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Why to Visit Our Hearing Aid Store Early

Thu, 26 Mar 2026 07:05:09 GMT

Have you recently noticed that sounds around you seem muffled or conversations are harder to follow? Many people experience subtle changes in their hearing but are unsure when to seek professional help. Understanding why early intervention is crucial in managing hearing loss can make a meaningful difference in preserving your hearing and overall auditory health.

In this article, we explore the importance of visiting a hearing aid store in Leland, NC, early and what benefits it offers to your hearing and brain health.

Understanding How Hearing Loss Affects the Brain

Hearing loss is often thought of as a problem isolated to the ears, but it actually involves the brain’s ability to process sound as well. The brain decodes the sounds picked up by the ears and interprets them into meaningful information. However, when certain sounds are muffled or absent for extended periods, the brain can begin to “forget” how to process those sounds, weakening auditory pathways.

If hearing loss remains untreated for years, it becomes more challenging for the brain to understand speech and environmental noises, even when hearing aids are introduced later on. Addressing hearing difficulties early helps maintain the communication between your ears and brain, keeping your auditory system sharp and efficient.

The Value of Early Visits to Our Hearing Aid Store in Leland, NC

Visiting a hearing aid store at the first signs of hearing difficulty brings many advantages. Wilmington Ear, Nose, and Throat Associates encourages Leland residents to schedule hearing evaluations promptly because early intervention allows for:

Early detection of hearing loss through thorough exams
Selection and fitting of hearing aids tailored to your specific hearing profile
Preservation of auditory pathways by keeping the brain actively engaged
Smoother adaptation to hearing devices due to reduced auditory deprivation

By coming to our store early, you increase the likelihood of natural and comfortable hearing improvement that fits well with your lifestyle and communication needs.

What to Expect During Your Visit to Our Hearing Aid Store

Many individuals hesitate to seek hearing care because they are unsure what to expect. At our Hearing Aid Store in Leland, NC, the process is designed to be informative, supportive, and patient-focused. Here is what typically happens during an appointment:

Comprehensive Hearing Evaluation : Various tests measure your hearing levels across different frequencies to assess the degree and type of hearing loss.
Detailed Consultation : Specialists discuss the results with you and explain your options for treatment.
Personalized Hearing Aid Selection : Based on your unique hearing loss and preferences, the team helps you choose the right hearing aid style and technology.
Professional Fitting and Adjustment : Your hearing aids are fitted and tailored to ensure comfort and optimal function.
Safety and Quality Assurance Checks : Devices are tested thoroughly to guarantee proper performance and comfort.
User Education and Support : You receive instructions on how to care for and make the most of your hearing aids.

This step-by-step approach ensures that you feel confident and well-informed throughout your hearing journey.

The Role of Auditory Rehabilitation in Hearing Improvement

Receiving hearing aids is not the end but rather the beginning of an adjustment process for many. The brain needs time and training to relearn how to interpret amplified sounds after a period of diminished hearing. This is where auditory rehabilitation becomes vital.

Our hearing aid store in Leland, NC, offers auditory rehabilitation services that include exercises and counseling to help you retrain your brain to understand speech more clearly and recognize environmental sounds accurately. These programs support a more comfortable and successful transition to better hearing, making improvements lasting and life-enhancing.

Why Prompt Attention to Muffled Hearing Is Important

If you experience muffled hearing, such as difficulty understanding speech or needing higher volumes on devices, addressing these symptoms early is essential. Ignoring muffled sounds risks further decline in your auditory processing and can lead to frustration, social isolation, and communication problems.

Seeking a hearing aid in Hampstead, NC, early keeps your auditory pathways sharp. It prevents the brain from neglecting critical sound information and helps maintain your ability to engage fully with people and your surroundings. Early treatment also reduces the emotional and cognitive stress often linked with untreated hearing impairment.

Supporting Our Local Communities in Leland and Hampstead

Wilmington Ear, Nose, and Throat Associates is proud to serve residents of Leland, NC, and Hampstead, NC, with expert hearing care tailored to local needs. We offer:

Advanced hearing aid technology customized to individual hearing loss
Personalized care that respects your lifestyle and preferences
Ongoing follow-up to optimize hearing aid performance
Education to empower you in preserving your hearing health

Our hearing aid store is dedicated to providing accessible and high-quality hearing care so you can remain connected and active within your community.

Take Action to Protect Your Hearing Health

In this article, we have highlighted why early visits to our Hearing Aid Store in Leland, NC, are crucial for maintaining your hearing and brain health. If you are experiencing hearing changes or muffled sounds, taking prompt action can improve your quality of life dramatically.

Residents in Leland, NC, Hampstead, NC, and nearby areas can reach Wilmington Ear, Nose, and Throat Associates by calling 910-762-8754 to schedule a hearing consultation. For more details, please visit our contact page . Our experienced team is ready to support you every step of the way toward clearer, more comfortable hearing.

Hearing Loss Audiologist Care: Why Early Action Matters

Fri, 20 Feb 2026 15:29:26 GMT

If you are noticing subtle changes in your hearing or struggling to follow conversations in noisy environments, it’s important to consult a hearing loss audiologist in Hampstead, NC, promptly. Wilmington Ear Nose & Throat Associates, P.A., provides expert evaluation and personalized care at our hearing aid center in Hampstead, NC, helping individuals understand and manage auditory decline before it significantly impacts their quality of life. A hearing loss audiologist does far more than just conduct hearing tests, they support cognitive health, prevent social isolation, and reduce the mental fatigue caused by untreated hearing loss, emphasizing why early action is critical.

Recognizing the Subtle Signs of Hearing Decline

Hearing loss often progresses slowly, making early detection challenging. Many individuals are unaware that the changes they’re experiencing signal auditory decline. Recognizing these subtle signs can lead to timely treatment that curbs further deterioration.

Common Early Indicators

Difficulty understanding speech in noisy settings such as busy restaurants or family gatherings.
Frequently asking others to repeat themselves during everyday conversations.
Increasing the volume of the television or radio beyond what seems normal, often without realizing it.
Experiencing mental exhaustion or tension after social interactions, even though hearing seems “fine.”
Avoiding social situations to escape the frustration or embarrassment caused by hearing difficulties.

These hidden signs mask the growing difficulty your brain faces processing sounds. Untreated hearing loss often leads to cognitive strain and social withdrawal, which can seriously impact overall wellbeing. Early evaluation with a hearing loss audiologist in Hampstead, NC, can detect issues sooner, allowing for effective management before complications like isolation and cognitive decline develop.

Beyond Testing: Comprehensive Care From a Hearing Loss Audiologist

A hearing loss audiologist offers an extensive range of services far beyond performing tests in a soundproof booth. At Wilmington Ear Nose & Throat Associates, P.A., our focus is on holistic hearing health tailored to every individual.

What to Expect From Audiologist Care

Advanced Hearing Assessments: Using cutting-edge technology, audiologists measure the degree and type of hearing loss with precision, offering a clear picture of auditory function.
Real-World Communication Evaluation: Testing simulates complex listening situations so your challenges in everyday environments are understood and addressed.
Cognitive Impact Counseling: Audiologists explain how untreated hearing loss affects memory, attention, and brain function.
Rehabilitation Planning: Customized plans may include hearing aids, assistive listening devices, or auditory training exercises aimed at improving hearing and speech comprehension.
Follow-Up and Adjustment: Ongoing care ensures hearing devices are optimized for comfort and performance as your needs evolve.

This comprehensive support empowers clients with the tools and understanding necessary to enhance hearing clarity and minimize mental fatigue associated with hearing loss.

The Role of a Local Hearing Aid Center in Hampstead, NC

Accessing a local hearing aid center in Hampstead, NC, like the facility offered by Wilmington Ear Nose & Throat Associates, P.A., brings convenience and personalized service to your hearing care experience.

What Clients Can Expect

Expert fitting of advanced digital hearing aids designed for comfort, discreetness, and superior sound quality.
On-site tuning and maintenance services that maximize the effectiveness of your hearing instruments.
Thorough education on proper use, cleaning, and battery management to extend device lifespan.
Support integrating hearing aids with smartphones and other modern technology, improving everyday communication.

Partnering with a local hearing aid center makes managing your hearing health straightforward and encourages consistent device use, helping to prevent social isolation, a common consequence of untreated hearing loss.

Why Early Consultation With a Hearing Loss Audiologist Changes Lives

Seeking early intervention supports many aspects of health and social wellbeing beyond the immediate benefits of improved hearing.

Prevents Social Isolation: Maintaining hearing capacity keeps you connected with friends, family, and the broader community.
Reduces Cognitive Decline: Research links untreated hearing loss to an increased risk of dementia; early care helps preserve mental functions.
Decreases Mental Fatigue: Proper hearing devices lessen the strain required to understand speech, reducing exhaustion and improving mood.
Improves Safety: Being able to hear environmental sounds and alarms reduces risks in daily life.
Boosts Confidence: Enhanced hearing promotes active participation in conversations and social activities, leading to greater self-assurance.

Early evaluation and treatment with a hearing loss audiologist in Hampstead, NC, can profoundly influence your hearing health trajectory and quality of life.

Common Services Offered by Hearing Loss Audiologists in Hampstead, NC

Understanding the range of services provided by a hearing loss audiologist can help you make informed decisions about your hearing care. At Wilmington Ear Nose & Throat Associates, P.A., our comprehensive approach ensures that every aspect of hearing health is addressed , from precise diagnosis to personalized treatment and ongoing support tailored to your individual needs.

Hearing Assessments and Diagnostics

Comprehensive audiometric testing suitable for all ages and degrees of hearing loss.
Evaluation of balance functions and tinnitus (ringing in the ears).
Testing that simulates real-life challenges to better understand communication difficulties.

Hearing Aid Fitting and Customization

Expert selection of hearing aids tailored to specific hearing loss profiles and lifestyles.
Creation of custom ear molds and precise device programming.
Regular follow-ups, fine-tuning, and availability of upgrades to adapt to changing needs.

Counseling and Rehabilitation

Strategies to cope effectively with hearing challenges.
Auditory training programs designed to rebuild auditory processing and comprehension skills.
Family and caregiver support to create a positive hearing health environment.

Take Charge of Your Hearing Health Today

If you notice early signs of hearing difficulty or wish to preserve your auditory health, consulting a hearing loss audiologist in Hampstead, NC, is a proactive and beneficial step. Wilmington Ear Nose & Throat Associates, P.A., provides comprehensive, personalized care through our hearing aid center in Hampstead, NC, dedicated to helping you maintain clear hearing, cognitive function, and social connectivity. Schedule an appointment via our online booking page to begin your journey to better hearing and improved quality of life today.

Top Signs You Should Visit a Hearing Aid Store in Leland, NC

Mon, 24 Nov 2025 18:56:05 GMT

Hearing loss often develops slowly over time, making it easy to ignore the early warning signs. However, addressing hearing problems early can make a life-changing difference in communication, confidence, and quality of life. If you’re struggling to hear clearly, it may be time to visit a hearing aid store in Leland, NC for a professional evaluation.

At Wilmington Ear Nose & Throat Associates, P.A, our experienced audiologists specialize in diagnosing and treating hearing loss using advanced hearing aid technology. Learn more about our Hearing and Audiology Services to see how we can help you reconnect with the sounds you love.

1. You Have Trouble Hearing in Crowded Places

One of the most common signs that it’s time to visit a hearing aid store in Leland, NC is difficulty following conversations in noisy settings. Restaurants, family gatherings, and meetings can become frustrating when background noise drowns out speech.

This challenge often occurs because high-frequency sounds, like certain consonants, are harder to hear as hearing declines. A professional hearing test can measure your hearing sensitivity and determine if you could benefit from a hearing aid in Leland, NC.

With modern hearing aids, you can enjoy clear speech understanding and effortless conversations, even in noisy environments. Wilmington ENT’s audiologists offer hearing solutions designed for comfort and performance in real-world situations.

2. You Keep Turning Up the Volume

Do friends or family members frequently comment that your TV or music is too loud? That’s a common red flag for hearing loss. Turning up the volume may temporarily make sounds clearer, but it can actually worsen hearing sensitivity over time.

At Wilmington ENT’s hearing aid store in Leland, NC, our specialists perform comprehensive hearing assessments to pinpoint the cause of your difficulty. Based on your results, we’ll recommend a hearing aid in Leland, NC that restores clarity without excessive amplification, protecting your ears from further strain.

3. You Hear Ringing or Buzzing Sounds

If you notice constant ringing, buzzing, or humming in your ears (a condition known as tinnitus), it may be linked to hearing loss or inner ear damage. Many people live with tinnitus for years without seeking help, unaware that solutions exist.

Our audiologists use state-of-the-art testing to identify the source of tinnitus and create personalized treatment plans. In many cases, hearing aids can help by masking unwanted noise and improving sound perception.

4. You Frequently Ask Others to Repeat Themselves

Do you often say “What?” or “Can you repeat that?” during conversations? Repeatedly asking for clarification can lead to frustration, for both you and the people around you. This is one of the clearest indicators that it’s time for a hearing evaluation.

During your appointment at our hearing aid store in Leland, NC, you’ll receive a complete hearing assessment, consultation, and even the opportunity to test hearing devices on-site. Many patients are amazed by how much easier it becomes to communicate once they hear the full range of sounds again.

5. You Feel Left Out in Social Situations

Hearing loss doesn’t just affect your ears, it can impact your mental and emotional health. People with untreated hearing loss often withdraw from social gatherings, feeling embarrassed or anxious about not being able to participate fully in conversations.

By visiting Wilmington ENT’s hearing aid store in Leland, NC , you take an important step toward reconnecting with your loved ones and community. Our compassionate audiologists guide you through every stage—from diagnosis to follow-up care, so you can regain confidence and joy in your interactions.

What Happens During Your First Visit

If you’ve never had a hearing evaluation before, it’s natural to feel uncertain about what to expect.

Here’s how the process works at Wilmington Ear Nose & Throat Associates:

Comprehensive Hearing Test – We perform detailed audiometric testing to assess how well you hear various frequencies and speech levels.
Consultation and Discussion – Your audiologist explains your results, answering any questions about the type and degree of hearing loss detected.
Hearing Aid Demonstration – You can try different hearing aids on-site to experience the immediate difference in sound clarity.
Personalized Fitting – If a device is recommended, it will be custom-programmed to match your hearing profile.
Ongoing Support – We schedule follow-ups for adjustments and maintenance to ensure your device performs optimally for years to come.

Early diagnosis and intervention not only restore hearing function but also help the brain adapt more effectively to amplified sounds, improving speech recognition and daily communication.

Why Early Intervention Matters

Delaying hearing care can make it harder to adjust to hearing aids later. When hearing loss is left untreated, the brain’s ability to interpret sound declines, a process known as auditory deprivation. This can lead to confusion, fatigue, and even cognitive changes over time.

By acting early and visiting a hearing aid store in Leland, NC, you preserve your auditory pathways and maintain mental sharpness. Wilmington ENT’s audiologists emphasize preventative care, ensuring that small problems don’t become permanent challenges.

Modern Hearing Aid Technology

Today’s hearing aids are discreet, smart, and highly customizable. Many models can connect wirelessly to smartphones, televisions, and computers, giving you direct control over your listening experience. Some even adapt automatically to different environments, whether you’re at a concert, restaurant, or quiet home setting.

Our hearing aid store in Leland, NC carries a full range of options, from rechargeable behind-the-ear models to nearly invisible in-ear designs. Our team will help you select the device that best fits your lifestyle, budget, and comfort preferences.

Comprehensive Hearing and Audiology Services

At Wilmington Ear Nose & Throat Associates, P.A, we provide more than just hearing aids. Our complete Hearing and Audiology Services include diagnostic testing, tinnitus evaluation, custom ear protection, and ongoing hearing aid maintenance. Our goal is to deliver lifelong hearing wellness for every patient who walks through our doors.

