Posts for category: ENT Care
Your nose--you might not notice if it's working properly until it's not. Nasal obstruction, inflammation due to allergies, asthma or environmental irritants, facial pain--they all lead to less than perfect nasal breathing. Your ENT doctor in Manhattan, Dr. Richard Nass, can help move air through your nose easily. As a board-certified otolaryngologist and pioneering expert in endoscopic diagnostic and surgical techniques for the nose, he'll uncover what's wrong and help you feel better.
Your wonderful nose
It does many things. It helps bring oxygenated air into your lungs and expel it after use. Your nose warms and humidifies that air, filters particles and irritants, helps you smell odors, influences your vocal tone, and yes, completes your facial features. Connected to a system of air-filled spaces called the sinuses, your nose is highly vascularized and innervated and has anatomical features such as:
- A dividing partition made of bone and cartilage--the septum
- Moist and hair-covered mucosa
- Nares, or nostrils
- Ridgelike bumps, or turbinates
What can go wrong
As is the rest of your body, you nose is subject to injury, malfunction, infection, and malformation, often impacting how well you breathe. Your ENT doctor in Manhattan sees scores of patients each year who experience nasal breathing issues such as:
- Polyps, small benign growths which impede airflow
- Chronic sinusitis and congestion
- A deviated septum, an obstructive change in an otherwise straight divider between the right and left nostril (a very common problem, say ENT doctors at the Cleveland Clinic)
- Allergic rhinitis, a leading cause of chronic illness in the US, says the Asthma and Allergy Foundation of America
- Colds and flu and their copious mucous and congestion
Diagnosing and treating problems with your nose
Dr. Nass uses state of the art imaging (CAT scan and digital X-rays) and sophisticated endoscopy to visualize and diagnose what's happening in your nose and sinuses. He also considers physical examination findings and your medical and prescription history. Then, he offers a comprehensive treatment plan to eliminate pain and congestion and improve nasal breathing.
Possible interventions include:
- Allergy and asthma treatments
- Nasal irrigation, or lavage
- Antihistamines, antibiotics, or steroids as needed
- Surgical removal of polyps
- Balloon sinuplasty to reduce obstructions
- Surgical correction of deviated septum or other structural abnormalities
- Breathing strips to open collapsed nasal valves
- Avoidance of environmental irritants, particularly cigarette smoke
Your best breathing
Achieve it by working with your ENT doctor in Manhattan, NY, Dr. Richard Nass. For a convenient appointment time, please call his office at (212) 734-4515.
According to the American Academy of Sleep Medicine, habitual snoring occurs in about 40% of men and 24% of women. This issue is common but, in some cases, can be the sign of a more complex medical condition. Snoring is one of the most obvious and prevalent symptoms of sleep apnea, a condition which can seriously affect one’s quality of nighttime sleep. Find out more about sleep apnea and what it means for you with your ear, nose, and throat doctor, Dr. Richard Nass with office locations in Manhattan, New York, NY, and East Hampton, NY.
What is sleep apnea?
Sleep apnea causes patients to temporarily stop breathing while asleep. Obtrusive sleep apnea (OSA) occurs due to an obstruction of the airway which causes it to collapse. OSA is the most common form of sleep apnea. Central sleep apnea (CSA) occurs due to the signals from the brain which tell the lungs to breathe become disrupted and often happens after other issues like stroke or heart failure.
Do I have sleep apnea?
The most obvious sign of sleep apnea is snoring, but there are some other tell-tale signs of this condition. Some common issues caused by sleep apnea include:
- awakening abruptly, often accompanied by gasping for or shortness of breath
- chest pain at night
- morning headaches
- excessive daytime sleepiness
- apneas, or short pauses in breathing while asleep
How is sleep apnea diagnosed?
