Often allergy patients have sleep disordered breathing and want to know if allergies contribute. Most of the time, interruptions in your sleep due to allergy consist of congestion, snoring, sneezing, and possibly apnea. Anything other than those symptoms should be evaluated for alternative causes. Specialists dealing with sleep disorders are allergists, ENT (otolaryngologists) and pulmonologists. There is a board-certification for sleep medicine, so you might want to check for this on listed credentials. Good night!
All that wheezes isn’t asthma! Ever heard that before? A common finding in our clinic is “wheezing” or difficulty breathing not due to asthma, but as a result of large tonsils/adenoids. A typical history is as follows:
- Snoring at night
- He wheezes–(it’s not really wheezing, but loud noises coming from the lungs is often labeled as such)
- I can never breathe through my nose
- Examination reveals no wheezing in the chest, but coarse rhonchi transmitted to the chest from the upper airway
- Look at these tonsils that are almost completely obstructing the back of the throat–
ENT doctors are the surgeons that perform T & A’s as they are popularly called. (tonsillectomy/adenoidectomy) The enthusiasm for removing tonsils in young children as a “routine” procedure as decreased because of intraoperative complications, but if it’s needed, the risks outweigh the benefits.