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Ear, Nose, and Throat Disorders

Ear, Nose, and Throat Disorders Online Doctors Consultation — page 2

61 questions

Experience the Precision of Evidence-Based Medicine in Managing Ear, Nose, and Throat Disorders Through Our Online Consultations Discover science-backed solutions for a variety of ENT disorders with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments for conditions affecting the ear, nose, and throat, ensuring timely and accurate guidance. We address issues such as allergic rhinitis, balance disorders, deviated nasal septum, ear infections, hearing loss, laryngitis, nasal polyps, pharyngitis, sinusitis, tinnitus, tonsillitis, and more. Through confidential and convenient consultations, our doctors help identify the root causes of your symptoms and recommend tailored treatment plans based on the latest clinical research. Early intervention is key to preventing complications and improving your quality of life. Whether you’re experiencing ear pain, nasal congestion, hearing difficulties, sore throat, frequent sneezing, or voice changes, our team is ready to provide expert support and solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with both free and paid consultation options available. Without the requirement for site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take the first step toward better ENT health—consult an evidence-based medicine specialist online today!

Questions about Ear, Nose, and Throat Disorders

How to stop a runny nose

30 days ago
100 INR (~1.18 USD)
1 answers

Woke up this morning, and my nose just won’t stop running. I thought maybe it was just a cold, but it’s been like this on and off for weeks now. Every time I step outside, my nose starts dripping like a faucet, and then when I come back inside, it keeps going. Sometimes, I can’t even breathe properly because of it. I’m constantly blowing my nose, and it’s getting so raw that it hurts. I don’t know if this is allergies or something else, but I really need to figure out how to stop a runny nose before I lose my mind. I tried antihistamines, thinking it might be allergies, but they barely help. I also used one of those decongestant sprays, and while it worked for a bit, I read that using them too much can make things worse. I don’t wanna end up with a rebound effect and make my nose even more stuffed up. Steam inhalation helped a little, but not for long. Drinking hot tea makes it feel better, but as soon as I stop, the runny nose comes back again. This isn’t just happening in the morning either. I’ll be at work, and out of nowhere, my nose starts dripping. It’s embarrassing to constantly be sniffling and wiping my nose. My coworkers probably think I have a permanent cold. But I don’t feel sick—no fever, no sore throat, just this runny nose that won’t quit. Could this be something like non-allergic rhinitis? I’ve never been tested for allergies, so I don’t know if I’m reacting to dust, pollen, or maybe something in my office. Another weird thing—I notice my nose runs more after eating spicy food, drinking coffee, or even when I go from a cold place to a warm one. Is that normal? I’ve also noticed that my nose feels really dry sometimes, like the inside is irritated, but at the same time, it keeps running. I thought maybe I should use a saline spray, but would that actually help or just make it worse? At this point, I need a real solution. What actually works for how to stop a runny nose when it’s not just a regular cold? Should I get an allergy test? Could this be something more serious like chronic sinusitis or even nasal polyps? And what’s the best way to deal with this without relying on medication all the time? Would really appreciate any advice, especially if anyone else has had a runny nose like this that won’t stop.


Dr. Evgeny Arsentev
28 days ago
Non-allergic rhinitis can be triggered by things like changes in temperature, spicy foods, coffee, or even environmental factors like dust or strong smells. It’s also possible that your nose runs more in certain environments, such as your office, due to irritants in the air. The dryness you’re feeling inside your nose may be a result of irritation from constant blowing or using decongestant sprays. Since antihistamines and decongestants haven’t provided lasting relief, I would recommend trying a saline nasal spray. This can help moisturize and clear the nasal passages without causing rebound symptoms like decongestants do. You might also want to try using a humidifier at night to keep the air moist. It would be a good idea to get an allergy test to rule out any sensitivities that could be contributing. Additionally, if the symptoms continue or worsen, it might be worth discussing with your doctor about the possibility of chronic sinusitis or nasal polyps.
Accepted response

kan mese voice aana

1 day ago
0 answers

Kan mese suiii aisa voice aa rha hai right Kan me se ,nak ki haddi tedhi hai aisa doctor bole, periods me bleeding 3 days hi ho rhi hai ,cbc kiya tb hb dikha rha, bar bar blood km hota hai muze dimorphic anemia hai