There is no one objective test to determine if you have sleep apnea. Those who suspect they suffer from sleep apnea undergo a sleep test, which takes place in a laboratory setting and allows technicians to observe the body’s functions while sleeping. The test can accurately observe the body’s reactions to sleep and determine if you suffer from this condition.
Treating Sleep Apnea in Manhattan and East Hampton
Treating sleep apnea depends on the patient, the severity of their condition, and their lifestyle. A continuous positive airway pressure (CPAP) machine is commonly used to treat sleep apnea. This machine blows a gentle stream of air into the airway to keep it open. However, other individuals may benefit from a dental appliance to treat OSA. Some mild cases may benefit from simple lifestyle changes like changing sleeping position or losing weight. In more severe cases, surgery may be needed.
For more information on sleep apnea or its treatments, please contact Dr. Nass with office locations in Manhattan, New York, NY, and East Hampton, NY. Call (212) 734-4515 to schedule your appointment in Manhattan or (631) 324-4900 to schedule your appointment in East Hampton.
Do you frequently experience congestion, sinus headaches and pain around your nose, eyes and cheeks? You may have a chronic sinus infection. Manhattan and East Hampton, NY, ear, nose and throat specialist Dr. Richard Nass discusses the symptoms of chronic infections and explains how they're treated.
How can I tell if I have a chronic sinus infection?
A chronic sinus infection, also known as chronic sinusitis, occurs if your symptoms last for three months or longer. You may also develop chronic sinusitis after you've had acute sinusitis, a condition that only lasts about two to four weeks. If you have the condition, you may experience several of these symptoms:
- Frequent headaches
- Nasal congestion
- Thick green or yellow discharge
- Post-nasal drip
- Pain, pressure and swelling in your sinuses, eyes, forehead, and cheeks. (Pain and pressure may increase when you bend over.)
- Ear pain
- Reduced sense of smell or taste
- Sore throat
- Bacterial, viral, or fungal infections
Your risk of developing chronic sinusitis may increase if you have:
- Allergies or asthma
- Enlarged turbinates in your nose
- Nasal polyps
- Deviated septum
- Gastroesophageal reflux disorder (GERD)
- Cystic fibrosis
- Frequent exposure to pollutants or cigarette smoke
How are chronic sinus infections treated?
Although over-the-counter decongestants and sinus medications may be somewhat helpful, they might not provide nearly enough relief if you have chronic sinusitis. When you visit our Manhattan or East Hampton offices, we may recommend one or more prescription medications, such as antibiotics, decongestants or corticosteroids. These medications address the infection, inflammation, and swelling that cause your symptoms.
If medications don't help, or your symptoms are severe, you may benefit from balloon sinuplasty. During this minimally invasive procedure, a deflated balloon is placed into your sinuses via a catheter. Inflating the balloon widens the passages, reducing congestion. The procedure also involves spraying saline solution into the sinuses to remove mucus.
Endoscopic sinus surgery may be needed if you have a deviated septum, nasal polyps or enlarged turbinates. The surgery is performed by inserting a miniature camera and a flexible scope containing tiny surgical instruments into your sinus passages. Because cutting is involved in endoscopic surgery, the recovery period is longer than that for balloon sinuplasty.
If you suffer from chronic sinus infections, a visit to the ear, nose and throat doctor can help. Schedule an appointment with Dr. Nass by calling (212) 734-4515 for the Manhattan, NY, office or (631) 324-4900 for the East Hampton, NY, office.
Dr. Richard Nass of Manhattan discusses nasal breathing problems.
You may have nasal breathing problems for many reasons. Your nose and breathing passages may be obstructed from a cold or acute sinusitis. You could also have blocked sinuses, nasal inflammation, or facial pain and pressure. If you’ve also got watery eyes, runny nose, sinus pressure, congestion, or a cough, then allergies might be the cause of your symptoms. Dr. Richard Nass can determine which type of problem you have and what is the best treatment for you.
But while some nasal issues are only acute (short-term), others can be chronic (long-term).
