Can You Hear Me Now? If You Can’t Make That ENT Appointment

Around 18% of adults report that they struggle with some type of hearing difficulty. An ENT (ear nose and throat doctor) is an expert that can help. Improving your hearing starts with an accurate diagnosis.

Using state of the art hearing tests an ENT doctor can quickly diagnose hearing problems and provide you with the tools to improve your hearing. A Raleigh ENT doctor is the specialist you need to see for all your ear, nose, and throat needs.

Your Ears, Your Nose, And Your Throat

Many people do not realize that the ears, nose, and throat are all one system. They are part of the upper respiratory system and share one membrane. There is a wide range of conditions and illnesses that will affect the ENT system that can cause hearing problems, headaches, and more.

Seasonal allergy sufferers know during allergy season exactly how relative each part is to the other. When one part is affected by allergies all parts are affected. The same is true of a sinus infection or a disease of the throat. Each part affects the other parts’ ability to function.

An ear nose and throat medical practice focus on treating disease and dysfunction of this system including providing corrective action for hearing loss. ENT care for both children and adults is available.

Hearing Loss

There are several different types of hearing loss that an ENT doctor can help to correct. Congenital hearing loss is hearing loss that you are born with. This type of hearing loss is largely related to malformations in the ear.

Infections can also cause hearing damage that can result in hearing loss. For older people, exposure can cause hearing loss. Aging in and of itself can cause hearing loss.

What Can You Do About Hearing Loss

The good news is that hearing loss can be correctable. Using digital technology customizing your hearing aid can be an easy way to improve your hearing. Hearing loss can make you feel isolated, impact your social life and personal relationships.

An ENT doctor can help to improve your hearing. Make your appointment today and learn more about hearing loss correction.

How Can Hearing Aid Customization Help You?

No one wants to wear a hearing aid but, like glasses, this can be a necessary aspect of life. Hearing loss is actually a very common problem that can affect people of any age. Sometimes, it’s caused by illness or disease. Sometimes, it’s caused by years of exposure to loud noises. It may even be an occupational hazard. In fact, around two to three out of every 1,000 children in the U.S. have a detectable hearing loss in one or both ears when they are born. Hearing aid customization makes it much easier for anyone to comfortably wear hearing aids. They make it possible to hear perfectly without discomfort and sometimes, without others even being able to see the hearing aids.

What’s Possible With Hearing Aid Customization?

Hearing aids have a bit of a bad reputation because of their past. Older hearing aids made years ago were big, clunky devices that were difficult to wear. They were unwieldy, uncomfortable and highly visible. But hearing aids have changed a great deal in more recent years. They have become streamlined, comfortable, easy to wear and sometimes, even invisible to others. Individual hearing aids and comfortable hearing aids are possible with customization.

Customizing your hearing aid isn’t that much more difficult or expensive than buying a generic model. In fact, it’s easier to get hearing aid customization than most people even realize. Today’s modern hearing aids are carefully designed based on very precise measurements of your ears. They can fit into the ear canal or right behind the ear, depending on the specific style you choose.

Hearing aid customization is actually necessary when it comes to getting aids for children. They have small ears and don’t want to wear something that’s uncomfortable. You don’t want a very young child to reach up and pull out their hearing aids, for example. Luckily, there are doctors who specialize in creating pediatric hearing aids that are made for children to wear comfortably.

Should You Be Wearing Hearing Aids?

Do you suspect that you have some form of hearing loss? Even a little hearing loss probably isn’t going to get better and will, in fact, probably get worse over time. Don’t wait for that to happen. Get your hearing checked immediately and find out if you’re a candidate for hearing aids.

Hearing tests can be done by many types of doctors. Sometimes, you can even find clinics and mobile medical facilities that test hearing. The tests are pretty standard. Sometimes, you can even get your hearing checked by a mobile booth at a fair or carnival! For children’s hearing tests, you may want to consult with a pediatrician or pediatric audiology specialist.

After your hearing evaluations are over, consult with a specialist to find out if you’re a candidate for hearing aids. Be sure to bring the results of your hearing tests so they have all the information about your hearing loss. Once you determine that you’re a candidate to wear hearing aids. you can find out more about customizing your hearing aid to perfectly suit your ears. With hearing aid customization, you can begin hearing perfectly again.

