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By Richard Nass, M.D.
April 13, 2020
Category: ENT Care
Tags: Sleep Apnea  

Sleep apnea is a sleep disorder that could be potentially serious, even life-threatening. People who suffer from this condition experience breathing issues, specifically, their breathing starts and stops repeatedly. If you’re a loud snorer and feel strangely exhausted even after getting sufficient sleep at night, you may be suffering from sleep apnea.

With this in mind, if you suspect that you have snoring problems and sleep apnea, visit Dr. Richard Nass, here in our Manhattan, NY office. He will assess your condition and provide proper treatment to treat your symptoms and prevent serious sleep apnea-related complications.

How is Sleep Apnea and Snoring Treated?

For milder sleep apnea cases, your doctor might suggest lifestyle modifications like quitting smoking and maintaining a healthy weight. If you suffer from nasal allergies, addressing your allergy symptoms will be key to managing your snoring and sleep apnea. However, your ENT doctor in Manhattan, NY, may recommend the following treatments if you have moderate to severe sleep apnea:

CPAP or Continuous Positive Airway Pressure

People with moderate to severe cases of sleep apnea may benefit from wearing a special machine that supplies air pressure via a mask when you sleep. This is called a CPAP or continuous positive airway pressure device. With this device, the air pressure will be relatively greater than the surrounding air, which is enough for keeping your upper airway passages properly open to prevent snoring and apnea. Tell your doctor if your symptoms persist despite CPAP therapy. Likewise, your CPAP device may need some adjustments if you lose or gain significant weight while using it.

Other Airway Pressure Machines

In the event that a CPAP just isn’t working for you, you may need to use a different kind of device called an Auto-CPAP that can automatically regulate the air pressure when you’re sleeping. You may also opt for a BPAP machine that delivers bilevel positive airway pressure. This can supply more pressure while you’re inhaling and less when you’re exhaling.

Oral Appliances

Aside from CPAP and BPAP machines, you can likewise try an oral appliance developed to ensure that your throat stays open when sleeping. Some appliances can open the throat by moving the jaw forward to ease mild sleep apnea and snoring. You may have to try various appliances to see which one will work best for you.

Surgery

Doctors typically recommend surgery when other treatments failed to relieve sleep apnea symptoms. In general, doctors recommend patients to try conservative treatments for three months before recommending surgery.

Get Rid of Your Snoring and Sleep Apnea Symptoms Now.

Arrange an appointment with Dr. Richard Nass here at our Manhattan practice by dialing (212) 734-4515.

By Richard Nass, M.D.
April 13, 2020
Category: ENT Care
Tags: Sinus Disease  

Sinusitis occurs when there’s a swelling or inflammation of the tissue that lines the sinuses. When your sinuses are healthy, they’re filled with air. However, when they become clogged due to fluid buildup, germs could thrive and lead to a sinus infection. The most common conditions that could cause blockage in the sinuses include allergic rhinitis, the common cold, a deviated septum, and nasal polyps.

If you’re having any issues with your sinuses, you can consult with our ENT doctor, Dr. Richard Nass, here in our Manhattan, NY, practice.

Types of Sinus Infections

Basically, there are four types of sinusitis, these are:

  1. Acute Sinusitis: This typically begins with cold-like symptoms like facial pain and a clogged or runny nose. It may begin suddenly and last for two-to-four weeks.
  2. Subacute Sinusitis: This usually lasts for four to 12 weeks.
  3. Chronic Sinusitis: Symptoms last for more than 12 weeks.
  4. Recurrent Sinusitis: Episodes of sinusitis occur several times yearly.

Symptoms of Acute Sinusitis

You might have a stuffy nose, facial pressure or pain, congestion or cough, and loss of smell. You might also have a fever, fatigue, dental pain, and bad breath. In most cases, it’s usually acute sinusitis if you experience more than two of these symptoms and/or have thick, yellow or green nasal discharge.

