Nosebleeds happen to most of us at some point during our lifetime. While it can be startling, nosebleeds are typically harmless and nothing to worry about. Of course, if you battle nosebleeds rather regularly you may be wondering what’s going on and whether you should turn to an otolaryngologist for an evaluation. Here’s what you should know about getting a nosebleed.
Common Causes of a Nosebleed
The blood vessels within our nose are very delicate, which means that they are prone to bursting and causing nosebleeds. Therefore, the two most common causes of nosebleeds are nose picking and dry air. Dry air can dry out the nasal passages, which leaves the area prone to infection and cracking.
Other causes include:
- Repeated nose blowing
- Broken nose
- Acute or chronic sinusitis (a sinus infection)
- Common cold
- Certain allergy medications (these medications can dry out the nose)
- Traumatic injury to the nose
- Deviated septum
- Bleeding disorders
- High altitude
- Excessive use of blood thinners or anti-inflammatory medications
There are two main types of nosebleeds: anterior and posterior. An anterior nosebleed is a bleed that originates in the septum of the nose (the wall that separates the two nasal passages). These nosebleeds are minor and can be treated with home care. If your child experiences nosebleeds an anterior nosebleed is usually the cause.
Posterior nosebleeds occur further back in the nose where the artery branches are located. This type of nosebleed is much heavier, occurs more often in adults and may require medical care. While rare, it is possible for a posterior nosebleed to be a sign of high blood pressure or a blood disorder (e.g. hemophilia).
When to See a Doctor
While most people will be able to treat a simple nosebleed on their own without having to seek medical care, it’s important to see a doctor right away if:
- Your nosebleed is affecting your ability to breath
- Bleeding lasts more than 20 minutes
- Your nosebleed is the result of a traumatic injury or accident
- There is a significant amount of blood
While it’s not considered an emergency situation, it is a good idea to talk with your ENT doctor if you or your child experiences nosebleeds often. During an evaluation an ear, nose and throat doctor can ask you questions about your symptoms, perform a quick examination of the nose and determine the underlying cause of your persistent nosebleeds.
If you are concerned about you or your child’s nosebleeds then it’s best to play it safe and to schedule an appointment with an otolaryngologist. Call our office today.
Cancer can grow anywhere in the body, even the head and neck. These cancers are twice as common among men and they are usually diagnosed in adults over 50 years old. The common types of head and neck cancer include:
- Oral cavity
- Oropharnygeal (in the throat or back of the mouth)
- Nasal cavity
- Paranasal sinus
- Laryngeal (in the voice box)
- Hypopharyngeal (behind or beside the voice box)
Most of the time people don’t find out that they have head and neck cancer until symptoms start to surface that warrant visiting the doctor. Sometimes a dentist may be able to pinpoint early changes during your routine dental cleanings; however, your doctor may send you to an otolaryngologist for a more comprehensive evaluation and diagnosis.
During your evaluation, an ENT doctor will ask you questions regarding your current health and any symptoms you are experiencing. From there, your doctor will determine the best tests to perform to detect head and neck cancer. These tests may include a physical examination of the head and neck, a CT or MRI scan, or a biopsy.
If you are diagnosed with head and neck cancer the first thing your doctor will want to do is determine what stage the cancer is (which simply means determining how far the cancer has spread). The stages let us know the extent of the cancer’s growth but also which organs have been affected or could soon be affected. Stages of cancer range from 0-4, with the lower stages indicating that the cancer hasn’t spread to other organs or isn’t spreading quickly.
Treating Head and Neck Cancer
Today, there are many treatment options for head and neck cancer and your doctor will be able to go through the different options to determine the right plan for you. The type of treatment or treatments you will receive will depend on the stage and location of your cancer.
Localized treatments such as surgery or radiation are used to treat only the cancer and do not affect the body as a whole, while systemic treatments such as chemo and targeted therapy drugs will affect the whole body. Systemic treatments are often used on patients with more advanced stages of cancer that have spread to other areas of the body.
Surgery may be recommended if the cancer isn’t in a difficult location in which to operate. Surgery can be performed to remove lymph nodes from the neck or to remove part or all of a structure such as the voice box or jawbone.
If you are noticing changes in your voice, an oral sore or lesion that doesn’t heal, or a mass in the head or neck region it’s a good idea to see your ear, nose, and throat doctor right away for a thorough examination. The sooner head and neck cancer is detected the better.