4 Signs Your Child May Be Suffering from Hearing Problems

Hearing loss is not something that is widely talked about or widely discussed. Approximately 15% of American adults over the age of 18 report that they experience problems hearing things in either one or both ears. Sometimes these problems arise after childhood, but chances are there were issues or problems during their childhood years that might have been overlooked. Parents don’t overlook simple small signs that their child may have a hearing problem on purpose though, it could easily be brushed off as something else such as stubbornness or distractions. Knowing specific signs to look for in children can help parents notice these issues and address them an ENT for children before the problem gets worse. Below we will explore some of these commonly overlooked signs of hearing problems in children.


Any parent that has had a newborn knows that there is a phase when they get startled at noises. Sometimes even slight noises will startle them, it doesn’t always have to be a loud noise. Once your baby is around the age of three months, they should successfully recognize the voice of their mother, father and other people that are around them on a regular basis. If you find that your infant is still startled by your voice or the voice of someone else they should be used to by now then it may be time to talk to your child’s doctor about a recommendation to a pediatric ENT specialist.

Sounds and Words

There are certain milestones that children reach and while there is some wiggle room for these milestones you should still see your child progressing more and more towards them. If you notice, by the time your child is close to one year of age, that you child is not mimicking noises and sounds or starting to say simple words such as “mama” or “dada” then it might be time to talk to your child’s doctor to see if they can perform a series of hearing tests. This test will help ensure that your child is hearing okay and there are no issues with their ears.


Babies have a habit of turning their heads when they hear noises, especially noises that they are used to such as the voice of the mother or father. Parents should pay close attention to the movement of their child’s head. If you notice that your child is constantly turning their head one way and never the other then that could be a sign that their other ear is not working properly. If they are having a problem hearing out of one ear they will not favor that ear, but will favor the other ear that hears well. If you notice that your child shows these signs it would be a good time to discuss your concerns with your child’s doctor so they can schedule some hearing evaluations to further address any issues.


Many parents will notice if their child abnormally starts talking louder than normal as this can sometimes signal an ear infection. It’s well known that children talk louder when they aren’t able to hear how loud they are. Some parents, however, don’t ever take this into consideration when their child has always been loud. Some parents may assume that they just have an overactive or extra loud child, but there could be an underlying issue that only an ENT for children can diagnose. If they test hearing capabilities and discover an issue, they can start early treatment that could possibly remedy the issue or direct the parents to the proper medical professionals for treatment.

No parent ever wants to hear that something is wrong with their child, but a diagnosis from an ENT for children is not the end of the world. A specialized ENT for children is there to help your child and help you as the parent. There are huge advancements that have been made to help children who have problems hearing hear better and an ENT for children can share these advancements with you. Keeping an eye on these common signs can help you spot problems early and begin treatment as soon as possible.

Pediatric ENT for Ear, Nose and Throat Care

A pediatric ENT is a doctor that specializes in treating children with ear, nose, and throat conditions. They specialize in providing an accurate diagnosis for children experiencing hearing loss, throat problems, and ear conditions including chronic ear infections.

Around four out of every 1000 children are born with measurable hearing impairment. The pediatric ENT is the doctor that provides the care in cases of hearing loss. Experts agree that the sooner hearing impairment is diagnosed the better the outcome for treatment.

What Causes Hearing Impairment In Children?

When a child is born with a hearing impairment there is a range of potential causes including:

  • Birth injuries
  • Preeclampsia, maternal diabetes, drug, and alcohol abuse during pregnancy, anoxia genetics
  • Genetic defects

Other causes can be ototoxic drugs during pregnancy. Some genetic conditions can cause deafness in a child including Down syndrome, Usher syndrome, Treacher Collins syndrome, Crouzon syndrome, Alport syndrome, and Waardenburg syndrome. A pediatric ENT is an expert that can test your baby for hearing problems very early on.

Hearing Loss In Older Children

Hearing loss can occur in older children from chronic ear infections. Otis Media, other illnesses can also impact a child’s hearing permanently. Measles, meningitis, encephalitis, and flu. Your child’s hearing can be impacted by a wide range of diseases.

The Pediatric ENT can diagnose any hearing problems and develop a custom treatment plan specifically for your child. If you suspect that a recent illness has impacted your child’s hearing it is always best to get it checked by a specialist.

Accurate Diagnosis Is Vital to Successful Treatment

Early diagnosis is vital to early intervention which can help to improve the success of the treatment. The pediatric ENT can test hearing on newborns, and children of all ages. In cases of suspected congenital hearing loss experts agree that diagnosis before the age of three months provides the best opportunity for creating an effective treatment plan.

Hearing impairment can affect speech development and other areas of development. A pediatric audiologist Raleigh NC parents take their children to for care, can help with all the symptoms of hearing loss. Speech therapy, hearing aids, and other treatment options can help your child to overcome hearing impairment.

