My Blog
By Wake Ear, Nose & Throat Specialists
March 22, 2019
Category: ENT Care
Tags: Sleep Apnea  

Find out if your daytime exhaustion and snoring could be the result of a sleep disorder.

Your partner tells you that you snore all the time and that it’s so loud that it keeps them up at night. While this might sound like an amusingsleep apnea story that happens to many couples, for some snorers, these symptoms are unfortunately due to a sleep disorder known as obstructive sleep apnea which causes pauses in breath or shallow breathing throughout the night. Read on to learn whether you might have sleep apnea, and if you are concerned about having the condition, contact Wake Ear, Nose and Throat Specialists in Cary, NC, for treatment!

Signs and Symptoms of Sleep Apnea

It isn’t always easy to determine whether or not you are dealing with sleep apnea, particularly since symptoms only occur while you are sleeping; If your partner has noticed pauses in your breath while sleeping or that you gasp for air in the middle of the night, these are serious warning signs of sleep apnea and you should have your ENT doctor evaluate you immediately.

Other warning signs of sleep apnea include,

  • Extreme daytime fatigue
  • Persistent sore throat
  • Headaches in the morning
  • Restless sleep or insomnia
  • Trouble concentrating
  • Irritability or mood swings
  • Decreased sex drive

While a lot of these symptoms can be indicative of other issues, if you are having trouble sleeping as well as experiencing some of these symptoms, then it’s worth a closer look into what’s going on.

Why You Should See a Doctor

If you do have sleep apnea and you don’t receive proper treatment, it can lead to some serious long-term health problems. In fact, untreated sleep apnea has been linked to diabetes, heart disease, stroke, and chronic respiratory disorders. This is why you shouldn’t put off seeing a doctor if you suspect that you might have the condition.

Treating Sleep Apnea

The most common treatment option for sleep apnea is CPAP therapy (continuous positive airway pressure), where a nosepiece is worn to deliver pressurized air to keep the passages open while you are asleep. Those with mild obstructive sleep apnea may also turn to oral appliance therapy to manage their symptoms.

Concerned? Give Us a Call!

If you suspect that your symptoms may be caused by sleep apnea, then it’s a good time to call Wake Ear, Nose and Throat Specialists in Cary, NC, to schedule an evaluation with otolaryngologist Dr. Pankaj Gupta and audiologist Dr. Casey Polcari. Let us help you get better quality sleep, by dialing (919) 851-5636.

By Wake Ear, Nose & Throat Specialists
February 25, 2019
Category: ENT Health Care
Tags: hearing loss  

Hearing LossHearing loss may be more common than you care to realized. The audiologists at Cary, NC, can help. The reasons behind hearing loss vary in their causes and manifestations, and happens to people of all ages. It is important to understand how hearing works before discussing causes and treatments for hearing loss though.

Symptoms of Hearing Loss (according to the CDC):

  • Isn't startled from loud noises and does't turn to the source of a sound after 6 months of age

  • Delayed or unclear speech

  • Does not follow directions or respond to their name, which is mistaken for not paying attention, or just ignoring

  • Hears some sounds but not others and turns TV volume up too high

Treatments and Evaluations:

Your Cary doctor determines the best course of action by conducting comprehensive hearing evaluations, such as tinnitus evaluations, hearing aid fittings (a time to orient to new hearing aid), hearing aid checks, usually scheduled every six months, and hearing aid evaluations to ask questions and discuss expectations.

Hearing aids are designed to improve hearing. The goal of amplifying sounds at specific frequencies where there's hearing loss can improve overall quality of life, such as the listening environment, especially when you're placed in a noisy place. Hearing aids amplify sound to make speech more intelligible, ease communication so it's less tiring and preserve nerve networks in the brain.

