Summer Nosebleeds: Causes & Prevention

Nosebleeds are common and rarely anything serious, but most people don’t expect to experience them during summer months. However, there are seasonal changes that can cause you to be more prone to a bloody nose. They are usually the result of minor irritations in the nasal passages, and most common in children younger than 10 and adults older than 50.

The Nose

The nose is prone to bleeding due to a large number of blood vessels close to the surface, especially in the cartilage of the nasal septum. When these burst, blood may trickle (or in some instances, seep) from the nose. This is most often the result of trauma to the nose, blowing or picking the nose and dry or hot air.

How to Help Prevent Summer Nosebleeds

In the summer, nosebleeds are especially common because hot waves of air or picking at dried mucus can rupture the capillaries in the nose. Here are some preventative measures you can take to avoid summer nosebleeds:

  • Minimize exposure to overly hot weather
  • Use a humidifier in combination with the air conditioner
  • Avoid alcohol, smoking, hot beverages and spicy foods
  • Consume plenty of water and get a good night’s sleep

Two Types of Nosebleeds

Most nosebleeds originate in the front of the nose and are characterized as anterior nosebleeds. These are easy to control and rarely pose a problem. Posterior nosebleeds are rare, but much more serious. They originate from an artery in the back of the nose, and require immediate hospitalization and treatment. These are most common in the elderly.

You may want to consult an otolaryngologist if recurring nosebleeds are a problem. Fortunately, most nosebleeds are minor and rarely a cause for alarm. It is estimated that one out of every seven individuals suffer from at least one nosebleed in his or her lifetime.

For more information on nosebleeds or any ear, nose and throat issues or conditions, please visit us at or call to 856-602-4000 to schedule an appointment.

Let Freedom Ring on the 4th of July, Not Your Ears!

4th of July celebrations are almost here! With longer days and weather that begs for you to break out the grill, you can’t help spending all your time outside.

Before running out the door, it is important to know how to defend yourself from common summer hazards. Sunscreen for your skin, sunglasses for your eyes and bug spray for those pesky mosquito-borne illnesses are all excellent forms of protection. But what about your ears? Fireworks are a summer staple and can pose a real risk to your hearing health.

How Loud is Too Loud?

One of the most common causes of hearing loss is noise exposure. Sounds are measured in units called decibels (dB). Anything below 85 decibels is considered safe. Sounds above 85 decibels can cause hearing loss. The higher the decibel, the shorter period of time it takes for hearing loss to occur.

  • Exposure to sound over 85 dB can cause damage within 8 hours
  • Exposure to sound over 100 dB can cause damage within 15 minutes
  • Exposure to sound over 120 dB can cause damage instantly

How Loud Are Fireworks?

Fireworks clock in at 150-170 dB, well over the safety threshold. To put this into perspective, a jet engine taking off is measured at 140 dB.

The bang from a single firecracker at close range can cause immediate and permanent hearing damage.

How Can You Protect Yourself?

Observing the festivities from a distance and wearing earplugs are the best ways to protect your ears this summer.

The further you are from a sound, the lower the decibel level and the less likely the sound is to affect your hearing. Adults should be at least 50 to 60 feet away from where the fireworks are set off in order to be safe. However, children should be at least 150 feet away, as their ears are more sensitive.

Earplugs should also be worn. Disposable earplugs made of foam or silicone are readily available and will allow you to hear conversations while blocking potentially damaging sounds.

Let freedom ring this 4th of July, not your ears. Follow these tips and enjoy a happy and safe Independence Day.

For more tips and tricks to protect your hearing this summer, visit or call us at 856-602-4000.

Summer Hearing Health & Headphone Misuse

School is out for the summer. That means kids have three months with lots of spare time. With an increase in downtime comes binge watching and music listening, often times with the use of headphones.

While headphones can keep your kids quiet and spare you from getting the latest Taylor Swift song stuck in your head, there are risks to you children’s hearing health that come with the misuse of headphones.

Noise-Induced Hearing Loss

Personal music players are often linked with noise-induced hearing loss. This type of hearing loss is caused by exposure to loud noises and is unfortunately permanent.

In order to prevent this type of hearing loss, it is important to understand when a sound is too loud. Sound is measured in decibels. Anything over 85 dB (heavy New jersey traffic) can cause damage after eight hours. Sounds over 100 dB (motorcycle) can cause damage after 15 minutes. And finally, sounds over 120 dB (jackhammer) can cause immediate damage.

Researchers have been studying how personal music players relate to hearing loss. A 2010 study found that a pair of standard earbuds paired with an iPod set to its maximum volume produces an average sound level of 96 dB. This is higher than what is legally allowed in a workplace.

One study found that 25 percent of those who use personal music players are exposed to daily noise that is loud enough to cause damage. Another study found that 90 percent of all adolescents listen to music using earbuds; almost half listen at a high-volume setting.

How to Protect Yourself

The best way to prevent noise-induced hearing loss is to simply turn the volume down.

