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Are painkillers also killing your hearing?

Image: iStock

When you think of risk factors for hearing loss, over-the-counter pain relievers probably aren't among them. But a Harvard study published in the American Journal of Epidemiology suggests that frequent use of ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) may be an important contributor. In the study, women who took the pain relievers at least twice a week were more likely to experience hearing loss, and more frequent usage increased the risk by up to 24%. The findings are similar to a study of men and hearing loss, although aspirin was also found to contribute to risk in that study.

Researchers speculate that the pain relievers may be damaging the cochlea, the snail-shaped hearing mechanism in your inner ear. "Ibuprofen can reduce blood flow to the cochlea, which could result in cellular damage and cell death. Acetaminophen may deplete the antioxidant glutathione, which protects the cochlea from damage," says study author Dr. Sharon Curhan, instructor in medicine at Harvard Medical School.

Does this mean you should think twice before popping a pill for headache or back pain? These medicines do provide good pain relief for many people. "However, frequent use of these medications and use over long periods of time may increase the risk of hearing loss and may cause other adverse health effects. Therefore, it is important to take these medications mindfully and to limit their use as much as possible," says Dr. Curhan. As always, talk to your doctor before making any changes in your medication use.

To learn more about the things that can threaten your hearing, and what you can to do keep this sense sharp and clear, buy Hearing Loss: A guide to prevention and treatment, a Special Health Report from Harvard Medical School. 

Treating ear infections in children

If your child is rubbing his ear, should you run to the doctor's office to demand antibiotics? Probably not. Your child may simply have fluid in the ear and not the classic ear infection that parents and children dread.

Middle Ear Fluid (Otitis Media with Effusion)

Over 2 million American children experience fluid in the middle ear each year, often following a cold or an acute ear infection. The condition is also called a silent ear infection because many children have no symptoms. Some children, though, may rub their ear or experience mild pain, sleep disturbances, unexplained clumsiness, muffled hearing, or delays in language and speech development. The condition may be diagnosed during a routine well-child visit with the use of a pneumatic otoscope, which allows the doctor to see how easily the eardrum moves.

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

 

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