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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Swallowing Disorders

Just like breathing or blinking, swallowing is an involuntary habit that we don’t often think about; however, swallowing is an important part of everything from speaking and socializing to consuming delicious food. Unfortunately, there are disorders that can affect a person’s ability to swallow. A swallowing disorder can be uncomfortable and troublesome, and a visit to an otolaryngologist can give you the answers you’re looking for as to what’s going on.

Some people having pain when they swallow while others may have trouble swallowing certain foods or feel as if there is something stuck in their throat. As a result, they may have trouble getting the proper nutrients and calories they need. Swallowing disorders are more common as a person ages. Swallowing disorders usually fit into one of two categories: esophageal and oropharnygeal dysphagia.

Esophageal dysphagia

People who often feel like they have something in their throats are often dealing with esophageal dysphagia as a result of:

  • Gastroesophageal reflux disorder (GERD)
  • Esophageal spasms
  • Achalasia (esophageal sphincter dysfunction)
  • Scar tissue of the esophagus
  • Tumors
  • Certain medications that can cause dry mouth

Oropharnygeal dysphagia

There are certain conditions that can also affect how the muscles in the throat function, which makes it more difficult to swallow food properly. Common causes include neurological disorders, nerve damage (spinal cord or brain injuries) and cancers of the head, neck, and throat.

Along with trouble swallowing, those with swallowing disorders may also experience:

  • Coughing after swallowing
  • The sensation of food being stuck in the throat
  • Choking
  • Regurgitation
  • Sore throat
  • Hoarseness
  • Chest discomfort

If you experience persistent issues swallowing or if you also experience vomiting, regurgitation, or unexpected weight loss along with swallowing difficulties then it’s time to see an otolaryngologist.

Diagnosing Swallowing Disorders

To determine the cause of a patient’s swallowing problems their ENT doctor will go through their medical history, ask questions about the symptoms they are experiencing and then perform a physical examination. Based on the patient’s answers, your doctor will then determine which testing is needed to make a diagnosis. Common diagnostic tests include:

  • Endoscopy
  • Esophageal muscle test (manometry)
  • CT scan
  • Dynamic swallowing study
  • Barium esophagram
  • 24-hour pH impedance (to evaluate acid reflux and regurgitation)

Treating Swallowing Disorders

As you can see from the list above, there are many conditions and causes that could result in swallowing disorders. Therefore, the treatment you receive will depend on the cause and severity of your symptoms. Your ENT specialist will work with you to create an individualized treatment plan to reduce symptoms. With chronic conditions, your doctor will find ways to help you manage the underlying condition to make swallowing easier.

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