Experts suggest implementing the 60/60 rule. This rule states that you should listen to music at 60 percent of the volume for 60 minutes a day. Researchers have concluded that this volume for this length of time will not cause any harm to your hearing.

Below is a list of suggestions to help you protect your children from noise-induced hearing loss:

  • Replace in-ear, bud-style headphones with over-the-ear models.
  • Set a sound limit. Many new music players allow parents to set a listening limit which is password protected.
  • Purchase kid-safe headphones. These headphones are designed especially for children and have a lower-than-normal maximum volume level.

For more about protecting you children’s ears this summer or other related information, visit or call (856) 602-400 to schedule an appointment.

Prevent Swimmer’s Ear This Summer

While most focus on safety in and on the water, its often forgotten to be mindful of the water related ear problems that happen every summer, most of which are unavoidable and random. It can be confusing as a patient trying to decide if and when its necessary to have your ear checked out by a ENT physician.

Otitis externa (“swimmer’s ear”), is easily the most frequently seen ENT problem related to water activities. It accounts for numerous office visits in an ENT practice, as well as in primary care offices and express clinics/urgent care centers. Pain in the ear  with blockage and often drainage are common symptoms of this problem. The ear is usually very sensitive to pressure or pulling on the outside of the ear. While this condition often clears up with the use of antibiotic ear drops, especially when addressed early in its course, it can sometimes be a complicated problem to alleviate  and could call for careful cleaning with an ENT physician. It is basically a localized infection in and on the skin of the ear canal, which could involve bacteria or fungi.

With diving, body surfing and high-speed activities, water injuries (especially to the ear drum) can occur, and we see and treat them regularly. The surface of water can “slap” the ear when someone lands awkwardly, especially at high speeds or from greater heights, and send a pressure wave toward the eardrum, which can injure it. This does not always cause a hole or perforation in the eardrum, but it certainly can. If this type of injury is followed with lingering alteration of hearing, pain or drainage beyond 24 hours, scheduling an appointment with ENT physician may be needed for a careful examination of the ears. Majority of injured eardrums will heal on their own and do not require any treatment; however, the eardrum may require attention at the time of injury to avoid failed healing and a bigger procedure later.

A similar blow to the ear accompanied by significant dizziness can represent a far more serious condition requiring immediate attention. While mild disorientation and brief dizziness may seem normal, any severe and prolonged dizziness should be evaluated as soon as possible, to be ensure a potentially dangerous injury behind the eardrum has not occurred. Thankfully, these more severe injuries are far less common.

May Is Better Hearing & Speech Month

May is Better Hearing & Speech Month

With more than half of Americans who experience noise-induced hearing loss not working in noisy jobs, the spotlight turns to what Americans are doing in their leisure time. May 1st marks the beginning of Better Hearing & Speech Month—a time to assess lifestyle habits that may be contributing to hearing loss as well as schedule a hearing evaluation for anyone with concerns about their hearing.

To help build awareness and celebrate Better Hearing & Speech Month, Advanced ENT & HearMD have other special #BHSM offerings throughout the month of May:

  • Extended Warranties (1 additional year to current warranty) on all hearing devices purchased during Better Hearing & Speech Month.
  • FREE Hearing Screenings will be held at select offices from 10:00am to 12:00pm on May 5, May 12 and May 19. NO APPOINTMENT necessary (must be at least 6 years old). Everyone who comes in for a free screening during these times will receive an Advanced ENT/HearMD gift bag.

Social Media Contest

For 2017, the theme is “Communication: The Key to Connection.” In order to help spread the word, we will be holding a #BHSM Social Media Contest with a $100 gift card prize.

  • Here are the rules:
    • MUST Follow Advanced ENT & HearMD on Facebook and Twitter.
    • In a post, explain how Communication is a Key part of some activity or hobby you participate in (Example: As a physician, COMMUNICATING health issues & treatment options to patients is a KEY to ensure the patient can take the right steps to recover or improve their health.)
    • Use the hashtag #BHSM
    • You MUST Tag or mention Advanced ENT & HearMD in your post to be eligible to win.
    • At the end of May, we will select a winner. The more posts, the better your chances.

If you would like to schedule a hearing evaluation, contact Advanced ENT or HearMD by calling (856) 602-40

How Hearing Loss Affects Your Physical and Social Well Being

Join Advanced ENT and HearMD for a complimentary informational event about how hearing loss affects your physical and social well being.

Linda Goldstein, Au.D and an Advanced ENT physician will speak about the importance of hearing health and the impact it has on your quality of life.

RSVP by calling (856) 602-4200 or completing the form below.

April 6, 2017
10:00am – Noon

Cherry Hill Library
1100 Kings Hwy N
Cherry Hill, NJ

Click here for a map.

Hosted by Hear MD and Advanced ENT.

This event is completely complimentary. It is an informational event. There is no requirement to make an in-office appointment or a purchase.

RSVP To The Community Hearing Event On April 6, 2017

No Fields Found.


Community Hearing Event – March 22

Join Advanced ENT and HearMD for a complimentary informational event! Linda Goldstein, Au.D and an Advanced ENT physician will speak about the importance of hearing health and the impact it has on your quality of life.

