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Fairfax, VA 22031-2903
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By Gopesh Sharma, MD
October 16, 2018
Category: ENT Conditions

Early Hearing Loss can be troublingWhile hearing loss—to some degree—is fairly common as we get older, it doesn’t mean that younger adults can’t also experience some form of hearing loss. Whether you are concerned that your hearing is declining or you are trying to prevent hearing loss from happening to you, here are some reasons why this problem can occur earlier on in life.

Noise-Induced Hearing Loss

One of the most common reasons people develop hearing loss is exposure to loud and harmful noises. A lot of these noises are present in our environment such as the construction happening right outside our apartment or the traffic jam you always seem to get stuck in at rush hour. Repeated exposure to these harmful elements can lead to noise-induced hearing loss (NIFL). Everyone from children and teens to adults can develop this form of hearing loss.

In some cases, NIFL is caused by exposure to one extremely loud sound (e.g. explosion), while other times it’s due to repeated, long-term exposure to harmful noises. Everything from hunting to using a lawnmower can put your hearing at risk.

Luckily, NIFL is preventable. It’s important to understand that certain noises can be dangerous to your hearing. By incorporating more hearing-friendly practices into your day-to-day life you could reduce your risk of hearing loss. Besides knowing what sounds are harmful to your ears, it’s important that you consider wearing some kind of protection (e.g. ear plugs) when exposed to these noises. If you don’t have protection and can’t reduce the sound, try to stay as far away from it as possible.

Ruptured Eardrum

Injuries the eardrum, sudden changes in pressure or even loud noises can cause the eardrum to rupture. Sometimes an undetected ear infection can also cause this problem. As a result, hearing can be affected.

While sometimes hearing loss after a ruptured eardrum is only temporary if the eardrum doesn’t heal properly or isn’t treated this could lead to repeated ear infections which, over time, could cause permanent hearing loss. If you are someone who is prone to infections, or if you think your eardrum has ruptured, it’s important that you turn to an ENT doctor right away.

If you aren’t able to hear people as clearly as you once did it’s important that you get a hearing screening as soon as possible. The sooner you seek care the sooner you can get the treatment you need to prevent your hearing loss from getting worse. Turn to an otolaryngologist today.

By Gopesh Sharma, MD
October 12, 2018
Category: Infections
Tags: Ear Infection   Ear Pain  

Are Your Ears in Pain?

Ear PainIf you think you are suffering from an ear infection, then you need to contact ENT specialist Dr. Gopesh Sharma's office in Fairfax, VA. Your ear consists of three sections: outer ear, middle ear and inner ear. When you have an earache, it can be in any of those three locations.

Here is more information:

Inner Ear Infection (Otitis Interna or Labyrinthitis): Inner ear infections are usually a result of other infections and symptoms include:

  • Dizziness
  • Vomiting
  • Hearing loss
  • Fever
  • Nausea

Middle Ear Infection (Otitis Media): This ear infection is a result of bacteria or viruses that are airborne, foodborne, or due to infections in other parts of the body, or a blocked Eustachian tube.

Treatments vary according to the cause of the infection, so your doctor may prescribe anything from ear drops to surgical insertion of a tube to help drain fluid in the middle ear.

Outer Ear Infection (Otitis Externa or Swimmer's Ear): This ear infection is a result of a bacterial infection that causes inflammation in the outer ear. When there's moisture surrounding the ear, like when swimming or when it's humid, you are more prone to contracting an outer ear infection from water, sand or dirt. There may also be issues with fluid drainage in the ear. Ear infections are usually resolved in about 10 days, but here are some symptoms to look out for:

  • Severe pain
  • Redness
  • Swelling in the outer ear
  • Pain while chewing or when pulling on the ear
  • Itching

Potential Consequences and Treatment Options:

If you notice any of these symptoms, contact Dr. Gopesh Sharma's Fairfax office. If otitis externa is left untreated, you may suffer:

  • Hearing loss
  • Bone and cartilage damage.
  • Recurring ear infections

Treatment options include:

  • Antibiotic and pain medication
  • Ear drops to block bacterial growth

If you are suffering from an ear infection, please contact Dr. Gopesh Sharma's Fairfax office today at (703) 573-3177 to schedule an appointment.

By Gopesh Sharma, MD
October 01, 2018
Category: ENT Care
Tags: Cleft Palate  

Cleft palates can be reconstructedA cleft palate is a birth defect that affects the shape and formation of the roof of the mouth, causing a split in either the soft tissue or the bony portion. This condition occurs early on in pregnancy as the baby is developing. Of course, a cleft palate will not be detected until after a baby is born. While this malformation can be disheartening and stressful for parents, it’s important to understand this birth defect and how it can be repaired.

Depending on the severity of the cleft palate, your otolaryngologist will be able to determine how many surgeries will be necessary. The first surgery alone can improve the function of the middle ears, improve how the palate functions and even ensure that teeth and certain bones within the face develop properly.

In some cases, your child may also require bone grafting surgery at some point during childhood to improve the health of your gums and to make sure that permanent teeth are properly supported. As you might imagine, getting cleft palate surgeries early on will also improve your child’s speech and prevent impediments.

