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What doctor do you see for sinus problems. When to See an ENT Specialist for Sinus Problems: Expert Guide

How do you know if your sinus issues require specialist care. What are the signs that indicate it’s time to consult an ENT doctor. When should you seek professional help for recurring sinus infections. What symptoms suggest you need more than over-the-counter remedies for sinusitis.

Understanding Sinusitis: Prevalence and Common Symptoms

Sinusitis is a widespread medical condition affecting millions of adults in the United States. With approximately 29 million sinus infections occurring annually, it’s crucial to recognize the symptoms and understand when professional medical intervention is necessary. Common symptoms include:

  • Stuffy nose
  • Fever
  • Facial pain
  • Headache
  • Discolored nasal drainage
  • Post-nasal drip

While most people experience one or two upper respiratory or sinus infections per year, some cases may require more than over-the-counter remedies. But how do you determine when it’s time to consult an ENT specialist?

Frequency of Sinus Infections: When to Be Concerned

Is there a threshold for the number of sinus infections that should prompt a visit to an ENT specialist? Indeed, experiencing sinusitis four or more times per year is considered more than usual and may warrant professional attention. This is particularly concerning if each infection necessitates antibiotic treatment.

While antibiotics are generally safe and effective, frequent use can lead to complications. Overuse of antibiotics may result in side effects and increase the risk of developing antibiotic-resistant bacteria. Therefore, if you find yourself relying on antibiotics multiple times a year for sinus infections, it’s advisable to consult an ENT specialist for a more comprehensive evaluation and treatment plan.

Persistent Symptoms: Signs of Chronic Sinusitis

Do your sinus symptoms linger longer than expected? Most episodes of sinusitis resolve within 14 days. However, if your symptoms persist beyond this period, even after taking antibiotics, it could be a sign of chronic sinusitis. Chronic sinusitis is a long-term sinus infection that can smolder for months or even years, requiring advanced treatment from an ENT specialist.

If you feel like you never fully recover between sinus infections or your symptoms never completely disappear, it’s time to seek professional help. An ENT specialist can provide a thorough evaluation and develop a tailored treatment plan to address chronic sinusitis effectively.

Severity of Symptoms: When Sinus Problems Disrupt Daily Life

How severe should sinus symptoms be before consulting an ENT specialist? While being sick is undoubtedly uncomfortable and irritating, typical sinus infections should not be debilitating. If your sinus problems are causing you to take significant time off work or requiring trips to urgent care or the emergency room, it’s a clear indication that you need specialized care.

Severe symptoms that interfere with your daily routine or quality of life warrant immediate attention from an ENT specialist. These experts can provide advanced treatments and interventions to alleviate your symptoms and improve your overall well-being.

Ineffective Treatment: When Antibiotics Fail

Have you taken antibiotics for your sinus infection without experiencing improvement? While it’s normal for antibiotics to take two to three days to show effects, a lack of improvement after completing the prescribed course is cause for concern. If your symptoms persist for more than two weeks and don’t respond to antibiotics, it’s time to consult an ENT specialist.

In some cases, sinus infections may be caused by antibiotic-resistant bacteria. An ENT specialist can perform a culture from the sinuses to identify the specific bacteria causing the infection and prescribe the most effective antibiotic. Additionally, in certain circumstances, medication alone may not be sufficient to resolve sinus problems, and more advanced interventions may be necessary.

The Role of an ENT Specialist in Sinus Care

What exactly does an ENT specialist do for sinus problems? ENT (Ear, Nose, and Throat) specialists, also known as otolaryngologists, are medical doctors who specialize in diagnosing and treating conditions affecting the ears, nose, throat, and related structures of the head and neck. When it comes to sinus problems, ENT specialists offer comprehensive care that includes:

  • Advanced diagnostic techniques to identify the root cause of sinus issues
  • Specialized treatments for both acute and chronic sinusitis
  • Surgical interventions when necessary, such as endoscopic sinus surgery
  • Management of related conditions like allergies and nasal polyps
  • Personalized treatment plans to address individual patient needs

By consulting an ENT specialist, patients with persistent or severe sinus problems can benefit from expert care and targeted treatments that go beyond the scope of general practitioners or over-the-counter remedies.

