My Blog

Posts for category: ENT

By Missouri Ear, Nose and Throat Center
July 15, 2019
Category: ENT

Do you feel like you’re constantly dealing with a stuffy nose? If so, you certainly aren’t alone. There are many people out there that feel like they can’t breathe properly due to nasal congestion. While this may be a frustrating problem and one that’s challenging to tackle on your own, an otolaryngologist can help you find the relief you need.

The two most common causes of persistent nasal congestion are chronic sinusitis and allergic rhinitis. ENT doctors are seeing more and more patients who are dealing with these conditions. In order to properly treat these conditions you should see an ear, nose and throat specialist who will be able to determine the cause of your symptoms so they can create an effective treatment plan.

What is allergic rhinitis?

If you are someone who is allergic to animal dander, dust or pollen then you may be dealing with allergic rhinitis. Being exposed to these common allergens can lead to inflammation of the nose and sinuses, which can make it difficult to breathe. Allergic rhinitis is a common condition affecting both children and adults in the US. Along with chronic nasal congestion you may also experience a runny nose, postnasal drip, coughing, itchy nose, or sneezing.

Some people experience symptoms all year round while for others their symptoms are seasonal. Seasonal allergies caused by pollen, dust mites, and cockroaches may flare up throughout the year with bouts of remission.

What is chronic sinusitis?

Most people will deal with sinusitis, or sinus infection, at least once during their lifetime; however, sometimes this condition doesn’t go away with simple at-home care and treatment. When symptoms persistent for more than 12 weeks and don’t respond to conservative care then this is considered chronic. The common symptoms of chronic sinusitis include nasal congestion or a blockage, nasal drainage, decreased sense of smell, and facial pressure.

It can be difficult to tell the difference between allergic rhinitis and chronic sinusitis. This is why it’s a good idea to visit an otolaryngologist if you are dealing with persistent nasal congestion that doesn’t go away with at-home care. Both of these conditions can be controlled through lifestyle modifications, prescription medication, minimally invasive procedures, and allergy shots. Your doctor will be able to sit down with you and discuss the different treatment options available to you.

By Missouri Ear, Nose and Throat Center
June 17, 2019
Category: ENT
Tags: Ear Infection  

You woke up with an intense and persistent pain in your ear. All sound is muffled and it feels like your ear is stuffed with cotton. These symptoms are likely due to an ear infection. While ear infections can happen to anyone, children are particularly prone to them. In fact, approximately three out of four children will deal with at least one ear infection by age 3.

An ear infection usually affects the middle ear. This is known as an infection of the otitis media, in which fluid and mucus block the tubes of the ears. This is why you’re having trouble hearing. While it’s easy to be able to describe symptoms you’re experiencing, it isn’t always easy for children, particularly little ones, to be able to tell you that their ear hurts.

So, how can you tell whether or not your child might have an ear infection? You’ll have to look out for:

  • Tugging or pulling at the ear
  • Increased crying, irritability, and fussiness
  • Trouble sleeping
  • Crying when lying down to sleep
  • Balance issues
  • Not hearing or responding to voices or sounds

If your child is displaying these symptoms it’s important to bring them in to see their otolaryngologist who will be able to examine the ear and determine whether there is an infection.

The good news is that many ear infections will go away on their own; however, our ENT doctors understand that sometimes the pain can be severe and unbearable, and you may need something to ease the pain until the infection goes away. We can certainly prescribe the right pain reliever if over-the-counter options aren’t working. In some cases, we may need to prescribe antibiotics to treat the infection.

Even though you may want to wait out an ear infection before bringing your child in, it’s important that you do visit your child’s otolaryngologist as soon as possible if their ear infection is accompanied by:

  • Loss of hearing
  • Discharge or blood coming from the ear
  • High fever
  • Severe drowsiness
  • Stiff neck
  • Nausea and vomiting

If your child is under 6 months old it’s important that you bring them in right away if you suspect that they have an ear infection. Otherwise, children dealing with minor symptoms that are over the age of 6 months old can often be treated with simple at-home care.