Additional surgeries may also be required to improve certain areas of the face such as the nose, as well as to improve breathing or to realign the jaws. After the surgeries are complete, other procedures may be performed in order to reduce the appearance of the scar.

It’s important to know that despite the lengthy treatment process and multiple surgeries that children who undergo cleft palate repair early on in life can achieve a greater quality of life. Not only do these surgeries provide a more natural appearance, but they prevent certain health problems (e.g. hearing loss) while also restoring proper speech and chewing.

If your baby was born with a cleft palate or cleft lip it’s important that you find an ENT doctor that you can trust to discuss surgery and to find out if this is the best option for your little one.

By Gopesh Sharma, MD
September 14, 2018
Category: ENT Care
Tags: Earwax Buildup  

While it might not seem like there is a purpose behind why your ear produces earwax, there most certainly is. Even though a lot of people try to clean outEar wax build up their ears on their own, it’s important to remember that ears are self-cleaning. This means that the earwax will typically just come out on its own. Of course, there are times when earwax can become impacted or blocked, which can temporarily cause muffled hearing and discomfort.

Why does impacted earwax happen? There are a few things that could be to blame but one of the most common causes is at-home ear cleanings. While it might seem rather unhygienic, you don’t need to clean your ears, and should never place a cotton swab into the ear canal as you risk damaging or injuring your ear. One look at the package of cotton swabs and you’ll see that it states that you should never place it in your ear. Plus, these swabs can end up just pushing earwax deeper into your ear, which can lead to pain and other problems.

If you have a narrow ear canal or if you are older you may be more prone to earwax impactions. If this is the case, you may want to visit an ENT doctor rather regularly for proper earwax removal. You may also find that you are prone to earwax buildup if you constantly place things in your ears, whether you often use headphones or a hearing aid.

Fortunately, an otolaryngologist will often treat earwax impaction through prescription-strength eardrops that will successfully breakup the wax. Of course, if this treatment doesn’t work then you may need to come in so that we can safely and effectively wash out your ears and dislodge the earwax completely.

Remember to never try to remove the earwax buildup yourself, as they could just end up causing more issues in the long run. While there are kits that you can use at home to help irrigate and clean out the ears, if you aren’t noticing a change in your symptoms after three days it’s a good idea to visit your otolaryngologist for care.

There are several techniques for removing wax, from irrigating the ear to using a painless suctioning device. The earwax treatment we recommend for you will depend on several factors such as health and structure of your ear.

If you are dealing with earwax impaction then it’s time you turned to an otolaryngologist who can safely remove the buildup.

By Gopesh Sharma, MD
August 30, 2018
Category: Infections
Tags: face pain   sinus  

If you’ve ever suffered from a stuffy nose, facial pain, and pressure around the nose, cheeks, and eyes, or experienced postnasal drip (in which nasal mucus drains down your throat), then you’ve experienced a sinus infection before. A sinus infection, also known as sinusitis, occurs when the nasal passages become inflamed or irritated. Sometimes an infection can be so bad that the inflammation can actually block these airways. Acute forms of this infection often come about after a cold; however, those with nasal polyps or a deviated septum may be prone to recurring bouts of sinusitis.

 

Acute sinusitis can last anywhere from two to four weeks and the condition will often clear up by itself. Of course, sometimes it’s necessary to see an otolaryngologist for treatment. For example, it’s a good idea to call a specialist if you’ve been trying to handle your symptoms at home but they haven’t improved after a few days. You should also schedule an appointment if symptoms get worse.

 

To manage symptoms of acute sinusitis you may try over-the-counter decongestants and nasal sprays to help reduce inflammation and drain the sinuses. If these medications don’t improve symptoms within a couple of days then you may need a stronger medication such as corticosteroids. In some cases, antibiotics may actually be necessary to clear the infection.

 

Chronic sinus infections last more than 12 weeks and most sufferers experience the exact same symptoms as those with acute sinusitis such as nasal congestion, facial pressure, or a partial or complete blockage of the nasal cavity. It’s important that you visit an ENT doctor as soon as possible to find out what your treatment options are. In some cases, a prescription medication along with over-the-counter medications and alternative remedies can help ease symptoms until the problem subsides. In more severe cases, the patient may need to consider more aggressive measures.

 

In the past, the only option for those dealing with severe and chronic sinus infections was to undergo surgery. Luckily, technology has come a long way and now ENT specialists can also offer a simple non-surgical procedure known as balloon sinuplasty. No incisions or cutting is required; the only tool used is a small flexible tube with a deflated balloon at the end of it.

 

The tube is carefully guided into the obstructed nasal passage where the balloon is inflated to open up the airways and drain the sinuses. Once this occurs, the scope is removed but the airways remain open. The side effects from this procedure are minimal and most patients can return to their normal activities 2 days later.

 

Of course, sometimes it’s necessary to perform sinus surgery to effectively treat chronic sinusitis. To decide the right treatment option for you, it’s important to schedule a consultation with an otolaryngologist you trust.





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