Symptoms of Chronic Sinusitis

You might have a fever, pus in your nose, discolored postnasal drainage, nasal congestion, and feel fullness or pressure in your face for more than 12 weeks. Likewise, you may have tooth pain, bad breath, and persistent headaches, and you may feel constantly tired. However, plenty of conditions can cause these symptoms, so it’s important that you visit your ENT doctor in Manhattan, NY, to find an accurate diagnosis.

Treatments for Sinusitis

For simple sinus infections, treatments typically include saline nasal washes and a decongestant. But you shouldn’t take OTC decongestants for more than three days since it could make your nose more congested. If you were prescribed antibiotics, you should take them as directed. Moist, warm air also helps with chronic sinusitis. For this, you can inhale steam from a bowl with hot water or utilize a vaporizer.

You’ll likewise have to avoid triggers related to your sinusitis and take antihistamines if you have persistent allergies. You may also be prescribed antifungal medication if a fungus is the cause of your symptoms. Additionally, your doctor might recommend immunoglobulin therapy if immune deficiencies are causing your sinusitis.
 

Suffering from Sinus Disease? Get Relief Now

Dial (212) 734-4515 to book an appointment with our ENT doctor, Dr. Richard Nass, here at our Manhattan, NY, practice.

By Richard Nass, M.D.
April 13, 2020
Category: ENT Treatments
Tags: Facial Pain  

Facial pain is essentially any pain that you can feel in your face, which includes your eyes and your mouth. While it’s typically a result of a headache or injury, it may likewise result from a health issue. In many cases, facial pain is a result of sinus issues and nasal infections.

If you feel facial pain that appears suddenly, consult your doctor as soon as possible. This is especially true if you have a history of sinus problems or nasal infections. At the practice of ENT doctor Dr. Richard Nass here in Manhattan, NY, he can evaluate your condition and help you determine what’s causing your facial pain.

Common Facial Pain Causes

People usually describe facial pain as an achy, stabbing, and cramp-like pain that radiates throughout the entire face. Pain in your face could occur due to various reasons from sinus problems and nasal obstructions.

Types of Facial Pain

The specific kind of pain you’re experiencing would depend on what’s causing it. For instance, pain due to sinusitis typically feels like an aching pain or pressure underneath your eyes and across your cheekbones. If you experience this kind of pain, visit your ENT doctor in Manhattan, NY, as soon as you can to get relief for your pain and prevent further complications.

Diagnosing Facial Pain

During your consultation with your doctor, be prepared to describe your pain, specifically:

  • Which portion of your face hurts
  • How often you’re experiencing pain
  • How does your pain feel like
  • Where your pain is starting from
  • How long your pain lasts
  • Other symptoms you’re experiencing

Need Relief from Your Facial Pain?
 

Call (212) 734-4515 to schedule your consultation with our ENT doctor Dr. Richard Nass here at our Manhattan, NY, practice.

By Richard Nass, M.D.
February 21, 2020
Category: Uncategorized
Tags: Untagged

Is it a cold, flu or a sinus infection? Our otolaryngologist can help you spot the warning signs of sinusitis.

With winter in full force, it isn’t surprising that a lot of people are getting sick. So, if you are battling some unpleasant symptoms you may find yourself wondering whether it’s a sinus infection or something else. Since symptoms of a sinus infection can mimic other illnesses, it’s important to be able to spot signs of sinusitis. Find out when you can treat a sinus infection at home and the warning signs that it’s time to turn to our Manhattan, NY, otolaryngologist Dr. Richard Nass for treatment.

