MIDWEST ENT UPDATE 9/29/2020

As we approach fall and winter, we wish to update you on your ear nose and throat health. We recommend that you have your humidifiers inspected and cleaned. If you don't have one, this may be a good time to purchase. When heaters go on, so should humidifiers. In addition, nasal saline sprays and netty pots often times aid in healthy noses and throats. It is becoming increasingly well known how important good nasal breathing is for our overall health. I am sending a link to a recent story aired on CBS News, featuring James Nestor, author of the recent book, "Breath: The New Science of a Lost Art". It is very insightful and I hope you enjoy it.

We continue to take very strict COVID precautions. We have had no cases as a result anyone coming to our office or having surgery with us at Northwestern Hospital.
Flu season is rapidly approaching and strongly encourage the flu vaccine.
We are very pleased with our results of the Inspire(inspiresleep.com)procedure for sleep apnea. This has proven to be an excellent outpatient procedure for those who are not getting good results with CPAP.
As always, we offer a full range of services for your hearing health. We provide the most current technology for testing your hearing and providing the most appropriate hearing aids for each individual.
Please feel free to call the office(312-988-7777) for further information on all of the above or to set up an appointment. You may also send individual emails through our patient portal.

Wishing you all good health and safety,

Gordon J. Siegel, M.D.,FACS
Assistant Clinical Professor
Otolaryngology-Head & Neck Surgery             
Northwestern University Feinberg School of Medicine

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Causes of Dizziness

It’s normal to experience bouts of dizziness if we are stressed, taking certain medications or haven’t eaten in a while; however, what might be going on if your dizziness persists? Dizziness isn’t an uncommon symptom. In fact, most people will experience dizziness that is serious enough to warrant seeing a doctor. While you may visit a family physician to find out what’s going on, don’t be surprised if you end up being referred to an ear, nose & throat doctor.

What causes dizziness?

Dizziness refers to a serious of sensations that make you feel lightheaded, off balance, unsteady or feeling like the world around you is spinning (vertigo). Sometimes dizziness may be accompanied by nausea and vomiting, particularly during more severe episodes. These symptoms can be unnerving but an otolaryngologist can often help.

The most common causes of dizziness that we see include:

Benign paroxysmal positional vertigo (BPPV): This problem affects the inner ear and can lead to persistent episodes of vertigo. Symptoms usually last no more than a minute and will typically come and go. Unfortunately, there often is no cause of BPPV; however, sometimes migraines or inner ear damage may be to blame. Sometimes this condition will go away on its own but an ENT doctor can also provide you with treatment options such as physical therapy that can get rid of symptoms sooner.

Vestibular neuronitis: Inflammation of the eight cranial nerve, known as the vestibular nerve, results in severe vertigo episodes that may cause you to lose balance. This condition can also cause nausea and vomiting. Symptoms usually last anywhere from 7 to 10 days and become milder over the course of several months. A viral or bacterial infection is usually to blame for inflammation of the vestibular nerve.

There are certain medications that can be prescribed by an ENT specialist to help lessen the severity and duration of your symptoms. Sometimes a special type of physical therapy is performed to treat this condition.

Labyrinthitis: This inner ear disorder occurs when one of the two vestibular nerves becomes inflamed. Along with dizziness, vertigo, tinnitus (ringing in the ears), and nausea you may also lose hearing in one ear. Any changes to your hearing warrant immediate medical attention. Viral, respiratory, and bacterial infections can all cause this disorder.

Medications such as corticosteroids, sedatives and antihistamines may be prescribed to help with your symptoms. Just like with vestibular neuronitis, a type of physical therapy known as vestibular rehabilitation therapy (VRT) may also be recommended.

Meniere disease: This progressive inner ear condition also causes similar symptoms to labyrinthitis including tinnitus, hearing loss, pressure in the ears, and dizziness. Symptoms will gradually get worse over time, and these attacks may also cause a rapid pulse, blurry vision and anxiety.

While there is no cure, there are treatment options that can effectively manage your dizziness and also reduce fluid in the ear. Medications such as steroids, motion sickness medicines, and diuretics are often used, as well as rehabilitation, therapy, hearing aids, and sometimes surgery.

If you are dealing with dizziness or any other warning signs of an ear problem it’s a good time to turn to an ENT doctor who can help you find the right treatment to get you back on two steady feet again.

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