Schedule Your Hearing Test in Leland, NC

If you’ve noticed any of these signs, or simply want peace of mind, don’t wait to get your hearing checked. Visit Wilmington Ear Nose & Throat Associates, P.A, your trusted hearing aid store in Leland, NC, and let our experts help you hear better, live better, and reconnect with the world around you. Contact us today to schedule an appointment.

How to Choose the Best Hearing Aid Store in Leland, NC

Mon, 24 Nov 2025 18:47:51 GMT

For seniors and adults experiencing hearing loss, finding the right hearing aid and support is essential for maintaining a high quality of life. If you’re in Leland, NC, and nearby areas like Hampstead, you want to make sure you choose a trustworthy and reliable provider. This guide will walk you through what to consider and how to keep your hearing aids in tip-top shape.

Why Choosing the Right Hearing Aid Store in Leland, NC, Matters

Choosing the right hearing aid store in Leland, NC, isn’t just about buying a device. It’s about ongoing support, customization, and service that fits your unique hearing needs. The right store offers more than products; it provides consultations, fittings, repairs, and follow-ups to ensure your hearing aid works perfectly every day.

Residents from Hampstead, NC, often look to Leland stores for these services because they offer expert care close to home. Whether it’s your first hearing aid or an upgrade, finding a local provider who understands coastal hearing challenges will make all the difference.

Why Local Support Makes a Difference

Choosing a nearby hearing aid store in Leland, NC, means quick access to adjustments and repairs. Unlike big-box retailers, local specialists provide personalized care and understand the challenges of coastal living. Regular check-ups ensure your hearing aid remains calibrated to your needs, and if issues arise, local providers can resolve them promptly.

What to Look for in a Hearing Aid Store in Leland, NC

When searching for the best hearing aid store in Leland, NC, consider the following:

Professional Expertise: Ensure the staff includes licensed audiologists or hearing care specialists. They should evaluate your hearing loss accurately and recommend the best hearing aid for your lifestyle.
Wide Selection of Devices: Technology varies widely from basic to advanced, rechargeable to custom-fit. A store offering a broad selection means you can find a device tailored to your needs.
Customer Service & Support: Look for stores that provide education on using your hearing aids, easy access to customer service, and ongoing support.
Local Accessibility: Especially in urgent cases, the ability to visit your store quickly for repairs or adjustments is a huge benefit.
Positive Reviews: Look at testimonials or ask for referrals within your community.
Hearing Aid Hampstead, NC: Extending Support Beyond Leland

If you live in Hampstead or the surrounding coastal region, finding a hearing aid store in Leland, NC , means you’re close to expert care without long commutes. Coastal environments like Hampstead pose unique challenges—including exposure to moisture and salt air, which can affect the longevity of hearing devices. A Leland provider familiar with these issues will offer essential maintenance advice and tailored products designed to withstand such conditions.

Practical Guide to Hearing Aid Maintenance: Daily Care Tips

Proper daily care can significantly extend the life of your hearing aids purchased from a hearing aid store in Leland, NC. Here’s what you should do:

Daily Cleaning: Use a soft, dry cloth to wipe down your hearing aids daily. Remove any earwax buildup gently with the cleaning tools provided by your audiologist.
Proper Storage: When not in use, store your hearing aids in a dry place inside their protective case. Consider using a dehumidifier designed for hearing aids, especially in humid coastal climates like Leland and Hampstead.
Avoid Moisture and Salt Air: NC’s coastal air can damage hearing aids. Always remove your devices before showering, swimming, or doing heavy sweating activities. Rinse them with a gentle wipe if exposed to salt or moisture.
Handle Batteries or Rechargeable Modules Carefully: Change disposable batteries every 3-7 days depending on usage, or recharge devices as instructed. Keep spare batteries handy and avoid touching them with greasy or dirty fingers.

Why Regular Check-Ups Matter at Your Hearing Aid Store in Leland, NC

Your hearing aids require professional tuning and maintenance to perform well. Regular visits to a trusted hearing aid store in Leland, NC, help ensure your device:

It is adjusted to your current hearing levels, which may change over time.
Receives repairs promptly to avoid interruption in use.
Undergoes more thorough cleaning and deeper maintenance than daily care allows.
Benefits from firmware updates or replacement parts when necessary.

Having a local store means faster appointments and less hassle when corrections or upgrades are needed. Wilmington Ear, Nose, and Throat Associates are proud to serve seniors and adults with comprehensive hearing care right here in Leland, NC. We also proudly service clients in Hampstead, ensuring personalized care throughout the region.

How to Decide Which Hearing Aid Fits Your Lifestyle

Every hearing aid isn’t a one-size-fits-all solution. Your Hearing Aid Store in Leland, NC, should take the time to understand your lifestyle needs before recommending:

Invisibility vs. Convenience: Some prefer tiny, nearly invisible aids, while others want larger devices that are easier to handle.
Battery Options: Rechargeable or traditional disposable batteries each have benefits.
Usage Patterns: Think about your daily environment—quiet at home, noisy restaurants, or outdoor adventures—and ask for models designed to tackle those scenarios.
Budget: Your provider should help you balance features and cost, including insurance coverage or payment plans.
Wilmington Ear, Nose, and Throat Associates: Your Trusted Local Hearing Experts

At Wilmington Ear, Nose, and Throat Associates, we understand the importance of excellent hearing care in Leland, NC, and surrounding areas like Hampstead. Our professionals provide comprehensive evaluations, modern device fittings, and ongoing support to help you maintain your hearing health.

Whether you’re experiencing mild hearing loss or need a more advanced hearing aid, our team is here to help you every step of the way.

Don’t let hearing loss hold you back. Visit the best hearing aid store in Leland, NC—Wilmington Ear, Nose, and Throat Associates—where your hearing health is our priority. With expert care tailored to coastal residents and easy access to service in Hampstead, you’re in the best hands. Book an appointment online today to start your journey toward better hearing. Experience life’s sounds with confidence again.

Hearing Aid Store, in Hampstead, NC: Improving Lives

Thu, 26 Jun 2025 03:22:19 GMT

If you're looking for a trusted hearing aid store , Hampstead, NC, that combines expert care, advanced technology, and a patient-first approach, Wilmington Ear, Nose, and Throat Associates is here to help. Hearing loss can affect every aspect of your life, from communication and safety to social engagement and emotional well-being. Fortunately, modern hearing solutions and early intervention can restore clarity and confidence in your daily interactions.

At Wilmington ENT, our goal is to make hearing care simple, effective, and customised to your individual needs. Whether you’re just beginning to notice changes in your hearing or looking to upgrade your current device, our experienced audiologists are ready to guide you with personalised solutions.

Recognising the Signs of Hearing Loss

Hearing loss is often gradual, making it difficult to recognise right away. In many cases, people adjust their behaviours before they acknowledge a problem, such as turning up the volume on the television, avoiding noisy restaurants, or asking people to repeat themselves.

Some of the most common early signs of hearing loss include:

Difficulty understanding speech, especially in noisy environments
Frequently asking others to repeat what they said
Increasing the volume on the TV or phone
Feeling like people are mumbling or not speaking clearly
Avoiding social gatherings due to listening fatigue or frustration
Struggling to hear high-pitched voices or certain consonants

Addressing these signs early at a qualified hearing aid center in Hampstead, NC, like Wilmington ENT, can lead to better treatment outcomes and prevent further decline.

Why Choose Wilmington ENT?

As a leading hearing aid center in Hampstead, NC, Wilmington Ear, Nose, and Throat Associates offers more than just hearing aids, we provide comprehensive hearing evaluations, medical care, and tailored hearing solutions. Our audiologists work closely with our ENT physicians to ensure that you receive the most accurate diagnosis and appropriate treatment, whether your hearing loss is due to age, noise exposure, infection, or another underlying condition.

What Makes Us Different?

Experienced, board-certified audiologists with advanced diagnostic tools
A full range of hearing aids from top manufacturers with the latest features
Prompt delivery and local pickup for added convenience
Ongoing support and adjustments to ensure long-term success
Integrated ENT care for medical conditions that may contribute to hearing loss

What to Expect at Our Hearing Aid Store in Hampstead, NC

Visiting a hearing aid store, Hampstead, NC can feel overwhelming, especially if you’ve never used hearing aids before. At Wilmington ENT, we aim to make the process straightforward and stress-free. From the moment you walk in, you’ll be treated with compassion and respect by professionals who are committed to your long-term success.

Step 1: Comprehensive Hearing Evaluation

Your journey begins with a complete hearing assessment using state-of-the-art audiological equipment. This helps us determine the type and degree of hearing loss, and whether medical treatment or amplification is the right solution.

Step 2: Personalised Consultation

After your evaluation, we’ll discuss your daily listening environments, communication goals, and budget. This allows us to recommend the best technology for your lifestyle, whether you’re looking for discreet, nearly invisible devices or feature-rich hearing aids with Bluetooth and rechargeability.

Step 3: Fitting and Follow-Up

Proper fit and programming are essential for success. We customise each hearing aid to your unique hearing profile and provide ongoing adjustments, cleanings, and support to ensure comfort and effectiveness.

How the Right Hearing Aid Center in Hampstead, NC Can Change Your Life

Choosing the right hearing aid is only part of the equation. The other part is choosing the right team to support you. Wilmington ENT is proud to serve Hampstead and surrounding communities with compassionate, reliable care.

Our patients consistently report life-changing results:

Greater participation in conversations
Improved confidence in social settings
Better relationships with loved ones
Enhanced safety when hearing alarms, doorbells, or traffic
Decreased feelings of isolation and depression

The connection between hearing health and cognitive wellness is also well-documented. Early intervention with hearing aids has been shown to reduce the risk of cognitive decline and improve overall brain function.

Advanced Hearing Technology, Right in Your Backyard

As a modern hearing aid store, Hampstead, NC, we carry a wide selection of hearing aids and accessories to meet your needs.

Some of the most popular features our patients love include:

Rechargeable batteries – No more fumbling with tiny cells
Bluetooth connectivity – Stream calls and audio directly to your hearing aids
Automatic sound adjustments – Adaptive technology that adjusts based on your environment
Discreet designs – Options that fit completely in the canal or sit invisibly behind the ear
Tinnitus relief – Built-in sound therapy for patients experiencing ringing in the ears

We also stock accessories, wax guards, cleaning tools, and more for ongoing maintenance and support.

Your Hearing Health is Too Important to Wait

If you’ve been experiencing hearing loss symptoms or just want peace of mind with a professional evaluation, Wilmington ENT is here to help. As your trusted hearing aid center in Hampstead, NC, we combine advanced audiology with personalised care to give you the best possible hearing outcome.

With prompt delivery, on-site adjustments, and a compassionate team ready to support you at every step, there’s no better place to begin your hearing journey.

Book Your Appointment Today in Hampstead, NC

Ready to hear better and live better? Wilmington Ear, Nose, and Throat Associates is proud to be your go-to hearing aid store, Hampstead, NC. Whether you’re new to hearing aids or looking to upgrade your current devices, we’re here to guide you with trusted expertise and local service. Schedule your appointment . Your path to better hearing starts today, with the team that truly listens, right here in Hampstead, North Carolina.

5 Reasons to Visit a Hearing Aid Center in Hampstead

Mon, 16 Jun 2025 14:42:33 GMT

Hearing health is more than a convenience—it's a cornerstone of personal well-being, social connection, and safety. For residents of Hampstead, NC, accessing quality care is easy and impactful, thanks to the dedicated team at Wilmington Ear Nose & Throat Associates PA. Whether you’re experiencing gradual hearing loss or looking for the latest hearing devices in Hampstead, NC, a visit to a hearing aid center in Hampstead, NC, could be the game-changer your daily life needs.

Here are five compelling reasons to schedule that appointment today:

1. Personalized Hearing Evaluations

Not all hearing loss is the same, and no two ears are identical. At our hearing aid center in Hampstead, NC, evaluations go beyond basic screenings. Our specialists use advanced diagnostic tools to understand the specific nature of your hearing challenges. This allows us to create customized solutions that actually fit your needs—no guesswork, no generic advice.

2. Access to the Latest Technology

Technology in hearing aids has come a long way from bulky, squeaky devices. Wilmington Ear Nose & Throat Associates PA offers a wide range of discreet, smart hearing devices that sync with your phone, adapt to different environments, and even reduce background noise intelligently. If you’ve been hesitant about hearing aids, a visit will open your eyes (and ears) to what’s possible.

The latest hearing devices are not only compact and powerful, but they also feature impressive connectivity options. Many of today’s devices come with Bluetooth capabilities, allowing you to stream music, phone calls, and other audio directly to your hearing aids. This ensures that your hearing experience is seamless, whether you're at a social gathering or enjoying your favorite podcast. By visiting our hearing aid center in Hampstead, NC, you can explore the wide variety of modern solutions that can enhance both your hearing and your lifestyle.

3. Expert Guidance Every Step of the Way

Getting fitted for a hearing aid isn't a one-size-fits-all process. Our specialists provide ongoing support to ensure comfort, performance, and satisfaction. We’ll help you select the best device, teach you how to care for it, and make adjustments as your hearing needs change. This hands-on approach sets our hearing aid center in Hampstead, NC, apart from chain stores or online purchases.

4. Early Detection of Related Health Issues

Hearing loss is sometimes a symptom of a deeper issue—such as ear infections, neurological conditions, or even cardiovascular disease. Our team is trained to recognize these signs and refer you for further care if needed. By visiting a hearing aid specialist, you’re not only treating your ears—you’re investing in your total health.

5. Enhanced Quality of Life

Improved hearing means better conversations, safer driving, and more confidence in social settings. It also helps reduce the risk of cognitive decline, which is closely linked to untreated hearing loss. At our hearing aid center in Hampstead, NC, we see firsthand how better hearing helps patients reconnect with the people and activities they love most.

For those seeking comprehensive hearing care, including advanced audiology services, Wilmington ENT & Allergy provides personalized solutions to help you achieve optimal hearing health. Their team of experts offers cutting-edge technology and compassionate care to support your journey toward better hearing and a better quality of life.

Contact us today to schedule your consultation and take the first step toward better hearing.

Hearing Aid Clinics in Leland, NC: A Must-Know Guide

Mon, 16 Jun 2025 01:40:20 GMT

Hearing loss can sneak up slowly, but its effects on your daily life are anything but subtle, and if you're searching for hearing aid clinics in Leland, NC, you're already on the right track toward clearer sound and better connections. Whether it's struggling to keep up in conversations or missing out on important details at work, untreated hearing loss can be frustrating and isolating. This guide will walk you through exactly what to look for in a quality clinic, from evaluation and fitting to follow-up care, so you can feel confident in your next steps. And if you're in the area, local providers like Wilmington Ear, Nose, and Throat Associates in Leland, NC, are part of a growing network offering expert care and cutting-edge hearing devices. Ready to find out what matters when choosing your hearing solution? Let’s dive in.

What Makes a Hearing Aid Clinic Worth Your Time?

There’s no one-size-fits-all approach to hearing care. The best hearing aid clinics in Leland, NC, offer a combination of medical expertise, advanced technology, and compassionate patient care. Here’s what to look for:

1. Credentials and Experience: Look for licensed audiologists or hearing specialists with strong clinical experience. The more experienced your provider, the more accurate the diagnosis and fitting process will be.

2. Comprehensive Hearing Evaluations: A reputable clinic won’t just sell you a device—they’ll perform a full hearing evaluation that includes a medical history, lifestyle assessment, and in-depth audiometric testing.

