Find answers to some common health issues from Asante's team of health experts.
Don't see your question here? Ask it!>>
I think I have a sinus infection. What should I do?
Eric Van Bean, FNP
If you indeed have a sinus infection, you’re not alone. One in seven people is diagnosed with a sinus infection every year, and they all have one thing in common: they’re miserable. Sinus infections inflame the sinuses and nasal passages, causing pain and pressure on either side of the nose as well as headaches, congestion, sore throat, and fever.
Many people assume that the standard treatment for a sinus infection is a round of antibiotics, yet up to 98 percent of all sinus infections are caused by viruses, not bacteria. Because antibiotics work only against bacteria, they are useless in treating most sinus infections and may cause your body to develop antibiotic resistance.
There is no easy test to determine if a sinus infection is viral or bacterial, which is why in the past doctors would prescribe antibiotics “just in case.” If you think you have a sinus infection, you should see your primary care provider. He or she may prescribe an antibiotic only if:
- Your symptoms last 10 days or longer without improving.
- You have a fever of 102 degrees F or higher, nasal discharge, and severe facial pain lasting three or four days in a row.
- Your cold seems to improve and then turns worse, generating a fever. This may indicate that a bacterial infection has settled into the inflammation first caused by a virus.
If you’re looking for over-the-counter relief, keep in mind that decongestants and antihistamines may actually make symptoms worse. Stick with acetaminophen (Tylenol) for pain, try a saline rinse, and drink plenty of fluids to ease symptoms. If the pain is unbearable or the infection lasts longer than 10 days without improving, see your primary care provider.
More about Eric Van Bean, FNP>>
I was recently diagnosed with high blood pressure. What can I do to control it?
Marcelin Charles, MD
High blood pressure, also called hypertension, is a serious condition and a major risk factor for heart disease and stroke. There is no single cause of high blood pressure, though family history and lifestyle choices may play a part. Controlling high blood pressure can be difficult, but it is often possible with the right combination of medication and lifestyle changes.
Improve Your Lifestyle Where Possible
There are plenty of lifestyle choices you can make to help control high blood pressure. In general, you are less likely to experience high blood pressure at a healthy weight. Maintaining a healthy weight can also make your blood pressure medication more effective.
Even when you are at a healthy weight, diet and exercise play an important role in managing blood pressure. Daily exercise and a diet rich in vegetables, whole grains, and other healthy options are an effective strategy for many hypertensive patients.
Cut Back On…
- Saturated fat
All of the above have a relationship with high blood pressure. Some patients have successfully reduced their blood pressure with programs that included cutting back on these consumables. Cutting back on fat, alcohol, caffeine, tobacco, and sodium might be difficult, but developing healthier habits with any one of them can result in many more health benefits than just improved blood pressure.
Follow Your Doctor’s Instructions
Always take your doctor’s recommendations seriously, especially if you have been prescribed medication. Sometimes lifestyle changes alone can reduce high blood pressure to the point where medication is no longer necessary—but only your doctor can judge the appropriate time to stop taking medication. Because no two cases of high blood pressure are exactly alike, information that you find online may contradict what your doctor has told you about managing your condition. Trust your doctor over online information. If you have doubts, ask for a second opinion from a licensed medical professional.
More about Marcelin Charles, MD>>
What’s the best way to clean my ears?
Great question! What many people don’t realize is that cleaning your ears is often unnecessary, and can even be harmful—for two reasons.
Richard Huffaker, DO
First, cerumen, or ear wax, creates a natural barrier to protect your ears from outside contaminants. Because ear wax is slightly acidic, it does a great job of keeping bacteria and fungus at bay. Without a healthy amount of ear wax, the ear canal can become susceptible to infections.
Second, “cleaning” your ears with foreign objects, such as cotton swabs, actually pushes the ear wax further down the canal, gradually causing the wax to become impacted. This can lead to hearing loss, ear pain, and in rare cases, dizziness or vertigo. My rule of thumb is, “Don’t put anything smaller than your elbow in your ear!”
Of course, if wax escapes the ear canal and turns dark yellow or orange, it can become unsightly. When that happens, you can gently wipe the external “bowl” of the ear with a wash rag or tissue. For most people, that’s all the cleaning required.
However, some people have problems with ear wax build-up and may need further treatment. I recommend a few homeopathic remedies—none of which involve sticking a foreign object in your ear!
- Contrary to popular belief, water softens wax. Simply allow water to dribble in and out of your ear while showering.
- Using an eye dropper, place a few small drops of extra virgin olive oil in your ear canal to loosen the wax. You could also try baby oil, mineral oil, or glycerin.
- Mix a solution of half water, half hydrogen peroxide, and place a few drops in your ear canal. The wax will soften and eventually work its way out.
- After treatment, you can dry your outer ear with a towel or a hair dryer held at arm’s length.
If these remedies don’t relieve excessive build-up, see an ear, nose, and throat specialist for help. We can perform a safe and effective ear-cleaning procedure using a microscope and gentle tools.
More about Richard Huffaker, DO>>
I have an ache in my shoulder that’s getting worse over time. Why does it hurt, and when should I see a medical professional?
Matthew Nugent, MD
You’re not alone. An estimated seven out of ten people will experience some sort of shoulder pain in their lifetime. Let’s examine the common causes of shoulder pain, and what to do about them.
Arthritis is a condition in which the body’s cartilage breaks down. In some cases arthritis is genetic, but for most people it’s caused by wear and tear. Think of your cartilage like the tread on a tire; when the tread is worn out, the tire (i.e., your joints) can’t handle friction as well. Anybody can develop arthritis, but it’s especially typical in older patients.
Bursitis and bicep tendonitis are both inflammation injuries. Bursitis is inflammation of the bursa, which is a sac of lubricating fluid that cushions the shoulder joints. Bicep tendonitis is inflammation of the tendon connecting the bicep muscle to the shoulder. Both conditions can be caused by over-use or lack of use. They’re often seen in middle-age and older patients.
Pain from instability develops when shoulders are dislocating or moving too much. This is usually found in younger patients, athletes, or people who’ve experienced a traumatic shoulder injury.
How can you find relief? Start with home remedies, such as ice and over-the counter anti-inflammatory medications. If those don’t ease the pain, it’s time to see an orthopedic physician. In my office, we conduct a thorough exam to diagnose the source of your pain. This includes an X-ray and possibly a cortisone injection, which not only gives you fast relief but also enables me to detect the cause of your shoulder trouble. In most cases, conservative treatment does the trick. This may involve a series of physical therapy sessions, once or twice a week for six weeks. These will help heal and strengthen your shoulder so you can return to normal activities, pain-free. For more serious injuries, however, we might need to continue with further testing, such as an MRI. This could lead to surgery to repair the source of your pain.
What can you do to prevent shoulder pain? Of course the best way to treat shoulder pain is to avoid it in the first place! Whether you are active at work or in sports, or if you engage in very little physical activity at all, you can prevent shoulder injuries by maintaining motion in your shoulders. Choose some targeted exercises to strengthen your rotator cuff muscles and biceps, which will make your body less susceptible to shoulder injuries.
More about Matthew Nugent, MD>>