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Posts for category: ENT Health

By North Texas Ear Nose and Throat
June 01, 2020
Category: ENT Health
Tags: Dysphagia  
You may take it for granted, but swallowing water, food, or saliva is actually a very complicated process. It requires vast systems of nerves and muscles working together. Patients that struggle to swallow normally have what is known as Dysphagia. This is not a stand-alone condition but a symptom of something else. It’s why you need to schedule an appointment with an Ears, Nose, and Throat specialist (ENT) right away. The elderly are especially at risk and can end up aspirating. 
 
The Swallowing Process
There are four distinct stages of swallowing. You do this hundreds of times every day without even realizing it. 
  • The oral preparation stage is where the food or liquid is made ready for swallowing. In terms of food, this means chewing your food. 
  • Next is the oral stage where the tongue moves food or liquid to the back of the mouth. This starts the swallowing process.
  • Then comes the pharyngeal stage, where the contents of the mouth go through the pharynx, throat, and esophagus. 
  • Last is the esophageal stage, where it transfers from the esophagus into your stomach. 
Symptoms of Dysphagia
Pay attention to these symptoms if dysphagia is suspected:
  • A constant feeling of something, either water or liquid, being stuck in the throat.
  • Problems controlling saliva production, i.e. drooling.
  • The sensation of a lump in the throat.
  • Discomfort in the chest or throat.
  • Coughing or choking when trying to swallow, drink, or eat. This is due to substances being pulled into the lungs. 
  • Difficulties sustaining a normal weight caused by swallowing interfering with nutritional intake. 
What Is Causing My Dysphagia? 
The most common cause is Gastroesophageal Reflux. This is a GI condition where stomach acid travels up the esophagus and pharynx. Other possibilities include: 
  • Tonsillitis or throat infections
  • Scarring or damage to the esophagus
  • Medication side effects 
  • Tumors in the lungs, esophagus, or throat
  • Nerve diseases like multiple sclerosis (MS), Parkinson’s disease, or amyotrophic lateral sclerosis (ALS)
What to Expect With Treatment
Your ENT specialist works with you to determine the cause of your dysphagia. Addressing the underlying condition can start a path to recovery. 
 
In some cases the cause is unclear. Your ENT will do everything possible to determine what is behind your dysphagia. They will ask you about the history of this problem and examine your throat. They might recommend a swallow test or various types of laryngoscopy. 
By North Texas Ear Nose and Throat
May 15, 2020
Category: ENT Health
Tags: Cholesteatoma  
CholesteatomaCholesteatoma is when this excess amount of earwax creates a skin cyst on the eardrum or eardrum retraction pocket.
 
The Causes Behind Cholesteatoma
 
Cholesteatoma develops for a few different reasons. The most common one is bad ventilation in the eustachian tube. This connects the middle ear to your throat, nose, and sinuses. It’s what controls the pressure behind your eardrum. When it fails to work correctly, it doesn’t drain the middle ear, retracting the eardrum and collecting earwax and skin cells. Allergies and colds can heighten your risk of developing cholesteatoma, as these can lead to eustachian tube dysfunction.
 
Symptoms of Cholesteatoma
 
Most of the time, patients don’t realize that what they are experiencing is a cholesteatoma. The condition is not painful unless an infection occurs. Patients should expect cholesteatoma if they experience these symptoms: 
  • Frequent earache
  • Dizziness
  • Recurring ear infections
  • Drainage of foul liquid from the ear, possibly bloody
  • Hearing loss
  • Ear feelings stuffy or full
If any of these sound familiar, let your ENT doctor know right away. 
 
Treating Cholesteatoma
 
The only way to treat cholesteatoma is by removing the cyst from the ear. This is accomplished through surgical intervention. The location of the cholesteatoma determines the type of surgery. The patient undergoes testing before anything is scheduled. An examination of the ear can reveal the cholesteatoma, but not to its full extent. The patient needs a CT scan to provide precise imaging of the ear anatomy. The ENT doctor will also perform an audiogram, known as a hearing test. This indicates how much damage the cholesteatoma has caused. 
 
Before surgery, follow any advice given by the ENT. The patient may receive medications that hinder the drainage, along with antibiotics to treat the infection. The procedure is typically performed in an outpatient facility. The surgery removes the skin and infection, along with reconstructing either the eardrum or hearing bones. 
 
If you think you may be dealing with cholesteatoma, it’s important that you schedule an appointment with your Ears, Nose, and Throat (ENT) doctor right away. 
By North Texas Ear Nose and Throat
May 01, 2020
Category: ENT Health
Tags: Hearing Aids  
Hearing loss is a widespread problem that affects large groups of people. It isn’t just caused by age, with younger people and children also being affected. It comes on gradually, with your hearing getting worse and worse. At a certain point, you need to consider investing in hearing aids. Before you talk to your Ears, Nose, and Throat specialist, educate yourself on the common signs of hearing loss. 
 
Do I Have Hearing Loss?
 
In most cases, the people around you will notice your hearing loss before you do. This is because you’ll start needing the things around you to be louder. The TV may sound quiet to you, but to others, it might be unnecessarily loud. They might also notice that they need to speak louder for you to understand them. 
 
Here are a few other common signs of hearing loss: 
  • People seem to be talking very quietly all the time
  • You find it difficult to follow along in conversations
  • Higher pitched sounds, like alarm clocks or birds, are harder to hear
  • Words with higher frequency consonants like f, t, s, p, and h are difficult to distinguish
  • You frequently ask people to repeat themselves
If you are experiencing any of these, schedule an appointment with an ENT. A hearing test can get you started on the right path. After taking the test, your doctor can determine what is causing your hearing loss and recommend hearing aids. 
 
