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By South Coast Ear, Nose & Throat
February 25, 2019
Category: ENT Conditions
Tags: Allergies  

An allergy involves a reaction by your immune system, often to common substances. Sinusitis and allergies are often mistaken for one Sinusanother. But they are two separate conditions. Most patients can't tell the difference between allergies and sinus problems. An ENT doctor can help determine the cause of your symptoms and provide treatment. South Coast Ear, Nose & Throat (offices in Port St. Lucie, Fort Pierce, and Okeechobee, FL, offers treatments for allergies. Read on to find out how allergies affect your sinuses.

Sinusitis Causes & Symptoms

Sinus infection, also called sinusitis, is a common condition in which the cavities around nasal passages become swollen and inflamed. Sinusitis can be caused by viruses, bacteria, allergies, an autoimmune reaction, or fungal infections. Symptoms of sinusitis may include nasal discharge, nasal obstruction or congestion, and pain. Other symptoms can include ear pain, sore throat, fatigue, nausea, and coughing. Chronic sinusitis lasts several weeks and can linger for years.

Allergies Causes & Symptoms

An allergy is a condition in which the immune system reacts abnormally to a foreign substance, such as food, animal dander, mold, or pollen. The allergen stimulates immune system cells to release certain chemicals, which then lead to symptoms. If you've got allergies, you're more likely to have sinus problems. Allergies can produce many of the same cold-like symptoms as sinusitis, including sinus pressure, a runny nose, and congestion. Allergies can also affect your throat. Postnasal drip can cause an allergy-induced sore throat.

How Allergies Cause Sinusitis

Whether you're sneezing, wheezing, coughing, or allergies can make any great day your worst nightmare, especially if these symptoms grow into something much larger, like a sinus infection. Allergies can lead a person to develop a sinus infection if the symptoms are not remedied immediately. Allergies can cause sinus infection because the inside of your sinusitis and nose often swell up when you breathe in triggers.

Visit With an ENT Specialist

If allergy symptoms continue to bother you, then it's time to see a doctor for an evaluation. Your doctor can conduct allergy tests and offer treatment that produces the best results. There are several types of medications available to treat your allergy symptoms. These medications include antihistamines, decongestants, combination drugs, and others. Allergy shots help you get used to the substances that trigger an allergic reaction. Each allergy shot contains a small amount of the substances that are causing your symptoms.

Allergies are painful and unpleasant. They can interfere with your day-to-day activities and decrease the quality of your life. Don't wait- call one of South Coast Ear, Nose & Throat's offices to make an appointment- Port St. Lucie, FL, (772) 398-9911; Fort Pierce, FL-(772) 464-6055; Okeechobee, FL, (863) 357-7791. We want you to live your best possible life!

By South Coast Ear, Nose & Throat
December 11, 2018
Category: ENT Conditions
Tags: Sinusitis  

Sinusitis has been bothering you for a number of years, but your Neti pot and some over-the-counter medications have always helped—until now. These days, the headache, mucous, and congestion worsen daily. Is there a way to relieve your symptoms without invasive sinus surgery? At South Coast Ear, Nose & Throat, your Port St. Lucie ENT doctors perform less intrusive balloon sinuplasty, and frankly, it Balloon Sinuplastyreally works. Just ask Dr. Berghash, Dr. Lanza, or Dr. Wright when you come in for a consultation.

What is sinusitis?

Also termed rhinosinusitis, sinusitis affects 30 million Americans, according to the National Institute of Allergy and Infectious Diseases. Inflammation and build-up of mucus in the empty spaces behind the forehead, cheeks, and other areas of the face cause acute and recurring symptoms. These symptoms include headache, malaise, pressure, and mucus accumulation. Sinusitis may be related to allergies, viruses, bacteria, or environmental irritants such as cigarette smoke.

Treating sinusitis

Whether your sinusitis is acute or chronic, treatment begins with an examination by one of our Port St. Lucie ENT doctors. They will review your symptoms, medications, and history while also palpating your face to determine the areas of tenderness and congestion.

The doctor may additionally look up your nose with a lighted otoscope and order a CT scan or other imaging to visualize the interior structures of your nose and sinuses. Sometimes, sinus infections occur because of nasal polyps (fleshy, benign growths in the nose and sinuses), a deviated septum, or other problems with the bone and cartilage.