Ear Pain Reasons

27 days ago
1 answers

A few months ago, I started experiencing persistent ear pain, and at first, I thought it was just because of cold weather or mild irritation. However, over time, the pain became more frequent, sometimes sharp, sometimes a dull ache, and it even started affecting my sleep. At times, I also noticed a slight ringing sound in my ear and an odd sensation, almost as if my ear was clogged. I decided to do some research before going to the doctor, and I was surprised to learn that there are many possible reasons for ear pain, some of which I had never even considered. From what I found out, ear pain (also called otalgia) can be caused by infections, pressure changes, jaw problems, and even issues unrelated to the ear itself. The most common cause is ear infections, particularly middle ear infections (otitis media), which can happen due to bacteria or viruses, especially after a cold or sinus infection. But I was curious—how can someone tell if their ear pain is due to an infection, and what are the warning signs that an infection is getting worse? Another common reason for ear pain is swimmer’s ear (otitis externa), which happens when water gets trapped in the ear canal, allowing bacteria to grow. I do go swimming occasionally, but I never thought about water causing an infection in my ear. But I wanted to know—can using earplugs or drying the ears after swimming help prevent this type of infection? I also read that pressure changes, such as those that happen while flying or driving in the mountains, can cause ear pain due to barotrauma. My doctor explained that this happens because of pressure differences between the inside and outside of the eardrum, making the ear feel clogged or painful. But I was wondering—are there effective ways to relieve ear pressure quickly, and how can someone prevent ear barotrauma when traveling? One cause that surprised me was temporomandibular joint (TMJ) disorders, which can make the ear hurt even though the problem is actually in the jaw. People who grind their teeth (bruxism) or have misaligned bites often experience ear pain, jaw clicking, and headaches. This made me wonder—how can someone tell if their ear pain is due to TMJ instead of an actual ear problem? Another thing I found surprising was that earwax buildup can cause ear pain. If earwax becomes too hard or impacted, it can block the ear canal, cause discomfort, and even affect hearing. My doctor told me that using cotton swabs can actually push wax deeper, making the problem worse. This made me wonder—what’s the safest way to remove earwax, and when should someone see a doctor for earwax removal? I also read that throat infections, sinus infections, and even dental issues can cause referred ear pain. Since the nerves in the face, throat, and ears are connected, pain from an infected tooth or inflamed sinuses can sometimes radiate to the ear. But I was curious—how can someone tell if their ear pain is actually caused by a sinus or dental problem rather than an issue with the ear itself? One of my biggest concerns was whether ear pain can be a sign of something more serious, like a tumor or nerve condition. My doctor reassured me that persistent or severe ear pain, especially without infection, should always be checked by a specialist. But I was wondering—what are the red flags that indicate ear pain might be due to a more serious underlying condition? Lastly, I wanted to understand how to relieve ear pain at home. I read that warm compresses, over-the-counter pain relievers, and certain home remedies like garlic oil might help, but I wasn’t sure—are there specific home treatments that work best for different causes of ear pain? If anyone has experienced chronic or severe ear pain, I’d love to hear—what was the cause, and what treatments helped relieve it?