3. Range of Hearing Device Options: Some clinics only carry a limited selection. Others offer a full range of hearing devices in Leland, NC, including the latest models with Bluetooth connectivity, rechargeable batteries, and background noise filtering. The more options available, the more likely you’ll find one that fits your needs and budget.

4. Ongoing Support and Follow-Up: Hearing aids aren’t a one-and-done purchase. Adjustments, maintenance, and follow-up care are crucial for long-term satisfaction. Look for clinics that offer regular check-ins and servicing.

Breaking Down Your Initial Hearing Visit

Your first visit to a hearing aid clinic in Leland, NC, should be thorough, informative, and entirely pressure-free. You’ll start with a discussion about your hearing challenges, followed by painless tests to measure your hearing range. If hearing aids are recommended, your provider will guide you through a hands-on demo of different models, helping you choose based on comfort, functionality, and lifestyle compatibility.

Think Local for Better Hearing: Here’s Why It Works

When it comes to hearing care, proximity matters more than you might think. Local hearing aid clinics in Leland, NC, offer quick access for follow-ups, adjustments, and repairs, so you’re not left waiting if something needs tweaking. Plus, local providers understand the community and often build long-term relationships with their patients, offering consistent and reliable care.

With the fast-paced advances in technology, hearing devices in Leland, NC, are more customizable and effective than ever, making it easier to treat hearing loss at any age.

Reconnect With the Sounds That Matter Most

Hearing loss doesn’t have to limit your life. With help from local professionals and the latest hearing devices in Leland, NC, you can take control of your hearing health. If you’re ready to explore your options, schedule a consultation with Wilmington Ear, Nose, and Throat Associates in Leland, NC. Their team offers expert evaluations and customized care that’s just around the corner. Contact us today and book your appointment.

Eardrum Perforation Questions and Answers

Sun, 01 May 2022 08:50:49 GMT

Few issues can cause more annoyance than pain or hearing loss in one or both ears. Unfortunately, a wide range of health challenges can bring these symptoms on, including a form of damage called eardrum perforation. An estimated 5.8 million Americans over 11 years of age will experience this kind of damage at some point.

If you have suffered a sudden change in your hearing accompanied by other uncomfortable symptoms, you might need to hone your knowledge about eardrum perforations, from their possible causes to useful tips for recuperation and prevention. Start by checking out the following perforated eardrum questions and answers.

How Does Trauma Cause a Perforated Eardrum?

The eardrum consists of a thin disc of tissue that separates the outer ear from the middle ear. This membrane vibrates in response to sound waves, with the vibrations passing to small bones, inner fluid, and finally the hair cells that send sound signals to the brain. Trauma to the eardrum can interfere with this chain of events.

Any sudden change in air pressure between the outer ear and the middle ear can rupture the eardrum's delicate membrane, a problem called barotrauma. A sharp blow to the ear or powerful explosion can spike outer ear pressure sharply enough to damage the eardrum. Airplane cabin pressure changes can also injure the eardrums.

Foreign objects that enter the ear, even blunt ones, can easily pierce the eardrum without much application of pressure. For this reason, ear doctors urge people never to explore their ear canals or try to remove earwax with cotton swabs, plastic scoops, or other devices.

What Diseases Can Promote Eardrum Perforation?

In addition to traumatic injuries, illness can cause an eardrum to perforate. In fact, the majority of reported eardrum perforations stem from ear infections, especially in cases involving children. Fluid pressure accumulates in the middle ear until the pressure breaks the eardrum.

Other conditions that block the eustachian tubes can produce enough air pressure to rupture the eardrums. Inflammation in these tubes, which connect the ears to the throat, can prevent the tubes from opening in response to pressure changes.

When Should You Suspect a Perforated Eardrum?

Symptoms of a perforated eardrum usually start with a sudden (if temporary) earache accompanied by itching inside the ear. You will probably experience some degree of hearing loss as well. Some individuals with perforated eardrums develop a ringing, roaring, or hissing sound in the affected ear, an issue called tinnitus.

If your eardrum ruptures due to a middle ear infection, you may have a fever or notice fluid draining from the affected ear. An acute pressure change or damage from a foreign object can cause the injured eardrum to bleed.

How Do ENT Specialists Diagnose and Treat a Perforated Eardrum?

ENT specialists can easily diagnose a perforated eardrum simply by examining the eardrum with an illuminated scope. Other diagnostic steps may include hearing tests and checks for signs of an infection. Antibiotics and other medications can help get an ear infection under control and ease earache pain.

Most perforated eardrums will repair themselves over time, with no need for treatment apart from over-the-counter pain relievers and soothing warm compresses. However, if you've suffered an especially large or destructive perforation, your ENT might recommend surgery to fix the damage and promote optimal recovery.

What Can You Do to Protect Your Eardrums Against Perforation?

You can minimize the risk of a perforated eardrum by anticipating and compensating for changes in air pressure. For instance, chew gum or insert earplugs when flying, and avoid flying if you suffer from an ear infection. Keep those earplugs handy whenever you anticipate potential damage from sudden loud sounds.

You can also prevent eardrum perforation by practicing smart self-care. Consider plugging your ears before you shower or swim to help keep water out of your ear canals. Seek immediate treatment for ear or upper respiratory infections. And use safe earwax cleaning procedures recommended by professionals.

Wilmington Ear Nose & Throat MD can check your ears for a perforated eardrum or any other ear disorder that affects comfort and hearing. Contact our ENT office today to schedule an evaluation.

Frequently Asked Questions About Vocal Fold Nodules

websitebuilder@thryv.com — Mon, 14 Mar 2022 19:24:23 GMT

Throughout the animal world, countless species communicate with others through various kinds of vocal sounds. Human speech depends on the vibration of two delicate tissues called the vocal folds or vocal cords. Anything that interferes with the interaction between the vocal folds can make normal vocalization impossible.

Some people develop non-cancerous lesions called nodules on their vocal folds. If you've overused your voice, you may develop the telltale signs of this kind of injury. However, the right treatment and care can restore and protect your voice. Learn more from these frequently asked questions about vocal fold nodules.

Why Do People Get Vocal Fold Nodules?

Vocal folds make sound by coming together inside your larynx (voice box) while outgoing air from your lungs makes them vibrate. Vocal fold nodules typically develop when something irritates and swells these fragile cords, causing calluses to form on them and inhibiting their ability to vibrate normally.

Acute or chronic overuse of the voice can lead to the development of vocal fold nodules. Professional speakers and singers often develop this disorder from placing too much stress on their vocal folds. You can also give yourself a vocal fold nodule simply by yelling too loudly or too often or by breathing too shallowly.

Other behaviors and conditions can also produce vocal fold nodules. Examples include chronic disorders such as acid reflux disease, allergies, thyroid disease, and sinusitis.

What Symptoms May Indicate a Vocal Fold Nodule?

Vocal fold nodules typically cause the voice to sound harsh, raspy, or unnaturally low in pitch. Your voice may break in the middle of a sound or have trouble creating that sound in the first place. You may find speaking and singing a fatiguing experience or completely lose your ability to make softer, higher sounds.

Bear in mind that the common symptoms of a vocal fold nodule can also indicate a variety of other ailments, from a bad cold or throat infection to polyps or cysts on the vocal folds. As a result, you may need a comprehensive evaluation by an ear, nose, and throat (ENT) doctor to pin down the exact cause of your vocal issues.

How Do ENTs Diagnose Vocal Fold Nodules?

Your ENT will ask you how long you've struggled with your vocal symptoms and about your vocal health in general, including any recent overuse through singing, yelling, or speaking loudly. This specialist will also examine the back of your throat to eliminate other causes, such as throat infection or inflammation.

To look at the vocal folds directly, the ENT will run an illuminated scope down into your larynx and ask you to make sounds. As the vocal cords vibrate, the ENT will examine their appearance and observe their function on a video monitor.

What Treatments Can Help You Recover From a Vocal Fold Nodule?

Once your ENT has conclusively diagnosed a vocal fold nodule, you'll most likely undergo a period of forced silence in which you avoid singing and speaking. If vocal overuse caused the problem, this rest period will help the calluses go away and allow for complete healing of the vocal cords.

If your calluses persist after you've rested your vocal cords for the prescribed period, your ENT may recommend more invasive treatment techniques to remove them. A method called phonomicrosurgery employs miniaturized surgical instruments inside an illuminated scope to cut away the nodules while preserving healthy tissue.

How Can You Avoid Getting Another Vocal Fold Nodule?

You can reduce your odds of getting another vocal fold nodule by addressing the underlying triggers that created your initial nodule. Avoid screaming, yelling, or otherwise abusing your voice. Get treatment for any allergy or acid reflux problems you may have. Keep your voice hydrated, don't smoke, and eat a healthy diet.

If you worry that your vocal folds may have developed nodules or any other kind of lesions, turn to the specialists at Wilmington Ear Nose and Throat. We can determine the nature of your vocal problem and administer whatever treatment you might need. Contact us at either of our locations .

Questions You May Have About Nasal Polyps

Tue, 11 Jan 2022 15:36:37 GMT

Anyone can develop occasional nasal and sinus issues, from allergies that cause upper respiratory symptoms to sinus infections from viruses or bacteria. However, chronic sinus symptoms may stem from abnormal growths known as nasal polyps, a condition that may require treatment from an ear, nose, and throat specialist.

You can overcome the breathing blockages, pain, and other distressing symptoms of nasal polyps by learning more about these troublesome growths and the available options for getting them under control. These frequently asked questions about nasal polyps will help you take the right steps and regain your quality of life.

Where and Why Do Nasal Polyps Form?

Nasal polyps form in the ethmoid sinuses, the air-filled chambers in your facial bones that lead to the nasal passages. These non-cancerous growths tend to hang downward from the mucous membranes in a teardroplike shape. When these growths appear, they usually appear symmetrically, involving both nasal passages.

Scientists don't know exactly why people develop nasal polyps. Research indicates that they may form due to an autoimmune reaction and/or after exposure to certain types of bacteria. Over time, recurring infections and allergic reactions may trigger the growth of nasal polyps, most commonly during the sufferer's 30s or 40s.

Certain other health problems can increase an individual's risk for nasal polyps. Examples include cystic fibrosis, Vitamin D deficiency, aspirin sensitivity, and a rare blood vessel disease called Churg-Strauss syndrome.

What Symptoms May Indicate Nasal Polyps?

Symptoms of nasal polyps strongly resemble the hallmark symptoms of many other upper respiratory complaints such as the common cold, the flu, hay fever, or sinus infections. You may struggle with facial pain and pressure, a runny or stuffy nose, an impaired sense of smell, toothaches, nosebleeds, and chronic snoring.

Symptoms can worsen as the nasal polyps grow (or swell up during bouts of acute inflammation). In severe cases, you may experience trouble breathing through your nose.

If your symptoms don't go away on their own after 10 days, you should schedule a medical examination to find the root of the problem. Chronic symptoms that last 12 weeks or more often indicate the presence of nasal polyps.

How Do Doctors Treat Nasal Polyps?

Your ENT can employ a variety of diagnostic techniques to diagnose nasal polyps, from digital imaging scans to the insertion of a flexible tube containing a tiny camera. If you do indeed suffer from nasal polyps, your condition may respond to either non-surgical or surgical treatment.

Medications can often help shrink swollen nasal polyps to help restore normal breathing and sense of smell. You may receive a prescription for a steroid-based nasal spray, oral steroids, or injections of a drug known as dupilumab. To help inhaled drugs enter the sinuses, the ENT may need to place a stent as an outpatient surgery.

Large, stubborn nasal polyps that resist these treatments may call for surgical removal. Your surgeon can perform this procedure using special instruments inside a flexible tube similar to the one used in diagnosis. Full recovery may take a few weeks. If you develop new polyps, you can repeat the surgery as needed.

How Can You Minimize Your Nasal Polyp Issues?

Your ENT may recommend specific lifestyle changes or preventative practices to help you reduce your risk for nasal polyps. For example, since chronic sinus inflammation seems to trigger nasal polyps, you may need to add a humidifier, nasal rinse system, or comprehensive allergy management plan to your everyday routine.

Smoking irritates the nasal passages and sinuses, making it a potential factor in nasal polyp problems. In fact, 18 percent of smokers suffer from nasal polyps, as opposed to just four percent of the general population. If you smoke, do everything you can to stop.

If you struggle with symptoms that point to nasal polyps, you can get an accurate diagnosis and whatever treatment you may need at Wilmington Ear Nose & Throat MD. Contact us to schedule an ENT appointment.

How Allergy Shots Work and How They Can Help You

Tue, 09 Nov 2021 18:51:58 GMT

If you have troublesome allergies, you may benefit from allergy shots, also known as immunotherapy. Allergy shots help many people reduce or possibly eliminate their sensitivity to allergens. However, you may wonder how they work and who they work best for. Here is more information about allergy shots, who may benefit, and how they work.

How Allergy Shots Work

Allergy shots work by exposing you to small amounts of allergens over an extended period. The desired response is a reduced sensitivity or increased tolerance to the allergen. The therapy starts with an injection of a small amount of the allergen. The allergy therapist slowly increases the allergen dose until you reach a maintenance level.

Most people start with allergy shots about twice a week for the first few months. After that, you will need an injection about once a month. If you skip a dose, you may need to start over again. Since the injections contain the actual allergen, you could experience an allergic response. However, for most people, the response is mild.

Why Get Allergy Shots

Most people notice a remarked reduction in their allergic reactions after treatment with allergy shots. Some people eventually no longer need the injections after a certain length of time, while other people need to continue them to maintain tolerance.

Allergy shots may reduce some of these conditions:

Allergy-related asthma
Allergic rhinitis (runny nose)
Insect sting reactions
Allergic eye reactions

Some people also experience a reduction in allergy-related eczema and skin conditions.

When You Should Get Allergy Shots

You should get allergy shots if you have allergies that significantly impact your life or health. You should especially receive them if you are unable to avoid your allergy triggers. They work best for pollen, animal stings, dander, dust, and mold allergens but may not be effective for other types of allergies like food allergies.

When You Should Not Get Allergy Shots

Allergy shots have risks. Examples of some adverse reactions include hives, severe asthma, and anaphylactic shock. Most people, however, only experience mild reactions like localized swelling and rhinitis. These side effects should dissipate within a day. However, if you are sick or have severe, uncontrolled asthma, your doctor may not want to take the risk.

Some people don't respond to allergy shots as well as they would like, usually if the dose is too small. Though your doctor can remedy this, they may not want to if you already have a strong reaction to the dose you get.

Also, if you have high levels of the allergen in your environment, you may still have a significant reaction. Excessive exposure to tobacco smoke and to other allergens may also make your allergy shots seem less effective.

How to Prepare For Your Allergy Shot

Follow your doctor's instructions about how to prepare for your allergy shot. Most people do not need to do anything special beforehand.

You will need to remain in the doctor's office for about 30 minutes after the injection. This wait time gives your doctor a chance to look for severe reactions that may need medical intervention. Let your doctor or allergy therapist know about any adverse reactions after you leave the office.

For the vast majority of patients, allergy shots can reduce allergic reactions. For others, allergy avoidance or medications may be a better option. You and your doctor can work out a plan for the most effective treatment.

If you are ready to start an allergy shot regimen, or you want to find out other options, give Wilmington Ear Nose & Throat Associates a call. We have two convenient Wilmington locations to serve you.

3 Conditions That Cause White Spots in the Throat

Mon, 30 Aug 2021 17:21:16 GMT

Does your child complain of pain when they swallow? Have you felt their neck and noticed their lymph glands are swollen? Or maybe your child has bad breath. All of these are signs that your child has a sore throat. Children get sore throats for many reasons.

