Ear, nose, and throat Archive

Daily persistent nasal drip or congestion is usually caused by chronic nonallergic rhinitis. Daily nasal irrigations and prescription nasal sprays are the recommended treatments.

Sinus problems are common, especially those caused by allergies, which affect some 40% of American adults. They often manifest as stuffiness, congestion, or a reduced sense of smell. Sinus problems most commonly fall into three categories: acute viral infections, allergy triggered inflammation, and chronic sinus infections.

Rinsing your nasal cavity with a saline solution using a neti pot or small ball syringe can be a simple and inexpensive way to find relief from common sinus problems.

Over-the-counter hearing aids are now available in stores and online. They're regulated by the FDA, they don't require a prescription from a doctor, and they're cheaper than prescription hearing aids. But over-the-counter devices are not right for everyone. They're meant only for adults with perceived mild to moderate hearing loss. Before buying a pair, a person should do some homework to find devices with the right fit and features, including a trial period that allows the buyer to return them if they aren't working out.

Several problems can block the passages on one or both sides of the nose. For example, allergies can inflame sensitive tissue inside the nose, reducing the space left for air to flow through nasal passages; a crooked wall (septum) separating the passages of the nose can block airflow, making it hard to breathe; and aging can cause tissues in the nose to sag, which can narrow nasal passages. Strategies to open nasal passages depend on the cause of obstruction. Treatments range from using nasal sprays to widening nasal passages with surgery.

New regulations allow Americans to buy hearing aids over the counter, without requiring a hearing test. These devices will cost less and can only treat mild to moderate hearing loss--will they be right for you?

Tinnitus is an internal high-pitched ringing, whooshing, or hissing noise. The condition can make it hard to concentrate, reduce sleep quality, and cause irritability, nervousness, anxiety, depression, or feelings of hopelessness. Methods for easing tinnitus symptoms include treatment of underlying conditions, trigger avoidance, hearing aids, sound masking devices, exercise, stress reduction, and social connection. Certain programs can also help reduce tinnitus symptoms, such as cognitive behavioral therapy, group support, and tinnitus retraining therapy.

In October 2021, the FDA proposed rules to create a new category of over-the-counter hearing aids that would require special regulations and FDA approval. Approval of the rules is expected sometime in 2022.

While hearing loss and dementia seem to be connected, doctors don't know if hearing loss causes cognitive decline. It may be that an unknown common factor causes both problems. But regardless of whether hearing loss may be an early indicator of dementia or a risk factor for the condition, it should be treated. Improving hearing can improve the ability to connect with others and quality of life.