The Interconnected Nature of Ears, Nose, and Throat

Why are ear, nose, and throat issues often interrelated? The ears, nose, and throat form a complex and interconnected system within the body. This intricate network is connected through a series of tubes and canals, allowing these structures to function as a unified system. Understanding this connection helps explain why problems in one area can affect the others:

  • The ears consist of three parts: outer, middle, and inner ear
  • The nose is divided into anterior and posterior regions
  • The throat comprises three sections: nasopharynx, oropharynx, and laryngopharynx

Surrounding this system are the sinuses – cavities in the skull located in the cheekbones, forehead, between the eyes, and behind the nose. This interconnected structure explains why a severe cold can lead to ear infections or why sinus problems can cause referred pain in other areas of the head and face.

The Impact of Sinus Problems on Related Structures

How do sinus issues affect other parts of the ear, nose, and throat system? Sinus problems can have far-reaching effects due to the interconnected nature of these structures:

  1. Ear problems: Sinus congestion can lead to fluid buildup in the middle ear, potentially causing ear infections or temporary hearing loss.
  2. Throat irritation: Post-nasal drip from sinus infections can cause a sore throat and persistent cough.
  3. Voice changes: Inflammation in the sinuses can affect the resonance of your voice, leading to a nasal or congested-sounding voice.
  4. Headaches: Pressure in the sinuses can cause pain that radiates to other parts of the head, resulting in sinus headaches.
  5. Dental pain: Upper tooth pain can sometimes be attributed to sinus inflammation pressing on the roots of the teeth.

Given these interconnections, an ENT specialist is uniquely qualified to address sinus problems comprehensively, taking into account the potential effects on related structures and providing holistic care.

Advanced Diagnostic Techniques for Sinus Problems

What diagnostic methods do ENT specialists use to evaluate sinus issues? ENT specialists employ a range of advanced diagnostic techniques to accurately assess and diagnose sinus problems. These may include:

  • Nasal endoscopy: A thin, flexible tube with a camera is inserted into the nasal passages to visualize the sinuses and identify any abnormalities.
  • CT scans: Detailed imaging of the sinuses helps detect structural issues, polyps, or other obstructions.
  • Allergy testing: Skin or blood tests can identify specific allergens that may be contributing to sinus problems.
  • Cultures: Samples from the sinuses can be cultured to identify specific bacteria or fungi causing infections.
  • Biopsy: In rare cases, a small tissue sample may be taken to rule out more serious conditions.

These diagnostic tools allow ENT specialists to develop a comprehensive understanding of a patient’s sinus issues, leading to more effective and targeted treatment plans.

Personalized Treatment Approaches for Sinus Problems

How do ENT specialists tailor treatments for individual sinus cases? Once a diagnosis is established, ENT specialists create personalized treatment plans that may include:

  1. Medication management: Prescribing appropriate antibiotics, corticosteroids, or other medications based on the specific cause of the sinus problem.
  2. Immunotherapy: For sinus issues related to allergies, allergy shots or sublingual immunotherapy may be recommended.
  3. Minimally invasive procedures: Techniques such as balloon sinuplasty can help open blocked sinus passages without invasive surgery.
  4. Endoscopic sinus surgery: In cases where other treatments have failed, surgery may be necessary to remove blockages or correct structural issues.
  5. Lifestyle modifications: Recommendations for environmental changes, nasal hygiene practices, and dietary adjustments to support sinus health.

By offering a range of treatment options and tailoring them to each patient’s unique situation, ENT specialists can effectively manage both acute and chronic sinus problems, improving quality of life and reducing the frequency of sinus infections.

