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Ear, Nose, and Throat Disorders

Ear, Nose, and Throat Disorders Online Doctors Consultation — page 4

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 Make Tonsil Stones Fall Out

31 days ago
1 answers

I’ve been noticing a bad taste in my mouth, and when I checked my throat, I found small white lumps on my tonsils. After some research, I found out they’re called tonsil stones. What exactly causes them, and what are the best ways to remove them? How to make tonsil stones fall out naturally without causing damage to the tonsils? From what I read, tonsil stones form when food particles, bacteria, and mucus get trapped in the small crevices of the tonsils. But why do some people get them more than others? Is it due to poor oral hygiene, or does the size of the tonsils make a difference? I also saw that gargling with salt water or using a water flosser can help loosen tonsil stones. Are there other effective home remedies? Can coughing or pressing on the tonsils make them fall out, or is that risky? Another thing I’m wondering about is how to prevent tonsil stones from coming back. If someone has large tonsils, are they always at risk, or can certain lifestyle changes help? When is tonsil removal recommended as a permanent solution? For those who have had tonsil stones, what worked best for removing them? Did they fall out on their own, or did you need to get them professionally removed? I just want to understand more about how to make tonsil stones fall out safely and prevent them from returning.


Dr. Evgeny Arsentev
30 days ago
Tonsil stones, also called tonsilloliths, form when food particles, bacteria, and mucus get trapped in the small crevices of the tonsils. While poor oral hygiene can contribute, other factors like the size and shape of your tonsils can make some people more prone to them. Larger tonsils tend to have more crevices where debris can accumulate. To naturally help tonsil stones fall out, you can try gargling with salt water, as it can help loosen them. Using a water flosser on a gentle setting can also be effective. Coughing or gently pressing on the tonsils can sometimes help, but I would recommend caution, as excessive pressure can cause irritation or injury. It's important to avoid any harsh methods that might damage your tonsils. To prevent tonsil stones from coming back, maintaining good oral hygiene is key. Brushing your teeth and tongue regularly and staying hydrated can help. If your tonsils are large and you continue to experience recurring tonsil stones despite these efforts, tonsil removal (tonsillectomy) may be considered as a permanent solution, but this is usually only recommended if the stones are causing significant problems.
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Nose Surgery

26 days ago
1 answers

For the past few years, I’ve been dealing with breathing issues, especially at night. I also have a slightly crooked nose from a childhood injury, and my doctor recently suggested that I might need nose surgery to fix both problems. I’ve never had surgery before, so I have a lot of questions about what to expect. From what I understand, nose surgery can be done for both cosmetic and medical reasons. In my case, it’s mostly to improve breathing, but will the shape of my nose change too? Is there a difference between functional nose surgery and cosmetic rhinoplasty, or are they usually done together? Another thing I’m worried about is recovery. How painful is nose surgery, and how long does it take to heal? I’ve seen people with bandages and swelling for weeks—does everyone experience that, or does it depend on the type of procedure? Also, when can I go back to normal activities like work and exercise? I also want to know if there are risks or complications with nose surgery. Could it make breathing worse instead of better? And is there a chance that my nose will look unnatural if something goes wrong? Lastly, how do I know if I actually need nose surgery, or if my breathing issues could be fixed with something less invasive? Would treatments like nasal sprays or breathing exercises be effective, or is surgery the only option for a deviated septum?