Dr. Evgeny Arsentev
26 days ago
Thank you for your comprehensive inquiry about your symptoms and concerns regarding ear pain (otalgia). I will break down your questions according to the EBM framework to provide you with evidence-based guidance and clarity. Clinical Summary: You have persistent ear pain characterized by sharp and dull sensations, disrupted sleep, occasional ringing (tinnitus), and a feeling of ear fullness or clogging. Your research has led you to consider various potential causes, including infections (otitis media and externa), barotrauma, TMJ disorders, earwax buildup, referred pain from dental or sinus issues, and concerns about serious health conditions. Etiology and Risk Factors: 1. Infections: - Otitis Media (Middle Ear Infection): Common after upper respiratory infections. High prevalence in children but can occur in adults, particularly if there are sinus issues or Eustachian tube dysfunction. - Otitis Externa (Swimmer's Ear): Often linked to water exposure. Risk factors include swimming, trauma to the ear canal, or humidity. 2. Barotrauma: Can occur during altitude changes, causing discomfort due to different pressure on either side of the tympanic membrane. 3. TMJ Disorders: Can present with ear pain due to shared nerve pathways; symptoms include jaw pain and clicking sounds. 4. Earwax Buildup: Typically occurs with improper cleaning methods. Impacted wax can occlude the ear canal, leading to pain. 5. Referred Pain: Throat, dental, or sinus infections can lead to referred ear pain due to shared nerve innervation. Warning Signs for Infection: - Severe pain, fever, drainage from the ear, hearing loss, or pain that does not improve with over-the-counter analgesics are concerning signs and warrant prompt medical evaluation. Prevention and Management: 1. Swimmer's Ear Prevention: - Use earplugs while swimming. - Dry ears post-swimming using a towel or tilted head to let water escape. This practice is supported by limited evidence but is commonly recommended to prevent moisture retention. 2. Barotrauma Relief Techniques: - Yawning, swallowing, or using techniques such as the Valsalva maneuver (pinching the nose and gently blowing while keeping the mouth closed) can help equalize pressure. - Medications such as pseudoephedrine may be advised to reduce congestion prior to travel. 3. Evaluating TMJ Disorders vs. Ear Issues: - TMJ pain may be associated with jaw discomfort, clicking, or changes in bite. A dentist or orthodontist may assist in diagnosis and management. 4. Earwax Removal: - The safest method is to avoid cotton swabs. Instead, consider irrigation methods with saline or water, or see a healthcare professional for safe removal. Only seek removal when experiencing symptoms of blockage (hearing loss, pain). 5. Red Flags for Serious Conditions: - Persistent pain without improvement, presence of neurological symptoms (weakness, facial drooping), unexplained hearing loss, or significant changes in balance should prompt immediate evaluation. Home Relief Options: For mild ear pain without other concerning symptoms, you could try: - Warm Compresses: Can help alleviate pain. - Over-the-counter Analgesics: Ibuprofen or acetaminophen can provide pain relief. Avoid unproven home remedies, like garlic oil, since they lack robust evidence and could potentially worsen certain conditions. Follow-Up Recommendation: Given the persistence and nature of your symptoms, I encourage you to schedule a visit with an ear, nose, and throat (ENT) specialist for further evaluation. They can conduct a thorough examination, possibly including audiology tests, and determine the most suitable course of action based on an accurate diagnosis. It’s vital to communicate openly with your healthcare provider about your symptoms, treatment responses, and any concerns regarding serious conditions you may have. Should you have further questions or require clarification on specific aspects, feel free to ask!
Accepted response

Otomycosis

26 days ago
1 answers

For the past few weeks, I’ve been dealing with itching and discomfort in my right ear. At first, I thought it was just a mild ear infection, but then I noticed some flaky skin and a weird discharge coming from my ear. When I finally went to the doctor, they told me I have otomycosis, which is apparently a fungal ear infection. I’ve never had an ear infection like this before, so I’m trying to understand how otomycosis happens. Does it only occur in people who swim a lot, or can it develop from something else like excessive ear cleaning or allergies? I do use earbuds often—could that have played a role? The doctor prescribed antifungal ear drops, but I’m wondering how long it usually takes for otomycosis to go away. Will the itching and discharge stop quickly, or does it take weeks to fully clear up? Also, is there a chance that the infection could spread to the other ear or deeper inside? I also read that otomycosis is more common in warm, humid environments. Does that mean I need to take extra precautions to keep my ears dry? Would using a hairdryer on a low setting after showers help prevent future infections? Another concern I have is whether otomycosis can come back after treatment. If someone has had otomycosis once, are they more likely to get it again? Is there anything I should do to keep my ears healthy and avoid fungal infections in the future?