If You Suspect Something is Wrong

If you suspect that your child is struggling to hear, make an appointment with the ENT. It is always best to have the testing done and to be proven wrong than to not having the testing done and find out down the road you were right.

Lyric Hearing Aids: Everything You Need To Know

Hearing aids consist of three basic parts to make hearing easier: a microphone, an amplifier, and a speaker. Hearing aids aren’t one-size-fits-all and come in a variety of styles and sizes with customizability a key factor in their comfort.

One of the most popular types of hearing aids are Lyric hearing aids. But what makes this hearing aid popular in the first place? And is it a good choice for me or my child?

Here’s what you need to know about Lyric hearing aids.

What is Lyric?

Lyric is the first and only completely invisible extended-wear hearing aid that can be worn 24 hours a day, seven days a week, for months at a time. The hearing aid is comfortably placed in the ear canal by a professional audiologist.

Lyric is positioned completely inside the ear canal. This makes it so the hearing aid uses the ear’s anatomy to provide localization cues and natural sound quality.

How do Lyric hearing aids work?

Lyric has a core that’s stored safely inside a biocompatible, soft foam seal. This seal contours to the ear canal and makes sure that there’s stable placement and natural ventilation.

The Lyric battery is designed to withstand your deep ear environment for long periods of time. The hearing aid uses the natural mechanisms of your ear to amplify sounds and the microphone and receive further enhance this experience.

Is it safe to wear a Lyric hearing aid?

Lyric is completely safe to wear. Since 2001, Lyric has been cleared by the FDA and has been studied extensively in clinical research for over 15 years.

There have been no reports of serious complications with Lyric hearing aids. Lyric has been safely worn by hundreds of thousands of people since 2007 when the hearing aid was commercially launched.

How do I know if I’m a good candidate for Lyric?

Lyric hearing aids can be purchased through an authorized Lyric partner. Lyric is designed for people who have mild to moderately-severe hearing loss.

If you’re interested in a Lyric hearing aid, your authorized Lyric partner will assess your hearing loss, your ear shape, ear size, medical conditions, and lifestyle to determine whether the Lyric hearing aid is the right choice for you.

Looking for Lyric hearing aids Raleigh NC residents trust?

If you’re interested in Lyric hearing aids, hearing tests, or hearing aid customizations, ENT and Audiology Associates is the place for you. For more information about our hearing evaluations and hearing aids, contact ENT and Audiology Associates today.

Are You Beginning to Experience Hearing Loss?

Hearing loss is a condition that can happen to anyone. However, it usually presents early symptoms that can be diagnosed in order to lead to early treatment. These symptoms may appear gradually, making hearing loss difficult to spot in yourself or in those you love. If you notice symptoms, you should speak to an audiologist who can perform hearing evaluations to help determine the best treatment option.

Muffled Voices

When people are speaking to you, especially children, you find yourself straining to understand them. Their voices will often sound muffled. This is because as your hearing loss progresses, the part of your ear that processes high pitched noises is typically the first to experience damage. This may also happen if you find yourself unable to concentrate on the conversation, as the background noise is seemingly louder than what someone is saying to you. This may be a sign that it is time to visit an audiologist to provide an accurate diagnosis, which may include treatment with the use of hearing aids.

Volume Levels Off

Some people around you may comment that you are turning up the volume higher than what they perceive to be a normal level. If more than a few people have spoken up about the volume that you listen to the radio or tv, it may be time to visit a professional that can perform hearing tests. They may deem that you need hearing aids to help correct your hearing loss.

Tired Easily

When you are experiencing hearing loss, your brain tries to fill in the blanks. This can cause your brain to be working extra hard when you are in social situations, causing you to become tired more frequently. Evaluations that test hearing can be given by an audiologist to rule out any hearing loss situations.

Types of Hearing Loss

While the symptoms of hearing loss can range drastically, all issues generally fall under three different categories.


Sensorineural hearing loss occurs when the inner ear, called the cochlea, has difficulty functioning. This is the nerve that connects to the brain. Damage to the cochlea can occur due to natural aging, infection, or loud noises. Those who are suffering from sensorineural hearing loss often hear voices as distorted or muffled. Sensorineural hearing loss is irreversible, but can be treated with hearing aids.


Conductive hearing loss is when someone experiences damage to the middle ear. This is when sound can not be conducted properly, but typically due to a physical issue. The causes of conductive hearing loss could be fluid or wax in the middle ear, as well as a damaged ear drum. Normally, conductive hearing loss can be corrected by an audiologist without the need for hearing aids.


