My Blog

Posts for category: ENT Health

By Richard Nass, M.D.
September 04, 2018
Category: ENT Health

Man with Nasal Breathing ProblemsNasal breathing problems can make it difficult to get a good night of sleep and interfere with your work. Breathing problems may also be accompanied by headaches, cold symptoms, and congestion. If you're struggling to breathe and trying to ignore facial pain, help is available at the office of Dr. Richard Nass, an ear nose and throat doctor seeing patients in Manhattan, NY. Explore the possible reasons for your nasal symptoms and explore treatment options so that you can finally get some relief.

The Cause of Nasal Breathing Problems
Difficulty breathing can be caused by nasal inflammation, a cold, asthma, or an allergic reaction. But one of the most common causes of nasal breathing problems is a recurring sinus infection, also called sinusitis. Sinus infections often happen after a respiratory illness, like a cold or the flu. Patients who are affected by seasonal allergies also are more prone to experiencing the symptoms of sinus infections.

Trouble Breathing, Facial Pain and Other Symptoms
Chronic sinusitis affects roughly 11 percent of adult Americans according to the Centers for Disease Control and Prevention. These are some of the symptoms that would indicate a sinus infection is the reason for your nasal breathing problems:

- Pain behind the eyes and nose, or at various places around the head (tension headaches).
- Tenderness in the face when you touch it.
- Nose won't stop running and watery eyes.
- Yellow, infected mucus discharge.
- Fever
- A sore throat and frequent coughing

Treatment Options
Sinus symptoms often subside in about a week in acute cases, but if the symptoms are long-term or recurring, you need to start a targeted treatment plan with your Manhattan, NY ear nose and throat doctor. That may include antibiotic therapy, nasal decongestants, nasal irrigation by your ENT, and allergy testing. Patients who have recurring sinus problems may benefit from sinus surgery. One procedure uses endoscopic technology to remove tissue that may be blocking the sinuses. Another, balloon sinuplasty, allows your ENT to insert and inflate a tiny balloon in the nose so that the sinuses can drain.

Relief for Nasal Problems
If you have nasal problems, pain in your face, and symptoms related to sinusitis, you might need sinus surgery or another treatment. Discuss your options with Dr. Richard Nass, an ear, nose, and throat doctor in Manhattan, NY. Call 212-734-4515 today for an appointment.

By Richard Nass, M.D.
May 07, 2018
Category: ENT Health
Tags: Untagged

Approximately 29 million adult Americans have been diagnosed with sinusitis (an inflammation of the sinuses) according to the CDC. In sinus infectionmany cases, that inflammation is caused by an infection. There are relatively minor cases which may cause some cold symptoms, and other cases that can make it almost impossible to breathe, talk, or even see clearly. When you have recurring sinus infections, meaning they clear up and then come back frequently throughout the year, you should see Dr. Richard Nass at his East Hampton or Manhattan, NY office to find out the cause.

What Are Sinus Infections?
The sinuses are a series of cavities that are located next to your nose, between your eyes, and above your brow. They are connected by a network of passageways. When bacteria and germs irritate these passageways and cavities, it causes a sinus infection. The symptoms are headaches, pressure around the eyes, congestion, and overproduction of mucus.

What Causes Sinus Infections
When sinus problems happen time and time again throughout the year, they're called recurrent or recurring sinus infections. It's important to narrow down the possible causes with the help of your East Hampton or Manhattan, NY doctor. Here are a few possible reasons why you're having a recurring sinus problem:

- Exposure to another person who has a cold virus.
- Nasal congestion that isn't cleared promptly.
- Allergies (common in certain seasons).
- Exposure to too much dry air.
- An immunodeficiency disorder or related condition.
- Stress and lack of sleep.
- Smoking or secondhand smoke.

Treating and Stopping Recurring Infections
Your doctor will treat sinus infections by clearing the nasal passages and administering antibiotic therapies. Once you're consulted about the possible causes, you and your doctor can discuss ways of avoiding future infections. Actions to consider include using a neti pot to clear congestion regularly, taking allergy medication, buying a humidifier for your home, and joining a smoking cessation program.  Oal steroids or antibiotics may also be prescribed depending on the cause of your infection. For severe infections, surgery may be needed. Fortunately, minimally invasive procedures such as balloon sinuplasty are available to treat your recurring infections.

Get Help at the Doctor's Office
Some cases of sinusitis go away on their own and don't keep coming back. But when you experience recurring sinus infections, you should see a doctor for help. Call (212) 734-4515 or (631) 324-4900 today to make an appointment with Dr. Richard Nass at his East Hampton or Manhattan, NY office.

By Richard Nass, M.D.
February 21, 2017
Category: ENT Health
Tags: Nasal Issues  

Find out how recurring sinus infections or nasal obstructions can be improved with a trip to our ENT office.nasal issues

While a simple sinus problem such as a cold may not be enough to warrant a trip to see our Manhattan, NY, ENT Dr. Richard Nass, there are many situations that could arise that we can and should treat. Discover some surprisingly common ENT problems and what we can do to provide you with the relief you are looking for.

Nasal Obstructions

An obstruction is anything that prevents air from going through the nasal passages. Those with nasal obstructions often deal with some pretty unpleasant issues and difficulties eating, speaking or even breathing. Whether from nasal inflammation or allergens, there are many reasons why you may have an obstruction. By letting our Manhattan ENT doctor evaluate your condition we can determine the source of your obstruction and provide you with a treatment plan that works.