One of the most common causes of a sore throat is a cold, which is a type of viral infection. When a cold causes a sore throat, your child will simply have to rest, stay hydrated, and wait it out. However, if you look inside your child's throat and notice white spots, this may indicate a more serious condition.

Discover three conditions that cause white spots in the throat.

1. Strep Throat

A strep throat is an infection from a bacteria called A Streptococcus, which lives in the nose and throat. Strep throat is very contagious as the bacteria easily spreads from one person to another. When other people breathe in respiratory droplets that contain A Streptococcus, it can cause them to get this throat condition.

Strep throat also spreads by drinking from the same glass or sharing eating utensils with someone that has the condition. Besides a sore throat with white spots, children with strep throat might also have a headache or stomachache. According to the CDC, children between the ages of 5 and 15 are the highest at risk.

If you think your child has strep throat, take them to an ENT for a proper diagnosis. A doctor can easily diagnose strep throat with a throat swab and rapid strep test. If the ENT confirms a case of strep throat, your child will most likely need antibiotics.

In some cases, bacteria from strep throat can spread to other parts of the body. If this occurs, ensuing complications might include sinus infections, ear infections, or abscesses around the tonsils.

2. Infectious Mononucleosis

A type of herpes virus called Epstein-Barr Virus (EBV) is usually the cause of infectious mononucleosis, also known as mono. Since mono spreads through saliva, this condition is often referred to as kissing disease. Mononucleosis also spreads when an infected person coughs, sneezes, or shares eating utensils.

Direct contact with bodily fluids of an infected person, organ transplants, and sexual contact are other ways mono spreads. Other symptoms of infectious mononucleosis include a headache, fatigue, muscle weakness, night sweats, and a rash on the skin or in the mouth. Teenagers who are at least 15 years old are most likely to get mono.

However, this condition can affect anyone at any age. If you suspect your child or teenager has mono, an ENT can diagnose the condition with a simple blood test. No cure is available for mono, but the symptoms are manageable through rest, plenty of fluids, and over-the-counter pain medications.

3. Oral Thrush

Oral thrush is a yeast and fungi infection that develops on the mouth's mucous membranes. Typically, white spots that look like cottage cheese appear on the lips or inside of the mouth. As the infection spreads, these white spots can also show up in the throat. While oral thrush can affect anyone, babies under six months of age are more likely to get this condition.

A weakened immune system is the most common cause of an overgrowth of yeast in the mouth. An ENT can help to properly diagnose oral thrush. In most instances, the condition will resolve on its own. However, an ENT might prescribe an antifungal medication for the mouth.

If the child is old enough, they can also eat yogurt with lactobacilli, which helps to get rid of yeast inside the mouth.

If you suspect your child has any of the above conditions, contact Wilmington Ear Nose & Throat Associates, P.A. Our ENT specialists in Wilmington, North Carolina, have expertise in managing diseases of the mouth and throat.

Eagle Syndrome: Questions and Answers

Tue, 29 Jun 2021 18:00:53 GMT

When you have neck pain, throat discomfort, and other head or neck symptoms, you might assume that you have a common sore throat or ear infection. However, some people can develop similar symptoms due to a lesser-known problem called Eagle syndrome. This syndrome may cause recurring or constant discomfort.

Fortunately, ear, nose, and throat (ENT) specialists know how to diagnose and treat Eagle syndrome. In the meantime, a basic understanding of this strange problem can help you recognize its particular set of symptoms and seek the appropriate care. Get started by taking a look at the following questions and answers.

What Does Eagle Syndrome Involve?

A syndrome does not count as a disease or injury, but rather a set of symptoms that typically occur together due to particular underlying conditions or circumstances. In the case of Eagle syndrome, the symptoms occur due to abnormal changes in either a bone or a ligament just beneath one of your ears.

A small, pointed bone called the styloid process can sometimes grow unusually long. When this happens, it may press against nerves or blood vessels in the neck, producing the discomfort associated with Eagle syndrome. The ligament that attaches this bone to another bone in the neck can also calcify and create similar pressure.

Why Do People Get Eagle Syndrome?

Some people naturally have unusually long styloid processes that make them vulnerable to Eagle syndrome. In others, the bone or ligament changes occur with age. (Middle-aged women develop it more often than other population segments.) Inherited factors and traumatic injuries to the neck can also lead to Eagle syndrome.

One variant of Eagle syndrome can develop in people who have had tonsillectomy surgery. As the throat heals from the surgery, scar tissue may build up near the surgery site. Overgrown scar tissue can compress local nerves, producing the classic Eagle syndrome symptoms.

What Symptoms Can Eagle Syndrome Produce?

Eagle syndrome typically causes throat pain and a sensation that you have something stuck in your throat. The throat pain can radiate to the jaw, tongue, face, neck, or ear. This discomfort may come and go on its own, or you may feel it only when you swallow or turn your head. Other symptoms include tinnitus and headaches.

How Does an ENT Diagnose and Treat Eagle Syndrome?

You can easily mistake the symptoms of Eagle syndrome for those of many other throat or ear ailments. However, if you experience chronic symptoms that don't seem to have any connection to infectious diseases or acute injuries, your ENT may want to X-ray your neck to examine your neck's bones and ligaments.

If you have an elongated styloid process or a calcified ligament putting pressure on nearby nerves or blood vessels, your ENT may recommend surgery to correct the problem. The usual approach involves removing some of the styloid process, relieving the trapped structures and eliminating your symptoms.

In a conventional Eagle syndrome procedure, the ENT either makes an incision in the neck or performs a tonsillectomy to gain access to the styloid process from inside the mouth. Bear in mind that the former option can leave an obvious scar, while the latter option can make the surgery more complex.

Modern endoscopic surgery offers a minimally invasive alternative to traditional Eagle syndrome procedures. In this option, the ENT feeds a special tube into the throat. The tube contains both an illuminated camera and miniaturized surgical tools. Endoscopic surgery can simplify the overall procedure and make recuperation easier.

Wilmington Ear Nose & Throat MD can address a wide range of ear, nose, and throat issues, including neurological disorders such as Eagle syndrome. Contact either of our locations to schedule an initial examination and discuss treatment options with an experienced ENT doctor.

Laryngitis: Frequently Asked Questions

Wed, 05 May 2021 21:44:11 GMT

If you have trouble getting your voice to respond normally or you experience throat discomfort when you try to speak, laugh, or sing, you may have laryngitis. This common voice problem often comes and goes as an accompaniment to an acute health problem, or it can turn into a chronic condition.

Although most cases of laryngitis don't represent a serious health concern, you should understand this condition's causes and effects as well as available treatments and strategies for avoiding future attacks. Start by exploring the answers to these frequently asked laryngitis questions.

What Does Laryngitis Involve?

Laryngitis involves irritation and inflammation of the larynx, also known as the voice box. The larynx sits just under the throat, at the entrance to your trachea (the airway to your lungs). A pair of thin tissues called vocal cords vibrate within the larynx to make sounds. In laryngitis, some irritating trigger causes the vocal cords to swell up.

Why Do People Get Laryngitis?

A variety of issues can cause acute or chronic laryngitis. The most common trigger usually involves the same viral infections that also cause bronchitis, colds, and the flu. Fungal and sinus infections can also produce laryngitis as one of their symptoms.

Exposure to irritating chemicals or other substances might trigger laryngitis. Examples include tobacco smoke, vape fumes, airborne pollutants or allergens, and inhaled asthma drugs. Untreated acid reflux may expose the larynx to irritating stomach acids. A direct injury to the throat can damage or inflame the larynx.

What Symptoms Does Laryngitis Produce?

Like other kinds of throat inflammation, laryngitis can give you a sore throat. However, the swelling of the vocal cords also changes your vocal quality. Sufferers typically have a hoarse, weak-sounding voice that makes verbal communication difficult. Some laryngitis sufferers even experience a temporary inability to make any vocal sounds.

When Should You Get Your Laryngitis Evaluated?

Most acute cases of laryngitis resolve themselves within a couple of weeks' time, depending on how long it takes the underlying disease or injury to heal. Laryngitis caused by external irritants may come and go with exposure, or it may linger as a chronic condition if you can't escape the irritant in question.

If your laryngitis lasts longer than two weeks, you should schedule an appointment with an ear, nose, and throat (ENT) doctor. Other signs that you need medical attention include a constant fever, worsening throat pain, a bloody cough, and breathing problems.

How Do Throat Doctors Treat Laryngitis?

Throat doctors administer diagnostic evaluations to confirm a case of laryngitis (or identify any other issue that might cause your symptoms). Your throat doctor may use an elongated instrument called an endoscope to look at your larynx. The doctor may also take a culture from your throat and examine it to identify specific disease germs.

Treatment for laryngitis depends on the underlying cause. Your throat doctor probably won't prescribe antibiotics, since bacteria don't usually cause laryngitis. However, you may receive steroid drugs to reduce tissue swelling. If you have acid reflux disease or allergies, you may need separate treatment to address those issues.

How Can You Reduce Your Risk for Laryngitis?

Preventative care may go a long way toward minimizing your future battles with laryngitis. Avoid smoking, try to steer clear of airborne allergens (including secondhand smoke), and wash your hands regularly to help prevent throat infections. Drink water instead of throat-drying caffeinated beverages whenever possible.

If you've gotten into the conscious or unconscious habit of clearing your throat frequently, try to break that habit. Constant throat clearing can irritate the larynx and promote swelling of the vocal cords.

If you find yourself troubled with any kind of persistent throat issues, including laryngitis, Wilmington Ear Nose & Throat MD can treat your condition and help you get your voice back into good working order. Contact any of our locations for an appointment.

5 Key Points About Sinusitis

Mon, 01 Mar 2021 15:45:08 GMT

Sinusitis afflicts millions of Americans each year. This common condition can leave you with a stuffy nose and many other frustrating symptoms, either in connection with an acute illness or as a chronic condition in its own right.

If you find that sinusitis keeps from enjoying your life or you have concerns about possible long-term complications, you'll want to learn about this condition's causes and effects as well as the possible treatment and prevention options. Check out the following four key points about sinusitis.

1. Causes

Sinusitis broadly describes an inflammation of the sinuses - those enclosed spaces within your nose, cheeks, and forehead. When these spaces become inflamed, the swelling can interfere with nasal air intake and the release of mucus, causing the spaces to fill up with fluid instead of air.

Most sinusitis occurs as the result of an infection. Germs can become trapped within the sinuses due to allergy attacks, the common cold, a deviated septum (which can obstruct your nostrils), or abnormal growths in the sinuses known as nasal polyps. Immune system problems can also make you more vulnerable to sinusitis.

2. Symptoms

The tissue swelling of sinusitis typically causes a stuffy nose that impairs your senses of taste and smell as well as your breathing. At the same time, your nose may also run with a thick fluid discharge. Some of this fluid may drip down your throat instead. This post-nasal drip can lead to a sore throat, bad breath, and coughing fits.

Sinusitis pressure also causes pain. Many sufferers experience headaches along with pain or a feeling of pressure in the cheeks, nose, or eyes. You may even develop an earache or pain in your jaw and teeth. Acute symptoms usually resolve within a few weeks, with symptoms that last for more than 12 weeks indicating chronic sinusitis.

3. Complications

Chronic sinusitis can produce some undesirable complications if you allow it to go untreated. Although most cases resolve on their own without damaging surrounding structures, in rare cases a sinus infection can migrate to an eye socket (potentially threatening vision), bones, skin, or spinal fluid.

Additionally, complications from sinusitis may cause other symptoms. If your symptoms get worse or don't improve after ten days, have an ENT (ear, nose, and throat doctor) check your condition. If you experience mental confusion, double vision, fever, neck stiffness, or redness and swelling around your eyes, seek immediate evaluation and treatment.

4. Treatment

Treatment for sinusitis depends on the underlying cause. Your ENT will ask you about any known risk factors you may have, including previously diagnosed nasal problems, allergies, chemical sensitivities, immune system disorders, asthma, or dental infections that may have raised your risk.

Acute sinusitis should resolve shortly after the underlying irritant or illness has run its course. But if you have a nagging bacterial infection, you may need to take antibiotics. Your ENT can also recommend soothing remedies such as warm facial compresses and anti-inflammatory pain relievers.

Chronic sinusitis that stems from a structural issue inside the sinus passages may require corrective surgery. For example, your ENT may recommend that you have a deviated septum straightened to permit better mucus flow. You may also need medication or surgery to remove any nasal polyps that cause or aggravate sinusitis.

5. Prevention

You don't have to wait for a sinusitis attack to take action against this condition. To keep germs and other irritants away from your sinuses, wash your hands frequently, steer clear of people with colds or bacterial infections, avoid allergens and respiratory irritants, and moisten dry indoor air with a humidifier.

If you suffer from a nagging case of sinusitis, consult the experts at Wilmington Ear Nose & Throat Associates, P.A. We can evaluate your condition, determine the cause of your symptoms, and administer any necessary care to return your sinus function to normal. Contact either of our locations today.

5 Things You Should Know About Tonsillitis

Tue, 22 Dec 2020 14:00:41 GMT

Tonsillitis often joins the common cold, influenza, and other infectious diseases in creating severe throat discomfort. It occurs most frequently in children but can also affect adults. If anyone in your family suffers from suspected tonsillitis, the following five key points can help you understand and deal with the problem.

1. Why People Get Tonsillitis

The inflammation of the tonsils known as tonsillitis often involves an infection of some sort. Viral infections account for more cases of tonsillitis than bacterial infections. However, the percentage of idiopathic cases (those that have no obvious cause) can range from 30 to 65 percent .

Various viruses can produce tonsillitis, including herpes, Epstein-Barr, influenza, parainfluenza, adenoviruses, and enteroviruses. As for bacterial causes, streptococcus A (the same virus behind strep throat) can cause acute tonsillitis.

Some people struggle with recurring or chronic tonsillitis. These individuals may simply come into contact with viruses and bacteria on a frequent basis, such as schoolchildren who share crowded classrooms, buses, and hallways. Others have a contaminated biofilm on their tonsils or tonsil stones that contain bacteria.

2. How to Recognize Tonsillitis

Tonsillitis produces many of the same symptoms as other viral or bacterial infections, including fever, chills, headaches, swollen lymph nodes, and bodily aches and pains. However, it also presents more specific symptoms such as swollen, red, or spotted tonsils, along with a sore throat and a scratchy, diminished voice.

Small children may show some additional symptoms that can alert parents to the possibility of tonsillitis. These symptoms include drooling, irritability, upset stomach, vomiting, and loss of appetite.

3. When to Seek Medical Treatment

Many cases of tonsillitis will come and go as the underlying infection runs its normal course. However, some situations should alert you to the need for urgent medical evaluation and treatment. If you have trouble swallowing or breathing, for instance, or if your symptoms last more than four days, seek medical help.

Tonsillitis in children generally requires medical evaluation and treatment. Even if your child does not feel intense pain or distress, early diagnosis and treatment of streptococcus-related tonsillitis can protect against potential long-term complications such as rheumatic fever, kidney problems, and joint inflammation.

4. How ENT Doctors Treat Tonsillitis

Ear, nose, and throat (ENT) doctors must first try to determine the underlying cause of the tonsillitis. The same treatments that might tame a case of viral tonsillitis probably wouldn't work against bacterial tonsillitis, and vice versa. Your doctor will take throat cultures for analysis to identify the germ responsible.

Antiviral medications can help your body's immune system fight back against viral tonsillitis. If you or your child has streptococcus-related tonsillitis, a course of oral antibiotics can help clear it up. Severe cases might require intravenous antibiotics.

If you suffer from recurring or chronic tonsillitis, your ENT specialist may recommend a tonsillectomy, a surgical procedure to remove the offending tonsils. However, today's doctors usually reserve this once-commonplace procedure for people who come down with tonsillitis several times per year.