Mixed hearing loss occurs when the inner ear and middle ear are both experiencing damage, which is a combination of sensorineural and conductive hearing loss. Although the middle ear issue may be able to be corrected, a person may still require hearing aids to help treat the damage to their inner ear.

Tips to Prevent Loss of Hearing

Around thirty-seven million American adults experience some type of hearing loss. Early detection is the key to early treatment when it comes to hearing loss. Knowing how to prevent hearing loss will help you to protect one of your most precious senses for years to come.

Avoid Loud Noises

Prolonged exposure to loud noises can have a significant impact on your hearing. If you are in a loud environment, consider measures to help protect your hearing. This may include headphones or earplugs.

Have Routine Check Ups

Visit an audiologist regularly to keep your hearing in check. Some issues are better treated if they are caught early. Staying on top of your hearing health will help your audiologist catch any symptoms that appear abnormal.

A professional audiologist can perform hearing tests and evaluations to assess your hearing loss and any treatment options that may be available to you. Proper ear care helps to improve your overall health and could help prevent other issues from developing down the road. If you notice symptoms of hearing loss, get in touch with a professional audiologist that can perform an evaluation.

Pediatric ENT -What You Need To Know About Hearing Loss In Children

Every year around 3 out of 1000 children are born with some type of detectable level of hearing loss. In many cases, hearing loss is missed or not diagnosed. A pediatric ENT specializes in hearing evaluations, hearing tests, and hearing aids for children.

The first step in treating hearing loss is an accurate diagnosis. Hearing loss in children can affect everything from speech development to their ability to learn. It is important that you are able to recognize the signs of a child struggling with hearing problems.

What Causes Hearing Loss in Children?

There are several things that can cause hearing loss in children including:

  • Congenital hearing loss is when a child is born with hearing loss. It can stem from a wide range of reasons.
  • Hearing loss that is acquired through infections, ototoxic medications, injury to the ear, exposure to noise, and other incidents that damage the hearing.
  • Transient loss of hearing occurs due to infection of the middle ear. Transient means it can come and go and can resolve itself without the intervention of a hearing device. In some cases, it does evolve into permanent hearing loss.

There are many risks to hearing in children. From untreated infections to injuries to listening to headphones, there are many risks out there.

Recognizing the Signs of Hearing Loss In Your Child

Many parents are not aware of what to look for to determine if they need to make an appointment with a pediatric ENT. Hearing tests are the only way to confirm the hearing loss. Symptoms of hearing loss can include:

  • Speech delays, speech impediments
  • Often inattentive, non-responsive when being spoken to
  • Learning delays

There are other signs that your child may be struggling with hearing loss that your pediatric ENT will review with you. If you suspect that your child cannot hear or is experiencing some level of hearing loss, it is time to make an appointment for hearing tests. A hearing test Raleigh NC parents have found can be a very helpful diagnostic tool in making sure their child is getting the right care.

If you suspect there is a problem the best way to find out for sure is by making an appointment for an evaluation. Once you have an accurate diagnosis you can get the care that your child deserves.

6 Signs That You Need a Hearing Test

Does it seem like you’re always asking people to repeat themselves? Maybe your friends complain that your TV volume is always high. Check out these warning signs, chances are, you may be experiencing hearing loss.


Hearing loss may cause you to lose more than you realize. When you cannot hear or respond to conversations, participate in social activities and interactions, you become reclusive and less motivated to participate in life.


According to statistics, over 37.5 million people report having trouble hearing. Further, the condition is spanning through generations as it is the third most prevalent condition among seniors in the country. It falls behind arthritis and hypertension. However, hearing problems among young adults is a cause for alarm.


Even though hearing aids can heal 95 percent of these conditions, only 23 percent of them use these aids. The following are the main signs that you can benefit from test hearing to check the status of this essential sense.


1. “What Did You Say”


The biggest warning sign is asking people to repeat themselves. At times, people may appear to be mumbling or their conversations are muffled.


In most cases, the high-pitched voices of children and women are difficult to hear. While you’ll suffer if you don’t hear what people are saying, the ones around you will also suffer. Your spouse, kids, and relatives are missing out on a positive relationship with you. Visit a test hearing facility to get an accurate diagnosis of your case.


2. Inability to Hear in Noisy Places


Are you having trouble hearing in areas with too much background noise? Well, this is a sign that you’re experiencing hearing loss conditions.


