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Posts for: October, 2018

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!


By Wake Ear, Nose & Throat Specialists
October 01, 2018
Category: ENT Care
Tags: Cleft Palate  

Cleft palates can be reconstructedA cleft palate is a birth defect that affects the shape and formation of the roof of the mouth, causing a split in either the soft tissue or the bony portion. This condition occurs early on in pregnancy as the baby is developing. Of course, a cleft palate will not be detected until after a baby is born. While this malformation can be disheartening and stressful for parents, it’s important to understand this birth defect and how it can be repaired.

Depending on the severity of the cleft palate, your otolaryngologist will be able to determine how many surgeries will be necessary. The first surgery alone can improve the function of the middle ears, improve how the palate functions and even ensure that teeth and certain bones within the face develop properly.

In some cases, your child may also require bone grafting surgery at some point during childhood to improve the health of your gums and to make sure that permanent teeth are properly supported. As you might imagine, getting cleft palate surgeries early on will also improve your child’s speech and prevent impediments.

Additional surgeries may also be required to improve certain areas of the face such as the nose, as well as to improve breathing or to realign the jaws. After the surgeries are complete, other procedures may be performed in order to reduce the appearance of the scar.

It’s important to know that despite the lengthy treatment process and multiple surgeries that children who undergo cleft palate repair early on in life can achieve a greater quality of life. Not only do these surgeries provide a more natural appearance, but they prevent certain health problems (e.g. hearing loss) while also restoring proper speech and chewing.

If your baby was born with a cleft palate or cleft lip it’s important that you find an ENT doctor that you can trust to discuss surgery and to find out if this is the best option for your little one.