Prevention and Long-Term Management of Sinus Issues

What strategies can help prevent recurring sinus problems? While some sinus issues may require ongoing medical management, there are several steps individuals can take to reduce the frequency and severity of sinus problems:

  • Maintain good nasal hygiene: Regular use of saline nasal sprays or rinses can help keep nasal passages clear.
  • Manage allergies: Identifying and avoiding allergen triggers, or using appropriate allergy medications, can reduce sinus inflammation.
  • Humidify your environment: Using a humidifier, especially during dry seasons, can help keep nasal passages moist and less prone to irritation.
  • Practice good hand hygiene: Frequent handwashing can reduce the spread of viruses that often lead to upper respiratory infections and sinusitis.
  • Avoid irritants: Minimize exposure to smoke, strong fragrances, and other airborne irritants that can trigger sinus problems.
  • Stay hydrated: Drinking plenty of water helps thin mucus secretions, making them easier to clear from the sinuses.

By incorporating these preventive measures and working closely with an ENT specialist for ongoing management, individuals with recurrent sinus issues can significantly improve their sinus health and overall quality of life.

The Importance of Follow-Up Care

Why is ongoing care crucial for managing chronic sinus conditions? For individuals with chronic sinusitis or recurrent sinus problems, regular follow-up appointments with an ENT specialist are essential. These visits allow for:

  1. Monitoring of treatment effectiveness and making necessary adjustments
  2. Early detection of any new developments or complications
  3. Refinement of long-term management strategies
  4. Patient education on self-care techniques and lifestyle modifications
  5. Addressing any concerns or questions that arise during the treatment process

Consistent follow-up care ensures that patients receive ongoing support and allows for timely interventions if sinus problems worsen or new issues develop. This proactive approach to sinus care can lead to better outcomes and improved quality of life for those dealing with chronic sinus conditions.

When to See an ENT Specialist for Your Sinuses


Posted on by The Center for ENT

Article written by Dr. Samuel Ross Patton MD

Sinusitis is one of the most common medical conditions affecting adults in the United States. Americans experience nearly 29 million sinus infections per year. Stuffy nose, fever, facial pain, headache, discolored drainage and post-nasal drip can be all-too-familiar as most people get sick with an upper respiratory or sinus infection once or twice a year. Many of these infections can be successfully treated with over-the-counter medications. Some sinus infections, however, require a prescription from your primary care provider for antibiotics. So, when should you see an ENT/Sinus specialist? 

  1.  You have symptoms frequently throughout the year.

It is normal to get sick with an upper respiratory or sinus infection a couple times per year.  We all get sick from time to time; unfortunately, it’s part of the human condition. Experiencing sinusitis four or more times per year is more than usual. This is especially a problem if each infection requires antibiotics to treat it. Although antibiotics are quite safe and effective, frequent use of antibiotics can lead to trouble. Antibiotics, like all medications, can have side effects and using too many antibiotics puts you at risk for developing resistant bacteria.  

  1.  Your symptoms never fully go away.

Most episodes of sinusitis resolve within 14 days. The vast majority of these infections run their course and you get back to your old self. Occasionally, a sinus infection will never fully go away; even after taking antibiotics. Feeling like you never get all the way back to normal between sinus infections could be a sign of chronic sinusitis- a long term sinus infection that smolders for months or even years. Chronic sinusitis may require advanced treatment with an ENT/Sinus specialist.   

  1. Your symptoms are very severe. 

Being sick is no fun. It’s uncomfortable, irritating, and sometimes downright miserable. Fortunately, for most sinus conditions the worst of it comes and goes over the period of a few days. Many adults are still able to motor through their normal routines without taking time off. Typical sinus infections, however, are not debilitating. Taking lots of time off work for sinus symptoms is a red flag for having a severe problem. Similarly, requiring trips to urgent care or the emergency room because your symptoms are unbearable is another good indicator you need help. 

  1. You don’t improve with treatment.

Anyone who has taken antibiotics knows that they don’t work instantly. It usually takes two to three days for them to kick in. What happens if you don’t feel better after taking antibiotics? If you have been sick for less than 14 days, you may just have a virus—which won’t respond to any antibiotics.  If your symptoms last longer than two weeks and don’t get better with antibiotics, you may require evaluation by an ENT specialist. Some sinus infections are caused by bacteria that are resistant to certain antibiotics. Getting a culture from the sinuses helps your doctor know which antibiotic to use. In some circumstances, medication alone can’t get rid of a sinus problem. 