Hearing and understanding what other people are saying allows you to participate in family events and other activities. The inability to participate in social conversations may have dire mental consequences. There is evidence showing a strong correlation between hearing loss and cognitive decline. Visit a competent expert for hearing evaluations and possible treatment.


3. If You Notice a Cranking up Volume


Are you constantly turning up your TV volume to a point where others complain about how loud it is? Well, the issue may not be with your radio or TV.


It is a common warning sign that your hearing may have a problem. If you notice this, make arrangements for test hearing without delay. The experts attending to your case will conduct hearing tests before advising on the course of action.


4. A Ringing Sound in Your Ears


Exposing yourself to loud noises is harmful to your ears. Such may lead to tinnitus or a ringing sound in your ears. If the ringing persists, consider doing a test hearing.


A 2013 study done in Brazil concluded that 43 percent of those with hearing loss experience tinnitus. The experience can also be a warning sign in children too. If your kid is ever complaining about ringing in the ears, difficulty in hearing, or pain in the ears, take them for a test hearing. Let the doctor assess and prepare a diagnosis before coming up with the best solution.


5. Missing Out on Everyday Sounds


Well, this is the biggest red flags. For instance, do you sleep through your alarms or miss the call or texts on your phone? When was your last time to hear birds tweeting outside your house?


If you notice that you’re missing on one or more of these sounds, visit an expert. Let them handle the situation before it becomes too hard for you to handle.


6. You Experience Trouble When Talking on the Phone


Do you have challenges talking over the phone, especially in a noisy area? Do you find yourself avoiding calls from your friends and loved ones? Well, not anymore! Have a test hearing exercise done to determine the cause and extent of your problem. This is the first step to reclaiming your hearing. If possible seek intervention sooner rather than later.


You should never fear to seek treatment for hearing loss. It is a painless process.

How Does The Ear Work?

Approximately 15% of American adults (or 37.5 million people) report some trouble hearing. To many of us, hearing loss is understood as one condition; the truth of the matter is that hearing loss can manifest in a number of different ways, depending on what type of damage has occurred and where it has occurred in the ear. Let’s take a look at the anatomy and physiology of the ear to gain a better understanding of how hearing loss — and the ear in general — works.

Outer Ear

The outer ear consists of the pinna or auricle. This refers to the visible part of the ear, such as the earlobe and cartilage. The canal leading to the eardrum is referred to as the external auditory canal or tube. When a sound is made outside the outer ear, the sound waves, or vibrations, travel down the external auditory canal and strike the eardrum.

Middle Ear

The eardrum, or tympanic membrane, divides the outer ear from the middle ear. The middle ear (also called the tympanic cavity) is comprised of the following:

  • Ossicles: Ossicles describe the very small bones — malleus, incus, and stapes — that are connected and transmit and amplify sound waves to the inner ear.
  • Eustachian tube: The eustachian tube is a canal that links the middle ear with the back of the nose. It helps to equalize pressure (which is necessary for the proper transfer of sound waves) and also drains the middle ear of fluid.

Inner Ear

The inner ear consists of three components: the cochlea, which contains the nerves for hearing, and the vestibule and semicircular canals, both of which contain receptors for balance.

How Does It Work?

Once sound has entered the external auditory canal and struck the eardrum, the eardrum vibrates. These vibrations travel to the ossicles, which amplify the sound and send the waves to the inner ear and into the cochlea. The sound waves are then converted into electrical impulses, which the auditory nerve sends to the brain; the brain then translates these signals into sound.

If any damage at any point in this sound journey can disrupt the process in different ways. Some may be fixed or improved with the use of Lyric hearing aids or other forms of digital technology, some can be fixed or improved through surgery, and others cannot be changed. Only through hearing evaluations and hearing tests can ENTs determine the source of the problem and how to move forward.

ENT and Audiology Associates is happy to provide hearing evaluations for patients concerned about hearing loss. Whether for yourself or your child, our hearing evaluations will be able to determine the cause of the problem. Call us at (919)782-9003 to make an appointment today.

How to Care for Ear, Nose, and Throat Issues in Your Child

The ear, nose, and throat are common areas of trouble for children. To avoid further complications down the road, it’s often to handle problems with these areas as quickly and accurately as possible. Finding the right ENT for children is an important part of overall health and wellness. Follow our simple tips and you should be well on your way to establishing quality care.