There are multiple hearing aids. Here are a few:

  • Rechargeable hearing aids
  • Discreet hearing aids in both custom and BTE styles
  • Android and i-phone compatible hearing aids
  • Ability to remotely program hearing aids
  • Aids suitable for patients with an active, casual, or quiet lifestyle
  • Automatic programming for ease of use

Hearing loss is difficult to deal with, but you don't have to be alone. The doctors can help you deal with your hearing loss dilemmas and improve your way of life. To learn and more, call (919) 851-5636 in Cary, NC.

By Wake Ear, Nose & Throat Specialists
January 14, 2019
Category: ENT Health Care
Tags: allergies  

Allergies are a common autoimmune condition. Allergies provoke overproduction of something called histamines. At Wake Ear, Nose & Throat Specialists & Wake Sinus Center, Dr. Pankaj Gupta tracks down allergic triggers with state-of-the-art testing and helps patients manage symptoms. He can help you feel better, too.

What signs show you have allergies

Sometimes, people who are sneezing, coughing, itching, wheezing or dealing with a runny or stuffy nose assume they have a cold. While the common cold virus provokes these symptoms, allergies also exhibit similar ones, but usually without the fever, malaise and sudden onset colds exhibit.

Allergic reactions happen when someone is exposed to an irritant, or allergen, which their bodies are particularly sensitive to. The allergen may be inhaled, touched, or ingested, producing common signs such as:

  • Skin redness and rashes (hives)
  • Itching
  • Sneezing
  • Coughing
  • Wheezing
  • Nausea and vomiting
  • Itchy, watery, puffy eyes

Common allergic triggers include dust, mold, animal dander, pollen, cigarette smoke, food, drugs, latex and more. Some reactions are mild to moderate. Others, such as those associated with insect vectors (bee stings), can be severe and life-threatening. These are called anaphylactic reactions and require immediate medical attention. Wheezing, extreme hives and even unconsciousness often accompany these extreme allergic responses.

Dealing with allergies

If you suspect you have allergies in one form or other, seek the advice of Wake Ear, Nose, and Throat Specialists and Wake Sinus Center in Cary for an allergy consultation with Dr. Gupta and his team of experts.

Dr. Gupta will review your symptoms, possible triggers and medical history. Often he performs in-office allergy testing in the form of pin tests (scratches on the skin which expose the body to minute amounts of possible allergens). Intradermal testing, injections of suspected allergen placed under the skin, is another method of honing in on allergic triggers and their severity.

Decongestants and antihistamine medications are common treatments for allergies. Allergy shots, desensitizing shots given at regular intervals, help control symptoms as well.

Of course, lifestyle adjustments can help, too. They may include:

  • Staying indoors on high pollen count days
  • Wearing a particle mask when doing housework or other dusty chores
  • Washing hands and face after coming in from the outdoors
  • Keeping a written log of symptoms, including foods you think you may be sensitive to
  • Taking your medicine with you to school, work, the gym and especially on vacation

The Asthma and Allergy Foundation of America states that one our of every five people in the United States have some form of allergies. So, you won't be alone in pursuing treatment and making changes in your habits to help control them.

Day to day life with allergies

You can manage your allergies, and Dr. Gupta and his team are more than happy to help you. For an individualized consultation, please call Wake Ear, Nose, and Throat Specialists and Wake Sinus Center at (913) 851-5636.

By Wake Ear, Nose & Throat Specialists
December 26, 2018
Category: ENT Care
Tags: Sleep Apnea  

Sleep ApneaHave you ever wondered why you still feel tired after a long, full night of sleep? The problem may be sleep apnea, a condition that is not easily diagnosed. Many people don’t realize that they have sleep apnea and struggle for months or years with the effects. Learn more about the causes of this condition as well as the symptoms and treatment options with Dr. Pankaj Gupta at Wake Ear, Nose, and Throat Specialists and Wake Sinus Center in Cary, NC.

