By Princeton Eye and Ear
May 08, 2018
Category: Ophthalmology
Tags: Ear Infection  

Are your ears in pain?ear infection

If you think you are suffering from an ear infection, then you need to contact your ENT specialists in Lawrenceville, Plainsboro and Freehold, NJ.

More About the Ear:

Children are the most susceptible to ear infections. They may suffer from painful earaches in any of the three parts of your ear: the outer ear, middle ear and inner ear.

In order to help your child, you need to understand the different types of ear infections:

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, your child is 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
  • Itching
  • Redness
  • Swelling in the outer ear
  • Pain while chewing or when pulling on the ear

If you notice any of the symptoms, contact a doctor at any of the following locations: Lawrenceville, Plainsboro, or Freehold. If otitis externa is left untreated, your child may suffer from

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

Treatment options include:

  • Eardrops to block bacterial growth
  • Antibiotic and pain medication

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 eardrops to surgical insertion of a tube to help drain fluid in the middle ear.

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

  • Dizziness
  • Fever
  • Nausea
  • Vomiting
  • Hearing loss

If you suspect you or your child may have an ear infection, please contact your doctor at any of the following office locations: Lawrenceville, Plainsboro and Freehold, NJ.

By Princeton Eye and Ear
February 21, 2018
Category: Skin Treatment
Tags: Botox  

Fine lines and wrinkles are a normal part of the aging process. But thanks to modern dermatology and anti-aging technology, there are botoxsteps you can take to preserve a smooth, youthful appearance. Our ENT and ophthalmology specialists in Lawrenceville, Plainsboro, and Freehold, NJ, recommends Botox treatments to help minimize the appearance of fine lines and wrinkles around the eyes and mouth, which are among the first areas of the face to show the signs of aging.

Botox Treatment in Lawrenceville, Plainsboro, and Freehold, NJ

Everyone ages at their own pace. For some people, fine lines and wrinkles around the eyes or between the brows begin to make an appearance in their 20s. Others may not notice signs of aging until much later. Botox treatment has become increasingly common over the past decade as a means to soften and delay the appearance of fine lines and wrinkles. According to the American Society of Plastic Surgeons, over six million people had received Botox treatments as of 2015, with approximately 20% of Botox treatments going to men and women in the 30-39 age group.

What Can Botox Be Used For?

Botox injections are most commonly used to smooth and minimize the appearance of fine lines and wrinkles around key areas of the face including:

  • Forehead/brow ("bunny lines")
  • Eyes (crow's feet)
  • Mouth (frown/smile lines)
  • Chin

Although they are most commonly used on the upper half of the face, Botox injections can also be used to add definition to the jawline, or to lift the tip of the nose without the need for a traditional rhinoplasty (nose job) procedure.

Find an ENT Doctor in Lawrenceville, Plainsboro, and Freehold, NJ

For more information about Botox treatments and whether they are a good option for you, contact us to schedule an appointment today.

By Princeton Eye and Ear
November 27, 2017
Category: Cosmetic Surgery
Tags: face surgery   neck surgery  

As the skin ages, it naturally begins to lose elasticity and firmness due to less collagen production. Although the aging process affects cosmetic surgeryeveryone differently, some of the most common cosmetic issues include fine lines and wrinkles, loss of volume in the cheeks and around the mouth, and thinning or "crepey" skin around the face and neck. If you have considered cosmetic surgery to help refresh and improve your appearance, you are not alone. According to the American Society of Plastic Surgeons, over 15 million Americans underwent some form of plastic surgery in 2015, and the numbers have been going up ever since. Our ENT and ophthalmology specialists in Lawrenceville, Plainsboro, and Freehold, NJ, offer a range of cosmetic and minimally invasive options for aging and damaged skin.

Cosmetic Surgery in Lawrenceville, Plainsboro, and Freehold, NJ

Advancements in medical technology and cosmetic techniques have led to the development of a number of minimally invasive and non-surgical techniques to achieve results similar to a traditional facelift for men and women who prefer to take a more modest approach. Some of the most common surgical and non-surgical cosmetic procedures for the face and neck include:

  • Botox
  • Rhinoplasty
  • Blepharoplasty
  • Brow/forehead lift
  • Skin Resurfacing
  • Facelift
  • Neck Lift
  • Dermal Fillers

The best place to start before investing in plastic surgery or cosmetic contouring procedures is to consult with a skilled board certified surgeon with a proven track record of successful outcomes, even for minimally invasive procedures like Botox and other dermal fillers, which are used to ease the appearance of fine lines and wrinkles, and to restore volume to sagging skin. For surgical procedures like rhinoplasty (nose job) and blepharoplasty (eyelid surgery), an otolaryngologist (ear, nose and throat doctor) and ophthalmologist (eye doctor) can advise on the best procedure for your situation, and deliver safe and effective results.

Find a Cosmetic Surgeon in Lawrenceville, Plainsboro, and Freehold, NJ

For more information about your cosmetic surgery options for the neck and face, contact us today to learn more and to schedule an appointment.

By Princeton Eye and Ear
October 04, 2017
Category: Ophthalmology
Tags: contact lenses  

Do you remember the last time you replaced your contact lens case? Using the case month after month can subject you to painful contactsinfections that can damage your vision. Our Lawrenceville, Plainsboro and Freehold, NJ, ophthalmologists, Drs. Chirag and Angana Shah, discuss the ideal contact lens case replacement schedule and explain why it's important to buy new cases periodically.

How often should I replace my cases?

Contact lens cases should be replaced at least every three months. Visit a Lawrenceville, Plainsboro or Freehold store and replace the cases sooner if they're exposed to chemicals, such as spray cleaners in the bathroom or are noticeably dirty.

Why is it important to replace contact lens cases when they look fine?

Contact lens cases that look clean may actually harbor bacteria. If you continue to use the cases, you may transfer the bacteria to your eyes, which can cause an infection. Bacteria can move from your hands to the case and may also accumulate if you fail to change the solution in your cases. Replacing your cases regularly is the key to reducing bacteria.

How should I care for contact lens case?

Good cleaning techniques will help prevent bacterial and fungal eye infections. Before you handle your contact lenses or your cases, be sure to wash your hands with soap and water. Empty both sides of the case every day and rub them with your fingers to remove biofilm build up. Rinse the wells with fresh solution, not tap water. Using tap water to clean your case can increase your risk of developing Acanthamoeba keratitis, an eye infection that affects the corneas.

Turn the case upside down on a paper towel and allow it to air dry completely before refilling it. When you buy new cases, look for cases that are produced by the manufacturer of your contact lens solution. Bacterial levels may be higher if you mix and match cases and solutions.

Frequent replacement of contact lens cases, in addition to daily cleaning, can help protect your vision. If you're concerned about a contact lens issues or it's time for your next eye exam, call Lawrenceville, Plainsboro and Freehold, NJ, ophthalmologists, Drs. Chirag and Angana Shah, at (609) 883-3000 to schedule an appointment.

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.

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