Sinus symptoms can evolve slowly over time. As a patient, it can be difficult to perceive the change from one day to the next. This may make it hard to tell when a sinus condition crosses the line between the expected course and going off the rails. With these guidelines you will know when to see an ENT/Sinus specialist and get the care you need.   

If you think it may be time to see an ENT/Sinus specialist, click here or call (713) 795-5343 to schedule an appointment today. 


What is an ENT, and When Do I Need to See One? Sinus Doctor Detroit

It can be difficult to picture, but your ears, nose, and throat are all connected through a series of tubes and canals. This is why, when you hold your nose shut and blow, you feel the pressure change in your ears. It’s also why ear infections often occur at the same time as a severe cold. Because these pieces are connected, they are able to function as one unit and each part supports the others. However, when there is an issue with one piece, it also affects the others.

Your ears, nose, and throat create a complex structure:

  • There are three parts to your ear: the outer, middle, and inner ear.
  • There are two parts to your nose: the anterior and the posterior.
  • There are three parts to your throat: the nasopharynx, the oropharynx, and the laryngopharynx.

Each part is connected and has its own function. Together, they create the upper respiratory system and this system is surrounded by a series of cavities in the skull called sinuses. Your sinuses are located in the cheekbones, your forehead, and between the eyes and nose. This entire system is what enables us to smell, taste, hear, and breathe!

Ear, Nose, and Throat (ENT) Doctor

An ENT, or otolaryngologist, is a specialized doctor that diagnoses and treats issues and conditions surrounding the complex ear, nose, and throat system.

  • Ear conditions may include infections, hearing loss, dizziness, tinnitus, balance disorders, facial or cranial nerve disorders, or nerve pain.
  • Nose conditions may include allergies, sinus issues, chronic sinusitis, deviated septum, snoring, or issues with the sense of smell.
  • Throat conditions may include problems with speech, digestion problems, swallowing, tonsillitis, or strep throat.

Should You See an ENT?

If you are experiencing pain or discomfort in any area surrounding the ears, nose, throat, or even the upper neck, you may want to schedule an appointment with an ENT. Detroit Sinus Center, with two locations in Detroit, has a team of sinus doctors who are highly educated and passionate about providing thorough, compassionate service. Don’t hesitate to talk with a sinus specialist if you are struggling with any of these problems.

Sinus Pain

If seasonal allergies seem to never let up, and if over-the-counter medications aren’t providing the necessary relief, it’s time to see a specialist. You may be experiencing issues with drainage or congestion, stuffiness, frequent headaches, or pain anywhere in the center of your face.

Sore Throat

If you have visited a family doctor and possibly been given a round of antibiotics, and your sore throat still isn’t going away, schedule an appointment with an ENT. Other symptoms may include difficulty swallowing, a loss of voice, or sinus-related symptoms such as congestion or sinus pain.

Hearing Loss

The cause of hearing loss may be related to aging, exposure to loud sounds, or due to an issue with the eardrum, ear canal, or the three bones connected to the eardrum. Hearing loss can also be caused by a buildup of fluid or wax that will need to be removed.

Dizziness

If you feel like you are spinning or swaying, even when standing still, you may be experiencing vertigo. This is often caused by a problem with the inner ear, an infection, or a buildup of material like fluid or wax.

Allergies

If you’re having trouble breathing, feel congested, have a runny nose or postnasal drip, or if you experience frequent headaches, these allergy-type symptoms may be a larger sinus issue. An appointment with an ENT or sinus doctor will help find the root cause of your symptoms.

Don’t let ear, nose, or throat symptoms get in the way of living your life. Schedule an appointment at Detroit Sinus Center today. Our sinus doctors will help diagnose the problem and find the best course of treatment to fit your needs.

Polyps in the nose. Questions to the doctor.

If you have signs or symptoms of nasal polyps, we recommend that you see an ENT (otolaryngologist) or allergy specialist for diagnosis and treatment.

Your doctor’s appointment will be more productive if you prepare ahead of time.

How to prepare for your appointment

1. Make a list of symptoms and complaints in advance, even those that you think are not related to the reason you went to the doctor.