Dr. Evgeny Arsentev
25 days ago
Otomycosis is indeed a fungal infection of the ear, and it can develop in several ways, not just from swimming. While being in warm, humid environments can increase the risk, other factors can contribute to its development. Excessive ear cleaning, particularly with cotton swabs or earbuds, can irritate the ear canal and disrupt the natural protective barrier, making it more susceptible to infections. Allergies may also play a role by causing inflammation that can affect the ear. Your use of earbuds could potentially contribute to this condition if they are not clean or if moisture gets trapped in the ear canal. It’s advisable to keep ear devices clean and to limit their use when experiencing any ear issues. Regarding the duration of treatment, antifungal ear drops typically take several days to start alleviating symptoms, but the total duration of treatment can vary. Most often, you should begin to see improvement in itching and discharge within the first week, but it may take longer to completely resolve, often up to two weeks or more, depending on the infection's severity. It's crucial to complete the full course as prescribed by your doctor, even if symptoms improve. In terms of the infection spreading, while it's generally localized, it is possible for it to affect the other ear or deeper structures in cases of severe or improperly managed infections. If you notice increased pain, fever, or more significant discharge, it’s imperative to contact your healthcare provider promptly. To help prevent future infections, keeping your ears dry is crucial. Using a hairdryer on a low setting after a shower can aid in drying your ear canal, but be sure to keep it at a safe distance and not too close to avoid any burns. Additionally, consider limiting moisture exposure in your ears. If you swim frequently, using earplugs can help prevent water from entering your ear canal. Otomycosis can recur, particularly if the underlying factors such as moisture retention or skin irritation persist. Maintaining ear hygiene is essential for prevention. Avoid inserting objects into your ears, as this can cause injury and facilitate fungal growth. If you have a known allergic condition that affects your ears, managing that with your healthcare provider's guidance can also be beneficial. You should monitor your symptoms closely and follow up with your doctor if you have any concerns during your treatment or post-treatment. If you find that the infection returns, discussing preventative strategies with your healthcare professional can provide additional tailored support.
Accepted response

Difficulty Swallowing

26 days ago
1 answers

For the past few weeks, I’ve been having a strange sensation when I eat or drink, almost like food is getting stuck in my throat. It doesn’t happen every time, but it’s becoming more frequent. Now I’m trying to understand what might be causing this difficulty swallowing and whether it’s something serious. From what I read, difficulty swallowing—or dysphagia—can be caused by things like acid reflux, nerve damage, or even muscle disorders. How do doctors determine the exact cause? Would I need tests like an endoscopy or a barium swallow study? I also saw that difficulty swallowing can sometimes be linked to anxiety or stress. Could this be a psychological issue, or is it always caused by a physical problem in the throat or esophagus? Another thing I’m wondering about is whether certain foods make difficulty swallowing worse. I’ve noticed it happens more with dry or solid foods but not as much with liquids. Does that mean it’s more likely related to a narrowing of the esophagus? If someone has difficulty swallowing, what treatments are available? Would medication help, or are physical therapy and dietary changes more effective? In serious cases, could surgery be needed? I just want to understand what’s normal and what’s not when it comes to difficulty swallowing. Should I see a doctor immediately, or is it okay to wait and see if it gets better on its own?


Dr. Evgeny Arsentev
25 days ago
Given your symptoms of increased difficulty swallowing, particularly with solid or dry foods, it is important to approach this situation carefully. Dysphagia can stem from various causes, and understanding the specific reason for your symptoms will require a thorough evaluation by a healthcare professional. 1. Possible Causes: The sensations you’re experiencing could be due to several factors, including structural issues like narrowing of the esophagus, esophageal motility disorders (where the muscles in the esophagus aren't working properly), or conditions like gastroesophageal reflux disease (GERD). Psychological factors such as anxiety can indeed contribute to or exacerbate swallowing difficulties, so a comprehensive assessment should evaluate both physical and psychological components. 2. Diagnostic Process: A medical professional would first conduct a detailed history and physical examination. To identify the exact cause of your dysphagia, they might suggest specific diagnostic tests, such as: - Barium swallow study: This imaging test evaluates how well you can swallow and reveals any structural abnormalities. - Upper endoscopy (esophagogastroduodenoscopy - EGD): This procedure allows direct visualization of the esophagus and stomach to look for any abnormalities, inflammation, or blockages. - Esophageal manometry: This test measures the rhythmic muscle contractions in your esophagus when you swallow, helping identify motility disorders. 3. Food Sensitivity: Your observation that dry or solid foods provoke more symptoms than liquids suggests a potential physical issue, such as esophageal narrowing or impaired motility. Liquid foods typically pass more easily, which can indicate that the issue may not be related to the throat muscles themselves but rather to the esophagus. 4. Treatment Options: Treatment plans depend on the underlying cause established through diagnosis: - Dietary changes: You may be advised to avoid dry or solid foods that trigger your symptoms. Introducing softer foods and ensuring adequate hydration can help minimize discomfort. - Medication: If GERD or inflammation is involved, medications like proton pump inhibitors or antacids might be recommended to reduce acid and alleviate symptoms. - Therapy: For certain motility disorders, speech or swallowing therapy may be beneficial to regain proper swallowing functions. - Surgery: In cases of severe narrowing or other structural abnormalities, surgical options may be considered to correct the issue. 5. When to See a Doctor: Given that your symptoms are becoming more frequent and causing discomfort, it would be prudent to see a healthcare provider sooner rather than later. They can assess your symptoms more accurately and determine if immediate evaluation or intervention is necessary. Any new, severe, or persistent symptoms should be evaluated promptly to rule out serious conditions such as esophageal cancer or significant obstruction. In conclusion, while your symptoms may be manageable now, the thorough evaluation by a physician will provide personalized insights and recommendations based on your unique presentation. Delaying an assessment might lead to worsening symptoms or complications, so it’s advisable to schedule an appointment as soon as possible.
Accepted response

