Aldosterone overload: An underappreciated contributor to high blood pressure
Can you retrain your brain to stop excessive drinking?
Beyond statins: New ways to lower LDL cholesterol
What is a cardioversion procedure?
For now, electric cars appear safe for people with implanted heart devices
Can you stop blood thinners after an ablation for atrial fibrillation?
Reversing prediabetes may slash heart disease risk by half
Waking up to urinate at night affects blood pressure
Finding and fixing a stiff, narrowed aortic valve
VO2 max: What it is and how you can improve it
Hearing Loss Archive
Articles
The secret to an easier allergy season
Fighting back against tiny allergens before they strike can help you avoid or reduce symptoms.
Image: iStock
The spring allergy season begins next month, and if you want to avoid symptoms, you must act now. "Pretreating allergies will lead to better control of symptoms, and maybe prevent symptoms from showing up," says Dr. Ahmad Sedaghat, an ear, nose, and throat specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.
Automatic defenses
When spring allergens—typically pollen from oak, elm, birch, poplar, or maple trees, depending on where you live—float through the air and reach the nose, the body sometimes overreacts. Mast cells in the lining of the nose mistake the harmless tree particles for dangerous invaders, and summon help by releasing chemicals such as histamine and tryptase, which then recruit more immune system cells to the battle.
What causes a cough after a cold?
A persistent cough that remains after an infection has been treated can last for a month or two. There are several treatments that may offer relief, such as antihistamines or a bronchodilator inhaler.
Now hear this: You may need hearing aids
These tiny devices can improve your communication, your relationships, and even your brain function, but only if you use them.
Image: Huntstock/Thinkstock
Age-related hearing loss affects about a quarter of people ages 65 to 74 and half of those ages 75 and older, according to the National Institute on Deafness and Other Communication Disorders. Over all, though, it tends to be more male-oriented.
“By middle age, many men also have hearing nerve damage from long exposure to noises like power tools, music, and guns,” says Dr. Steven Rauch, an otologist with Harvard-affiliated Massachusetts Eye and Ear. Some career choices—like construction, manufacturing, or military service—also contribute.
Irrigation better than steam in relieving nasal symptoms
Nasal irrigation using a neti pot was more effective than inhaling steam in relieving chronic sinus symptoms in a large randomized study.
Choking alert: Strategies for safe swallowing
Therapy, exercises, and changes in eating habits will help keep you safe.
Image: nyul/ iStock
It used to be so easy to munch a handful of nuts: chew, swallow, enjoy. Now, you avoid them or make sure there's a glass of water nearby when you eat nuts or any other foods that seem to get stuck in your throat. "It's normal to have some age-related changes with swallowing or occasional difficulty swallowing. What's not normal is when food or liquids get into the lungs regularly," says Semra Koymen, a speech-language pathologist at Harvard-affiliated Brigham and Women's Hospital.
Causes and symptoms
Diagnosis
A speech pathologist's evaluation of dysphagia includes an exam of your mouth and tongue, consideration of your medical history and symptoms, and most likely a test in the radiology department called a video swallow study. It's done using a fluoroscopean x-ray machine that takes moving pictures. You swallow a variety of liquids and foods mixed with barium, a substance that shows up on x-rays. "As you swallow, we can see the material move through the mouth and throat and into the esophagus," says Koymen.
Treatment
Trouble swallowing your medication? These tricks might help
Some simple techniques can make big pills go down more easily.
Image: Thinkstock
If you have trouble swallowing a pill, you're in the majority. In a Harris survey conducted a few years ago, 51% of women said they had experienced difficulty swallowing tablets or capsules. "We often see people who can swallow food and liquid just fine, but have difficulty with pills," says Denise Ambrosi, director of the Speech-Language Pathology Department at Harvard-affiliated Spaulding Rehabilitation Hospital. Ambrosi notes that some people have physical issues that affect their ability to swallow, while others have an aversion to taking pills.
How swallowing can go awry
Helping the medicine go down
If pills present your only swallowing issues, there are a few things you can do to make swallowing medicine a little easier:
Tuck your head. The following may help even a large pill go down: Put the pill on your tongue. Take a sip of water and hold it in your mouth. Lower your chin to your chest. Swallow.
Disguise the pill. Put it in a food that can be swallowed without chewing, such as applesauce, yogurt, or a fruit or vegetable puree.
Modify the pill. Check with your pharmacist to see if the pill can be ground or broken into smaller pieces that can be mixed into food or more easily swallowed. If a pill is scored, it can probably be divided. However, coated, time-release, and combination medications are meant to be taken whole. So are capsules.
Try a different form. Talk to your doctor to see if you can take the medication (or a related one) in another form, such as a syrup, cream, injection, or infusion. For example, for women who have difficulty swallowing bisphosphonates like alendronate (Fosamax) and ibandronate (Boniva), zoledronate (Reclast, Zometa), is available as intravenous infusion.
How to work around a minor hearing loss
If you're missing a few words but not ready for a hearing aid, a few simple strategies and smartphone apps may help.
Image: iStock
Are you avoiding certain restaurants because they're too noisy? Do you catch yourself wondering what you just heard the radio announcer say? Are you wearing out the volume control on your remote? Chances are you have a bit of hearing loss.
It's easy to ignore a hearing loss because it can be subtle and gradual. And you may be in denial because you don't like the idea of wearing hearing aids. Yet struggling to hear can erode your quality of life.
Aldosterone overload: An underappreciated contributor to high blood pressure
Can you retrain your brain to stop excessive drinking?
Beyond statins: New ways to lower LDL cholesterol
What is a cardioversion procedure?
For now, electric cars appear safe for people with implanted heart devices
Can you stop blood thinners after an ablation for atrial fibrillation?
Reversing prediabetes may slash heart disease risk by half
Waking up to urinate at night affects blood pressure
Finding and fixing a stiff, narrowed aortic valve
VO2 max: What it is and how you can improve it
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