5. How to Protect Yourself Against Tonsillitis

You can protect yourself against tonsillitis by avoiding needless exposure to the viruses and bacteria that cause the condition. Make a point of replacing your toothbrush periodically, avoid sharing utensils or dental hygiene products, and wash your hands regularly to prevent contact with germs.

While your kids can't always steer clear of public environments and situations that might foster germs, they can still protect themselves and their schoolmates against tonsillitis. Teach them to keep their hands clean, avoid sharing personal items, and cough or sneeze into tissues whenever possible.

Wilmington Ear Nose & Throat Associates, P.A., has the skilled, experienced ENT specialists you need when you or your loved ones suffer from painful throat problems such as tonsillitis. Schedule an appointment at either of our locations .

Autumn Allergies or Something Else? What to Know for Fall

Wed, 28 Oct 2020 23:19:04 GMT

Do you have autumn allergies - or are your symptoms something else? With the fall weather comes the flu, colds, and other viral infections. The similarities between symptoms can confuse patients who may, or may not, have allergies. Before you assume your sniffles and sore throat are signs of sickness, take a look at what you need to know about fall allergies.

In-Between Weather Can Contribute to Allergies

Gone are the sunny summer days. But does this mean your summer-time allergies are also gone? Even though the temperature may dip in the fall, unseasonably warm weather is often a typical part of this time of the year. If your area's weather feels more like summer than fall, it's possible ragweed and other outdoor allergens are still in the air.

The sometimes-warm, sometimes-cool fall weather can help some allergens survive or even thrive. According to the American College of Allergy, Asthma, and Immunology, ragweed, tree, and grass pollen counts may increase when the days are warm and the nights are cool. This means your pollen allergies may worsen in the early autumn or during unseasonably hot late-fall days.

Symptoms such as runny/stuffy nose, sneezing, cough, rash, or itchy eyes are common with allergies. Even though you may think your summer-time allergies are done for year, these symptoms could point to a flare up. If you're not sure whether the in-between warm/cold weather is at fault for a late-season allergy return or you're sick, contact your medical provider for an expert diagnosis.

Fall Leaves Can Increase Allergies

While fall leaves on their own may not set off your allergies, the simple act of raking them can. As you clear your yard, you can rake up more than just leaves. Along with the leaves, you can disturb grass clippings, plants, and other natural debris - propelling these potential allergens toward you.

If you have questionable symptoms and you recently raked the leaves, it's possible your allergies are in full-swing. Like with unseasonably warm fall weather, you also need a doctor's diagnosis to confirm the cause.

Time Indoors Can Cause Allergies

Now that you're indoors more, the air inside your home, office, school, or any other interior space may have a greater effect on your allergies. Whether your HVAC system re-circulates pet fur (or dander), the windows and entry doors allow outdoor pollutants in, or you have another trigger inside your home, indoor air quality can impact how you feel.

Again, any potential allergy symptom requires a doctor's diagnosis. With increased time spent indoors also comes an increased risk for colds, the flu, and other viral illnesses. If you're not sure why you have nasal or respiratory symptoms, talk to your allergist or medical provider.

Autumn Allergies Have Expected Symptoms

Whether the fall weather suddenly warmed, you rake leaves often, or the indoor air isn't always clear, you're somewhat sure you have autumn allergies. You know the symptoms (runny/stuffy nose, itchy eyes, cough, sneezing, or rash), and you know to call the doctor for a diagnosis.

While you wait for a doctor's appointment, should you steer clear of other people - just in case you are sick? Along with the expected autumn allergy symptoms, you also need to know what issues signal an illness. Fever, chills, body aches, nausea, diarrhea, vomiting, and loss of taste or smell aren't typical allergy symptoms.

If you experience these symptoms alone or with nasal or respiratory issues, allergies are likely not the culprit. Before you go to work, school, shopping, or anywhere else, call your medical provider for a consultation, examination, and diagnosis.

Are you ready to find a treatment for fall weather allergies? Contact Wilmington Ear Nose & Throat MD for more information.

What You Should Know Swimmer's Ear

Fri, 28 Aug 2020 19:06:43 GMT

Despite its name, swimmer's ear isn't exclusive to swimmers. Though swimmers tend to suffer from this affliction, the term simply describes an infection usually caused by water in your ear. Therefore, whether you swim regularly or not, you want to be able to recognize the signs of it so you can receive prompt treatment to prevent any issues with your hearing.

Overview

This particular infection occurs in the outer ear canal - the portion of your ear that connects your eardrum to the outside of your head. Generally, children experience this infection more often than adults.

The infection typically stems from water that's introduced into your ear, whether from a swimming pool, a hot tub, or another source. When the water remains in this part of your ear, it creates an ideal breeding ground for harmful microorganisms. Although bacteria are usually the cause of swimmer's ear, viruses and fungi may also lead to infection.

Besides water in your ear, you may also develop swimmer's ear if you have an abrasion or cut in your ear canal, which may stem from any of the following:

Cotton swab
Earbud
Hearing aid
Finger

A cut in the ear canal from a foreign object also presents a breeding ground for harmful microorganisms.

Symptoms

If you have swimmer's ear, you may notice pain in your ear. You might also experience pain when you tug on the outside of your ear or when you place pressure on the tragus, the portion of your ear that protrudes from the side of your head and is in front of your ear canal.

Itchiness inside of your ear is another sign that you have swimmer's ear. You might even have drainage from your ear, either clear fluid or pus. Additionally, the inside of your ear may become red and swollen. Swimmer's ear can even affect your hearing because, as your ear canal swells, noises may sound muffled. Sometimes, your ear may feel full or like you have blockage in it.

In more serious cases, you might develop a fever. Additionally, the pain may become severe and even radiate to the side of your head as well as your face and neck. Complete blockage of your ear canal may occur. The lymph nodes in your neck can swell, too.

Complications

Generally, if you receive prompt treatment for swimmer's ear, you won't experience any lasting complications. However, if you don't receive treatment, the symptoms may become chronic, possibly lasting for months or longer. You can experience temporary hearing loss, but this issue usually subsides after treatment.

In addition, a deep tissue, brain, or nerve infection could occur if the infection spreads, but this complication is rare.

Diagnosis

Fortunately, the diagnostic process is relatively simple. Your doctor can usually diagnose swimmer's ear after they ask you questions about your symptoms. Your physician will also examine your ear with an otoscope, a lighted instrument that allows them to better examine the inside of your ear. During this part of the exam, your physician will look for swelling and redness inside of your ear.

In addition, your practitioner may look at your eardrum to ensure you don't have a tear or any damage to it. Sometimes, your doctor will need to use a special tool to remove any blockage to gain a better view of your eardrum.

Treatment

Once your doctor determines you have swimmer's ear, they will prescribe ear drops to treat the infection. The ear drops vary based on the severity of your infection and may include a combination of any of the following:

Steroid
Antibiotic
Antifungal
Acid solution

Your practitioner will also recommend techniques you may use at home to reduce the severity of your symptoms. You'll also receive education about how to prevent swimmer's ear in the future.

Swimmer's ear is an infection that you don't want to ignore. Fortunately, the diagnostic process and treatment are relatively simple, and in most cases, you'll heal without any problems. Contact Wilmington Ear Nose & Throat Associates, P.A . , serving Wilmington, NC and the nearby region, for an appointment today if you suspect you have swimmer's ear.

Frequently Asked Questions About Tonsil Stones

Fri, 26 Jun 2020 19:57:29 GMT

Throat discomfort and other irritating throat issues may stem from a wide range of potential problems. One such problem, tonsil stones, may not strike a familiar note with many sufferers, even though it occurs fairly commonly. These chunks of hardened debris can get stuck in small, pocket-like tonsil nooks called crypts.

If you have recurring or ongoing throat discomfort without actually experiencing an obvious illness, you may have one or more tonsil stones that need removing. Check out the answers to the following frequently asked questions about tonsil stones and their treatment.

Why Do Some People Develop Tonsil Stones?

While the human body has sets of tonsils at the base of the tongue and the back of the throat, most people have only seen their palatine tonsils, which sit on each side of the throat. The crypts lining the palatine tonsils can fill up with a mix of bacteria, mucus, and food. This combination may then calcify into hard tonsil stones.

A variety of factors can influence the development of tonsil stones. People with naturally large tonsils or recurring tonsillitis infections may have an elevated risk of tonsil stones. Poor dental hygiene, sinus infections, and a chronically dry mouth from medication may also figure into your tonsil stone risk.

How Can You Tell Whether You Have Tonsil Stones?

Classic tonsil stone symptoms include halitosis (bad breath), sore throat, ear pain, difficulty swallowing, coughing, and swollen tonsils. These symptoms can make you think that you suffer from a throat infection or acid reflux irritation. However, you can also see tonsil stones as white or yellow spots on the tonsils.

You might not notice your tonsil stones at all until they reach a certain size. The larger the stones, the more intense the symptoms. Large or jagged tonsil stones may cause you unremitting pain until you take steps to shift them from their crypts.

How Do Doctors Treat Tonsil Stones?

Ear, nose, and throat specialists can diagnose tonsil stones quickly and easily simply by looking at your palatine tonsils. If the tonsil stones require removal, your doctor can extract them through minimally invasive inpatient surgery. Laser or radiofrequency tools can then seal off the crypts, preventing future stone formation.

If your tonsils prove especially troublesome as harbors for tonsil stones, your doctor may recommend that you undergo a tonsillectomy. This surgical procedure, which requires the administration of general anesthesia, usually takes no more than 45 minutes . After you recover from the anesthesia, you can go home.

If your tonsil stone discomfort stems primarily from the bacteria in the stones, antibiotics may alleviate your symptoms. However, these medications can't do anything to make you less vulnerable to future tonsil stone problems.

What Home Care Measures Can Take Care of Tonsil Stones?

Not all tonsil stones call for medical treatment. Tonsil stones that produce no symptoms may not need any care at all. Less serious tonsil stones may respond to certain home care measures to shift them. Try gargling with salt water, which may remove the stones while also reducing throat pain and bad breath.

Coughing bouts because of tonsil stones may annoy you, but they also might succeed in dislodging the stones. If you own an oral irrigator, ask your ear, nose, and throat doctor for advice on how to use the jet of water to push tonsil stones out of their crypts in a manner that doesn't hurt your tonsils.

Some tonsil stone sufferers literally take matters into their own hands by attempting to dislodge their tonsil stones with swabs, picks, and other narrow, elongated devices. While this approach may succeed, you run the risk of damaging or infecting your tonsils. Play it safe by scheduling professional tonsil stone removal.

Wilmington Ear Nose & Throat Associates, P.A., can help you gain control over your tonsil stone problems. Contact our ear, nose, and throat specialists to schedule an appointment at any of our locations .

How Eustachian Tube Dysfunction Affect Your Ears

Wed, 29 Apr 2020 14:47:05 GMT

If you've ever felt your ear pop, then that's your eustachian tube at work. However, sometimes eustachian tubes don't work like they should. When yours has problems, then you may not hear as well as you should and also could have ear pain.

This problem is so common that it has a name: eustachian tube dysfunction (ETD). Here is more information about how your eustachian tubes work and why they can sometimes have problems.

Purpose of the Eustachian Tube

The main function of the eustachian tube is to equalize pressure on both sides of the ear. This is why you are more likely to notice pressure in your ear with sudden elevation changes. The eustachian tube also ventilates the middle ear. The equalization helps the eardrum work better. When the eustachian tube does not work, then that can cause noise to be more muffled.

This small tube provides and opening from the middle ear to the upper part of the throat and the rear of the sinus cavity. Generally, it stays closed unless you yawn or chew. This tube also helps keep mucus out of the middle ear.

Signs of Eustachian Tube Problems

Eustachian tubes are actually very narrow and are plugged easily. When this happens, you will notice a marked increase in pressure around the ear. Sometimes, pain around the ear and face will accompany this pressure. In addition, you will notice your hearing on that side diminish. In severe cases, you could temporarily lose your hearing, though this is uncommon.

Some people experience increased tinnitus. You may also experience weird sounds like ticks, pops, and sounds like water in your ear. In very rare cases, you could experience problems with your balance, especially if your inner ear is also affected by the change in pressure.

Cause of Eustachian Tube Dysfunction

Most people experience eustachian tube problems after they have suffered from a cold or sinus infection. Smoking is another cause of ETD. You may also have eustachian tube pain when you dive deep because of the water pressure.

Sometimes, infections cause the tubes to swell up and become irritated. This makes them ineffective in their drainage and airflow functions. Children are more likely to have eustachian tube dysfunction as they tend to have more ear infections than adults.

Children also get a condition known as glue ear. Glue ear is when a very sticky, glue-like substance blocks the eustachian tube. Most children recover from this issue on their own, and it becomes less frequent as they get older. Some children need stents in their eustachian tubes if they have chronic problems or a defect.

Treatment for Eustachian Tube Dysfunction

This condition often goes away on its own. If your problem is caused by increased elevation, then try making mouth movements, like a yawn, to open up the tubes. If your ETD is associated with an illness, then medications to prevent infections and pain can keep those problems at a minimum. Your doctor may prescribe or recommend medications like antihistamines and analgesics. These can either over the counter or prescription.

However, if you have a severe case of chronic ETD, then you may need more drastic measures. You may need to have the tubes drained by your doctor. The doctor may also prescribe surgery to open up either your middle ear or expand the eustachian tube.

Eustachian tube dysfunction is often closely related to other ear, nose, and throat conditions. Talk to a doctor if you have problems with a congested feeling in your ear that lasts more than just a few days, especially if you also have ear pain. If you have chronic eustachian tube issues or problems with your sinuses, call us at Wilmington Ear Nose & Throat Associates, P.A. , for an appointment and assessment.

Sources and Prevention of Recreational Noise Damage

Wed, 26 Feb 2020 03:30:14 GMT

Let's get loud might be a good party catchphrase, but the increasing noise levels of recreational activities is not good for your hearing. Researchers have found that occupational noise has decreased since the 1980s, but social noise has tripled. What that means for average folks is that their world might be affecting their hearing.

Find out the connections between noise and hearing damage as well as how to prevent it in recreational activities.

Connection Between Noise and Hearing Damage

Loud noises damage people's hearing because of how the mechanism of hearing works. Sound enters the ears as waves, which vibrate structures in the middle ear. The sound vibrations enter the inner ear when they ripple across sensory cells shaped like hairs. Even tinier hair-like projections move against structures to release chemicals to create an electrical signal, interpreted as sound.

So when loud noises enter the ear, they cause bigger vibrations. The excess of vibrations can overload the inner structures of the ear. When the exposure to loud noise is prolonged, the vibrations inside the ear can damage or even kill the hair cells.

A sign that such damage is occurring is hearing loss; some people experience temporary hearing loss after exposure to loud noises. Though the hearing returns, the vibrations may have damaged the delicate structures inside the ear. Over time, continued exposure to such damage can result in permanent hearing loss.

Sources of Recreational Noise Damage

Though occupational noise has decreased, recreation-based noise has increased. OSHA considers 85 decibels over an eight-hour period to be safe for prevention of hearing loss. Yet a motorcycle and stereo headphones are already louder than that level.

One of the main recreational culprits for hearing loss is shooting firearms. The sound levels can be as loud as 160 decibels, which is almost twice the recommended level for preservation of hearing. Indeed, just a single loud gunshot near your ears can permanently damage your hearing.

Another common recreational source of noise damage is woodworking. Smaller tools, such as a drill press and spindle sander, stay well within the safe range of noise. However, large tools, such as chain saws and circular saws, reach over 100 decibels.