Dr. Evgeny Arsentev
25 days ago
It sounds like you're navigating a complex situation regarding your breathing issues and possible nose surgery. Let’s break down your questions to help you understand the relevant aspects of the procedure and recovery. Firstly, regarding the types of nose surgery, functional nose surgery (often referred to as septoplasty) specifically aims to improve breathing, especially in cases like a deviated septum. Cosmetic rhinoplasty, on the other hand, is focused more on altering the appearance of the nose. In many cases, these procedures can be performed together if there are both functional and cosmetic issues, which means your nose shape might change depending on what is necessary for improving your breathing. Regarding recovery, pain levels can vary among individuals, but most report discomfort that can usually be managed with prescribed pain medication. Swelling and bruising are common, and while some people may take weeks to look and feel back to normal, others may recover faster depending on the extent of the surgery. As a general guideline, significant swelling typically subsides within the first few weeks, but you might notice residual swelling for up to a year as the final results settle. Many patients return to work within a week, but you should avoid strenuous activities, like heavy exercise, for at least a few weeks post-surgery. Now, concerning the risks, like any surgical procedure, there are potential complications, such as infection, bleeding, and adverse reactions to anesthesia. There is a possibility that breathing might not improve as expected, especially if structural issues are not entirely corrected. It’s also possible to have dissatisfaction with cosmetic results if the surgery doesn’t meet expectations. Discussing your cosmetic goals explicitly with your surgeon can help mitigate this risk. As for determining the necessity of surgery versus less invasive interventions, it’s crucial to have a thorough evaluation by an ear, nose, and throat specialist (ENT) or a board-certified plastic surgeon with experience in functional surgery. They can assess your nasal structure, and breathing patterns, and recommend the best course of action. If your breathing issues are primarily due to a deviated septum, surgery might be the most effective option. However, for mild symptoms, alternatives like nasal corticosteroid nasal sprays or saline rinses could be explored to reduce inflammation and improve airflow. Breathing exercises can sometimes assist with nocturnal breathing problems, but they are typically not standalone solutions for structural issues. In conclusion, I would recommend discussing all these points in detail with your healthcare provider to gain a comprehensive understanding tailored to your specific situation. They can help you explore all options, including potential non-surgical treatments, and prepare you for what to expect should you decide to proceed with surgery.
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Stuffy Nose

26 days ago
1 answers

For the past few weeks, I’ve been dealing with a stuffy nose, and it’s becoming really frustrating. At first, I thought it was just a mild cold, but now it feels like it’s not going away completely. Now I’m trying to understand what causes a stuffy nose and the best ways to get relief. From what I read, a stuffy nose happens when the nasal passages become swollen due to inflammation or excess mucus. But how do you tell if it’s caused by a cold, allergies, or something else? Are there any specific symptoms that indicate whether it’s viral or allergic? I also saw that a stuffy nose can sometimes be linked to sinus infections. How can someone tell if they have a simple congestion problem versus an actual sinus infection? Would facial pain or a headache mean it’s more serious? Another thing I’m wondering about is whether a stuffy nose can be made worse by certain lifestyle factors. Can things like dehydration, diet, or air pollution contribute to nasal congestion? If so, are there natural remedies that work better than over-the-counter medications? If someone has a stuffy nose that won’t go away, what are the best treatments? Would nasal sprays, antihistamines, or steam inhalation be the most effective? Also, do decongestant sprays cause rebound congestion if used too often? I just want to understand why a stuffy nose can last so long and whether it’s a sign of something more serious. If someone has persistent congestion for weeks, should they see a doctor, or is it usually harmless?


Dr. Evgeny Arsentev
25 days ago
It sounds like you're experiencing persistent nasal congestion, which can indeed be frustrating. A stuffy nose can stem from various causes, and understanding the differences can help guide your next steps. First, let's break down the potential causes of your stuffy nose. Common causes include viral infections (like a cold), allergic reactions, and sinus infections. Here’s how to differentiate between them: 1. Viral Infections vs. Allergies: - Viral Infections: Symptoms typically include a runny nose, sore throat, cough, and fatigue. Viruses often resolve in about a week. - Allergies: Symptoms often include frequent sneezing, itchy or watery eyes, and an absence of fever. Allergies can persist as long as you are exposed to allergens. - If you notice symptoms worsening after exposure to certain environments (like pollen or pet dander), it may indicate allergies. 2. Sinus Infection Signs: Sinusitis may develop if cold symptoms last more than 10 days and worsen. Key indicators include: - Facial pain or pressure, particularly around the cheeks, forehead, or eyes. - A persistent headache, thick nasal discharge, and possibly fever. - Difficulty breathing due to congestion, which doesn’t improve with OTC medications. Considering lifestyle factors, your congestion could be influenced by: - Dehydration: Staying hydrated can thin mucus secretions, making it easier to clear nasal passages. - Air Pollution: Pollutants can aggravate your nasal passages and exacerbate congestion. - Diet: Certain foods may promote mucus production (like dairy) in some individuals. Observing your body’s reactions can help identify triggers. Natural remedies include: - Steam Inhalation: Breathing in steam can help soothe nasal passages. - Saline Nasal Irrigation: This can help clear mucus and allergens from your nasal passages. - Warm Compresses: Applying warm compresses over your sinuses can relieve discomfort. Regarding treatments for persistent congestion: - Nasal Sprays: Saline nasal sprays or rinses can help. Be cautious with decongestant nasal sprays (like oxymetazoline); these can lead to rebound congestion if used for more than three consecutive days. - Antihistamines: These can help if allergies are suspected. Second-generation antihistamines (like cetirizine or loratadine) often have fewer sedative effects. - Steam and Humidifiers: These can provide moisture to dry air and help relieve congestion. Since you’ve been experiencing symptoms for weeks, it is advisable to consult a healthcare provider. Persistent nasal congestion, especially when accompanied by facial pain or significant headache, warrants evaluation to rule out possible sinus infections or other conditions. A consultation may involve a physical examination and could lead to further testing to determine the underlying cause and appropriate treatment. Overall, while a stuffy nose can often be managed with home treatments, persistent symptoms should be taken seriously, and professional evaluation is recommended for tailored management and to prevent potential complications.
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My nose is always blocked

