Swimmer’s Ear

Swimmer’s Ear is a condition that affects the outer ear that causes pain resulting from inflammation, irritation, or infection. These symptoms are experienced when water gets trapped in your ear allowing bacteria to spread, causing a painful sensation. Because this condition commonly affects swimmers, it is known as swimmer’s ear. Swimmer’s ear affects mostly children and teenagers, but can also affect those with eczema or excess wax.

A common source of the infection is increased moisture trapped in the ear canal, bathing or showering, increased humidity or living in warm moist climates may also contribute to this common infection. When water is trapped in the ear canal, bacteria that normally inhabits the skin and ear canal multiply, causing infection and irritation of the ear canal. If the infection gets worse, it may affect other areas of the ear. Swimmer’s ear needs to be treated to reduce pain and eliminate any effect it may have on your hearing. Wearing ear plugs while you swim and shower can help prevent this from occurring.

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Dizziness

Dizziness can be described in many ways, such as feeling lightheaded, unsteady, or giddy.  Vertigo is a type of dizziness experienced as an illusion of movement of self or the environment an dis usually unpleasant.  Others experience dizziness asssociated with motion sickness, a nauseating feeling brought on by the motion of riding in an airplane, boat, etc.  Dizziness, vertigo, and motion sickness all relate to the sense of balance or equilibrium.  Your sense of balance is maintained by a complex interaction of the inner ear.

Feeling unsteady or dizzy can happen due to poor circulation, vertigo, injury, infection, or neurological disease.  Dizziness is treatable but it is important for your doctor to help you determine the cause so taht the correct treatment is used.  While each person will be affected differently, symptoms that warrant a visit to the Otolaryngologist include a high fever, severe headache, convulsions or ongoing vomiting, chest pain, heart palpatations, shortness of breath, inability to move an arm o leg, a change in vision or speech, or hearing loss.

The doctor will ask you to describe your dizziness and answer questions about your general health.  Along with these questions, your doctor will examine your ears, nose, and throat.  Some routine tests will be performed to check your blood pressure, nerve and balance function, and hearing.  Possible additional tests may include a CT or MRI scan of your head, special tests of eye motion after warm or cold water or air is used to stimulate the inner ear (VNG- videonystagmography), and in some cases, blood tests or a cardiology (heart) evaluation.  Your Otolaryngologist will determine the best treatment based on your symptoms.

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Perforated Eardrums

     A perforated eardrum is a hole or rupture in the eardrum, a thin membrane that separates the ear canal and the middle ear. The medical term for eardrum is tympanic membrane. The middle ear is connected to the nose by the eustachian tube, which equalizes pressure in the middle ear. A perforated eardrum is often accompanied by a decrease in hearing and occassional discharge. Pain is usually for a short time.
     In general, the larger the perforation, the greater the hearing loss. The location of the hole in the eardrum also effects the degree of hearing loss. If severe trauma disrupts the bones of the middle ear, which transmit sound or causes injury to the inner ear structures, the loss of hearing may be severe. If the perforated eardrum is due to a sudden traumatic or explosive event, the loss of hearing can be great and ringing in the ear may be severe. In this case the hearing usually returns partially, and the ringing decreases in a few days. Chronic infection as a result of the perforation can cause significant hearing loss.
     If the perforation is very small, otalaryngologists may choose to observe the perforation over time to see if it will heal spontaneously. They also might try to patch the patient’s eardrum in the office. Working with a microscope, your doctor may touch the edges of the eardrum with a chemical to stimulate growth and then place a thin paper patch on the eardrum. Usually with closure of the tympanic membrance improvement in hearing is noted. Several applications of a patch mayb be required to close the perforation completely. A tympanoplasty is the surgical technique used to patch this tissue.

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Tips if you are subject to motion sickness!

Do not read while traveling.  Do not sit in a seat facing backward.  DO not talk to another traveler who is having motion sickness.  Avoid strong odors and spicy or greasy foods immediately before and during your travel.  Talk to your doctor about medications.  Most cases of dizziness and motion sickness are mild and self-treatable.  Severe cases and those that become progressively worse deserve the attention of a doctor with specialized skills in diseases of the ear, nose, throat, equilibrium, and neurological systems.

See your Otolaryngologist if you have any concerns.

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