2. Write down the diseases that you have suffered before, including chronic ones.

3. Make a complete list of the drugs, vitamins, and supplements you take.

4. If possible, bring a family member or friend with you. Sometimes it is difficult to absorb all the information received during the reception. The person accompanying you may remember something that you listened to or forgot.

5. Write down the questions you want to ask the doctor.

No matter how long the appointment is, it is still limited in time, so make a list of questions that will help you get as much information as possible. Arrange your questions from most important to least important in case you don’t have time to ask them all. Here are a few basic questions to ask your doctor about nasal polyps:

What do you think is the reason for my frequent nasal congestion, smell problems, and other nasal problems?

What diagnostic tests do I need to have?

Who will give me information about the test results?

What is the best examination plan for me?

If I have polyps, can you radically fix my problem?

Are there any alternative treatments in medicine that you recommend to me?

In addition to the questions you are willing to ask your doctor, feel free to ask questions during the interview at any time if you understand something.

What an otolaryngologist might ask

Thinking ahead about how to answer some of the doctor’s questions will leave more time to discuss other important points. The doctor may ask:

When did you first notice symptoms?

When was the last time you had a cold or sinus infection?

How often do you have a cold or sinus infection?

Are you allergic, if so, do you know what?

Do you suffer from asthma, if so, how often do you have attacks and how do you manage them?

Have you had any sinus or nasal cavity surgery?

Related Articles:

Nasal Endoscopy

Sinus CT

Sinus MRI

Functional al endonasal sinus surgery, FESS

Adenoids

Angina

Ear pain

Phoniatritis

Acute sinusitis (sinusitis)

Chronic sinusitis

Treatment of sinusitis and sinusitis without puncture – YAMIK catheter

Deviated septum

Otitis

Snoring. Symptom or disease?

Surgical treatment of snoring and sleep apnea

Pillar system. Snoring treatment

Otorhinolaryngology (ENT)

Otolaryngologist

ENT for children

ENT for patients older than 70

Appointment with endoscopy

Which doctor should I contact in case of loss of voice, hoarseness?

For speech professions, vocalists, teachers, etc.


Many Permians whose work or hobbies are related to the voice do not know who to contact in case of temporary loss of voice, hoarseness, or other problems that reduce the quality, timbre and melodiousness of the voice.

Today and always in the clinic “Lor Plus” the two most important doctors for the preservation of the voice are received: the phoniatrist Sazhin Alexander Valerievich and the phonopedist.

A phoniatrist is an ENT doctor involved in the restoration of the voice and the development of its capabilities. Voice heals only phoniatrist . Treatment of diseases of the vocal apparatus is relevant for professional singers, actors, teachers, announcers, as well as for dispatchers, managers, operators, cashiers – everyone whose work is associated with voice load and verbal communication.

A phonopedist is a teacher who restores correct and physiologically correct sound production, that is, he specializes in voice disorders.
The phonoped works in close conjunction with the phoniatrist.

A phoniatrist and a phonopedist should be consulted for any illness that has led to voice changes.
These are ENT diseases, endocrine, neurological, dental diseases, conditions after surgical interventions on the larynx and thyroid gland.

What kind of complaints should be addressed to a phoniatrist and phonopedist?

  • No voice.
  • Change the volume and/or timbre of the voice.
  • Rapid voice fatigue.
  • Sensation of a lump in the throat.
  • Feeling of dryness, itching, desire to clear your throat and other unpleasant sensations.
  • Hoarseness in the morning and evening.
  • Prolonged cough with further hoarseness.

The “risk group” in terms of the frequency of voice problems invariably includes speech workers and just lovers of the vocal genre.

Who are voice workers?
These are singers, readers, teachers, teachers, DJs, flight attendants, guides, animators, event hosts, lawyers, lawyers, telephonists, dispatchers, actors, students of theater and music institutions.

Separately, we note that workers of speech professions should contact a phonopedist in order to maintain “voice hygiene”, that is, to prevent voice disorders, in order to alleviate the voice load, in order to improve the timbre and loudness of the voice.

