscope is a camera, which allows us to carefully remove enlarged tissue to improve breathing. Any pus or signs of infection are also drained out. Once this procedure is performed, certain medications are prescribed for long-term management.

Balloon sinuplasty has become another popular minimally invasive sinus procedure because it does not require any tissue removal. Instead of a camera at the end of the endoscope, there is a deflated balloon that is inflated once it’s placed into the blocked or inflamed nasal cavity. As the balloon is inflated, it opens up the blocked passageway so it can properly drain. Then the doctor will clean out the sinuses with a saline solution to remove any remaining pus or bacteria.

Give Us a Call!

Minimally invasive sinus surgery is extremely effective at treating chronic sinusitis. If you are dealing with this condition, then it’s time to talk to your otolaryngologist about whether this procedure is right for you.