Long-term nasal blockage may be caused by nasal polyps, nasal septal deviation, chronic nasal congestion, weakness of the side walls of the nose, and, infrequently by tumors.
When you visit the offices of Dr. Richard Nass in Manhattan to learn about your nasal breathing problems, he will perform a routine physical exam and discuss your medical history so he can determine which types of tests will provide the most information about your situation.
Nasal breathing problems can be a chronic condition – a response to irritants such as tobacco smoke, certain medications, and some hormonal conditions. In order for Dr. Richard Nass to determine the cause of your congestion and design the right treatment for you, a sinus CT scan may be necessary so he can get an in-depth picture of your sinuses and the surrounding structures and tissue.
If Dr. Richard Nass suspects you have an allergy, he will take a simple blood test to find the answer. If it is an allergy Dr. Richard Nass will prescribe allergy medications such as nasal steroid sprays, anti-histamines, decongestants, or other medications. Occasionally allergy shots will be needed. Dr. Richard Nass will also tell you about certain lifestyle changes to help reduce your exposure to allergens.
If Dr. Richard Nass thinks your nasal breathing problems are caused by a structural defect, he may suggest surgery to correct the problem. And if that’s the case, Dr. Richard Nass will discuss the surgical options that are best for you and your condition.
Whatever the cause of your nasal breathing problems, treatment is available from Dr. Richard Nass in Manhattan. Get back to breathing normally. Call Dr. Richard Nass about your nasal breathing problems today. To schedule an appointment in Manhattan call (212) 734-4515.
Your snoring may be something called sleep apnea. Dr. Richard Nass can help you find out and help you treat it.
Many people snore when they sleep, but sometimes your snoring may be so loud that your partner complains. And if you snore and also find yourself exhausted during the day, even if you've gotten a full night's sleep, you may have sleep apnea. Dr. Richard Nass is here to help you find out if it's just snoring or it's sleep apnea.
What is sleep apnea?
Some people may be loud snorers, but we have discovered that snoring is also a symptom of sleep apnea. Obstructive sleep apnea is a condition in which your airways are blocked while you sleep. This reduces the amount of oxygen you get, and that means less oxygen gets to your brain and the rest of your body. Sleep apnea can be dangerous to your overall health.
What are the symptoms of sleep apnea?
One of the most common symptoms of sleep apnea is waking up feeling tired no matter how much sleep you get. This daytime fatigue is extreme and will often continue throughout the morning and into the afternoon. You may find it more difficult to concentrate on work or school. People with sleep apnea are also prone to accidents or injuries because they are always tired.
Sleep apnea can also cause you to wake up during the night feeling like you're gasping for air. You may also wake up with a dry or sore throat, or notice that you are more irritable and forgetful. If you have any of these symptoms, you might have sleep apnea, and that's when it's time to make an appointment to visit Dr. Richard Nass in Manhattan. Untreated sleep apnea can lead to serious long-term health problems.
How can Dr. Richard Nass help me sleep better?
Dr. RIchard Nass is a sleep apnea expert who can diagnose your condition. And if you've already been diagnosed with sleep apnea and want a customized treatment plan that will get your symptoms under control and help you sleep better, Dr. Richard Nass can help you treat it. Depending on the severity of your condition and the causes of your sleep apnea (such as structural problems in your nose or throat) Dr. Richard Nass will come up with the right treatment.
Common treatments that Dr. Richard Nass recommends for sleep apnea include CPAP, dental appliances, weight loss programs, and other lifestyle changes. Some or all of these can help you manage your sleep apnea. Sometimes the treatment of sleep apnea requires surgery, and Dr. Richard Nass is recognized as one of the top surgeons in the field of sinuses and sleep apnea.
Call Dr. Richard Nass at his Manhattan office today and find out if it's just snoring or sleep apnea. And if you already know you have sleep apnea, call Dr. Richard Nass so you can get your sleep apnea under control.