Sleep Apnea Causes
Many cases of sleep apnea are caused by an obstruction in the airways that only occurs when you are sleeping. If you have a tendency to lay down in a certain way (such as on your back) or you have an excess of soft tissue in the back of your throat, that could increase the chances of sleep apnea. The muscles in the back of the throat relax when you sleep, so the soft tissue is more likely to block the airway. Patients who are overweight often struggle with this sleep disorder. In some cases, sleep apnea is hereditary and children may have this problem due to enlarged tonsils or major dental overbites. Smoking or excessive alcohol consumption could also contribute to sleep apnea symptoms.

Sleep Apnea Symptoms
Loud, consistent snoring is one of the clearest signs of sleep apnea. But obviously, since the patient is asleep at the time, he or she doesn’t recognize this symptom until another person says something about it. Other symptoms include:

- A tired feeling when waking in the morning.
- Fatigue throughout the day.
- Problems with memory and concentration.
- Irritability and changes in mood.

Sleep Apnea Treatment Options
Dr. Gupta will discuss several different treatment options with you if you’re diagnosed with sleep apnea. These treatments may help:

- CPAP device (worn at night to aid normal breathing).
- An oral appliance to adjust the jaw and prevent blockages.
- Surgery to help the airways stay open, such as a tonsillectomy or repair of a deviated septum.

Sleep Easy
If you’ve recently discovered that you may be experiencing the symptoms of sleep apnea, get assistance from an ENT who is familiar with this disorder. Call (919) 851-5636 today to schedule an appointment with Dr. Pankaj Gupta at Wake Ear, Nose, and Throat Specialists and Wake Sinus Center in Cary, NC.

By Wake Ear, Nose & Throat Specialists
October 29, 2018
Category: ENT

AllergiesIn the midst of allergy season, controlling your itchy eyes and runny nose can seem like an endless undertaking. However, with help from your ear, nose, and throat doctor, you can overcome your symptoms to get back to your normal daily activities as soon as possible. Learn more about allergies and their treatments with Dr. Pankaj Gupta at Wake Ear, Nose, and Throat Specialists and Wake Sinus Center in Cary, NC.

What causes an allergy? 

An allergic reaction occurs when a substance enters the body and the immune system mistakenly identifies it as a threat. The immune system then creates antibodies which attack the substance (now designated as an allergen). This triggers the production of histamines, which causes an expansion of the blood vessels and results in the symptoms we associate with allergic reactions. However, the body creates these antibodies particularly for each allergen, which is why someone may be allergic to pollen but not to peanuts.

Do I have allergies? 

There are several types of allergies with their own kinds of symptoms:

  • Food allergies: A food allergy can cause issues like abdominal cramping, numbness in the face or mouth, swollen tongue, or difficulty swallowing. You may also experience skin irritations such as hives.
  • Seasonal allergies: Seasonal allergies cause reactions to substances like pollen or mold. The symptoms associated with seasonal allergies often include itchy, red, and watery eyes, runny nose, congestion, or a scratchy throat.
  • Skin allergies: Contact dermatitis, which occurs when the skin reacts to an allergen, causes issues like rashes and hives. This reaction occurs after the skin comes into contact with an allergen.
  • Drug allergies: Some drugs cause an allergic reaction such as a skin reaction like hives but can also cause fever, itching, wheezing, runny nose, or shortness of breath.

Allergy treatments in Cary, NC

Treating allergies depends on the type of allergens you are allergic to. Often, an over-the-counter antihistamine, which blocks the histamines produced during the allergic reaction, is enough to minimize the symptoms of an allergic reaction. Sometimes, patients require a stronger, prescription-strength antihistamine to treat their symptoms. Severe allergies require emergency medications like injectable epinephrine which patients carry with them in case of an allergic reaction. Finally, immunotherapy may also help some patients. It follows the same idea as a vaccination and introduces small amounts of an allergen into the body, building up a tolerance over time.

For more information on allergy treatments, please contact Dr. Pankaj Gupta at Wake Ear, Nose, and Throat Specialists and Wake Sinus Center in Cary, NC. Call (919) 851-5636 to schedule your appointment for a consultation with Dr. Gupta today!





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