6 days ago
0 answers

Have done operation for conca bullosa in 2016 and had a big polyp removed but still have severe nose blockage Am also suffering from ulcerative colitis for past 27 years and thyroid from 10 years and have taken lot of steroids for ulcerative colitis Have osteoporosis due to steroids intake And colestrol as a added disease Always feel tired


Larynx

33 days ago
1 answers

I recently had a sore throat and hoarseness, and my doctor mentioned that it could be related to my larynx. I know the larynx is involved in speech and breathing, but how exactly does it work? From what I read, the larynx (voice box) is located in the throat and houses the vocal cords, which help us produce sound. But what happens when the larynx becomes inflamed or damaged? Could this lead to permanent voice changes or breathing difficulties? I also learned that laryngeal disorders like laryngitis, vocal cord nodules, and laryngeal cancer can affect how we speak and breathe. How do doctors determine whether a larynx problem is temporary or serious? Another thing I wonder about is whether lifestyle factors like smoking, acid reflux, or excessive shouting can damage the larynx. Are there ways to keep it healthy and prevent long-term damage? For those who have had larynx-related issues, what were your symptoms, and what treatments helped?


Dr. Evgeny Arsentev
32 days ago
The larynx, or voice box, is responsible for producing sound and protecting the airway during swallowing. It houses the vocal cords, which vibrate to create sound when air passes through them. When the larynx becomes inflamed (as in laryngitis) or damaged, it can result in symptoms like hoarseness, sore throat, and difficulty breathing. If left untreated or if the damage is severe, it could lead to lasting changes in your voice or more serious breathing issues. Doctors can determine whether a laryngeal issue is temporary or more serious through a combination of your symptoms, a physical examination, and possibly imaging or a laryngoscopy (a camera test to examine your vocal cords). If there’s concern about something more serious, such as laryngeal cancer, further testing like a biopsy may be recommended. Lifestyle factors like smoking, acid reflux, and excessive vocal strain can indeed damage the larynx over time. To keep it healthy, I recommend staying hydrated, avoiding smoking, managing acid reflux with diet and medication, and giving your voice regular rest if you’ve been shouting or speaking loudly for long periods.
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vocal cords

31 days ago
1 answers

I’ve been having trouble with my vocal cords lately, and I don’t know what’s causing it. My voice feels weak, and sometimes I lose it completely after talking too much. Could this be vocal strain, or is it something more serious? I don’t scream or sing loudly, but I do talk a lot for work. Could overuse be damaging my vocal cords, or is this more likely from something like acid reflux? I’ve heard GERD can irritate the vocal cords—how does that happen? I also get a sore throat often, but it’s not from a cold. Could my vocal cords be inflamed? If so, what’s the best way to heal them? I tried drinking warm tea and resting my voice, but the problem keeps coming back. Should I see an ENT, or is this something that will go away on its own? Also, what tests do doctors use to check the vocal cords—is it just looking down my throat, or do they need a camera? Lastly, are there any exercises to strengthen the vocal cords? I don’t want to damage my voice permanently. If anyone has dealt with vocal issues, what helped you recover?


Dr. Evgeny Arsentev
31 days ago
Based on what you've described, it could be vocal strain, especially if you're talking a lot for work. Overuse of the vocal cords, like talking for long periods, can cause inflammation and weakness, leading to a hoarse or weak voice. GERD (acid reflux) can also contribute to vocal issues, as stomach acid can irritate the vocal cords, causing inflammation and discomfort. This is often referred to as "silent reflux," and it doesn’t always cause typical heartburn symptoms. If the problem persists, it’s a good idea to see an ENT (Ear, Nose, and Throat) doctor. They can examine your vocal cords with a laryngoscopy, which involves using a small camera to view your throat and vocal cords. This helps determine if there's inflammation, nodules, or any other underlying issues. In terms of recovery, resting your voice is important, but it may also help to stay hydrated and avoid irritants like smoking or excessive talking. If GERD is contributing, managing acid reflux with lifestyle changes or medication might be necessary. You might also benefit from vocal exercises that can help strengthen your voice and improve endurance. A speech therapist or vocal coach can guide you through exercises designed to protect and strengthen the vocal cords.
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What causes frequent mouth ulcers?

