Andover Ear, Nose & Throat Center
198 Massachusetts Avenue
North Andover, MA 01845
978-685-7550

Patient Education

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Dizziness

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

 

Useful Websites/Links

National Cancer Institute: http://www.cancer.gov/cancertopics


FAQs

What are signs of enlarged tonsils or adenoids?
Typical signs of enlarged tonsils or adenoids include constant mouth breathing, snoring at night, noisy breathing during the day, muffled voice or pauses in breathing during snoring (apnea).

What is sinusitis?
Sinusitis is inflammation or infection of the mucous membrane lining the nasal sinuses (air-filled cavities in the bones surrounding the nose, eyes, cheekbone and forehead).

What symptoms can be associated with sinusitis?

  • Pressure and pain in the sinus cavities
  • Nasal Congestion
  • Nasal Drainage
  • Bad Breath
  • Low-grade Fevers
  • Loss of sense of smell

How common is sinusitis?
Sinusitis is one of the most common medical problems affecting approximately 30% of the population at some point. Acute sinusitis commonly follows a cold and typically lasts for up to three weeks. After three weeks it becomes defined as a chronic sinusitis and may become much more difficult to treat.

Why do ears have wax?
Cerumen (ear wax) is a body defense mechanism. Its presence in the outer ear canal is supposed to trap dust and dirt particles in order to keep them from reaching the ear drum.

My doctor says my child needs “ear tubes”?
When ear infections occur too frequently or are never completely resolved, we may recommend the placement of temporary ventilating tubes in children. They are placed in children under a brief general anesthetic and usually fall out by themselves within 12 to 18 months.

Do I have a cholesteatoma?
A cholesteatoma is a skin growth that occurs abnormally behind the ear drum in the middle ear. With time, the continued growth can lead to destruction of the surrounding structures in the middle ear. Symptoms include hearing loss, drainage, dizziness or even facial nerve paralysis.

What are some of the more common causes of hoarseness?

  • Laryngitis
  • Vocal Cord Polyps, Nodules or Cysts
  • Laryngopharyngeal Reflux
  • Vocal Misuse
  • Vocal Cord Paralysis
  • Laryngeal Cancer

Can allergies cause hoarseness?
Absolutely. Nasal allergies specifically can result in a chronic laryngitis from persistent post-nasal drip and cough. Some of the same allergy-mediated swelling can also occur in the vocal cords resulting in hoarseness.

Do I have a swallowing disorder?
Common symptoms of swallowing disorders include the feeling of food or liquid getting stuck in the throat, the sensation of a lump in the throat, coughing or choking with swallowing, discomfort in the throat or chest with swallowing, phlegm and saliva overproduction, weight loss and inadequate nutrition.

What are some signs of cancer of the upper aerodigestive tract?
No one symptom signifies an underlying cancer. People who have a history of chronic tobacco or alcohol use are at a higher risk of developing upper aerodigestive tract malignancies, but the use of tobacco or alcohol is not mandatory to develop such cancers. Recent research has also suggested an association of certain head and neck cancers with HPV (Human Papilloma Virus). Patients presenting with malignancies may have symptoms such as:

  • pain or difficulty swallowing
  • hoarseness or voice changes
  • spitting or coughing up blood
  • throat tightness or difficulty breathing
  • foreign body sensation in the throat
  • ear pain with swallowing
  • unintended weight loss
  • neck mass

Timely evaluation and early diagnosis of symptoms can often result in higher cure rates and survivals.

What is a PET scan?
PET stands for positron emission tomography. This an innovative imaging technique we sometimes obtain that uses positively charged particles (radioactive positrons) to detect subtle changes in the body's metabolism and chemical activities. PET scans can be used to detect cancerous tumors, to determine the extent of its spread and to judge the effectiveness of cancer treatment.

Is snoring dangerous?
Snoring can be associated with periods of complete obstruction, known as apnea. Obstructive sleep apnea can result in poor sleep quality, daytime sleepiness and long-term detrimental effects on the heart and lung.

My doctor said I need a sleep study. What does that involve?
A sleep study, or polysomnogram, is a diagnostic test which measures various vital parameters during a patient’s sleep. These include the stage of sleep, blood oxygen level, chest movement, air flow through the nose, heart rhythm and rate, eye movements and muscle tone. Multiple dips in oxygen level and peaks in pulse rate are found in people with sleep apnea.

What is CPAP?
CPAP is an abbreviation of continuous positive airway pressure. This is common treatment option for patients with sleep apnea. A nasal mask is worn during sleep which provides continuous air pressure specifically set to each person's needs to prevent collapse of the airway or throat. The pressure varies according to how severe the sleep apnea is and how much pressure is needed to prevent collapse.

My doctor said I broke my nose. What should I do?
A broken nose is the most common type of facial bone fracture after an injury. The ideal time to see someone is 3-5 days after the injury in order to see the nose after the swelling resolves. If the fracture needs to be fixed (closed reduction), it is important to do this procedure within 2 weeks of the injury. 

What preventative measures can I take to reduce my risk of facial trauma?
Safety equipment is vital to preventing maxillofacial trauma from automobile accidents and sports. Here is a partial list of equipment people should always use:

  • seatbelts
  • automobile air bags
  • approved child safety seats
  • helmets for riding motorcycles or bicycles, skateboarding, snowboarding, and other sports
  • safety glasses for the job, yard work, sports
  • other approved safety equipment for sports such as mouthguards, masks, and goggles


The inner ear serves two purposes: hearing and balance. There are mechanisms in the ear that inform the brain about your position, orientation in space and movement and all times – to keep you in balance. A false sensation of spinning or whirling, known as vertigo, can occur when the signal to the brain is blocked or misfires. In addition to the sensation of dizziness, symptoms may include headache, nausea, sensitivity to bright light, blurred vision, ringing in the ears, ear pain, facial numbness, eye pain, motion sickness, confused thinking, fainting and clumsiness.

Dizziness can also be a symptom of a more serious medical problem, such as high or low blood pressure, heart problems, stroke, tumor, medication side effect or metabolic disorders. Therefore you should always seek medical attention if you experience ongoing or repetitive dizziness.

Common causes of dizziness

Acoustic Neuroma

An acoustic neuroma is a benign growth on the nerve that connects the inner ear to the brain.

Benign Paroxysmal Positional Vertigo (BPPV):

BPPV occurs when tiny calcium crystals in the ears loosen and begin moving about the wrong part of the ear. It is characterized by sudden, short bursts of dizziness that happen most often as a result of head movement. There is no known cause for BPPV. It usually resolves itself in a matter of days.

Inflammation of the Inner Ear

Dizziness may be one symptom of an inner ear infection.

Meniere’s Disease

Meniere’s Disease is characterized by long periods of dizziness, lasting from 30 to 60 minutes or more. It is accompanied by symptoms such as ringing in the ears, hearing loss and a feeling of fullness in the ear. There is no known cause or cure for Meniere’s Disease, although medication and behavior changes can help reduce the severity of the symptoms.

Migraines

Some migraines (vestibular migraines) can cause a feeling of imbalance and vertigo. This may be accompanied by ringing in the ears or hearing loss. Migraine-related vertigo may occur in conjunction with or separate from the migraine headache.

If you’re experiencing any form of repetitive or chronic dizziness, please contact our office and schedule an appointment with one of our otolaryngologists.