Tonsil Pain

27 days ago
1 answers

For the past few weeks, I have been experiencing severe throat discomfort and pain, especially when swallowing. It started as a mild irritation, but over time, my tonsils became swollen and red, and I even noticed white patches on them. At first, I thought it was just a sore throat from a cold, but the pain kept getting worse, and my voice started sounding hoarse. I finally went to a doctor, who told me that I had acute tonsillitis, which was causing my tonsil pain. He said that my symptoms were likely due to a bacterial infection (streptococcus) or a viral infection, but he didn’t immediately prescribe antibiotics because he wanted to see if it would improve on its own. Instead, he recommended saltwater gargles, pain relievers, and warm fluids. At first, I followed his advice, but after a few more days, my tonsil pain became even worse—I developed a fever, difficulty swallowing, and ear pain. The doctor then put me on antibiotics, which helped somewhat, but I still feel like my throat hasn’t fully recovered. Now I’m wondering—how do you know when tonsil pain is serious enough to require medical treatment? Some people say that if tonsillitis keeps coming back, it might be necessary to remove the tonsils through a tonsillectomy. How do doctors decide if surgery is necessary, and are there any risks involved? Another thing that concerns me is whether tonsil pain is always caused by infection. I read that allergies, acid reflux, and even dry air can irritate the tonsils and cause discomfort. Could my tonsil pain be related to something other than an infection? If anyone has had recurrent tonsillitis, I’d love to know—did you eventually have to get your tonsils removed, or did other treatments work for you?


Dr. Evgeny Arsentev
26 days ago
Clinical Summary You present with a clinical picture consistent with acute tonsillitis, characterized by severe throat discomfort and pain during swallowing, swollen and red tonsils, and white patches, coupled with systemic symptoms like fever and ear pain. This aligns with the typical clinical manifestation of both viral and bacterial infections, particularly Group A Streptococcus (GAS). Your treatment thus far aligns with standard initial management for tonsillitis. Etiology and Risk Factors Tonsillitis can be caused by several factors: - Infectious agents: - Viral infections (most common, e.g., rhinoviruses, adenoviruses, Epstein-Barr virus). - Bacterial infections (primarily GAS, which can lead to complications if untreated). - Non-infectious factors: - Allergies, gastroesophageal reflux disease (GERD), and environmental irritants (e.g., dry air) can also contribute to tonsil discomfort but are less common causes of acute pain with tonsillar involvement. In your case, while it initially appeared infectious, it is indeed vital to consider and evaluate non-infectious causes if symptoms persist post-resolution of infection. Treatment Plan 1. Symptomatic Management: - Continue with analgesics like ibuprofen or acetaminophen for pain management. - Saltwater gargles and warm fluids can help alleviate discomfort. 2. Antibiotic Use: - Your physician appropriately prescribed antibiotics after further evaluation, as the presence of fever and worsening symptoms may suggest a bacterial cause. - It is essential to complete the full course of antibiotics as directed (usually penicillin or amoxicillin for streptococcal infections). 3. Monitoring Symptoms: - If symptoms persist or worsen after antibiotic treatment, reevaluation is crucial to rule out complications such as an abscess, which may require drainage or surgical intervention. 4. Surgical Considerations: - Tonsillectomy is considered for recurrent tonsillitis. Guidelines often suggest surgery after 7 episodes in one year, 5 episodes per year over two years, or 3 episodes per year over three years (as per the American Academy of Otolaryngology—Head and Neck Surgery). - Risks of tonsillectomy include postoperative pain, bleeding, infection, and dehydration. Patient Communication It’s normal to feel concerned about persistent symptoms. You can reassure yourself by knowing that bacterial tonsillitis typically responds well to antibiotics, but should symptoms continue, it’s essential to revisit your physician for a thorough assessment. For concern regarding non-infectious causes: If your throat discomfort does not resolve after treating for infections, it might merit a discussion with your doctor about evaluating for allergies, reflux, or other irritants. Don’t hesitate to seek a second opinion if symptoms persist or escalate. Each patient's experience and history are unique, so individualized treatment and monitoring are critical in managing tonsillitis effectively. If you have further questions or need additional guidance, please feel free to ask!
Accepted response

