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Posts for category: ENT

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!

By Missouri Ear, Nose and Throat Center
August 30, 2018
Category: ENT
Tags: face pain   sinus  

If you’ve ever suffered from a stuffy nose, facial pain, and pressure around the nose, cheeks, and eyes, or experienced postnasal drip (in which nasal mucus drains down your throat), then you’ve experienced a sinus infection before. A sinus infection, also known as sinusitis, occurs when the nasal passages become inflamed or irritated. Sometimes an infection can be so bad that the inflammation can actually block these airways. Acute forms of this infection often come about after a cold; however, those with nasal polyps or a deviated septum may be prone to recurring bouts of sinusitis.

 

Acute sinusitis can last anywhere from two to four weeks and the condition will often clear up by itself. Of course, sometimes it’s necessary to see an otolaryngologist for treatment. For example, it’s a good idea to call a specialist if you’ve been trying to handle your symptoms at home but they haven’t improved after a few days. You should also schedule an appointment if symptoms get worse.

 

To manage symptoms of acute sinusitis you may try over-the-counter decongestants and nasal sprays to help reduce inflammation and drain the sinuses. If these medications don’t improve symptoms within a couple of days then you may need a stronger medication such as corticosteroids. In some cases, antibiotics may actually be necessary to clear the infection.

 

Chronic sinus infections last more than 12 weeks and most sufferers experience the exact same symptoms as those with acute sinusitis such as nasal congestion, facial pressure, or a partial or complete blockage of the nasal cavity. It’s important that you visit an ENT doctor as soon as possible to find out what your treatment options are. In some cases, a prescription medication along with over-the-counter medications and alternative remedies can help ease symptoms until the problem subsides. In more severe cases, the patient may need to consider more aggressive measures.

 

In the past, the only option for those dealing with severe and chronic sinus infections was to undergo surgery. Luckily, technology has come a long way and now ENT specialists can also offer a simple non-surgical procedure known as balloon sinuplasty. No incisions or cutting is required; the only tool used is a small flexible tube with a deflated balloon at the end of it.

 

The tube is carefully guided into the obstructed nasal passage where the balloon is inflated to open up the airways and drain the sinuses. Once this occurs, the scope is removed but the airways remain open. The side effects from this procedure are minimal and most patients can return to their normal activities 2 days later.

 

Of course, sometimes it’s necessary to perform sinus surgery to effectively treat chronic sinusitis. To decide the right treatment option for you, it’s important to schedule a consultation with an otolaryngologist you trust.

By Missouri Ear, Nose and Throat Center
June 05, 2018
Category: ENT
Tags: Hearing Loss   Hearing Aids  

Maybe you didn’t even notice it but other members of your family pointed out the fact that you need to blast the TV in order to hear it or that you have to asked people to repeat themselves quite often. If people often sound like they are mumbling or difficult to understand then you could be dealing with hearing loss. Approximately 48 million Americans deal with some degree of hearing loss. If you are part of this statistic then it’s important that you turn to an otolaryngologist you can trust.

 

While you may not realize it, an ENT doctor is exactly the specialist you want on your side to not only diagnose your hearing loss but also to provide the hearing aid you need to improve your hearing. While a hearing aid is not designed to restore hearing it can help amplify certain sounds to make hearing much easier.

 

There are a variety of different hearing aid options available to you, and the style you choice will really depend on your goals, lifestyle, degree of hearing loss, budget and any special features you are looking for. Common hearing aids styles include:

 

Invisible-in-the-Canal (IIC): Just as the name suggests, this style of hearing aid is placed deep within the ear canal so it’s completely invisible. It’s a great option for those with mild-to-moderate hearing loss.

 

Completely-in-Canal (CIC): Also good for mild-to-moderate hearing loss, this style will allow the hearing aid to be completely invisible within the ear canal. The only difference is that a clear tab on the hearing aid is used to place and remove it.

 

In-the-Canal (ITC): A small portion of this hearing aid is visible but it is flesh-colored so it won’t be obvious to those around you. It’s a great style for those dealing with mild to severe hearing loss.

 

In-the-Ear (ITE): This style is also capable of handling a wide variety of hearing loss, from mild to severe. This hearing aid is custom-made to fit the outer area of the ear rather than sitting within the ear canal.

 

Receiver-in-Canal (RIC): This allows the speaker to sit within the ear canal where it is out of sight; however, the speaker is connected to the amplifier (which sits behind the ear) by wires rather than tubing. It’s a discreet option for those with mild-to-severe hearing loss.

 

Behind-the-Ear (BTE): This type of hearing aid allows the speaker to lie hidden within the ear canal. The speaker is attached to a clear, thin tube that is connected to the amplifier, which sits behind the ear. This is a great option for those with moderate-to-severe hearing loss.

 

It’s important to find the right hearing aid to fit your unique needs, and an ENT doctor can provide you with the quality hearing aid you’re looking for so that you can be part of the conversation again.