As noted above, motorcycle engines reach levels that are higher than recommended for hearing preservation. In fact, any motor sport can represent a danger to your hearing. These sports are those which you do actively, such as riding a motorcycle or ATV, or events you attend, such as a monster truck rally. Even loud crowds, such as those at football games, can reach dangerous levels.

Lastly, the connection between music and hearing loss has been well documented. Attendance at loud concerts can cause temporary hearing loss. However, the main culprit is listening to music through headphones. Because the exposure is close to your ears and often prolonged, the habit of listening to loud music in your headphones can lead to permanent hearing damage.

Prevention of Recreational Noise Damage

The prevention of recreational noise damage generally rests on two actions.

First, you may need to turn music volume down. In fact, audiologists first prescribed a 60-60 rule for loss prevention in the 1970s. The guideline states that you can listen to 60 minutes of headphones at 60 percent of the maximum volume. Because digital music isn't as loud as CDs, they've revised the guideline to 80 percent volume for 90 minutes.

The other action you can take is to wear hearing protection devices when you're at loud events. You can lower noise levels by 15 to 30 decibels just by using disposable foam earplugs. Earmuffs that fit completely over your ears offer a similar decrease in noise levels. You can use both together for further reduction. For especially loud activities, consider noise-cancelling headphones.

Additionally, be aware of which activities cause noise-induced hearing loss, and take actions to prevent the damage.

Preserve your hearing even when you're out having fun. If you need any assistance with hearing, contact Wilmington Ear Nose & Throat Associates, P.A.

4 Effective Treatments for Tinnitus

Fri, 03 Jan 2020 02:01:39 GMT

Tinnitus is a condition of the inner ear characterized by the perception of sound when no noise is in the environment. While tinnitus has no cure, several treatment methods are available that can reduce the severity of the condition and greatly improve your quality of life. Learn more with this overview of four effective treatments for tinnitus.

1. Hearing Aids

Tinnitus is usually most prevalent at times when the overall noise level of your surroundings is low, as nothing masks the sound that you hear due to the condition. Unfortunately, this means that people with some degree of hearing loss are more susceptible to tinnitus, as they are less able to pick up sounds around them that could mask the ringing.

Hearing aids are one of the most effective methods for treatment of tinnitus in patients who are hearing impaired. Increasing the amount of external stimuli helps distract your mind from the internal sound of tinnitus, and in one survey of hearing health professionals, 60% of patients gained relief from tinnitus by receiving hearing aids.

2. Ear Canal Blockage Removal

In some cases, a buildup of earwax or a foreign object in the ear canal can lead to tinnitus symptoms. This is more likely to be the case if you notice that the ringing is more severe or only present in one ear. Obstructions in direct contact with the eardrum can lead to irritation and the ringing sound characteristic of tinnitus.

If your tinnitus symptoms are from a blockage in the ear, the good news is that, in most cases, the symptoms will disappear if the blockage is removed. To reduce your risk of problematic blockages, never insert small objects like cotton swabs into the ear canal for cleaning, as these objects can press ear wax up against the eardrum and create a blockage. Visit an ENT for professional blockage removal and ear cleaning.

3. Cognitive Behavioral Therapy

Tinnitus is not typically accompanied by pain, so much of the distress from this condition is a result of the patient's emotional reaction to it. Cognitive behavioral therapy is a type of individual or group counseling that can be effective for changing patients' behavioral response to tinnitus, thereby reducing the negative impact of the condition.

During a CBT session for tinnitus, your therapist will talk to you about coping strategies for the stress and anxiety from tinnitus. He or she can help you come up with behaviors to distract yourself from the condition and help you assess whether your feelings about your tinnitus have a factual basis. Relaxation techniques are often recommended to replace negative thought patterns.

4. Sound Therapy

Sound therapy for tinnitus falls under two general categories: static noise generation and customized sound generation or Notch therapy. Static noise generators are useful for masking the ringing of tinnitus and are most useful in low-noise environments, such as your bedroom when you sleep. Static noise generators provide temporary relief but no long-term remediation of tinnitus.

Customized sound generation uses a tone complementary to the tone of your tinnitus to unobtrusively mask it. Over time, listening to customized tones can train your brain to ignore the sound of tinnitus, reducing the severity of your symptoms. This concept is known as Notch therapy and is gradually being incorporated into more devices, such as hearing aids.

Although no cure for tinnitus exists, many options for treatment are safe and effective. Visit Wilmington Ear Nose & Throat Associates, P.A. , where we can provide personalized treatment for your tinnitus so you can get started on the road to a better quality of life! Please get in touch today.

What to Know About Allergies

Fri, 18 Oct 2019 21:32:32 GMT

If your child is suddenly sneezing a lot more than usual, despite being perfectly healthy, they may be suffering from allergies. Allergies are incredibly common, but they can make life uncomfortable. If you want to better protect your child from allergies, check out these commonly asked questions to learn more.

What Are the Symptoms of Allergies?

If your child suddenly develop allergies, you may think they are coming down with a cold because the symptoms of allergies can mimic those of a mild to severe cold. If they suffer from seasonal allergies (hay fever or rhinitis), they may have been sneezing or have an itchy/runny nose and itchy/runny eyes.

Depending on the severity of their allergies, these symptoms can make it difficult to do daily tasks, especially if the watery eyes affect their vision.

An allergy that affects the skin, such as an insect sting or atopic dermatitis, may include swelling at the site of the sting, itching, and hives. With food allergies, or in cases of severe allergies to bites or stings, patients may suffer from anaphylaxis, which includes loss of consciousness, low blood pressure, and severe shortness of breath. Without emergency treatment, patients suffering from anaphylaxis may die.

What Causes Allergies?

There are many indoor and outdoor substances that can trigger allergies. Common indoor triggers include dust, mold, and animal dander. Common outdoor triggers include pollen, insect bites/stings, and poison ivy. Other potential causes of allergies include certain foods, vaccines, and medications.

Within your body, allergies can often feel like a cold for a specific reason; they cause your body's immune system to create antibodies to fight a foreign substance. In the event of a virus, this is a good thing because it's how you get better. When the foreign body is an allergen, however, it can cause chronic issues as your body continues to fight the foreign substance.

Can You Identify a Specific Allergy?

If your child's allergies are life threatening, such as a food allergy, you need to know what triggers their allergy. In many cases, you can find this out when they accidentally eat or encounter the item, but they can be tested to identify specific allergies too. This may be a good idea if your child is already allergic to certain foods, so you don't have to learn by trial and error.

Even if your child's allergies are minor, knowing what causes them can help you avoid the cause. For example, if your child's allergies are caused by a specific type of tree, they can simply avoid those trees to prevent an attack.

How Can Allergies Be Treated?

The most basic treatment for allergies is to avoid the allergen, such as not eating peanuts if you have a peanut allergy. For typical seasonal allergies, however, your child may be able to take prescription and over-the-counter allergy medications to reduce the symptoms - depending on how old they are.

If your child's allergies are severe and allergy medicine doesn't seem to help, immunotherapy may be necessary.

Finally, if your child does have a severe allergy that can cause anaphylaxis, emergency epinephrine may be the only treatment that can save their life in an emergency. People with these types of allergies usually carry an emergency shot with them at all times, which can be injected to stop the life-threatening symptoms. They will still need to go to the hospital, however.

In most cases, allergies are just annoying, causing minor cold-like symptoms, but in some cases, they can be life threatening without emergency treatment. Regardless of what type of allergies your child has, finding relief can make life much more enjoyable, so they don't have to suffer through the seasons. To learn more about allergy testing and treatment, contact one of our offices at Wilmington Ear Nose and Throat Associates, P.A., today.

Post-Nasal Drip: What You Need to Know

Mon, 09 Sep 2019 16:54:10 GMT

Clearing the throat is a normal process. However, if you find yourself clearing your throat all the time, a deeper issue may be at hand. Pay attention to the trigger for clearing your throat. You might feel as if mucus accumulates in the back of your throat. Such a trigger may indicate you have post-nasal drip.

Find out everything you need to know about this annoying issue, including how to get rid of it.

What Is Post-Nasal Drip?

At its most basic, post-nasal drip is accumulated mucus at the back of your throat. The mucus comes from glands in the linings of your throat, sinus, airways, and nose. The purpose of the mucus is to moisten these areas and to prevent bacteria and viruses from invading your body.

When your respiratory system functions properly, the mucus mixes with your saliva and drips down the back of your throat. You probably don't even notice it except for the occasional throat clearing. However, if the mucus is too abundant or too thick, it accumulates in the back of your throat and causes post-nasal drip.

What Are the Symptoms of Post-Nasal Drip?

The symptoms for post-nasal drip aren't severe, but they are unpleasant. The most obvious symptom is the sensation of mucus collecting at the back of your throat. Because of this accumulation, you'll feel that constant need to clear your throat or swallow. The excess mucus can also lead to a sore throat or coughing, which can be worse at night.

Bad breath can be another unpleasant side effect. You might even feel nausea if too much mucus enters your stomach.

What Are the Causes of Post-Nasal Drip?

Anything that causes issues with your sinuses can trigger post-nasal drip. Colds, the flu, and sinus infections are likely culprits. So, too, are allergies, which can cause rhinitis, or the irritation of the nose. In addition to sneezing, rhinitis causes the overproduction of mucus, which triggers post-nasal drip. Fumes, smoke, and other irritants also trigger the condition.

Post-nasal drip may be associated with other medical conditions and treatments. Medications such as birth control and for blood pressure can cause post-nasal drip. So, too, can pregnancy. Likewise, any problem in the structure of the nose and/or sinuses, such as a deviated septum, can cause the condition.

What Are the Foods That Aggravate Post-Nasal Drip?

Foods themselves won't necessarily cause post-nasal drip, but they can aggravate the condition. In fact, a trigger for the condition is acid reflux. So, any foods that trigger acid reflux can also trigger post-nasal drip. This includes the following:

Chocolate
Coffee and other caffeinated beverages
Carbonated beverages
Alcohol
Citrus fruits
Peppermint
Spicy foods
Fried or fatty foods

Unfortunately, the best method for mitigating the triggers is to avoid the above foods. On a side note, drinking lots of water thins out the mucus, causing it to dispel more easily.

What Are the Treatments for Post-Nasal Drip?

Most treatments for post-nasal drip involve lifestyle changes. In addition to avoiding the above food triggers, you can also prop up your pillows at night to prevent the mucus accumulation. A humidifier can help, as can general steam inhalation. You may also irrigate your nasal passages.

You have some options for over-the-counter medications. A nasal decongestant, such as pseudoephedrine or phenylephrine, can be helpful, as can mucus thinner such as guaifenesin. If your post-nasal drip is from allergies, getting them under control can be helpful. Antihistamines are one option, but you can also talk to an allergy specialist about other treatments.

If your post-nasal drip is particularly prominent, consider consulting with ear, nose, and throat doctors. They might prescribe a nasal steroid spray or one that inhibits mucus production. You should definitely seek medical advice if the mucus is bloody or foul-smelling or if it's accompanied by fever or shortness of breath.

Don't suffer from the annoyance of post-nasal drip. Talk to the ENT specialists at Wilmington Ear Nose & Throat Associates, P.A. , for help diagnosing and treating the condition.

Understanding And Treating Common Vocal Cord Injuries

Fri, 12 Jul 2019 01:37:11 GMT

Whether you are a kindergarten teacher or you want to make a career out of singing, you use your vocal cords every day to express yourself. No matter who you are, a vocal cord injury significantly impacts your life. You are left without the ability to communicate effectively. These common injuries can impact almost anybody.

Laryngitis

Laryngitis is an inflammation of the voice box caused by a virus, which makes your voice hoarse. Some people even lose their voice entirely for a week. If you base your livelihood on your voice or being able to communicate, the condition can feel devastating.

This condition is not hard to diagnose. Sometimes, your doctor may diagnose the condition via a laryngoscopy. If the doctor finds something that looks like a tumor, he or she will perform a biopsy to look for cancerous cells.

For most patients, laryngitis disappears on its own with vocal cord rest and hydration. In most cases, the doctor does not prescribe medication because the infection is viral and will not subside with antibiotics.

Some patients experience chronic laryngitis, which may be linked to other conditions like smoking, a tumor, or chronic heartburn. In these cases, your doctor will treat the underlying condition in the hopes that the laryngitis will subside.

Vocal Cord Paralysis

Paralysis occurs when you injure your nerves, and it can happen throughout the body - vocal cords included.

The main symptoms of vocal cord paralysis include a hoarse voice and difficulty swallowing. Some people with vocal cord paralysis struggle to even breathe. For most people, only one side of the voice box is paralyzed, so they are still able to have some function. They may still experience choking, coughing, or the inability to speak loudly.

Nerve injuries are often caused by trauma, viral infections, and neurological diseases. Some patients come in with vocal paralysis after they have undergone surgery and their nerves or vocal cords were damaged. Cancer is also a common culprit for paralysis.

Doctors treat vocal cord paralysis by recommending either voice therapy, injections, or surgery. In some cases, paralysis heals on its own over time, so the doctor may delay your surgery to see if you are able to recover without it.

Vocal Cord Polyps & Nodules

Vocal cord polyps and nodules are very small growths on the vocal cord. Thankfully, polyps are benign, which means they are not cancerous.

You may realize you have vocal polyps when you begin to feel hoarse. You could also feel you have lost vocal range or that your voice feels tired when you talk.

Often, the polyps are caused by using the vocal cords too often or by exposure to irritants. Cigarette smoke is one of the most common irritants to the throat, but you can also experience the condition as the result of allergies.

Other times, polyps result from vocal cord trauma. For singers, trauma is caused by overusing your voice. For others, common causes include talking a lot or yelling. Women between the ages of 20 and 50 are more likely to experience polyps than those in other groups, but nobody is immune from either polyps or nodules.

Doctors treat polyps in several ways. To begin, the doctor will encourage you to rest your voice. In some cases, patients require vocal cord surgery or voice therapy with a speech therapist.

Contact Wilmington Ear Nose & Throat Associates, P.A. , today to see if you have one of these common vocal cord issues. We can diagnose the problem and ensure you receive the treatment you need. You deserve the best care, so make an appointment with our team of compassionate professionals today.

Enlarged Adenoids: Causes, Symptoms, and Treatment Options

Tue, 14 May 2019 00:00:00 GMT

The throat is a complicated part of the body, consisting of numerous components that help you swallow and breathe. While important, the throat and its various components are not well understood by most people. For example, when most people think about the throat, they think of the actual esophagus or tonsils. However, the adenoids are also imperative components.

Located in the upper part of the throat just behind the nose, the adenoids are patches of tissue that work in conjunction with the tonsils to trap germs that come in through the mouth and the nose. In some cases, the adenoids can become enlarged, which affects breathing and the system's ability to trap germs. Thankfully, help is available if your child has enlarged adenoids.

Causes of Enlarged Adenoids

If your child has enlarged adenoids, you may be wondering why. Unfortunately, the answer is not so simple.

Most children are born with larger adenoids, which will continue to increase in size until they reach the age of 6. After this age, the adenoids will start to decrease in size, eventually disappearing completely by the time your child is about 16 years old.

If your child is fighting off an infection/illness or they are exposed to allergens, the adenoids may become irritated and inflamed, causing them to swell in size.

Symptoms of Enlarged Adenoids

If you look in your child's mouth, you will not be able to see the swollen adenoids. However, your child will experience symptoms if they have enlarged adenoids. Your child may have a chronic runny nose and swollen throat. Many children with enlarged adenoids also have difficulty or discomfort swallowing.

Your child may have a hoarse voice and even tend to breathe more out of their mouth than their nose. This mouth-breathing can also cause your child's mouth to be dry, which leads to bad breath and potential bacterial growth.