Mastoidectomy

26 days ago
1 answers

For the past few months, I’ve been struggling with chronic ear infections that just won’t go away. I’ve taken multiple rounds of antibiotics, but the pain, swelling, and occasional ear discharge keep coming back. A few weeks ago, my doctor ordered a CT scan and said I have something called mastoiditis. Now, they’re recommending a mastoidectomy, and I have no idea what to expect. From what I understand, a mastoidectomy is a surgery to remove infected parts of the mastoid bone behind the ear. But how serious is this procedure? Is it done only in severe cases, or is it common for people with recurring ear infections? I thought mastoiditis could be treated with antibiotics—why is surgery necessary in some cases? One of my biggest concerns is the risks of a mastoidectomy. Since the mastoid bone is close to the ear and brain, could this surgery affect my hearing or balance? Also, how long does the recovery take? Will I need to stay in the hospital, or is it usually an outpatient procedure? Another thing I’m wondering about is how the ear looks and feels after a mastoidectomy. I read that in some cases, part of the ear canal is removed or reshaped—does that mean my ear will look different? Will I have a visible scar? What happens if I don’t get the mastoidectomy? Is there a chance that the infection could spread and cause something more dangerous, like meningitis? I just want to know if this surgery is absolutely necessary or if there are other treatment options I could try first. Are there any long-term side effects of a mastoidectomy? Could it cause permanent dizziness or changes in my hearing? And what’s the success rate of this surgery—does it completely get rid of infections, or could they come back later?


Dr. Evgeny Arsentev
25 days ago
A mastoidectomy is indeed a surgical procedure typically performed to address chronic infections in the mastoid bone, especially when conservative treatments like antibiotics fail to resolve the condition. Let’s walk through your questions and concerns. First, it’s important to understand that a mastoidectomy is usually recommended when there are complications of chronic ear infections or mastoiditis, which can occur if the infection has spread or if there is significant damage to the mastoid bone. While antibiotics can treat many cases of ear infections effectively, some severe or recurrent cases may necessitate surgical intervention to remove the infected tissue and prevent further complications. Regarding the seriousness of the surgery, it is generally considered safe but, like any surgery, it does carry risks. Potential complications may include hearing loss, dizziness, or balance issues due to the proximity of the mastoid to the inner ear. While many patients experience improvement in their symptoms following surgery, it’s critical to discuss those risks with your healthcare provider to fully understand your specific situation. In terms of the recovery process, a mastoidectomy can be performed as an outpatient procedure, although some patients may require a short hospital stay depending on the extent of the surgery and their overall health. Generally, patients can expect a recovery period of several weeks, during which follow-up appointments will be necessary to monitor healing and manage any potential issues. Post-surgery, your ear may look and feel different. There could be some reshaping of the ear canal if needed, which might result in a subtle change in appearance. Scarring is also possible, though surgeons aim to minimize visible scarring through careful techniques. If you decide against the mastoidectomy, there is a risk that the infection could persist or worsen, potentially leading to serious complications such as meningitis or further structural damage to the ear or surrounding areas. This is one of the primary reasons your physician recommends surgery. Regarding long-term side effects, some patients do report changes in hearing, potential for persistent balance issues, or ongoing susceptibility to ear infections, but many experience significant improvement in their quality of life after recovery. The success rate of mastoidectomy is generally high, with many patients reporting resolution of chronic infections; however, a small percentage might experience recurrence. Ultimately, your best course of action is to have an in-depth discussion with your ENT specialist regarding the specific indication for your surgery, the potential risks versus benefits in your case, and any alternative approaches that may be available. It’s essential to weigh your concerns and preferences along with your physician's recommendations to make an informed decision about your treatment options moving forward.
Accepted response