73 days ago
1 answers

I’ve been getting mouth ulcers almost every month, and it’s starting to really bother me. They’re painful and make eating or talking difficult. What could be causing these frequent mouth ulcers? Could it be something as simple as stress, or might it point to a vitamin deficiency or something more serious?


Dr. Evgeny Arsentev
67 days ago
Stress is a common trigger, as it can affect your immune system and lead to ulcers. Vitamin deficiencies, particularly vitamin B12, iron, or folic acid, can also cause recurring mouth ulcers. Other possible causes include hormonal changes, certain medications, or even underlying conditions like celiac disease or Crohn’s disease. To get to the bottom of it, I recommend seeing your doctor. They may suggest blood tests to check for vitamin deficiencies or other conditions that could be contributing to your ulcers. In the meantime, try avoiding spicy or acidic foods that could irritate the sores and practice good oral hygiene to prevent infections. While this can be annoying, most cases can be managed by addressing the underlying cause, and your doctor can help you with a treatment plan tailored to your needs.
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ear structure

33 days ago
1 answers

I’ve always been curious about the ear structure and how it works. I know the ear is responsible for both hearing and balance, but what are the different parts, and how do they function together? I read that the ear has three main sections: the outer ear, middle ear, and inner ear. How does sound travel from the outer ear to the brain? What role do the eardrum and tiny ear bones (ossicles) play in amplifying sound? One thing I don’t fully understand is how balance works in the inner ear. I’ve heard that the vestibular system helps with coordination, but how does it detect movement? Could problems in this system cause issues like vertigo or dizziness? Also, what happens when there’s ear damage or hearing loss? Can loud noise permanently affect the ear structure, or does it depend on how long someone is exposed to the noise? For those who have had ear infections or hearing problems, what part of the ear structure was affected, and what treatments worked best?


Dr. Evgeny Arsentev
32 days ago
To start, the ear has three main sections: the outer ear, middle ear, and inner ear. The outer ear collects sound waves and directs them to the eardrum in the middle ear. The eardrum vibrates, and these vibrations are transmitted to three tiny bones (ossicles) in the middle ear. These bones amplify the sound and send the vibrations to the inner ear. In the inner ear, the cochlea converts these vibrations into electrical signals, which are then sent to the brain through the auditory nerve. This process allows us to hear. As for balance, the inner ear also contains the vestibular system, which helps detect movement. It includes structures like the semicircular canals, which are filled with fluid and hair-like sensors. When we move, the fluid shifts, and the sensors send signals to the brain, helping with coordination. Issues in this system can indeed cause symptoms like vertigo or dizziness. Loud noise can certainly cause permanent damage to the ear structures, especially the cochlea, leading to hearing loss. Prolonged exposure to loud sounds can harm the sensitive hair cells inside the cochlea, so it's important to protect your ears in noisy environments. If you've had ear infections or hearing problems, it’s possible that the middle ear (e.g., the eardrum or ossicles) was affected. For treatment, doctors may recommend antibiotics for infections or hearing aids for hearing loss, depending on the cause.
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pain while swallowing

31 days ago
1 answers

For the past few days, I’ve had pain while swallowing, and I don’t know if it’s just a sore throat or something more serious. It started with mild discomfort, but now I feel a sharp pain every time I swallow, especially on one side. What are the most common causes of pain while swallowing, and when should I see a doctor? I don’t have a fever, but my throat feels irritated, and I sometimes feel like something is stuck when I swallow. Could this be from acid reflux, or is it more likely to be an infection? I’ve had heartburn before, but I’ve never had pain while swallowing like this. I also checked my throat in the mirror, and I noticed some redness and small white spots on my tonsils. Does that mean it’s strep throat, or could it be something else? Do all throat infections cause pain while swallowing, or only bacterial ones? Another thing I’m worried about is whether this could be a tonsil stone. I’ve had those before, and they were really uncomfortable. Can tonsil stones cause pain while swallowing, or do they usually just cause bad breath? I also read that more serious conditions, like throat cancer or esophageal problems, can cause pain while swallowing. How do doctors tell the difference between a simple infection and something more serious? If anyone has experienced pain while swallowing, how long did it take to go away? Did you need antibiotics, or were home remedies enough? I’m trying to figure out if I should wait it out or see a doctor sooner.


