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Ear, nose, and throat Archive

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Tough to swallow

Losing the ability to properly swallow should not be attributed to older age. If older adults have persistent trouble swallowing, like the sensation something is stuck in their throat, or if it’s painful to swallow, it could be a sign of an underlying problem and should be checked out. Treatment depends on the source of the swallowing problem, but might include medication, lifestyle changes, and in some cases, surgery.

You don't say? Why does your nose run in cold weather?

A runny nose in cold weather is not automatically a sign of sickness, but rather a sign that the nose is doing its job to heat up and moisturize air before it enters the lungs. Your nose runs for an entirely different reason when you catch a cold. Mucus produced during a cold is designed to help flush out cold-causing germs.

Sore throat soothers

Most sore throats are caused by non-life-threatening conditions or certain behaviors. But sometimes a sore throat may be an indication of COVID-19. One should call the doctor if experiencing difficulty swallowing, shortness of breath, a high fever, or a cough that produces blood. Ways to relieve sore throat pain include staying hydrated, using over-the-counter painkillers, drinking warm liquids, using cough drops, using a spray or lozenge that contains an oral anesthetic to numb the throat, and treating an underlying condition causing sore throat pain.

New medication advances treatment for chronic rhinosinusitis with nasal polyps

The FDA has approved a new medication for the treatment of chronic rhinosinusitis with nasal polyps, dupilumab, which is given by injection biweekly.

Easier access to hearing aids

The FDA announced in December 2016 that it would no longer enforce the requirement that adults receive a medical evaluation or sign a waiver prior to purchasing most hearing aids.

What is holding you back from better hearing?

The realities of treatment can help relieve hearing loss concerns.


 Image: © Thinkstock

Hearing loss is common in older age. It affects one in three people ages 65 or older, and two out of three people ages 75 or older. The condition leaves people struggling to keep up with conversations or simply hear the phone or TV, which can lead to serious problems. "Hearing loss can make a person less likely to engage with friends and family, which can be associated with depression," says Dr. David Jung, an otologist (ear specialist) with Harvard-affiliated Massachusetts Eye and Ear Infirmary.

Common excuses

What you should do

It's easy to overlook evidence that you have hearing loss. The symptoms can be subtle. Perhaps people around you always seem to be mumbling. Perhaps you have a hard time carrying on a conversation in a noisy environment.

If you recognize these symptoms, talk to your primary care doctor. He or she may order a hearing test directly or refer you to an otolaryngologist (ear, nose, and throat specialist).

A visit will likely involve an ear exam, an evaluation of your medical history and how it may be affecting your hearing, and a hearing test by an audiologist. Your team will determine if a hearing aid will help you.

If you can hear the sound of a voice well but have trouble distinguishing the words being spoken, first try some simple tricks. Stand closer to people when they talk. Talk in well-lighted areas so you can see the face of the person you're talking with. Sit closer to a stage if you're at a performance.

What to do about the high cost of hearing aids

One of the biggest obstacles to getting hearing aids is money. "Many of my patients are desperate to get a hearing aid, but they can't afford one," says Dr. David Jung, an otologist with Harvard-affiliated Massachusetts Eye and Ear Infirmary. A pair of the devices can cost an average of more than $4,600, yet insurance and Medicare rarely cover any costs. If you need financial assistance, some organizations can help:

  • the Sertoma Club (www.sertoma.org), a civic group operating a national hearing aid recycling program, which refurbishes the devices and distributes them to people in need

  • groups that provide new hearing aids at greatly reduced costs, such as Audient (www.audientalliance.org) or your local Lions Club (www.lionsclubs.org)

  • the Starkey Hearing Foundation (www.starkeyhearingfoundation.org), which provides hearing aids for people with low incomes.

The Hearing Loss Association of America (www.hearingloss.org) offers a complete list of resources.

Eligibility requirements for hearing aid financial assistance vary. For example, Audient requires that a family of two earn less than about $36,000, and a single person earn less than about $27,000.

A move by the FDA is making it easier to obtain over-the-counter hearing aids, which are less expensive than prescription hearing aids. However, over-the-counter devices aren't right for everyone.

 

 

 

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