If you are unsure whether or not you should bring yourself or your child into the office, give our ENT practice a call and let us know the symptoms. We will be able to determine whether you will need immediate care or whether we should wait a couple days to see if the infection gets better on its own.

By Missouri Ear, Nose and Throat Center
April 18, 2019
Category: ENT
Tags: Mouth Sores   Sore  

Mouth sores or ulcers can certainly be painful when they occur, making it uncomfortable whenever you eat or drink anything. Luckily, most of the time the cause is truly benign and the ulcer will go away on its own without treatment. Of course, if this is a problem that occurs frequently or causes you significant pain than it’s worth talking to an otolaryngologist to find out what’s going on.

Causes of Mouth Sores

So, what could be causing these painful oral sores? Well, there are several things it could be:

  • Traumatic injury (e.g. biting your cheek)
  • Poor hygiene
  • Irritation from dentures, braces, or a sharp tooth
  • Burns
  • Oral thrush infection (a type of yeast infection)
  • Herpes simplex viral infection (causes cold sores that often develop on the mouth or lips)
  • Autoimmune disorder
  • Syphilis
  • Certain chronic diseases such as diabetes, inflammatory bowel disease, and HIV
  • Cancer of the lip

Sometimes adults suffer from aphthous ulcers (better known as canker sores), which are mouth sores that have no known cause. These sores can affect the mouth, gums or tongue and result in small whitish ulcers that can occur during times of emotional stress or around a woman’s menstrual cycle.

The Symptoms of a Mouth Sore

Along with a round ulcer or sore in the mouth, you may also experience pain and tenderness around the sore. The skin around the sore may also be inflamed. Certain foods, such as citrus or spicy foods, can cause further irritation.

Treatment Mouth Sores

If you are someone who is dealing with persistent mouth sores it’s important that you find out what’s causing your symptoms so you know the best course of action. In order to provide an accurate diagnosis an ENT doctor will perform a physical examination to inspect the sore. Based on its appearance a doctor can often decide what the sore is and how to treat it.

For example, if the ulcer is yellow and a bit larger this is usually caused by some sort of trauma to the soft tissue. If a fever is present, the ulcer may be the result of the herpes simplex virus. Sometimes blood tests or a biopsy is necessary to make a more accurate diagnosis.

As we mentioned, most sores will go away by themselves after a few days. Of course, there are other types of ulcers that may require treatment, especially if they are causing you significant pain. Simple conservative treatment options and care include:

  • Using an antiseptic rinse or gel
  • Taking pain relievers
  • Maintaining good oral hygiene
  • Avoiding spicy, sour, and citrus foods
  • Rinsing your mouth out with warm salt water

Certain ulcers, such as ones caused by the herpes simplex virus or oral thrush may require a prescription medication. This is why it’s a good idea to turn to an ENT specialist if you are dealing with mouth sores and don’t know what’s causing them.

By Missouri Ear, Nose, and Throat Center
January 14, 2019
Category: ENT
Tags: Sleep Apnea   Snoring   Fatigue  

Sleep Apnea symptoms can be treatedSleep apnea is one of the most common sleep disorders and yet it’s one that isn’t as often diagnosed since most people don’t even know that they have it. When someone has sleep apnea the airways collapse multiple times throughout the night. As a result, this causes interrupted breathing. Since not enough oxygen is getting to the brain you can imagine the many health issues this problem could cause if left untreated.

So, what are some telltale signs that you have sleep apnea?

One of the most common symptoms of sleep apnea is loud snoring. While not everyone who snores has sleep apnea, most sleep apnea sufferers are also frequent snorers. Along with snoring, your partner may also notice that you might gasp for air in the middle of the night or that your breathing is paused.

