Tuesday, October 27, 2015

Changes in Barametric Pressure, Temperature and Humidity can Cause Sinus Headaches



Many people are affected by sinus headaches. 

Especially in Central Texas where there are big changes in barometric pressure, temperature, and humidity over short time intervals. 

This pressure headache occurs because the sinus cavities that surround the eyes have narrow outflow tracks. With a little allergy swelling that outflow track can be blocked. 

When the sinus cavity cannot ventilate and equilibrate with the nose it will have a build up of pressure. This pressure can cause headache, visual changes, congestion, and can start migraines. 

Allergy medicines such as antihistamines, decongestants, and allergy nasal sprays can be effective for many patients to relieve these complaints. (For more information, click here)

Surgical therapy was the next step in the past if medical therapy failed. Fortunately gentle sinus balloon dilation can now be performed as a simple office procedure. This can relieve these complaints permanently and allow patients to avoid all of the constant medicines. 

Thursday, October 15, 2015

Watch Out for RAGWEED!



Texas is known as one of the allergy capitals of the US. One of our main allergens, ragweed, is presently in full bloom. The pollination of ragweed occurs nearly the same time each year and lasts from mid-August through November or until the first frost.
Ragweed allergy symptoms include sneezing; runny or stuffy nose; itchy throat or inside of ears; hives; and swollen eyelids and itchy eyes. This is often called hay fever or seasonal allergic rhinitis. Some people also develop asthma symptoms, such as coughing, wheezing, and trouble breathing.

People who are allergic to ragweed often have a cross reactivity to certain foods.  Ragweed sufferers may feel a tingling or burning in their mouths after they eat cantaloupe, honeydew melon, watermelon, or bananas. These fruits can cause these symptoms at any time but especially during ragweed season.

Tips for controlling ragweed exposure:

  • Wash your hands after being outside
  •  Limit your time outdoors when ragweed counts are high – especially in the morning
  •  Wear a dust mask when you need to do outdoor tasks
  • Don’t wear your outdoor work clothes in the house
  • Use a clothes dryer rather than outdoor clothes lines
  • The windows in your home and car should be kept closed at all times
  • Clean and replace air conditioner filters using HEPA filters

Medications to prevent or treat symptoms

  • Antihistamines taken daily will reduce overall allergy symptoms
  • Nasal steroids will reduce nasal symptoms
  • Nasal saline will rinse pollen from the nasal cavity
  • Decongestants will reduce overall allergy inflammation or swelling
  • A steroid shot administered by your physician can be given for severe symptoms

If symptoms persist despite the above recommendations, consider evaluation and possible allergy testing with an otolaryngologist. If allergy tests confirm ragweed sensitives, immunotherapy in the form of allergy shots or sublingual drops may be effective.  You may also be found to have a different problem all together such as chronic sinusitis, nasal polyps, or septal deviation which can be effectively treated by an experienced otolaryngologist.

Zachary Wassmuth, MD

Thursday, September 24, 2015

The future of sinus treatments has arrived



For three decades the mainstay of treatments for sinus disease had not really advanced.
Patients were treated with a combination of antibiotics and allergy medicines and if that failed sinus surgery was then recommended.
This sinus surgery is performed in an operating room under general anesthesia. It is an invasive procedure where surgery is performed to cut open and remove tissue that is blocking the sinus outflow tracts. It obviously involves risks of complications and scarring and could lead to significant pain and recovery time.
Over the last decade sinus surgeons have developed tiny sinus balloons that can be used to successfully cure the sinus infections. Instead of a surgery, this Balloon Sinuplasty can be performed in about 15 minutes in the physician's office with twighlight sedation and local anesthesia. It is virtually painless and has no significant downtime. Best of all, it offers a very high success rate both in the short term and long term. If you suffer from sinus complaints seek a consultation with an ENT surgeon with experience in Balloon Sinuplasty.

Daniel P Slaughter, MD
Center of Excellence Physician Balloon Sinuplasty Trainer for Entellus Medical