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By Richard Nass, M.D.
May 04, 2018
Category: ENT Care

Do you frequently experience congestion, sinus headaches and pain around your nose, eyes and cheeks? You may have a chronic sinus sinus infectionsinfection. 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.)
  • Nausea
  • Cough
  • Ear pain
  • Reduced sense of smell or taste
  • Sore throat
  • Fever
  • Bacterial, viral, or fungal infections
  • Fatigue

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.

By Richard Nass, M.D.
November 07, 2017
Category: ENT Care

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 nasal breathing problemssinusitis. 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.

By Richard Nass, M.D
August 10, 2017
Category: ENT Care
Tags: Sleep Apnea   Snoring  

Your snoring may be something called sleep apnea. Dr. Richard Nass can help you find out and help you treat it. sleep apnea

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.

By Richard Nass, M.D.
June 09, 2017
Category: ENT Care
Tags: Sinusitis  

Are you still tired and congested weeks after you had a sinus infection? You may have chronic sinusitis, a condition that can develop chronic sinusitisafter a bout of acute sinusitis. Manhattan, NY, sinus specialist, Dr. Richard Nass, discusses chronic sinusitis symptoms and shares information on treatment options.

What's the difference between acute and chronic sinusitis?

Acute sinusitis symptoms develop rapidly and generally lasts a week or two, but no more than a month. You'll receive a chronic sinusitis diagnosis if your symptoms have lasted three months or longer.

What causes chronic sinusitis?

Chronic sinusitis often develops after you've had a cold or acute sinusitis. Other factors that can raise your risk of chronic sinusitis include:

  • Allergies or asthma
  • Exposure to cigarette smoke or pollutants in the Manhattan areas
  • Nasal polyps
  • Deviated septum
  • Certain diseases, such as cystic fibrosis or gastroesophageal reflux disease (GERD)
  • HIV/AIDs or other immune system disorders
  • Fungal, bacterial or viral infections

What are the symptoms of chronic sinusitis?

Thick yellow or green discharge from your nose is common if you have sinusitis. Postnasal drip can trigger coughing at night and may also make you feel a little nauseated when you first wake up. Pain in your forehead, cheeks, nose and the area around your eyes is also common. Some people experience toothache-like pain in their upper teeth when they have chronic sinusitis. You may also feel tired, have bad breath, develop a sore throat or notice a reduced sense of smell or taste.

How is chronic sinusitis treated in Manhattan, NY?

Prescription decongestants decrease mucus in your sinuses, while nasal corticosteroid sprays are helpful in reducing inflammation and congestion. If the spray doesn't help, you may benefit from oral corticosteroids. Bacterial and fungal infections are treated with antibiotics or anti-fungal medications. Treating underlying conditions, such as GERD, allergies and immune system disorders, can also be helpful.

If more conservative treatment methods don't relieve your symptoms, sinus surgery may be recommended. The surgery is used to remove inflamed tissue, polyps, blockages and scar tissue and correct deviated septums.

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

By Richard Nass, M.D.
May 04, 2017
Category: ENT Care
Tags: Sinus Infections  

For people who have chronic, or recurrent, sinus infections, relief may seem impossible. If medication and other therapies haven't worked for you, your Manhattan ENT, Dr. Richard Nass, may suggest a balloon sinuplasty. This minimally-invasive treatment is an excellent alternative to surgical treatment of blocked sinuses. You can learn more about this revolutionary procedure here.

What is a balloon sinuplasty?

Approved by the FDA in 2005, a balloon sinuplasty from your Manhattan otolaryngologist is performed under local anesthesia, which means only the area being treated will be numbed; there is no need to be asleep during this procedure. A catheter is inserted through the nose into the affected nostril, at which point a balloon-like dilator is guided along the catheter until it reaches the sinus passage. The balloon is then inflated, clearing the sinus area. Most patients experience very little post-operative pain and can return to normal activities much sooner than if they had opted for traditional sinus surgery.

Is balloon sinuplasty effective?

In a word: yes. The treatment has been extensively studied and the results published several times in the American Journal of Rhinology & Allergy. Across the board, balloon sinuplasty has been found to be safe, consistent and just as effective as traditional sinus surgery without the downtime or risk of complications. Upon follow-up a year later, the patients who were in the study were found to have a similar decline in sinus-related symptoms and the need for sinus medications to those who had gone through sinus surgery.

Whether you're dealing with allergies, asthma, or a deviated septum, Your Manhattan ENT physician, Dr. Richard Nass, has the training and experience you need to find relief from your sinus problems. To learn more about balloon sinuplasty, contact the office closest to you - either Manhattan, New York - to schedule a consultation.





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