Your physician may prescribe decongestants and/or steroidal sprays to relieve congestion, as well as antibiotics to clear any infection. However, if sinusitis becomes chronic—lasting for months, rather than days or weeks—you may be a candidate for balloon sinuplasty.

Balloon sinuplasty and you

Balloon sinuplasty is a minimally invasive procedure designed to drain the sinuses of mucous by flushing them with a saline solution, opening up narrowed passages. The doctor inserts a catheter into the nose and inflates the attached balloon when it is correctly positioned.

Usually, patients find relief almost immediately from their congestion. Results can last indefinitely, the procedure causes no appreciable downtime—a day at most—though some nasal swelling afterward is to be expected. Most balloon sinuplasty procedures can be performed right at South Coast Ear, Nose and Throat by one of our board-certified otolaryngologists.

Learn more

You do not have to suffer with recurring sinus infections. Consult with the experts at South Coast Ear, Nose and Throat, and get back to a symptom-free life. Call (772) 398-9911 to book a consultation with our office at Port St. Lucie, (772) 464-6055 for Fort Pierce, or (863) 357-7791 for Okeechobee.

By South Coast Ear, Nose & Throat
August 23, 2018
Category: ENT Conditions
Tags: Sleep Apnea  

Are you concerned that your daytime exhaustion could be due to this sleep disorder?

Sleep apnea is more common than you might think and it could be what’s making your sleep less than sound. If you are a loud, chronicsleep apnea snorer or if you experience daytime fatigue most days of the week then our Port St. Lucie, Fort Pierce, and Okeechobee, FL, otolaryngologists - Dr. Leslie Berghash, Dr. John Lanza, and Dr. Camysha Wright - are here to tell you why you may just want to get this issue checked out immediately. Discover everything you could ever wish to know about sleep apnea.

Q. What is sleep apnea?

A. This sleep disorder is characterized by pauses in breath, or shallow breathing, throughout the course of the night. When this occurs this means that the brain and the body aren’t getting the proper amount of oxygen they need. The most common type of sleep apnea is obstructive sleep apnea, in which the tissues in the back of the throat collapse and block the airways.

Q. What are the warning signs?

A. The most common warning sign of sleep apnea is chronic and excessive fatigue. This exhaustion occurs the moment you wake up and lasts all day long. You may find it difficult to concentrate at work or you may nod off at your desk or behind the wheel during your daily commute.

You may also notice that you are more irritable and prone to mood swings and that your memory is a bit hazy. Many people with sleep apnea are also very loud snorers. In some cases, the partner of the sleep apnea sufferer may even notice the person waking up in the middle of the night gasping for air.

Q. How can sleep apnea affect my health?

A. If sleep apnea is left untreated it can greatly increase your risk for a variety of long-term and serious health problems such as:

  • Diabetes
  • High blood pressure (hypertension)
  • Heart attack
  • Heart disease
  • Stroke
  • Asthma

Q. How is sleep apnea diagnosed?

A. If our Port St. Lucie, Fort Pierce, and Okeechobee ENT doctor suspects that you have sleep apnea, you will have to undergo a sleep study where a medical technician will monitor you while you sleep to look for patterns and signs of sleep apnea.

Q. How is this sleep disorder treated?

A. The most common treatment option for sleep apnea is CPAP therapy, in which a mask is worn over the nose and mouth to deliver pressurized air to keep the airways from collapsing while you sleep. If your obstructive sleep apnea is mild, you may only need to wear a simple oral appliance at night.

If you suspect that you might be dealing with sleep apnea, or if you are just having trouble falling or staying asleep, then it’s time to sit down with the ENT specialists at South Coast Ear, Nose & Throat. We offer locations in Port St. Lucie, Fort Pierce, and Okeechobee, FL.

By South Coast Ear, Nose & Throat
August 14, 2018
Category: ENT Care
Tags: Dizziness   Vertigo  

Find out if those symptoms of vertigo could be due to problems with the ear.


There are many reasons why you may feel dizzy. Maybe you got up too quickly or you’ve been in a rush all day and realized you haven’t eaten. Of course, there are certain times when the dizziness or spinning you’re feeling is due to an issue within the vestibular system, the system within the ear that is responsible for spatial orientation and balance. Find out when you should turn to an otolaryngologist to treat your symptoms of vertigo.