In addition to assessing the health of your child’s nose and throat, ENT care facilities perform hearing tests. Hearing loss is a common affliction among children and adults alike. In the United States, about 2 to 3 out of every 1,000 children are born with a detectable level of hearing loss in one or both ears. A lot of hearing issues can be mitigated if they are detected and addressed early on in life. When you choose your ENT doctor, they will administer comprehensive hearing evaluations, and if necessary, provide recommendations on hearing aids. If hearing aids are needed, a reliable ENT can help you in customizing your hearing aid and providing ongoing care to monitor progress.

ENT for children also covers ear infections. Infections of the ear are one of the more common conditions that arise in children. There are many strategies for dealing with infections, as well as many factors that can cause them. Exposure to other viruses, such as respiratory viruses will be considered by your doctor, as well as environmental factors, family history, and the potential of infections that were experienced in the early life of your child.

Searching for the right ENT care provider does not have to be a complicated process. Begin by consulting with trusted friends and family, as word of mouth suggestions can often provide all the assurance you need. You can also reference the wealth of information and reviews available online. By establishing a relationship with a quality ENT care facility, you are taking the right steps toward providing your child with a happy, healthy life as they grow, learn, and develop.

Danger Signs that Your Children Has Hearing Problems

Studies show that 2 or 3 of every 1,000 children born in the United States have considerable hearing problems in one or both years. The studies continue to highlight that most of the children end up losing their hearing, especially if their problems are not detected by their parents. Therefore, parents have to observe specific hearing problems so that they can consult pediatric audiology and solve the hearing problem at an earlier stage.

Pediatric audiology will only help your child if you can detect hearing problems at an earlier stage. Here are some of the signs that should compel you to seek the services of pediatric audiology.

Delayed Language Development

Children are supposed to develop language at an earlier stage in life because they are interacting with older children who can speak. Moreover, they are constantly hearing their parents mention things followed with actions, which makes them name things. However, if your child demonstrates delayed language development, you need to consult pediatric audiology for an accurate diagnosis. Maybe the child is not hearing, which explains why he has not developed any language skills.

Consistent Ear Infections

Ear infections are not a sign of a hearing problem, but a probable cause of hearing problems. This is very difficult because a young child may not be able to show the actual cause of the problem. However, an observant parent can easily detect ear infections. Continues flow of fluids from the one or both ears is a clear sign of ear infection. A child putting fingers in the ears is an obvious problem that something is wrong. A pediatric ENT will easily detect ear infection and offer the necessary solution.


Daydreaming is a clear indication that the child is not hearing what is happening within the surrounding. Parents tend to confuse daydreaming with being inattentive. They could be right but consistent daydreaming for about a week is a danger sign that your child has hearing problems. A test hearing, done by experienced pediatric audiology could highlight the problem with your child. If diagnosed and treated properly, the child will start responding to the noises from the surrounding environment.

Turning to Face Sounds

This is a common aspect to many children because they are curious, and they want to see the source of the sound. However, it’s a clear indication that your child is having critical hearing problems. He could be hearing the sounds but not the actual words being pronounced. That’s why he is turning to face the movement of the lips to try and understand the meaning of the sounds. A pediatric is supposed to conduct hearing tests to the child before recommending hearing aids, which will help the child to listen to the words clearly without looking at the movement of the lips.

Grabbing/Pointing to Familiar Objects

It is the nature of young children to grab or point at familiar objects in the room. It is expected that a child will be highly interested in feeding cups, towels, and toys. Those are familiar objects. But it becomes critical when the child grabs or points it familiar objects when they are mentioned. This is a clear indication that the child cannot name the objects and cannot hear their names but can understand what others are saying through lip movement. This is a clear warning that your child needs hearing tests to determine whether he has hearing loss.

Reacting to Loud Sound

Reacting to loud sounds is a clear indication that the child did not hear before the sound was increased. He can now hear and deduce the meaning of the sound. That’s why he is reacting. Children with this type of hearing problem tend to remain calm while at the same time, paying huge attention to the person speaking. However, a slight increase in the volume of the sound makes them react. They can now hear without problems, and that’s why they are being excited or annoyed depending on the sounds produced.

There is a considerable number of people in the United States who have hearing problems. Most of these hearing difficulties started at an earlier stage but were not solved and were allowed to develop. It is upon you to take your children to pediatric audiology after detecting danger signs of hearing problems.

What are the symptoms of acute sinusitis and what does an ENT Specialist do to treat sinusitis?

Raleigh ENT Specialist treats sinusitis

Acute sinusitis, also known as a sinus infection, is not a pleasant thing to have. If you’ve ever had one, then you know what we mean. If you have, then you’ll agree that the extreme symptoms, which range from a feeling of fullness in the sinus cavity region to fatigue and aches and pains, all add up to a very unpleasant illness.

