Posts for category: ENT

By Princeton Eye and Ear
August 02, 2017
Category: ENT
Tags: Nosebleeds  

It happens suddenly. Blood gushes from the left side of your nose, and you reach for something--anything--to catch and stop the flow. After nosebleeds10 minutes or so, the nosebleed (doctors call it epistaxis) stops, but you wonder "What is causing my nosebleeds?" Your otolaryngologist in Plainsboro, Freehold and Lawrenceville, NJ pinpoint the causes for regularly occurring nosebleeds and offers treatments to control or eliminate this bothersome condition.

The causes of nosebleeds

Nosebleeds are a very common medical condition, especially in children who participate in sports or even moderately rough playground activity. However, adults experience epistaxis, too, says your otolaryngologist in Plainsboro, Freehold and Lawrenceville, NJ.

Fortunately, most bleeding episodes are perfectly benign and stop within a short period of time. Bleeds from the front of the nose (anterior) happen most frequently and are less serious than ones coming from the back of the nose.

However, while the acute phase of a nosebleed is rarely serious or life-threatening, some bleeds need immediate attention from a health care professional. The reasons nosebleeds occur include:

  • Blunt trauma to the face
  • Nasal dryness, congestion and irritation due to colds, flu or allergic rhinitis
  • Hypertension
  • Clotting factor disorders
  • Foreign object in the nose (prevalent in young children)
  • Deviated septum, the partition that divides the nose into two sections

Immediate treatment

First aid for epistaxis is straightforward:

  1. The individual should sit straight up with his or her head tilted slightly forward.
  2. Using the thumb and forefinger, pinch the nostrils together.
  3. Check the blood flow after 10 minutes. If not resolved, continue to hold the nostrils closed. Use a clean washcloth or 4x4 gauze to absorb any dripping blood.

If bleeding does not resolve within 20 minutes, go to the hospital emergency room.

When nosebleed recur

Still, there may be nothing seriously wrong. Try humidifying the air in your home. Nasal creams or saline sprays help keep delicate nasal membranes moist and less prone to bleeding.

However, doctors at the Cleveland Clinic say that frequent epistaxis in children under the age of two are cause for concern. So parents, please consult your pediatrician if this occurs with your toddler. Additionally, when nosebleeds last for more than 20 minutes and are accompanied by vomiting and shortness of breath, please go to the hospital ER. The hospital may stabilize the condition and refer you to your primary care physician or your otolaryngologist in Plainsboro, Freehold and Lawrenceville for further investigation.

Other causes for nosebleed may be linked with underlying hypertension, clotting factor deficiencies or other serious medical conditions. At Princeton Eye and Ear, Dr. Shah and his professional colleagues are board-certified to diagnose and treat a wide range of problems associated with the nose, ears and throat. They'll pinpoint why epistaxis is occurring and provide competent and caring treatment.

Contact us

If you're concerned about recurring nosebleeds, please contact Princeton Eye and Ear. The friendly staff will arrange a personal consultation with one of the physicians. For ENT appointments, call (609) 403-8840. For eye appointments, call (609) 883-3000.

By Princeton Eye and Ear
March 27, 2017
Category: ENT

Princeton Eye and Ear, located in Lawrenceville, Plainsboro and Freehold, NJ, is the place to go if you need an eye exam, have an ear ophthalmology, otolaryngologyinfection or are interested in cosmetic surgery. Your ophthalmologists and ENT providers explain a few of the services they provide.

Eye examinations

Whether your contact prescription needs an update, or you're concerned about cataracts, glaucoma or another vision problem, Princeton Eye and Ear offers the ophthalmological services you need. The ophthalmologists not only prescribe glasses and contacts for people of all ages but also perform eye surgery.

Hearing loss treatment

Do you have trouble hearing? Hearing loss can occur due to aging, infections, earwax buildup, certain diseases, tumors or overgrowth of the bones in your ear. You'll receive a thorough examination and a hearing test when you visit Princeton Eye and Ear in Lawrenceville, Plainsboro and Freehold, NJ. Treatment for hearing loss depends on the cause and may be as simple as removing built up wax or draining excess fluid from your ear. Hearing aids can be helpful in some cases of hearing loss.

Cosmetic surgery

Whether you want to look more youthful or want to finally improve some aspect of your appearance, cosmetic surgery offers impressive results. You may be interested in rhinoplasty (nose job), or a face, brow or neck lift. In addition to surgery, several non-surgical options are offered, including Botox, chemical peels, microdermabrasion and cosmetic laser treatments.

Ear infections

Ear infections cause pain and may make it more difficult to hear. Common in children, the infections can also affect adults. Although ear infections often go away without treatment, bacterial infections require treatment with antibiotics to prevent complications. If your child suffers from frequent ear infections, his or her doctor may recommend placing tubes in the ears to improve fluid drainage.

Call Princeton Eye and Ear if it's time for your next vision exam, you have an eye or ear problem, or you would like to improve your appearance with cosmetic surgery. Dr. Chetan Shah and his colleagues can be reached at (609) 883-3000 (eye phone) or (609) 403-8840 (ENT phone). The practice has offices in Plainsboro, Freehold and Lawrenceville, NJ.

By Princeton Eye and Ear
August 18, 2014
Category: ENT
Tags: Sinusitis   Allergies  
Since breathing is involuntary, we don’t often think about it unless there’s an issue. Breathing problems can affect anyone at any point in their lives, whether temporary or chronic. There are several reasons why your breathing might be affected and we’re here to help you pinpoint those problems and nip them in the bud so you can breathe easier. Allergies - Breathing Problems
 

Allergies

From pet dander and ragweed to certain drugs and foods, there is an array of things that can trigger your allergies. In the US, one in five people have allergy (or asthma) symptoms and it’s also the fifth leading chronic illness in America. So chances are your stuffy nose could be due to an allergen. So how do you stave off your allergy symptoms? Once we figure out what you’re allergic to, we can make sure you stay away from it as much as possible; however, sometimes you can’t completely avoid the allergen. That’s why we will recommend an antihistamine or nasal decongestant. If you’re a smoker and experiencing nasal congestion, we may recommend that you ditch your habit.
 
For severe cases, allergy shots might be required. We can discuss this further at your next appointment
 

Sinusitis

If you’re experiencing a stuffy nose accompanied by facial pressure, you might be dealing with sinusitis, or inflammation of the sinus tissue. If you’re only experiencing minor symptoms, then we might recommend some over-the-counter medications. More moderate symptoms can often be treated with prescription medications. If symptoms do not improve over time or actually get worse, we will weigh the pros and cons of surgery. Most often, your condition has to be chronic for surgery to be recommended.
 

Deviated Septum

If you find it difficult to breathe through one or both nostrils, or you have frequent nosebleeds, it could be a sign that you have a deviated septum. This happens when the wall between your nostrils leans more to one side. Many people don’t even know that they have this condition.
 
The first line of treatment is with decongestants, antihistamines and nasal steroid sprays. These will alleviate symptoms but won’t fix the problem. If your symptoms are persistent, a septoplasty can be performed to repair the nasal wall for good.
 
The best way to diagnose your breathing problems is by contacting our office and setting up an appointment. Call us at (609) 403-8840.