In order to diagnose your dizziness, there are several diagnostic tests that may be conducted. Your ENT doctor will go through your medical history and then perform a physical examination. We will ask you questions regarding the symptoms you are experiencing and when you experience them. A hearing test is one of the most common procedures performed because it’s the best way to test your balance and the inner ear.

There are many problems that could be to blame for your dizziness including:

  • Problems or disorders within the inner ear
  • Central nervous system disorders
  • High blood pressure
  • Anemia
  • Bacterial or viral infections
  • Side effects of certain medication

Dizziness can be treatable, it’s just important to be able to determine the root cause so we know the best approach for treating your symptoms. So, when should you see an ear, nose and throat doctor regarding your dizziness? You should contact an ENT specialist if:

  • Your primary care doctor has not been able to determine the cause of your dizziness
  • You are experiencing hearing loss, hearing changes or ringing in the ears
  • There is pressure or fullness in the ear or ears

Common ENT causes of dizziness and vertigo include:

  • Benign paroxysmal positional vertigo (BPPV): caused by the displacement of crystals within the inner eye
  • Meniere’s disease: an imbalance of fluid within the inner ear
  • Labyrinthitis: inflammation or infection with the inner ear (can cause hearing loss if left untreated)
  • Vestibular neuritis: a viral infection of the vestibular nerve

One of the first tests a doctor will perform is an eye movement test that will check for issues within the inner ear (vestibular system). From there, your doctor will create a treatment plan based on the cause. Common treatment options include:

  • Medication to reduce motion sickness and nausea from vertigo
  • Canalith repositioning procedure: a technique that helps reposition the crystals within the inner ears (for treating BPPV)
  • Migraine medications (to treat Meniere’s disease and vestibular migraines)
  • Rehabilitation and exercises to improve balance
  • Surgery (in rare cases)

If you’ve been dealing with severe or persistent dizziness then it’s time to contact an ENT doctor to find out what’s going on.

By South Coast Ear, Nose & Throat
August 01, 2018
Category: ENT Care
Tags: Sore Throat  

It started as a small itch, but now it’s completely bloomed into a sore throat. Do you know the best way to treat it? No matter the cause, your doctor can help you alleviate the pain.

What Could Be Causing Your Sore Throat

The first step in figuring out how to treat your sore throat is determining its source. A sore throat can be a symptom of many different issues, such as smoking or allergies, but the three most common causes are—

A cold: Often, a sore throat is just the first sign of a viral cold. You’ll know if this is the case for you if the pain subsides after a day or two and if you begin exhibiting other cold symptoms, like a runny nose or cough.

Strep throat: Caused by an infection of the streptococcus bacteria passed through saliva and nasal secretions, strep throat is a more severe cause of a sore throat. Other symptoms common to it are white spots on your throat area, fever, and swollen lymph nodes in your neck.

Tonsillitis: This is a very painful sore throat caused by an inflammation of the tonsils from an infection by viruses or bacteria. Tonsillitis’s biggest additional symptom is swollen tonsils with white or yellow spots, but others are bad breath and an impaired voice from the swelling.

What You Can Do at Home

If your sore throat is caused by a virus, there isn’t much you can do other than let the virus run its course. But no matter what is causing your sore throat, there are steps you can take at home to ease your pain and help you get better, including:

∙         Get plenty of sleep and avoid speaking more than necessary

∙         Drink lots of fluids to keep your throat moist and you hydrated. Just avoid dehydrating liquids like coffee and alcohol.

∙         Stick to soothing foods and beverages. This includes warm liquids like soup or water with honey and cool treats like Jell-O or ice cream.

∙         Gargle with saltwater—¼–½tspn sea salt to 4–8oz warm water.

Lozenges and over-the-counter pain relievers like acetaminophen and ibuprofen can also help alleviate a sore throat, but be cautious if you’re treating your child.

Treatment from Your Doctor

You should see your doctor as soon as possible if you are dealing with a severe or persistent sore throat. A rapid strep test is often needed to diagnose strep throat, and only your doctor can tell for sure if you have tonsillitis and if it is from a bacteria or virus. If the cause of a sore throat is bacteria, your doctor will prescribe you antibiotics like penicillin or amoxicillin to kill it. Always take all of the medication as prescribed, even if you already feel better, and stay home until 24 hours after starting the antibiotic.

Sore throats can definitely be painful but they don’t have to be frustrating or a cause for worry. If you have any questions or concerns about a sore throat or any other symptoms, don’t hesitate to call your doctor today.

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