RSVP by calling (856) 602-4200 or completing the form below.

March 22, 2017
1:00pm – 3:00pm

Camden County Library
203 Laurel Rd
Voorhees Township, NJ

Click here for a map.

Hosted by Hear MD and Advanced ENT.

This event is completely complimentary. It is an informational event. There is no requirement to make an in-office appointment or a purchase.

RSVP To The Community Hearing Event On March 22, 2017

No Fields Found.


Hearing Loss and Its Impact on Quality of Life

Think about the way we hear for a few minutes. When an individual with normal hearing engages in conversation in a quiet, well-lit setting, visual information from the speaker’s face, along with other behavioral cues and language context, can make communication effortless. In contrast, because so much of our daily interactions occur in a “noisy” world, it becomes much more difficult to carry on a conversation or to give and receive information. A person with hearing loss may be able to function well in a less stimulated environment, but may not be able to communicate at all in a busy setting.

Because hearing loss tends to disrupt communication and to interfere with perception of meaningful environmental sounds, some individuals experience significant levels of distress as a result of their hearing problems. Some express embarrassment and self-criticism when they have difficulty understanding others or when they make perceptual errors. Others have difficulty accepting their condition and are unwilling to admit their hearing problems to others. Anger and frustration can occur when communication problems arise, and many people experience discouragement, guilt and stress related to their hearing loss. These negative reactions are also associated with reports of negative attitudes and uncooperative behaviors.

The good news is the sooner you treat hearing loss, the sooner you can overcome its adverse impacts and regain your confidence and enjoyment of life. Countless everyday activities – from talking on the phone to social gatherings to watching television with other people – become easier and more pleasurable.

Many people with a hearing loss wait to have their hearing tested and try a hearing solution. This may be because they believe their hearing isn’t bad enough, or they feel embarrassed about wearing a visible hearing device. Don’t let this be you! There are far more risks to not treating hearing loss. And as millions of people around the world have experienced, treating hearing loss transforms lives for the better. Whether it’s meeting new people, taking on a new project at work or starting a new hobby, treating hearing loss gives you the chance to reconnect to your life.

You are likely to notice if your hearing is getting worse. However, because hearing loss often occurs slowly over many years, it can be easy to grow accustomed to a poor level of hearing.  Friends and family may be the first people to point out your reduced hearing. You may be compensating for your hearing loss by lip reading in noisy situations and turning up the volume on your TV or radio. You may believe other people are mumbling and have difficulty understanding conversations in groups of people when there is a lot of background noise

If you think you may have a hearing loss, visit a hearing specialist at Advanced ENT/HearMD to get your hearing checked. The sooner your hearing loss is treated, the sooner you can overcome professional and social limitations, enhance your language and listening skills, and improve your overall quality of life.

Join us for a FREE educational event on February 22, 2017 to learn more about hearing loss and its impact on your quality of life.

Community Hearing Event – February 22

Join Advanced ENT and HearMD for a complimentary informational event! Linda Goldstein, Au.D and an Advanced ENT physician will speak about the importance of hearing health and the impact it has on your quality of life.

RSVP by calling (856) 602-4200 or completing the form below.

Cherry Hill Public Library
1100 Kings Hwy N
Cherry Hill, NJ 08034

Click here for a map.

Hosted by Hear MD and Advanced ENT.

This event is completely complimentary. It is an informational event. There is no requirement to make an in-office appointment or a purchase.



RSVP To The Community Hearing Event On February 22, 2017

No Fields Found.



Ahem! Chronic Throat Clearing

Chronic throat clearing, when it occurs repeatedly, may be an acquired habit or it may require medical examination. The causes and frequency of throat clearing vary from individual to individual. People usually complain of the sensation that phlegm or secretions are sitting in the throat or a “tickle”. The throat usually does not hurt, and swallowing is not affected. In general, chronic throat clearing is usually the result of hypersensitivity in the larynx (the structure that houses the vocal cords) or the pharynx (throat). Clearing your throat causes the vocal cords to rub together in response to irritation. This often creates more irritation to the vocal cords and begins the cycle of persistent throat clearing.

The possible causes of chronic throat clearing include acid reflux, post-nasal drip from allergies or sinusitis, vocal cord conditions or growths, neurologic conditions such as tics or even the side effects of certain medications (ACE Inhibitors). A visit to an ENT specialist and a thorough medical evaluation is necessary to diagnose your condition properly and to plan appropriate treatment. The exam may involve procedures called a laryngoscopy or a stroboscopy that allow the physician to look at the throat anatomy and to visualize the vocal cords in action.

Some individuals clear their throats during times of anxiety, stress or out of habit. Others may clear their throats subconsciously and not even be aware that it is occurring. For those individuals, breaking the habit may be difficult and require additional resources. Left untreated, throat clearing can evolve into a persistent habit that is exacerbated by throat inflammation. Ultimately, the risk of permanent damage to the vocal cords and the nerves of the throat must be considered.

Contact us today and let physicians of Advanced ENT help!