The sleep apnea sufferer will complain of extreme fatigue throughout the day. Even if you get enough sleep you may still find it difficult to get out of bed (or you may experience headaches in the morning). While most people feel tired at some point during the day, a true sleep apnea sufferer has intense exhaustion that doesn’t seem to let up.

Sleep apnea can make it more difficult for you to concentrate. You may find that you aren’t able to complete work as efficiently as you should. You may nod off at your desk or while driving home from work. Sleep apnea can be dangerous because it can increase your risk of injury.

How is sleep apnea treated?

It’s important to seek treatment as soon as possible to prevent health complications and other issues from happening. The most common treatment for sleep apnea is CPAP therapy. By placing this facemask over your nose and mouth as you sleep, it provides enough air pressure to keep the airways open and to prevent them from collapsing. This is the number one treatment option for obstructive sleep apnea.

Of course, sometimes an oral appliance device is all that you need if you only have minor or moderate sleep apnea. This device is custom-made to fit your mouth and can be used on its own or along with CPAP therapy to help you enjoy a better night’s sleep.

If you think you might have sleep apnea it’s important that you get this evaluated as soon as possible. Talk to our ENT doctor about how we can help you.

By Missouri Ear, Nose, and Throat Center
January 07, 2019
Category: ENT
Tags: Tonsillectomy  

What is a Tonsillectomy?


Need a tonsillectomy? Tonsillectomies have been practiced for over 2,000 years. A tonsillectomy is a surgical operation to remove the palatine tonsils. Tonsils are two glands located at the rear of the throat. Ear, Nose, and Throat Doctors, also known as an otolaryngologists, are highly experienced in tonsillectomies. Here's everything you need to know about tonsillectomies.

Why it's Done

A tonsillectomy is used to treat chronic or recurring tonsilitis, complications of enlarged tonsils, and bleeding of the tonsils. A tonsillectomy is also a treatment for sleep-disordered breathing and other rare diseases of the tonsils. The need for tonsillectomies are more common in kids than adults. However, people of any age can experience trouble with their tonsils and require a tonsillectomy.

The Procedure

Tonsillectomy is an operation in which both tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa. Once the patient is asleep, the surgery begins. An instrument is used to hold the patient's mouth open. The tonsils are then cut away with a laser, scalpel, or a heated instrument. Once the tonsils are removed and the bleeding is controlled, the surgery is over. The procedure is performed under general anesthesia, which is usually completed in 20 to 30 minutes.

Complications

A tonsillectomy is a common procedure. However, like with other operations, there are some risks with this procedure. These can include bleeding, infection, swelling, prolonged pain, or a reaction to anesthetics. Be sure to discuss your concerns with your physician before the procedure. Anyone who is contemplating surgery must weigh the potential risks against the benefits of the surgery.

Recovery Process

Tonsillectomies are usually performed on an outpatient basis, which allows the patients to go home once they are awake from surgery. Recovery time for a tonsillectomy is usually at least 10 days to 2 weeks. You may experience some pain as as recover from a tonsillectomy. You might have a sore throat after the procedure. Pain relief medication can help you feel better during recovery. Many people are ready to go back to work or school within two weeks after a tonsillectomy.

Post-Op Instructions

An appointment for a checkup should be made two weeks after the procedure. The most important thing one can do after surgery to prevent dehydration is to drink plenty of fluids. Try to drink non-acidic drinks. Soft foods such as gelatin, puddings, and mashed foods are helpful to maintain adequate nutrition. Spicy, hot, and coarse foods should be avoided because they may scratch the throat and cause bleeding. Bed rest is important for several days after the procedure. Strenous activities should be avoided for two weeks after surgery.


You don't have to suffer anymore. If you think you may need a tonsillectomy, talk it over with a board certified ENT specialist. Find an ENT specialist in your area and schedule an appointment today. A tonsillectomy can ease your symptoms and help you get back to a happy and healthy life!