Should I Get A Hearing Aid?
 
Hearing aids take normal sound and amplify it so that you can hear it. You’ll notice a major improvement in your ability to understand and converse with other people. 
 
Depending on your hearing test results, you may require one or two hearing aids. Binaural hearing is the ability to hear out of both ears. Sound reaches your ears at different times, letting you locate where a noise is coming from. You need binaural hearing to live a successful life. If both ears are showing lower levels of hearing, your ENT may recommend two hearing aids. Even if one ear hears better than the other, using two hearing aids improves the quality for the more affected ear. 
 
Contact a Professional Ears, Nose, and Throat Specialist Today
 
If any of the above experiences sound familiar to you, contact your local Ears, Nose, and Throat (ENT) specialist today. They can help evaluate your hearing and find a solution that works for you. 
By North Texas Ear Nose and Throat
May 17, 2019
Category: ENT Health

Situated in the middle of the lower neck, the thyroid is a small glad whose primary function is to regulate the body’s metabolism. When operating correctly, the thyroid continuously replenishes the hormones needed to properly convert consumed materials into energy. However, when this function becomes impaired, it can cause immense problems for your overall health. Read on to learn about some of the most common thyroid disorders and how treatment from your local ENT can help treat them!

Hypothyroidism

This condition occurs when the thyroid gland becomes unable to produce the necessary amount of thyroid hormone to correctly regulate the body’s metabolism. As you might expect, when the body experiences this shortage of hormones, the metabolism slows, an effect which can cause fatigue, weight gain, muscle, joint pain, and slowed heart rate.

  • Treatment: Hypothyroidism is treated through the prescription of levothyroxine, a synthetic hormone which effectively assumes the role of metabolism regulation. Under the careful eye of an ENT doctor, this treatment helps return you back to a healthy lifestyle!

Hyperthyroidism

While Hypothyroidism reduces the development of hormones, Hyperthyroidism increases it. With an overactive thyroid, the metabolism becomes accelerated, often causing weight loss, irregular heartbeat, increased appetite, and anxiety.  

  • Treatment: Much like Hypothyroidism, medication is often the preferred method in treating Hyperthyroidism. However, unlike Hypothyroidism, there are a number of different medication routes to take, the choice of which depends on factors such as a patient’s age, physical condition, and underlying Hyperthyroidism cause. Some of these medications include thyroxine, methimazole, propylithiouracil, and beta-blockers. If prescription drugs are not a possibility, thyroid removal surgery can prove necessary.

Thyroid Nodules

Nodules are small lumps that can form along the thyroid. Coming in both solid and fluid-filled forms, the great majority of nodules thankfully turn out to be innocuous and nonthreatening. However, some nodules grow to be so large that they become visibly noticeable and make both swallowing and breathing difficult. Additionally, a small percentage of thyroid nodules turn out to be cancerous.

  • Treatment: The proper route of treatment is totally dependent on the unique specifics of the nodule in question. For enlarged, yet benign nodules, either hormone suppression therapy or surgery are the best choices. Surgery is also the usual treatment option for cancerous nodules.

Concerned? Call Your Local ENT!

Thyroid issues can have immense consequences for your body if they are left unchecked. If you suspect that you may have a thyroid issue, set up a consultation with your local ENT physician as soon as you can!

By North Texas Ear Nose and Throat
March 19, 2019
Category: ENT Health
Tags: ENT   Head Surgery   Neck Surgery  

There are many ear, nose and throat problems that could benefit from surgery.Imaging can help with a diagnosis

While surgery is often something that most people hope to avoid, there are some situations in which your otolaryngologist may advise you as to whether your next step in your treatment plan is actually to get surgery. While non-surgical treatment is almost always the answer, surgery can also finally provide those chronic and severe sufferers with the relief they’ve finally been hoping for.

When you are dealing with any ear, nose or throat problems it’s always best to turn to an otolaryngologist to treat your symptoms. Whether you are dealing with tonsil problems or sinus issues, they can help get these conditions under control. While many of these health problems won’t require surgery, they may be necessary if traditional methods aren’t providing you with relief. These conditions include:

  • Hearing or balance problems
  • Chronic or persistent ear infections
  • Chronic sinusitis
  • Laryngitis
  • Thyroid problems
  • Obstructive sleep apnea
  • Tonsillitis
  • Esophagus problems

By seeking care from a medical professional right away an otolaryngologist can easily determine the cause of your condition so that they can create a treatment plan that will finally provide you with the relief you’ve been looking for. In some cases, diagnostic imaging (e.g. X-rays, CT scan) may be necessary in order to make a definitive diagnosis.

In most instances, the treatment plan you receive in the beginning will provide you with a list of conservative, non-surgical options for tackling and managing your symptoms. While many people will find that these plans work perfectly for them, there are some whose conditions are so severe or long-term that the best option is surgery.

Fortunately, ear, nose and throat surgery has come a long way over the years and now otolaryngologists can offer:

  • Both regular and endoscopic sinus surgery
  • Surgery to correct breathing disorders
  • Surgery to treat sleep disorders like sleep apnea
  • Surgery to remove infected tonsils
  • Surgery to correct congenital deformities

Whether you have questions about head and neck surgery or you are dealing with serious long-term sinusitis issues, it’s important that you have an ENT specialist that you can go to whenever you have questions, concerns or treatment needs.