Students of theatrical and choir institutions are recommended to apply to the phonopedist in order to teach the correct physiological sound extraction, to persons.

Also, everyone should turn to a phonopedist for all persons who wish to improve the productivity of their voice work, improve the sound of their voice, without harm to health, maintaining the health of the vocal cords and preventing ENT diseases.

Phonopedic sessions can be both preventive and therapeutic (used in combination with the treatment of the underlying disease, if any).

Voice disorders can often be a symptom of serious illnesses. Therefore, changes in the vocal apparatus are a good reason to visit a phoniatrist, and can also be a reason for a thorough and comprehensive examination (nervous system, gastrointestinal tract, lungs).

The ATMOS video stroboscope (Germany) is used to diagnose diseases of the vocal apparatus in the Lor Plus clinic. To date, this is the only professional and high-precision specialized apparatus in Perm for monitoring the state of the vocal folds.
The possibility of video recording of the examinations of the larynx gives the doctor the opportunity to control the effectiveness of medical procedures, and the patient – a unique opportunity to see the state of his vocal apparatus, the work of the vocal cords.

Remember: the success of treatment is largely determined by the early diagnosis of diseases of the larynx and the regular monitoring of unique specialists – a phoniatrist and a phonopedist.


Our doctors

Alexander Sazhin

Head of the Department of Otorhinolaryngology

Specialty: phoniatrist, otorhinolaryngologist, ENT surgeon, otoneurologist.

Education:
1991 — graduated from the pediatric faculty, Perm State Medical Institute, Perm.
1992 – internship in pediatrics, Perm State Medical Institute, Perm.
1995 – Primary specialization in otorhinolaryngology, Novokuznetsk State Institute for Postgraduate Medical Education, Novokuznetsk.
2003 – thematic improvement in pediatrics, Perm State Medical Academy named after ak. E.A. Vagner (PGMA), Perm.
2003 – thematic improvement in clinical lymphology, Perm State Medical Academy named after ak. E.A. Vagner, Perm.
2003, 2008, 2011, 2013 – thematic improvements in otorhinolaryngology, PSMA, Perm.
2013 – practical improvement on the topic “Functional endoscopic rhinosinus surgery”, Kazan State Medical Academy, Kazan.
2012-2014 – residency in the specialty “Otorhinolaryngology”, PSMA, Perm.
2015, May – IV Russian master class “Modern functional rhinosurgery”, Moscow, FGBU “Polyclinic No. 1” of the Presidential Administration of the Russian Federation.
2016, November – educational and practical master class “Otoneurology. Modern methods of diagnosing dizziness with a practical course”, Department of Otorhinolaryngology, Russian National Research Medical University. N.I. Pirogova (Russian Research Medical Institute named after N.I. Pirogov), Moscow.
2016, October – thematic improvement in phoniatrics at the FMBA of Russia (Federal Medical and Biological Agency of Russia), Moscow.
2016, November – master class “Otoneurology. Modern methods of diagnosing dizziness”, Department of Otorhinolaryngology, Russian National Research Medical University. N.I. Pirogova, Moscow.
2017, May – VI Russian master class with international participation “Modern functional Rhinosurgery”, Moscow.

Basic services:

  • reception of adults and children from 0+;
  • diagnosis, treatment and prevention of diseases of the vocal apparatus;
  • endoscopic methods of diagnostics and treatment of ENT organs;
  • surgical treatment of the nose, paranasal sinuses, larynx, pharynx;
  • ENT reconstructive surgery;
  • radio wave surgery, cryotherapy.

Make an appointment with Phonoped or Foniatr at a convenient time for you

You can make an appointment by phone. +7(342)258-258-8 or through the registration form below.

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Please note that:

  • When visiting the clinic for the first time, it is advisable to arrive 10 minutes before the appointed time in order to fill out a medical history and sign an agreement, informed consent for medical intervention. You can familiarize yourself with the texts of these documents here.
  • To sign the contract, you must have a passport with you.
  • If the patient is a child (up to 18 years of age inclusive!), then one of the parents or guardian must come to the appointment with the child and sign the contract and consent.