Kari and Neeta


  • Taming Tinnitus

    Ringing, buzzing, roaring, crickets, hissing, static, pulsing, screeching, ocean waves, sizzling, cicadas, dial tones, whooshing……  Tinnitus can be described as many sounds. Many annoying sounds.   And for those afflicted with this unwelcome noise in their head, life can be distracting.  Tinnitus is the hearing of sound when no external sound is present.  It is considered a symptom rather than a disease.  Tinnitus affects approximately one third of Americans throughout some point of their lives; and up to 15 % are concerned enough to seek medical evaluation and treatment.  Full disclosure:  Tinnitus can be one of an Ear Nose and Throat Provider’s more difficult conditions to treat!  As a provider, we covet the reality of our patients getting better from the treatments we provide.  But tinnitus can be stubborn like a mule!  And I’m not just the president of Hair Club for Men, I’m also a member…. (I have tinnitus too).

    Tinnitus is broken down into subjective versus objective with objective being much more rare.  Subjective tinnitus is heard only by the person experiencing it whereas objective tinnitus can be detected by someone else.  An example of objective tinnitus is pulsatile noises in rhythm with the person’s heartbeat audible by stethoscope to an examiner. Tinnitus can be perceived in the ears or in the head, as well as in a single ear or both.  It can be intermittent or constant and associated with movements of the face, neck, and upper body.

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  • Chronic Sinusitis: An Overview of Sinus Surgery

    Chronic sinusitis, sinus pain, facial pain, nasal polyps, nasal congestion, mycetoma, allergic fungal sinusitis, nasal tumors, and nasal injuries are complex conditions treated by otolaryngologists (or ENT) physicians and their staff such as Doctor Neeta Kohli-Dang in Huntsville, Alabama.  Please visit  Huntsville ENTor call (256) 882-0165 for more information or to schedule an appointment.

    “John” suffered from recurrent sinus infections for years. We discussed surgery on a few occasions, and eventually decided to proceed.  Surgery confirmed severe disease and the sinuses were carefully and thoroughly cleaned.  After months of regular follow-up and more treatment, John joyously announced that he had regained his sense of smell.  Imagine our delight when he started bringing in absolutely delicious homemade cakes to the office.  Their quality would have put a seasoned baker to shame.  As well, his family was thrilled to have Dad in the kitchen again making delicious food with wonderful aromas.   Alas, what about our low calorie and cholesterol diet? FAT CHANCE – cakes like these don’t walk into your office every day.  John and I have since become good friends and I wish him continued good health and success.

    SINUS disease is rampant in the United States affecting millions of children and adults.  It is estimated that approximately 150 per 100,000 people in the general population are affected by chronic sinusitis.  The incidence appears to be increasing every year with the disease becoming more common in patients with AIDS, common variable immune deficiency, diabetes, polyps, and severe allergies.  There are about 20 million physician visits in the United States each year for chronic sinus issues.


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  • Feeling Foggy? A look at how your inner ear can affect the brain and cognitive thinking.

    Several years ago, I developed intermittent bouts of what I would later term brain fog in which I experienced nonlucid moments, similar to waking up after anesthesia.  The first and most memorable of    these occurred while I was driving on I-565 to work one morning.  While not exactly dizzy, I recall feeling so strange that I pulled the car over on the interstate and waited for the spell to pass. After a few minutes, the episode subsided and I went on with my busy day, forgetting about the strange incident.  Months later, similar spells began occurring more frequently, heightening my preexisting hypochondriac tendencies that I had developed from years of reading medical books and watching TV programs about the rarest medical conditions in the world.

    The spells would come on suddenly, without warning, and felt like a cloud engulfing my consciousness.  I had a really hard time explaining the symptoms to my family practitioner at the time.  “You know that feeling… where you’re having a dream… and then you start to fall… but then you don’t fall… but the ground is moving… and your thoughts don’t come as crisply or clearly…”  Gosh, I sounded crazy even to myself. I further tried to explain that words sometimes did not come easily, decision making became more difficult, and my concentration span seemed shortened.  After some routine blood work, I was reassured that my symptoms were likely from fatigue with an added dash of anxiety.  But something felt wrong.  The foggy spells progressed and I began experiencing pressure in my head, although the entire myriad of symptoms remained very non-specific.

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  • Nasal Foreign Bodies

    Nasal Foreign BodiesNasal foreign bodies are usually encountered in children. However, occasionally they may occur in adults with mental retardation or psychiatric illness. Foreign bodies may be inorganic material such as plastic or metal. Examples include small parts of toys or even beads. These are sometimes discovered incidentally. Organic foreign bodies include wood, sponge, and food. They tend to irritate the nasal mucosa more and lead to earlier symptoms. Peas, beans, and nuts are among the more common organic foreign bodies. Males are more likely to insert foreign objects into their nose. Nasal foreign bodies including toys, building set pieces, coins, nails, screws, and batteries. In females, they tend to be jewelry and buttons. The average patient age is usually about 3 years.

    Bleeding is commonly reported in patients with nasal foreign bodies, although it is not significant in nature. The foreign body itself may cause irritation to the lining, mucosal damage, and sometimes extension into adjacent structures. It can lead to septal perforation and cartilage necrosis. Unilateral foul-smelling nasal drainage in a child is a foreign body unless proved otherwise. A persistent foreign body can lead to sinusitis due to obstruction of the drainage pathways. Button batteries are very destructive and need to be removed within hours if possible to prevent chemical burns, ulceration, and severe damage within the nasal cavities. They cause destruction via low voltage electrical current and severe necrosis if the alkaline contents leak out. Damage can occur within hours and require immediate removal to prevent tissue destruction and complication. Sometimes foreign bodies can be displaced posteriorly and obstruct the nasal airway as well as lead to tracheal aspiration which is a serious situation. Nasal foreign bodies can sometimes be removed in the office in a cooperative patient. If not, the procedure would need to be performed under general anesthesia.

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