Also known as canker sores and ulcers, mouth sores usually result from bite injuries or allergic reactions. They can also be a symptom of an underlying health condition. Unlike cold sores, which are caused by the herpes simplex virus (HS1 and HS2) and develop on the lips and the skin around the mouth, non-Herpes related mouth sores can form on the gums, tongue, lips, the lining of the cheeks and throat. Canker sores are not contagious, and usually clear up on their own. They tend to be painful and can be treated with topical over the counter analgesics, mouthwashes and rinses. If mouth sores do not resolve on their own and last longer than three weeks, it may be necessary to seek treatment from an ear, nose and throat (ENT) doctor.
Common Causes of Mouth Ulcers and Canker Sores
Accidental biting is the most common cause, along with friction from toothbrushing, orthodontics or dentures. Diet can also play a role, in the form of food allergies to anything from coffee, chocolate and highly acidic foods and citrus fruits. Deficiencies of essential vitamins and minerals like folic acid, B12, iron, folate and zinc can also cause mouth ulcers. Sodium lauryl sulfate in toothpaste and oral bacteria like Helicobacter pylori (which is also responsible for stomach ulcers) can cause lesions in the mouth as well.
Lifestyle factors like smoking and elevated stress levels are another cause. Ulcers that persist for more than a few weeks, do not respond to self-care and over the counter treatments and are accompanied by additional symptoms like fever, excessive pain, swelling and difficulty eating and drinking, can be a sign of an underlying medical condition.
Schedule an appointment with an ENT (ear, nose and throat doctor) if you are experiencing any of the following symptoms:
- swollen lymph nodes
- difficulty swallowing or speaking
Is an Underlying Medical Condition Causing My Mouth Sores?
Persistent and chronic mouth sores can sometimes be a symptom of immune deficiencies or inflammatory conditions like lupus, Celiac, Behcet's and Chron's Disease. Contact an ear, nose and throat specialist (ENT) for more information on treatment options and symptom relief.
- Hear muffled speech or sounds
- Have a problem understanding individual words
- Need people to speak more loudly or slowly
- Have to turn up the television or radio
- Withdraw from social events or conversations
- Protect your ears by wearing earplugs or earmuffs if you are in a loud workplace
- Have your hearing tested by an audiologist or ENT specialist. Current recommendations are to have your hearing tested at least every 10 years through age 50, and every three years after age 50.
- Protect your ears from damaging loud noises in your daily activities and recreation, especially listening to rock concerts, shooting guns or riding in loud vehicles.
- Take breaks from continuous loud noises.
While swimmer’s ear may sound akin to having a lucky rabbit’s foot, the opposite is actually true. This painful condition, also known as acute otitis externa, causes infection and inflammation of the outer ear. As you may be able to guess from the name alone, this ear infection is often the result of too much water getting into the ears, whether you are an avid swimmer or you just drenched yourself in a hot shower for too long. Of course, there are other reasons why you may be prone to these infections.
Sure, this infection tends to be more common in children and teens, but if you happen to clean your ears regularly with cotton swabs, if you end up damaging or cutting the skin of the ear canal or if you’ve been diagnosed with eczema of the ear canal, then you too could be at risk for developing this type of ear infection.
Once the water is trapped inside the ear canal, it leaves the ear susceptible to bacteria and infection. If you have swimmer’s ear, you most likely know it because the inflammation causes pain. Since it is indeed an infection, it’s important that you turn to your otolaryngologist for proper medical attention. Not only will the treatment help eliminate your pain and discomfort but it will also stop the infection from spreading.
Besides pain, you may also notice that your ear feels as if there's fluid in it, which may also be drained. Since swimmer’s ear is an infection, you may also notice that the lymph nodes around the neck and ears are swollen. Some patients even report minor hearing loss. Of course, a young child can’t often describe their symptoms, but you may notice your little one tugging at their ear, unable to sleep, or more irritable and cranky. If you notice these symptoms then it’s time to take your child to the ENT doctor.
What can happen if swimmer’s ear isn’t treated properly? You may experience chronic or recurring infections. You may find that even if the condition clears up that your hearing loss has not fully returned. There may even be damage to the bones and cranial nerves.
When you come in to see your ENT specialist, they will most likely prescribe eardrops to treat the infection. They may also clean out the infected ear canal. These eardrops will serve to kill the bacteria and reduce pain and inflammation. Make sure to follow the instructions for your medication and continue to use it even once your symptoms have gone away, or according to what your physician has prescribed. This will ensure that all the bacteria are destroyed and that you won’t develop another infection.
Protect the health of your ears. If you think you may have swimmer’s ear, or if you are experiencing any kind of ear pain, it’s a good idea to play it safe and visit an ear, nose and throat specialist right away for care.
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