Sleep apnea is also a common problem for children with enlarged adenoids. This sleep disorder causes multiple lapses in breathing while your child is asleep. This may affect their quality of sleep, and it can also be life-threatening if not treated. If your child has enlarged adenoids, snores at night, and has daytime fatigue, they most likely have sleep apnea.

Treating Enlarged Adenoids

If your child is not displaying any symptoms because of their enlarged adenoids, treatment may not be necessary. On the other hand, if your child is experiencing illness, discomfort, difficulty, or sleep apnea because of the larger adenoids, schedule a consultation with a specialist today.

An adenoidectomy is the surgical removal of the adenoids. Although surgery is invasive, the adenoidectomy can be an effective option for restoring your child's breathing and health back to a normal state.

In most cases, the adenoidectomy can be performed as an outpatient procedure, so your child can go home within the same day as the surgery. A general anesthetic is used to put your child to sleep for the surgery.

The surgeon won’t make any exterior incisions — once your child is asleep, the surgeon will remove the adenoids through the mouth. The doctor will then cauterize the bases of the adenoids to reduce the risk of bleeding or infections. The procedure may last only 45 minutes.

After the procedure, your child may experience some grogginess from the anesthesia and nasal stuffiness from removing the adenoids. However, they should feel enormous improvement in their ability to breathe, swallow, and sleep.

The adenoids may be small and virtually impossible to see, but they are important. Proper understanding is key for diagnosing and treating your child's enlarged adenoids. For more information, schedule a consultation with our specialists at Wilmington Ear Nose & Throat Associates, P.A. today.

Migraines and Hay Fever: Understanding This Difficult Pediatric Issue

Fri, 15 Mar 2019 07:32:36 GMT

Hay fever is an issue that parents may not take seriously in their children's lives. However, this seemingly simple concern is closely connected with migraines, which may cause a multitude of developmental problems in a child's education. Therefore, immediate treatment of these issues is critical for a child's health and well-being as well as for the child's future growth and development.

Hay Fever Causes Many Unpleasant Symptoms

When a child suffers from hay fever, multiple unfortunate symptoms can make them miserable. For example, symptoms such as sneezing, congestion, itchy areas, and excessive nasal pressure occur in people, including children, who suffer from hay fevers.

Typically, these issues arise the most during the spring and summer, which can be very frustrating for children during their school breaks. Unfortunately, all of these symptoms may also increase a child's risk of suffering from a migraine that could seriously affect their health and well-being.

For example, a study by the National Headache Foundation stated that those with hay fever were about 33 percent more likely to experience migraines than those who did not have hay fever. The connection between these issues seems to center on the irritation and inflammation in the nasal mucus membrane.

Essentially, hay fever triggers increased pressure throughout the nasal passages due to increased mucus production. When this extra pressure occurs, the strain places increased pressure on specific areas of the brain. Unfortunately, that increased pressure may trigger migraines and put a child out of commission for an extended period.

Migraines May Adversely Affect Education

When a migraine hits a child, severe pain will limit their everyday activities. For example, a child who experiences a migraine during classes may go home for the day. Unfortunately, the severity of these symptoms can adversely affect a child's education and could seriously affect their future career and life development in many ways.

For example, a study done by the Universidade Federal de Pernambuco in Brazil found that children who suffered from migraines had a lower grade point average and struggled to succeed in class. Even worse, these migraines often lowered a child's quality of life overall.

Unfortunately, these setbacks could cascade through a child's educational development for years. For example, a child with migraines may struggle through early math or other classes and find catching up with their peers in later courses hard to do. And if migraines continue into their teen years, continued developmental issues may affect them if they attempt to attend college.

Treatment Minimizes These Risks

The severe impact that hay fever and migraines have on a child's education makes treatment for both problems absolutely critical. For example, allergy treatment minimizes the risk of headaches and helps a child breathe easier when outside. Medicines such as antihistamine sprays, eye drops, nasal corticosteroids, and oral corticosteroids reduce the impact of these symptoms or prevent them entirely.

And when a child experiences a migraine that hay fever has triggered or worsened, other treatment methods provide relief. For example, specific migraine pain relievers halt the spread of a headache and prevent symptoms from getting worse. Preventative medicines also help to minimize migraines by relieving many triggers. In addition, anti-nausea medication prevents migraine-related vomiting.

Allergy Treatment May Provide Relief

A child should not have to suffer from the co-occurring issues of hay fever and migraines. If you have a young one who struggles from these health issues, please contact us at Wilmington Ear Nose & Throat Associates , P.A. to give your child the treatment they need. Our professionals will thoroughly examine your child's allergies and work hard to ensure that they have full treatment and management.

3 Reasons Your Child Should See an ENT

Tue, 15 Jan 2019 08:03:54 GMT

An ENT, commonly referred to as an ear, nose, and throat specialist, diagnoses and treats many conditions involving the ear, nose, and throat. The medical name for such a specialist is an otolaryngologist. Anything from a sore throat with fever to frequent nosebleeds might warrant a visit to the ENT. Here are a few reasons to schedule an appointment for your child.

1. Recurrent Sore Throats

Has your child been experiencing frequent or recurring sore throats, often with an elevated temperature? If so, it may be time to seek the opinion of an ear, nose, and throat specialist. While it is common to experience a sore throat with a cold or viral infection, frequent sore throats may be due to inflamed tonsils. Tonsillitis may be caused by a viral infection, although bacteria may also be a cause.

Symptoms of tonsillitis include difficulty when swallowing, red and inflamed throat, and swollen glands or lymph nodes on the side of the neck. A fever may also be present. Surgical removal of the tonsils, a process referred to as a tonsillectomy, generally is necessary only when bacterial infections recur.

For mild cases, bed rest, increased intake of fluids, and gargling with warm salt water may help relieve the discomfort. If the doctor believes the tonsillitis may be caused by a bacterial infection, then they may prescribe antibiotics.

Sometimes inflamed tonsils are caused by the streptococcal bacteria. When affected by this strain, strep throat may follow. Left untreated, strep throat may cause serious complications, which is why the health care provider may prescribe a course of antibiotics to clear up the infection.

2. Frequent Earaches

Earaches are a common occurrence among young toddlers and school-aged children. If your child has been experiencing chronic earaches, schedule an appointment with the ENT to learn the root cause and get proper treatment for your child.

If your child has a middle ear infection or develops fluid in back of the eardrum, a painful earache may result. Colds sometimes cause earaches in children as well. If your child has been experiencing earaches frequently, the doctor might ask a few questions.

For instance, has your child been swimming a lot lately? In some cases, children will develop a condition known as swimmer's ear. This occurs when water enters the ear canal, allowing bacteria to enter. Swimmer's ear may be treated with antibiotics. Your child may also be advised to swim with earplugs for protection.

Another cause for frequent earaches is the excessive use of cotton swabs. Forcing a cotton swab inside the ear may cause damage to the ear canal. It is best to avoid this practice.

In any case, your ENT can determine the cause of your child's earaches and prescribe a treatment.

3. Repeated Nosebleeds

The ENT treats nosebleeds as well. The doctor will help you determine what is causing your child to have nosebleeds. Frequent nosebleeds in a child may be caused by several factors.

Dry air may irritate the nasal passages and cause the nose to bleed. In such a case, raising the household humidity with the use of a humidifier may help.

Colds, sinus infections and allergies sometimes cause nosebleeds, especially if your child has been blowing the nose or picking at it.

Sometimes nosebleeds are caused by other factors. If your child has some type of abnormality within the interior structure of the nose, nosebleeds may occur. The ENT can determine the best treatment. If your child has a chronic health condition affecting the respiratory system, this may also cause nosebleeds.

If you believe your child may be affected by any of the above mentioned conditions, schedule an appointment with an ear, nose, and throat specialist as soon as possible.

Hearing Loss in Babies: Prevention, Signs, &Treatment

Mon, 19 Nov 2018 00:00:00 GMT

If you are the parent of a baby or have one on the way, then you need to understand that hearing loss can affect any baby, even those whose parents are blessed with perfect hearing. In fact, over 90 percent of children who suffer from hearing loss are born to parents who have good hearing. Hearing loss is the most common birth defect in newborns.

Read on to learn more about hearing loss in babies and what the current treatment options are if your baby is born with or develops hearing loss.

Baby Hearing Loss Prevention

According to the National Institutes of Health, about 50 to 60 percent of babies born with hearing loss develop this problem due to genetics. Other babies are born with hearing loss that occurs due to certain illnesses the mother developed or exposure to certain chemicals while pregnant.

While not all illnesses can be avoided while pregnant, toxoplasmosis often can be. This parasitic infection can be contracted when a pregnant women handles cat litter contaminated with the parasite or eats meat contaminated with the toxoplasma gondii parasite. A child exposed to this parasite in the womb can be born with hearing loss or develop it much later in life.

Another way to help preserve your unborn child's hearing is to avoid taking ototoxic medications during pregnancy. These medications are known to potentially damage the ear. Over 200 ototoxic medications are currently on the market. Always tell your healthcare providers that you are pregnant to ensure they do not prescribe you an ototoxic medication.

Babies can also develop non-congenital hearing loss due to untreated middle ear infections, some illnesses like the measles or meningitis, trauma to the ears, and exposure to loud noises.

Signs of Hearing Loss in Babies

Congenital hearing loss in newborns is often diagnosed before a baby leaves the hospital as a result of the newborn hearing screening that has become standard in most hospitals. Even if your newborn passes their hearing screening in the hospital, it is important to watch for signs of hearing loss after you take them home. Some babies who pass the newborn hearing screening can actually suffer from mild hearing difficulties the test does not screen for, and many babies develop hearing loss after birth.

The signs of hearing loss in babies vary based on the baby's age. A sign of hearing loss in babies of all ages is not responding to noises, including voices and music. Babies who do not begin producing vowel sounds by their second month of life or do not begin mimicking the sounds they hear the children and adults around them making by the age of six months could also be suffering from hearing loss.

Older babies who fail to progress in their language skills as quickly as their peers should also be screened for hearing difficulties.

Hearing Loss Treatments for Babies

If you suspect your baby is suffering from hearing loss, the good news is that a variety of hearing loss treatments are available today. If the hearing loss is caused by an ear structural problem, then a surgery may be able to restore your child's hearing. Some cases of hearing loss in babies can be treated by implanting devices in the affected ears called cochlear implants. Other babies benefit most from implantable or traditional hearing aids.

If you are the parent of a baby or will become a parent soon, then it is important to know that any baby can be born with or develop hearing loss. Contact the staff at Wilmington Ear Nose & Throat Associates, P.A. to schedule a hearing test for your child if you notice them displaying any signs of hearing loss.

What You Need to Know About Text Neck

Wed, 19 Sep 2018 00:00:00 GMT

Tablets and smartphones may be handy for work, school, and entertainment, but these devices can also cause a range of health issues. The muscle strain in the head and neck that results from bending over your electronic device is often called as text neck . Here's what you need to know about this rising health problem, and what you can do about it.

What Is Text Neck?

Text neck refers to the headaches, achy shoulders, and neck pain you experience from bending your head down to your phone to text, but this phenomenon is not just limited to phones and tablets. You are probably using the same posture over a keyboard or notebook as well.

You develop text neck simply by not holding your head straight up and down on your spine. Your head weighs around 10 pounds, an amount easily supported by your muscles and spine. However, tilt that 10-pound weight forward any amount and the weight increases - something your body cannot handle.

How Is Text Neck Harmful?

Holding the head forward while looking down for long periods of time is definitely harmful. In addition to pain in the head and neck, there is a long-term possibility you may develop:

Tension headaches
Neck sprains similar to whiplash
Reduced lung capacity and breathing problems
Neurological problems
Heart disease

Text neck symptoms are not only physical. The classic hunched position during texting also causes psychological problems such as depression, anxiety, stress, and irritability.

Who Is at Risk for Text Neck?

Anybody who bends over while using their phone or tablet for long periods of time is at risk for getting text neck. The longer you do so, the more likely you are to feel the pain. In fact, the average person now uses their electronic device over eight hours each day. With these figures, it's no wonder the headaches, sore necks, and stiff shoulders are real.

Children and adolescents may be particularly vulnerable to the effects of text neck. Because their bodies and personalities are still growing, text neck may be especially harmful to their spine, neck, and even their psychological development in the long run.

Is Text Neck Avoidable?

The best way to avoid text neck is simply to stop using your phone, tablet, keyboard, or textbooks. However, this is not practical. Instead, you can adjust the way you view your electronic devices:

Try glancing at your phone with only your eyes rather than bending your neck. This keeps your head and neck at a normal angle.
Place your phone at eye level when you view it. Or try an app that alerts you if your phone reaches an unsafe angle when it's in use.
Use a desk chair that can support your back properly.
Limit the time you spend seated at a computer and take frequent breaks. Change your position occasionally to give certain muscles a break.

During work breaks or anytime you feel that familiar stiffness or pain creeping up, try some exercises to help alleviate any pain:

Stretch your neck by tucking your chin to your chest and focusing on lifting the back of your skull toward the ceiling.
Rest on your back and press the back of your neck toward the floor. Try to imagine you are eliminating the space between the floor and your neck.
Stretch your shoulders by lying face down, hands at your side with palms up. Raise your arms up and try to reach your feet, making sure you squeeze your shoulder blades together. This will lift the front of your shoulders off the ground.

These exercises stretch the muscles in your neck and shoulders, right where the strain of texting rests.

If you feel your neck and head pains may be related to something other than texting, it may be time find out more from the caring experts at Wilmington Ear Nose & Throat Associates, PA. Contact us to schedule an appointment.

3 Often-Overlooked Causes of Nasal Congestion

Thu, 19 Jul 2018 00:00:00 GMT

While nasal congestion, commonly referred to as a stuffy nose, is often caused by allergies or the common cold, other factors are often overlooked. If you have been experiencing that stuffy feeling in your nose and sinuses, you might want to consider a few unnoticed reasons behind your symptoms. Once you've ruled out the common cold, sinusitis and nasal allergies, look into the following aspects.

1. Overuse of Nasal Decongestant Sprays

Perhaps you've heard of the warnings about overusing the over-the-counter nasal decongestant sprays. If you have recovered from an upper respiratory infection yet you are still experiencing nasal congestion, it could be due to the use of nasal spray decongestant. While it may be fine to use the spray decongestants for a couple of days, you need to be mindful about how often and how much you use.

If you've been using a nasal decongestant spray for more than recommended time and dosage, you may develop what is known as the rebound effect. While the immediate effect and relief you experience may be welcoming and comforting, when overused, the nasal sprays may be making your symptoms worse over a period of time.

Doctors have a name for this condition, and it is referred to as rhinitis medicamentosa. In layman's terms, this simply means rebound congestion. If you believe overusage of topical nasal decongestant sprays are the reason for your congestion, you need to wean yourself from the habit. Your doctor may recommend you gradually do this for the safest and most effective option.

2. Alcohol Consumption

Whether you enjoy drinking alcoholic beverages occasionally or on a regular basis, you might find this is the reason for your nasal congestion. Nasal stuffiness occurs in some individuals after drinking because alcohol tends to expand and swell blood vessels. Because there are membranes lining the nasal cavities, when they swell after consuming alcohol, your nose may become blocked or stuffy.

In addition to the swollen membranes and blood vessels blocking your nose, you may become dehydrated by drinking. When you're dehydrated, mucus production tends to thicken. In turn, the thickened mucus tends to cause congestion, making it difficult to breathe through the nose.

If you are only experiencing nasal congestion after consuming alcohol, you might want to refrain or cut back. If you are still experiencing the symptoms of nasal congestion once you've stopped drinking alcohol, you should see your physician.