Hearing Test

25 days ago
1 answers

For the past few months, I’ve been having trouble hearing certain sounds, especially when I’m in a noisy place. I can still hear, but sometimes voices sound muffled, and I have to ask people to repeat themselves. My family has been telling me to get a hearing test, but I don’t know what to expect. I don’t think my hearing loss is severe, but it’s definitely noticeable. Some days, it’s worse than others. I also have ringing in my ears from time to time, which is really annoying. Could that be connected to hearing loss? Would a hearing test be able to detect the cause of it? I’m also wondering if my past habits have affected my hearing. I used to listen to loud music with headphones almost every day, and I’ve been to a few concerts where my ears were ringing afterward. Could that have caused long-term damage? If so, is there any way to reverse it? What kind of hearing test should I get? I see that there are different types, like pure-tone tests and speech tests. How do they figure out if someone has hearing loss? Do they just play sounds and see if I can hear them, or is there something more advanced? Another thing I’m worried about is whether I might need hearing aids. If a hearing test shows hearing loss, does that automatically mean I need them? Or are there other treatments? I’m only 32, so the idea of wearing hearing aids is kind of scary. If I get a hearing test, what happens next? Do I need follow-up tests, or is one test enough to figure out what’s wrong? I just want to be prepared before I go to the doctor.


Dr. Evgeny Arsentev
24 days ago
It's understandable to have concerns regarding your hearing considerations and the potential impact of your previous exposure to loud sounds. Given your symptoms, it's indeed wise to pursue a hearing test. Here’s a clear outline of what to expect and the next steps you can take. 1. Hearing Testing Process: You’ll likely undergo a pure-tone audiometry test, which is the most common method to evaluate hearing. During this test, you’ll wear headphones and listen for sounds at various frequencies and volumes. You will be asked to signal when you hear a sound. This helps identify the softest sounds you can hear at different pitches. In addition, you may have a speech recognition test to assess how well you understand speech in quieter and noisier environments. 2. Tinnitus and Its Relation to Hearing Loss: The ringing in your ears, known as tinnitus, can be related to hearing loss, particularly if it occurs alongside difficulty hearing certain sounds. Tinnitus doesn’t always indicate permanent damage, but it can arise from exposure to loud noises, which you mentioned from concerts and headphone use. This can potentially worsen over time, but occasional tinnitus doesn’t automatically mean irreversible hearing loss. 3. Past Habits and Hearing Loss: Listening to loud music consistently, especially at high volumes, can lead to noise-induced hearing loss. The extent of any potential auditory damage depends on factors like volume and duration of exposure. Unfortunately, while there are strategies to manage symptoms like tinnitus, hearing loss from such exposure is typically permanent. 4. Treatment Options: If your hearing test indicates hearing loss, it doesn’t automatically mean you will require hearing aids. Treatment can vary depending on the severity and type of hearing loss. In some cases, sound therapy for tinnitus or hearing conservation strategies might be recommended instead. You can also explore hearing aids if necessary, but a healthcare professional will assess your specific needs and options. 5. Follow-Up Considerations: One hearing test may provide a lot of information, but depending on the results, your doctor may recommend additional evaluations or specialized tests. They may also consider a thorough review of your medical history and any underlying conditions that could contribute to your hearing issues. Be prepared to discuss your symptoms and habits in detail. 6. Next Steps: I recommend scheduling an appointment with an audiologist or an ear, nose, and throat specialist for a comprehensive evaluation. They will not only perform the hearing test but also offer guidance based on your specific results, including whether any further tests or treatments are warranted. In summary, start with a hearing test to assess your situation further. The results will guide the next steps. It's essential to address these concerns proactively, and seeking an evaluation is a constructive and positive step towards understanding your hearing health.
Accepted response

Getting a hearing test done but unsure about process and accuracy

24 days ago
1 answers

Doctor, I’ve been having trouble with my hearing for the past few months, and my doctor recommended a hearing test. I sometimes struggle to hear conversations, especially in noisy places, and I’ve noticed a ringing sound in my ears. The hearing loss isn’t severe, but it feels like I need to ask people to repeat themselves more often. I want to know how accurate a hearing test is in detecting early hearing loss. I’ve seen different types like pure-tone audiometry and speech recognition tests. Which one would be best for me? Also, is there anything I should do before the test to make sure I get accurate results? I’ve had a history of ear infections as a child, and I also use headphones frequently. Could either of these be affecting my hearing? If the hearing test shows mild hearing loss, would I need treatment immediately, or is there a way to prevent it from getting worse? I just want to understand what to expect from the hearing test and what I should do next if my results are abnormal. Should I be worried about permanent hearing loss?