Dr. Evgeny Arsentev
30 days ago
Based on what you've described, there are several potential reasons for your symptoms. Acid reflux could cause irritation in the throat, especially if you’ve had heartburn in the past. The sharp pain you’re feeling on one side might suggest an infection, such as strep throat, especially given the redness and white spots on your tonsils. Tonsil stones can also cause discomfort when swallowing, though they typically don’t cause pain unless there’s irritation or infection. If it’s an infection, it could be bacterial, like strep throat, or viral, like a common cold or tonsillitis. Bacterial infections, such as strep throat, often require antibiotics, while viral infections typically improve on their own. While throat cancer or esophageal issues can cause similar symptoms, they are much less common and usually present with other signs, such as persistent hoarseness or difficulty swallowing solids. Given that the pain is worsening and you’re noticing symptoms like white spots, I recommend seeing a doctor for a proper examination. They may perform a throat culture to check for strep or another infection.
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Nostril blockage and breathing issues

24 days ago
1 answers

For the past few weeks, I’ve been experiencing frequent nostril blockage, especially at night. Sometimes, only one side is blocked, and it switches throughout the day. It’s making it difficult to breathe properly, and I often wake up feeling congested. I’ve also noticed that when I lie down, the blockage worsens. What could be causing this persistent nostril blockage? Could it be related to allergies, sinus infections, or something more serious like a deviated septum? I haven’t had a cold recently, so I’m confused about why this is happening. Are there specific tests I should get done to determine the exact cause? What are the best ways to relieve nostril congestion at home? I’ve tried steam inhalation and nasal sprays, but the relief is only temporary. Would antihistamines or decongestants help, or should I avoid them for long-term use? Also, if the problem is structural, like a deviated septum, what are my treatment options? Would I need surgery, or are there other ways to improve my breathing?


Dr. Evgeny Arsentev
23 days ago
Based on your symptoms of frequent nostril blockage, particularly worsening at night and switching sides throughout the day, several potential causes should be considered. These may include allergic rhinitis, chronic sinusitis, or even structural issues such as a deviated septum. It is not uncommon for nasal congestion to switch sides due to a phenomenon called nasal cycle, but persistent blockage may warrant further investigation. Given that you've mentioned the absence of recent cold symptoms, it's less likely to be an acute viral infection. Allergies are a common cause of intermittent nasal blockage, especially if you are exposed to allergens like dust, pollen, or pet dander. Sinus infections may also contribute but typically come with additional symptoms like facial pain or pressure. A deviated septum could lead to chronic congestion as well. For diagnosis, an in-person evaluation by an ear, nose, and throat specialist (ENT) is advisable. They may perform a nasal endoscopy, which allows for a visual examination of your nasal passages, or recommend imaging studies like a CT scan to check for structural abnormalities or chronic sinusitis. In terms of relief strategies at home, here are some specific steps you can consider: 1. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear mucus and allergens from your nasal passages. This may provide relief without the need for medications. 2. Humidity Control: Keeping indoor air moist with a humidifier can help relieve congestion, especially at night. Make sure to clean the humidifier regularly to avoid mold growth. 3. Sleep Position: Elevating your head while sleeping can help reduce nasal congestion. Try using an extra pillow or a wedge pillow. 4. Allergy Management: If allergies are suspected, consider over-the-counter antihistamines like cetirizine or loratadine. Be aware that they may cause sedation, so assess how you respond. Long-term use is generally safe, but you should discuss it with a healthcare professional if you find yourself relying on them consistently. 5. Decongestants: Oral decongestants like pseudoephedrine can be effective, but they should not be used for more than a few days at a time due to potential rebound congestion. Nasal decongestant sprays should also not be used continuously for more than three days. If a deviated septum is confirmed as a contributing factor to your breathing difficulties, the management might involve surgical intervention (septoplasty) in more severe cases where symptoms are significantly impacting your quality of life. However, many people explore conservative management strategies first. Be sure to monitor your symptoms closely and if you experience severe breathing difficulties, facial pain, or fever, seek medical attention promptly. It’s crucial to get a professional evaluation to determine the exact cause and appropriate treatment for your condition.
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