You might have sinusitis if you are experiencing,

  • Facial pain, pressure and tenderness (typically around the eyes and sinuses)
  • Headaches
  • Nasal congestion
  • Postnasal drip
  • Persistent cough
  • Sore throat
  • Fatigue
  • Ear pain
  • Bad breath (more common with bacterial sinus infections)

Of course, a lot of these symptoms are also present when you have a flu or cold. So, how can you tell the difference? It is most likely a sinus infection if,

  • You’ve been dealing with sinus pressure, nasal congestion and a stuffy or runny nose for more than 10 days
  • You were dealing with symptoms of a cold that got better but then symptoms returned or got worse
  • You notice yellow or green nasal discharge
  • You have severe facial pain and pressure
  • You have a fever over 102F

While sinus infections are often the result of a virus, bacterial sinus infections will require antibiotics; therefore, if your symptoms don’t get better with rest and home care, or if your sinus infection symptoms are severe it’s a good time to visit our Manhattan, NY, ENT doctor for a diagnosis.

How can I treat a sinus infection on my own?

If symptoms have just appeared and they aren’t severe then you may just choose to treat the problem on your own. Over-the-counter nasal sprays, decongestants and pain relievers can help manage symptoms until the infection goes away. You may also choose home remedies such as a Neti-pot, which flushes out the sinuses.

Bacterial infections will only go away with antibiotics so home care will not be enough. Our otolaryngologist may also prescribe corticosteroid nasal sprays, antihistamines or allergy medications. Patients dealing with recurring or chronic sinus infections may need to consider surgery or specialty procedures to treat blockages within the sinuses.

If you are looking for an ear, nose and throat doctor in Manhattan, NY

By Richard Nass, M.D.
December 26, 2019
Category: Sleep Disorder
Tags: Sleep Apnea  

Your ENT specialist, Dr. Richard Nass, treats sleep apnea and its associated snoring in his Manhattan office. This prevalent and often harmful sleep disorder affects literally millions of adults. If you're snoring and sleep apnea symptoms, let Dr. Nass check it out so that you can sleep well and enjoy better health.

What is sleep apnea?

The National Sleep Foundation explains sleep apnea as a medical issue in which breathing ceases repeatedly and briefly as you sleep at night or even as you take a nap. Obstructive Sleep Apnea, or OSA, is the most common type. It happens as the tissues at the back of the mouth and throat relax and close off the airway.

Another type is Central Sleep Apnea, or CSA, characterized by miscommunication between the brain and the respiratory system. Mixed sleep apnea melds features of both.

Sleep apnea affects people of both genders, crosses socioeconomic lines as well as age differences. However, men over 40 seem more prone to develop the condition, as do individuals who are overweight, have larger neck sizes and have close relatives with the disorder, reports the American Academy of Sleep Medicine.

What are the signs you may have sleep apnea?

Signs you have this sleep disorder are:

  • Loud snoring that disturbs your spouse and other members of the household
  • Insomnia
  • Breathing cessation as you sleep
  • Memory loss
  • Poor concentration
  • Fatigue
  • Drowsiness
  • Decreased libido

People with sleep apnea often have systemic health issues such as hypertension, diabetes, dementia, heart issues and more.

How is sleep apnea treated?

In his Manhattan office, Dr. Nass individually consults with his patients who complain of snoring and sleep apnea symptoms. He does a comprehensive ear, nose, throat, and sinus examination and frequently orders an at-home sleep study. Fully-monitored, this easy test tells Dr. Nass what happens when you sleep. Lower oxygenation, fewer respirations, changes in heart rhythm, how frequently you snore and more indicate sleep apnea.

If you have sleep apnea, Dr. Nass will work with you to control your symptoms. Therapies may include:

  • Weight loss
  • Sleeping on your side instead of your back
  • Oral appliance therapy (a bite guard worn at night to reposition the lower jaw)
  • CPAP, or Continuous Positive Airway Pressure to open the airway
  • Surgery

When needed, surgery corrects problems associated with large tonsils, obstructions such as a deviated septum or nasal polyps, or other abnormalities of the nose, throat and sinuses.

Contact our Manhattan office today

Dr. Richard Ness and his staff want you to have solid sleep patterns and excellent systemic health. If you snore, please call us for a consultation: (212) 734-4515.





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