Dr. Evgeny Arsentev
23 days ago
Based on your symptoms of difficulty hearing conversations in noisy places, the presence of tinnitus (ringing in your ears), and your history of ear infections, it is prudent that you proceed with the recommended hearing test. Hearing tests, particularly pure-tone audiometry, are highly effective in detecting early-stage hearing loss. This test measures the faintest tones a person can hear at different frequencies, giving a clear picture of your hearing ability. Speech recognition tests, which evaluate how well you can understand speech at different volumes, can complement this by assessing the practical impact of your hearing ability in real-world settings, especially under challenging listening conditions. Before your test, here are steps to ensure accurate results: 1. Avoid loud noises for at least 24 hours before the test to minimize any temporary changes in hearing. 2. Inform your audiologist about any medications you are taking, as some can affect hearing. 3. Ensure your ears are clear of excess wax. If you suspect earwax buildup, consult your healthcare provider to have them cleaned before the test. Regarding your concern about your history of ear infections and frequent headphone use, both can impact hearing health. Ear infections can lead to temporary or permanent hearing loss if they were frequent or severe; thus, it’s important to monitor your hearing closely. Headphone use, particularly at high volumes, can also contribute to hearing damage over time. If your hearing test results indicate mild hearing loss, immediate treatment options can vary. Depending on the cause of the hearing loss, audiological counseling or hearing aids may help you manage the difficulty. It’s essential to have open discussions with your audiologist regarding lifestyle modifications, such as volume control with headphones and regular monitoring of your hearing. If your results are abnormal, it's crucial to follow up with an audiologist or an ear, nose, and throat (ENT) specialist for further assessment. They can help determine the underlying cause and whether any treatment is warranted. While mild hearing loss may not be a cause for immediate alarm, it’s important to address it early to prevent potential progression. Regular follow-ups and hearing assessments, especially as you notice changes, are beneficial in managing your hearing health. Be proactive in seeking this evaluation, and ensure to communicate all your symptoms and concerns during your visit.
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Balloon Sinuplasty

31 days ago
1 answers

I’ve been dealing with chronic sinus infections for a while, and my doctor mentioned balloon sinuplasty as a possible treatment. I’ve never heard of this procedure before, so I want to understand exactly what it is and how it works. Is balloon sinuplasty an effective alternative to traditional sinus surgery? From what I read, balloon sinuplasty involves inserting a small balloon into the sinus passages and inflating it to open up the airways. But does this permanently fix sinus problems, or is it only a temporary solution? How long do the results typically last? I also saw that balloon sinuplasty is considered a minimally invasive procedure. Does that mean there’s no cutting or tissue removal involved? How does it compare to other sinus surgeries in terms of recovery time, pain, and effectiveness? Another thing I’m wondering about is whether balloon sinuplasty is safe for everyone. Can people with severe sinus issues, nasal polyps, or a deviated septum still benefit from this procedure? Are there any risks, like bleeding or infection, that people should be aware of? For those who have had balloon sinuplasty, what was your experience like? Did it provide long-term relief, or did you need additional treatments later? I just want to know if it’s worth considering as an option for chronic sinus problems.


Dr. Evgeny Arsentev
30 days ago
Balloon sinuplasty is a minimally invasive procedure that helps open blocked sinuses. During the procedure, a small balloon is inserted into the sinus passages, inflated to widen the passage, and then deflated and removed. This allows for improved drainage and better airflow without the need for cutting or removing tissue, which is what makes it less invasive compared to traditional sinus surgery. While it can provide long-term relief for many, it doesn't guarantee a permanent fix for everyone. The results can last for several years, but some people may need follow-up treatments, especially if underlying conditions like nasal polyps or a deviated septum are contributing to sinus issues. Balloon sinuplasty is generally safe for most people, though certain conditions like severe sinus disease or nasal polyps may require additional treatment options. Risks, while low, can include bleeding or infection, which your doctor will discuss with you.
Accepted response

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