Thankfully, there are some symptoms to watch for, and if you catch your acute sinusitis early enough, you’ll be able to treat it before it gets worse. Here’s what you need to know about sinus infections.

It All Starts With a Sore Throat

In most cases, a sinus infection starts with nasal congestion followed by pain or pressure in your face.  There may also be colored nasal discharge.


Fatigue and a Fever Come Next

The very next symptoms of acute sinusitis involve your entire body. You’ll feel very tired and fatigued. You might be tempted to spend the day in bed recuperating. You might even have the aches and pains that tend to appear with illnesses like the flu, only you don’t have the flu – you have a sinus infection.

You might even have a minor fever, which can be treated with some over the counter medications, like Tylenol. All of these are signs that your body is fighting off an infection.

Additional Symptoms

On top of the symptoms listed above, there are many more that need to be mentioned. Your sinuses will feel full, and you might even notice that your face looks slightly swollen in the area under your eyes, and next to your nose. This means that your sinuses are filled with mucus.

You might also feel as though your ears are clogged. Your eyes might itch, and you’ll definitely feel as though you got hit by a bus or a train. You might even be a bit dizzy. Really, acute sinusitis can take a lot out of you.

How Are Sinus Infections Diagnosed?

There are many ways that an ENT expert can diagnose and treat a sinus infection. It all starts with a history (your story of your illness) and a physical exam. The doctor will ask you a number of questions and take note of your symptoms. They then conduct a physical exam, which involves looking into your ears, nose, and throat, and listening to your cough.

You’ll more than likely be very congested and have a slight fever. It’s easy to think that a sinus infection and a cold are one and the same, but they aren’t, as the sinus infection is much worse. Once you’ve been diagnosed with a sinus infection, the treatments can begin.

Medications Are Prescribed

Antibiotics, steroids, Afrin spray, and sinus rinses are all possible treatments.  The best combination will be individualized for you.


Douglas K. Holmes, MD, FACS ENT & Audiology Associates PLLC

3820 Ed Drive Raleigh, NC 27612

phone 919 782 9003 fax 919 782 9303

practice website:

Help Our Patient Elizabeth Raise Money to Help Kids with Hearing Loss

Elizabeth is one of our amazing patients. She was diagnosed with hearing loss around age 4, and has been wearing hearing aids ever since. Next week is her birthday, and instead of presents, she wants to raise money for other kids like her to get hearing aids. We are so inspired by Elizabeth’s generosity, and proud to know her. Please consider donating to help her reach her birthday goal!


To help Elizabeth reach her birthday goal, please visit:

What You Need to Know about Hearing Aids

If an audiologist has recently diagnosed you with hearing loss, you’re not alone. Hearing loss affects a significant number of Americans, so don’t be alarmed. With the help of ENT & Audiology’s Raleigh audiologists, you’ll be able to find the best solutions for your hearing loss.

If your audiologist confirms that your hearing problem stems from damaged hair cells found in the inner ear, you may have what is known as sensorial hearing loss, which is treated with hearing aids.

Why Do You Need Hearing Aids?

Hearing aids are small electronic devices worn inside or behind the ears, which consist of a microphone, speaker, and amplifier, and are useful for making sounds loud enough for the ears to hear clearly and the mind to comprehend in order for an individual to communicate effectively. Hearing aids also make it possible for people with hearing loss to hear clearly both in noisy and quiet environments.

As mentioned, hearing aids consist of three basic parts, each with a vital role to play.

i. Microphone – The microphone is what receives external sound. It then changes these sound waves into electrical signals before transferring them to the amplifier.
ii. Amplifier – Once the amplifier receives the electric signals, it multiplies the intensity of the signals accordingly.
iii. Speaker – The amplified sound is transferred to the ear through the speaker and once the remaining hair cells picks the sound, they convert them into neural signals which the brain is able to pick

The strength of a hearing aid amplification required by an individual is determined by the level of damage to the inner ear. However, there is a level at which even the largest amplification a pair of hearing aids can offer will not be of any assistance. In this case, your audiologist will make alternative recommendations e.g. having a cochlear implant.

Hearing Aid Styles

Hearing aids are classified into two major categories based on where they are worn.

  1. In-the-ear (ITE) Style Hearing Aids – These are designed to fit inside the outer ear and generally come with a hard plastic to house the hearing aid parts. They are ideal for mild to severe hearing loss complications with some having extra features such as a telecoli; a tiny magnet through which sound is received from the circuitry of the aid rather than through its microphone. They are good for telephone conversations and in places with induction loop systems.
  2. Behind-the-ear (BTE) Style Hearing Aids – BTEs on the hand are also designed with a hard plastic case that fits behind the ear. This case is attached to a plastic earmold which is what is fitted in the outer ear and transmits sound to the hair cells in the inner ear.  These too are ideal for mild to severe hearing loss cases.