Common treatment options include prescribing antihistamines, steroid sprays and decongestants. These are often the first kinds of medications recommended, particularly for those with allergies.

If these medications don’t seem to help you better manage your symptoms then we will talk to you about additional treatment options that can correct this condition.

Chronic and Recurring Sinus Infections

Chronic sinus infections can be a nuisance when you have to deal with congestion, facial pain and pressure, difficulty breathing or headaches for months on end. If you’ve tried over-the-counter remedies and aren’t able to properly control your symptoms then it’s time to discuss other treatment options such as balloon sinuplasty.

This procedure is much less invasive than traditional surgery, boasts a quick recovery time and fewer side effects, and can be performed right here in our office. It can be an amazingly effective way to eliminate your chronic or recurring sinus infections.

Facial Pain

There are many reasons you could be suffering from facial pain, and it’s our goal to figure out the root cause so that we can find the right treatments to help you. In many cases, you could be dealing with facial pain if you are a chronic sinusitis sufferer or if you have nasal polyps. While medications can be used to manage your symptoms, in some cases certain procedures may be necessary to treat your sinusitis or to remove nasal polyps to treat your pain.

If you are suffering from any nasal symptoms and over-the-counter remedies just aren’t cutting it then it’s time you called our Manhattan, NY, ENT office today and booked a visit with Dr. Nass. Call (212) 734-4515 for the Manhattan office to schedule your appointment.

By Richard Nass, M.D.
December 15, 2016
Category: ENT Health
Tags: Sleep Apnea  

Sleep apnea doesn't have to affect the quality of your life. Dr. Richard Nass, your Manhattan, NY ear, nose and throat sleep apneadoctor, explains how he can help you find relief for your symptoms.

What is sleep apnea?

Sleep apnea happens due to an airflow disruption. It can occur if your throat muscles relax and close when you sleep or if your tongue falls back into your airway during the night. The problem can also be caused by structural abnormalities in your nose, mouth or throat that impede normal airflow.

Why is sleep apnea a problem?

Sleep apnea causes you to stop breathing multiple times during the night for periods of 10 seconds or longer. Not surprisingly, many people who have the condition feel tired during the day and have trouble concentrating. Fatigue isn't the only issue when you have sleep apnea. Breathing pauses can raise your risk of heart attack, stroke, diabetes and high blood pressure. Snoring, which often occurs when you have sleep apnea, not only disrupts your sleep but also makes it difficult for the people who live with you to sleep.

How is sleep apnea treated in Manhattan?

If a sleep study reveals that you have sleep apnea, Dr. Nass may recommend one of these treatments or lifestyle modifications:

  • Weight Loss: If you're overweight, losing a few pounds can help. Fat tends to form around your airway when you're overweight, which can contribute to sleep apnea.
  • Avoiding Cigarettes and Alcohol: Alcohol causes the muscles in your airway to relax, while smoking causes them to swell.
  • Dental Appliances: Special dental appliances, worn at night, move your jaw forward and prevent your tongue from falling back into your airway.
  • CPAP Machine: Continuous positive airway pressure (CPAP) machines have helped many people overcome sleep apnea. When you sleep, you'll wear a special mask that forces a steady stream of air into your airway, preventing it from collapsing.
  • Surgery: If your problem is caused by a structural abnormality, surgery may be recommended to ease your sleep apnea symptoms.

To learn more about Sleep Apnea in New York City call Dr. Richard Nass M.D. at 212-734-4515 or book an appointment online.

By Richard Nass, M.D.
October 25, 2016
Category: ENT Health
Tags: Sinus Disease  

Are you concerned that you may have sinus disease? Approximately 31 million people have the disease in the U.S., according to the sinus diseaseAmerican College of Allergy, Asthma and Immunology. Dr. Richard Nass, your Manhattan, NY ENT, shares a few common signs of the disease.
How can I tell if I have sinus disease?
Sinus disease, also called sinusitis, can occur suddenly or may be a chronic problem. If you have sinus disease, you may notice:

  • Cold symptoms that never seem to go away
  • Nasal congestion
  • Tenderness in your forehead, under your eyes and on the bridge of your nose
  • Postnasal drip
  • Coughing
  • Fever
  • Ear pain
  • Headaches in the front of your head
  • Green or yellow nasal discharge
  • Tooth pain that mimics the pain from cavities
  • Bad breath
  • Decreased sense of smell
  • Fatigue
  • Nausea

Who gets sinus disease?

Anyone can develop sinus disease, but it's more likely to occur if your sinuses are narrower than normal, you have polyps in your nasal passages or you have a deviated septum. Allergies can increase your risk of developing sinus disease. If you have allergies, your nasal and sinus passages may be chronically inflamed and swollen. Other risk factors include a recent respiratory infection, asthma and immune system disorders.
How can an Manhattan, NY ENT help me?
If home treatment doesn't improve your symptoms, your ENT can offer a variety of treatments that will ease your pain and relieve other unpleasant symptoms. If you have bacterial sinusitis, your doctor will prescribe antibiotics. Due to concerns regarding the overuse of antibiotics, these medications are usually only prescribed if you've had symptoms for a week or longer.
Your doctor may also prescribe decongestants, antihistamines or nasal corticosteroids to reduce congestion, decrease mucus production and target swelling in your nasal passages. If your sinus disease is caused by polyps, a deviated septum or another defect, your ENT may recommend surgery to correct the problem.

To learn more about Sinus Disease in New York City call Dr. Richard Nass M.D. at 212-734-4515 or book an appointment online.