3. Lack of Humidity (In the Home and Outdoors)

Dry air is another condition you may have overlooked when trying to pinpoint the cause of your nasal congestion. When the air becomes dry outside or your home lacks sufficient humidity, your nasal membranes may become swollen. Fortunately, there is an easy fix for dry air in the home.

Check the humidity levels in your home with a hygrometer. This is a device that measure the relative humidity in the air. For optimal comfort, you should aim for 30-50 percent humidity in the home.

When choosing a hygrometer, you may opt for one with a digital readout or an analog model. You can also select a wireless tabletop model or wall-mounted option if you prefer. Some models also mount to the refrigerator using a magnet.

If you discover the air inside your home is too low, simply increase the moisture in your environment. You might choose an entire-home humidifier or a portable humidifier for the bedroom. Doing so might allow you to sleep better at night and not awaken congested. Remember to clean and disinfect your humidifier regularly to reduce the growth of bacteria and mold.

As a final consideration, if your nasal congestion symptoms do not improve over time or continue to bother you, make an appointment with an ear, nose and throat specialist.

Chronic Childhood Ear Infections: Causes, Prevention, and Treatments

Wed, 23 May 2018 00:00:00 GMT

Ear infections are common in young children. Kids usually experience more ear infections when they are younger because children have weaker immune systems. The eustachian tubes that allow drainage from the ear are also smaller and more horizontal, so it's easier for children's ears to become clogged and infected.

Because ear infections can be serious if they are not treated and because children struggle to handle the pain, parents of children who have frequent or chronic infections are often desperate for answers on how to make the problem better.

Learn about what causes frequent ear infections and what you can do to help treat and prevent them.

Causes

Many times, ear infections happen alongside other minor illnesses. For example, if your child gets a cold, drainage from the ear and sinus area is already struggling. This makes it easier for the ear to become clogged, leading to infection.

Children with allergies are also more prone to infections because the inflammation from an allergic reaction can also cause swelling around the eustachian tube of the ear. Chronic infections are more likely with allergies because allergy symptoms are often ongoing for children, so the ears are always under more pressure.

Genetics can also play a role. Some families seem to have children who all struggle with ear infections, while other children may never have that issue.

Sometimes, ear infections may occur on their own - there is no cause besides the limited drainage from an ear that is not yet matured. Some things can increase the risk, including exposure to water, sticking things in the ear, exposure to secondhand smoke, or being in day care where your child is more likely to be exposed to higher levels of germs.

Prevention

Sometimes, you can't do anything to prevent an ear infection. However, when your child is more prone to them, you can learn some tricks to help reduce the risk. You might:

Limit use of bottles and pacifiers when lying down . These can place more pressure on the ear and restrict ear drainage.
Run an air purifier in your home . Air purifiers help remove irritants that can cause respiratory issues and increased mucus production. You can also improve air quality by stopping smoking or only smoking out of doors.
Wash your hands and your child's hands when going to and leaving preschool or day care . This helps to prevent the spread of germs at home.

If your child already has a cold, you might run a humidifier in their room to improve breathing and help with recovery time. The faster your child recovers from illness, the less likely the ear will become inflamed and infected as a result.

Treatment

Your doctor will examine your child's ears to assess the severity of the ear infection. Sometimes, antibiotics help to get rid of the infection, but antibiotics are not always needed.

However, if your child has had several infections in a short period of time, stronger antibiotics might be necessary. Usually, recurring ear infections are not recurring at all; they are the same infection that doesn't entirely go away.

For children who do have trouble with ear infections coming back several times a year, you may need to consider ear tubes. These are put in through a small surgical procedure to prevent the build-up of fluid that leads to infection.

Some ear nose and throat specialists may also recommend removal of the adenoids and even the tonsils, but these methods are only for children who show significant need. These surgeries are more invasive and the recovery takes longer than placing ear tubes.

For more information, contact us at Wilmington Ear Nose & Throat Associates, P.A.

3 Ways You Might Cause Hearing Loss in Your Children

Mon, 26 Mar 2018 00:00:00 GMT

Nobody wants their child to live with a disability, especially when it impacts their life as much as hearing loss. In addition to affecting their ability to listen in class, hearing loss can also make it hard for your little one to enjoy beautiful music or crucial warning signals like fire alarms. Unfortunately, a few simple missteps might put your child at a higher risk for this lifelong issue.

Here are three ways you might be causing hearing loss in your children and how to change your ways.

1. Ignoring Early Ear Infections

Before children can talk, they might cry for a long list of reasons, including hunger, boredom, fear, and pain. Because children's ear canals tend to be very small when they are young, ear infections are common in children, but they can become dangerous when left unmonitored and treated.

Ear infections in babies can cause problems like restlessness, crying, eating problems, and even vomiting. Some children tug at their ears when they hurt, which should act as a red flag for parents to have the issue checked out immediately. If infections are allowed to fester, they can permanently damage the inner ear, causing hearing loss.
If your little one has been having problems sleeping, eating, or playing, schedule a checkup to have them looked at by your pediatrician. In addition to checking for other symptoms like sore throats, rashes, and swelling, your child's doctor will also look for lingering ear infections.

While traditional treatments for ear infections included antibiotics, new recommendations side toward watchful waiting, which helps to prevent antibiotic resistance. However, children under six months old will probably be prescribed antibiotics, as well as children under two who are at risk for other issues, such as septicemia.

2. Failing to Vaccinate

Your decision to vaccinate or not might seem completely unrelated to your child's hearing, but unfortunately, since many communicable disease can lead to hearing loss, your choice to skip those routine inoculations could result in hearing problems.

Although rare, illnesses like meningitis, mumps, measles, and whooping cough can cause issues with fluid buildup in the inner ear, which can cause permanent hearing loss. Even common diseases like chicken pox and the flu can cause infections severe enough to damage hearing, which is why parents should take advantage of every available vaccination, including the seasonal flu shot and varicella vaccines.

To protect your child's hearing, talk with your child's ear, nose, and throat doctor about vaccination schedules, and educate yourself about the potential risks. Although every vaccination has its own list of potential hazards, the American Academy of Pediatrics recommends vaccinations to protect your child from a long list of potential health problems, including hearing issues.

3. Smoking

You know that you shouldn't smoke around your children because it could hurt their lungs, but did you know that children who are exposed to secondhand smoke are more likely to suffer from hearing loss? Research has shown that teens who are around smokers are more likely to develop issues with their cochlea , creating hearing problems as they get older.

If you are a smoker, consider stopping your habit to help your children to live a better life. Advances in anti-smoking medications have made it easier than ever before to curb the habit, interfering with your brain's pleasure center to make smoking feel less enjoyable.

If your child isn't responding immediately when you call out their name, there might a reason why. Here at Wilmington Ear Nose & Throat Associates, P.A. , we help children, teens, adults, and seniors diagnose and treat lingering hearing and balance problems. Whether you're struggling with swallowing issues, balance problems, or issues with your sense of smell, our talented ear, nose, and throat specialists can help you to live your best life.

Six Things You Can Do In Your Home To Avoid Wintertime Allergies

Sat, 20 Jan 2018 00:00:00 GMT

Some allergy patients experience symptoms more during the winter months than they do at any other time of the year. During the winter, allergens may build up in your home because there is not as much air circulation and the interior air becomes stagnant due to the fact that it's too cold to keep windows open.

In particular, allergic responses from dust mites and mold spores tend to be more severe in the winter months. If you suffer from these types of allergy, you might want to do the following six things in your home to avoid wintertime allergies:

Cleaning Your Christmas Tree

If you're putting a Christmas tree in your home this winter, you might want to consider rinsing it off before you bring it into your home. Trees brought in from outside can be covered in dust or various allergens that will get into your home if you don't clean your tree off before you bring it inside.

It's easy to simply rinse off a tree with a hose and give it some time to dry off before you bring it in to get rid of allergens and to allergy-proof your home.

Replacing Air Filters

One of the easiest things that you can do to drastically improve the air quality in your home and minimize the presence of allergens is change air filters.

There are numerous air filters in your home that you need to change to optimize air quality. In particular, focus on HVAC equipment and change the furnace filter in your home. It's also a good idea to change filters in any humidifier you have because these filters can easily be contaminated by mold growth if they're not changed often enough.

Taking Advantage of Exhaust Fans

While temperatures outside are probably too cold for you to open windows for fresh air, you can enjoy some air circulation in your home with exhaust fans.

You can use your exhaust fan when you're using hot water in your bathroom or when you're cooking in your kitchen. Exhaust fans will bring in air from outside and help to get rid of any unpleasant odors or humidity in your home.

Using a HEPA Vacuum and Filters

Giving your floors a good vacuuming in the early winter is a good idea if you're hoping to remove allergens from your home. Unfortunately, carpets tend to collect dust, mold spores, and other potential allergens that could drastically detract from the comfort of living in your home and aggravate ENT conditions related to allergic responses.

For the most effective allergen control, you should use HEPA vacuums that achieve a high standard of allergen elimination during normal functioning.

In addition to vacuuming, you might also want to consider placing HEPA air filters inside your home to keep your interior air clean. Like a vacuum cleaner, air filters will suck up the interior air and remove contaminants like dust and other particles that can aggravate allergies.

Regularly Mopping Floors

Carpeted floors are not the only type of floor in a home that could accumulate dust and aggravate allergy issues. Tile and hardwood floors can also allow dust to accumulate and get into the air if you do not regularly clean them.
Regularly mopping floors during the winter is especially important if you suffer from indoor allergies and live in an area where it's too cold outside to keep windows open for air circulation during the winter.

Keeping Humidity Under Control

Excessively high humidity levels in a home can facilitate interior air contamination caused by bacteria and mold spores. By keeping humidity levels in a home below 50 percent during the winter, you can prevent bacteria and mold from proliferating while also preventing condensation at your home's windows.

3 Surprising Causes of Swimmer's Ear

Thu, 23 Nov 2017 00:00:00 GMT

Swimmer's ear, or acute otitis externa, is an infection of the outer ear affecting nearly 1 in 100 people. The presence and growth of large amounts of bacteria inside the ear canal produces the characteristic redness, pain and swelling of swimmer's ear.

Normally, excessive swimming resulting in water remaining in the ear canal is the main cause of this affliction. Cases peak during the summer months of June, July and August when swimming is in full swing. However, too much fun in the sun and pool is not always the cause of swimmer's ear. Take a look at these three surprising causes of acute otitis externa and how you can prevent it.

1. Hot Tubs

If you enjoy spending time in hot tubs, whether you choose a community, hotel, or your backyard hot tub, you may be at risk for getting swimmer's ear. You don't normally submerge your head in a hot tub or dive underwater, but bacteria in the hot tub are capable of infecting you with swimmer's ear if you're not careful.

Dry ears are less likely to become infected, so do what you can to keep your ears free from moisture. While you're in any hot tub, take care not to splash water onto your head, face and ears. Despite the high water temperature, bacteria can still thrive in the hot tub. Excessive amounts of bacteria only need a little encouragement to grow and multiply in your outer ear if allowed to remain.

After you leave the hot tub, make sure any water drops are removed from your ears while you're drying off. Tilt your head to each side and forward a little bit to drain any water away. Wiggle your ear lobe with your fingers as you do so to further encourage water removal.

2. Ear-Cleaning

It seems like simple good hygiene that you regularly keep your mouth, nose and eyes clean, so why not your ears too? You may be tempted to regularly use those handy cotton swabs to keep your ears clean and dry; cotton swabs seem perfectly designed to fit inside your ear canal to remove ear wax or blot out excess moisture.

Unfortunately, frequently inserting anything into your ear canal, no matter how careful you may be, does several things, including the following:

Dirt and bacteria are pushed deeper into the ear canal

Ear wax can get packed tighter and deeper in the ear canal

Protective ear wax is removed, exposing the canal to bacteria, insects and other debris

Skin of the ear canal can be easily irritated because it is delicate and thin

Poking around in your ear canal and compressing wax and debris, removing ear wax and disturbing the thin skin of the ear canal all create an ideal environment for an infection like swimmer's ear.

Instead of using cotton swabs to clean your ears yourself, visit a specialist to have your ears cleaned professionally.

3. Eczema and Allergies

If you suffer from eczema and allergies, you might be prone to getting swimmer's ear as eczema sufferers can also experience eczema of the ear. Eczema of the ear can range from slightly dry ear skin to skin loss and extreme soreness and redness. No matter the severity of your ear eczema, your ear still feels itchy and uncomfortable, prompting you to scratch the outer ear and ear canal.

Other allergic conditions that lead to dry, itchy ears can be aggravated by windy or cold weather, low humidity shampoo, hairspray, perfume and even earrings or earbuds.

For help diagnosing swimmer's ear, eczema of the ear or pinpointing possible allergic causes of frequent acute otitis externa, visit the staff at Wilmington Ear Nose & Throat.

5 Tips for Beating the Sniffles of Chronic Stress

Fri, 01 Sep 2017 00:00:00 GMT

Modern society thrives on fast-paced, high-pressure lifestyles. While the days fly by, you may notice that your colds seem to drag on and on. A runny nose, headache and irritated eyes are symptoms of many illnesses, but they may be made worse by stress. If you are tired of constant sniffles slowing you down, the solution might be found in managing your anxiety levels.

1. Understanding How Stress Impacts Your Sinuses

Stress is an early part of your fight-or-flight response. It is meant to put you on edge to prepare for a future threat. Modern people are constantly looking toward the future and, as a result, tend to always have their next stressful event in sight. While this can be necessary for your advancing a career or caring for a family, it also takes a physical toll on your body.

Chronic stress makes harmful changes to your circulatory system. It increases your risk of heart disease and stroke and can suppress your immune system. Day to day, it creates tension in your muscles that can lead to lasting pains and headaches. This inflammation of the blood vessels combined with a weak immune system are often the culprits behind stuffy sinuses.

2. Ruling Out Other Causes

Before you write off your sinus problems as a symptom of stress, you should double check that they aren't symptomatic of a more serious issue. Certain people, for example, become more sensitive to airborne allergens as they get older. You may also be fighting a persistent sinus infection or immune disorder, which should be diagnosed and treated professionally. Your doctor can help you rule out other causes before deciding on the best course of treatment.

3. Supporting Your Immune System

A runny nose and puffy eyes are only symptoms of a larger problem. On the physical side, your body is struggling to maintain balance under the weight of stress. Boosting your immune system will allow your body to fight off the viruses and bacteria that fuel chronic infections. Your doctor can offer advice on your diet or sleeping habits and may prescribe medication if necessary to your increase immune system's performance.

4. Finding Time to Relax

The simplest way to relieve these symptoms is to solve the stress that's causing them. Whether this means reducing your workload or taking more time for yourself, finding effective ways to manage stress is crucial to your overall well-being. This will not only help your sinuses but the rest of your body as well. These most visible symptoms are just a warning sign of the damage done by long-term anxiety.

In many cases, the aches and fatigue caused by anxiety generate more stress as you go through your day. The distraction may even lead to mistakes that make things worse. This is why treating both your physical and mental symptoms is essential for making real progress. By ensuring your physical comfort, your time spent relaxing will be more restful and fulfilling—leaving you in a better mindset at the start of each week.

5. Managing Sinus-Related Symptoms of Anxiety

Of course, shedding the stresses of life is often easier said than done. In the meantime, you may still have unpleasant side effects to live with. Don't let yourself get dragged down by the physical effects of anxiety. An experienced sinus doctor can recommend several different treatments to take pressure off of your sinuses.

The clinical staff at Wilmington Ear Nose & Throat offers a specialized treatment known as balloon sinuplasty to manage chronic sinus inflammation. During this procedure, a small balloon is inserted and gently inflated within your sinuses, opening the airway and assisting with drainage. While you're dealing with the stresses of daily life, schedule an initial appointment with us so you can begin each day feeling fresh and breathing freely.