Types of Hearing Aids

In-the-ear (ITE) Style Hearing Aids

ITE style hearing aids include:

  • In-the-canal Hearing Aids – these are placed on the lower side of the outer ear bowl. People prefer them because they are comfortable and do not block the ear canal.
  • Invisible-in-the-canal (IIC) and Completely-in-the-canal (CIC) Hearing Aids – These happen to be the smallest in size and as their names suggest, are not meant to be visible.
  • Low Profile Hearing Aids – unlike the IICs and CICs, the Low profile Hearing aids are for those who desire simple handling, therefore, they are slightly larger in size. They are designed to cover half or the entire outer ear bowl. A noteworthy advantage is that they can incorporate added features like volume controls and directional microphones.

Behind-the-ear (BTE) Style Hearing Aids

BTEs are more popular now than before because current hearing aids now come in a smaller size for those who prefer being discreet, which represents a significant percentage of people with hearing loss problems. Despite their size, they can still accommodate different features to suit specific hearing loss challenges.

Some include:

  • Mini BTEs – these come with a discreet ultra-slim tube to transmit sound into the ear.
  • Receiver-in-the-ear (RITE) or Receive-in-the-canal (RIC) hearing aids – The most distinct feature about the RITEs and the RICs is the fact that their speakers are designed to fit into the ear tip placing them at a closer distance to the eardrum.
  • BTEs with earmolds – these come with a longer shape and fits behind the entire outer ear. A distinctive advantage they have over the others is that they can accommodate more added features.

To ensure the best fit,  here are some things to consider:

Generally, hearing aids will vary with the extent of the hearing loss. However, other factors will certainly come into play.

These include:

  • Price
  • Ease of handling
  • Size Preference
  • The additional accessories required
  • Career

All in all, one needs to first get a recommendation from the doctor and then weigh the pros and cons of each option available before settling on what’s best for their specific needs.

How to Keep Your Hearing Aids in Good Condition

The most basic hearing aids maintenance practice is professional cleaning, you need to rid it of dust, moisture or wax using a soft dry cloth at least daily. Making regular appointments with your audiologist are also crucial to ensure your hearing aids are operating at the optimal levels.

What is Tinnitus?

Tinnitus can be diagnosed as hearing noise when there is no external noise present. It commonly affects 1 out of every 10 adults aged 60 and above. It is generally a symptom to an underlying ear complication, most likely a damaged cochlea.

The noise manifests as buzzing, whistling, roaring, clicking, hissing, or other noises that vary in pitch and frequency from one person to another. Continuous tinnitus can be very bothersome and cause stress for the patient.

Tinnitus is divided into two categories

Subjective Tinnitus: This is the most common form of tinnitus in which only the patient can hear the noises.

It has several causes including:

  • An affected inner, middle, or outer ear
  • The auditory nerves or pathways


Objective Tinnitus: Objective tinnitus can be heard by the patient and their medical doctor during check up. This form of tinnitus is not as common as subjective tinnitus.

This can be caused by:

  • A problem with a blood vessel
  • Muscle contraction

Some Common Causes of Tinnitus are

  • Aging accompanied by damage to the inner ear
  • Continuous exposure to noise
  • Injuries to the head or neck
  • Infections inside the ear
  • Change to the ear bone structure
  • Blockage of the ear by excess earwax

 Effects of Tinnitus

Those suffering from tinnitus can experience symptoms of:

  • Depression
  • Insomnia
  • Anxiety
  • Lack of concentration
  • Irritability

Treatment of Tinnitus

Tinnitus currently has no cure, however, there are some new treatments available to help control tinnitus and drastically improve a patient’s life.

Some tinnitus management tips include:

  • Avoiding medications like aspirin or ibuprofen that are known to damage the inner ear.
  • Address conditions linked to tinnitus such as insomnia, depression, and anxiety.
  • Coping with the noise if the tinnitus is caused by age.

When is it time to see the doctor?

  • If tinnitus is causing symptoms of anxiety or depression.
  • If tinnitus is noticeable after an infection, particularly ENT related.
  • If the noise causes hearing loss.

Some of the causes of tinnitus can easily be prevented, like smoking or exposure to loud noise. It is better to address risk factors early before they cause permanent damage.