expert type icon EXPERT

Dr. Richard Laurence Nass

Ear-Nose and Throat Doctor (ENT)

Dr. Richard Nass is an ear, nose and throat (ENT) doctor, also known as an otolaryngologist, practicing in New York, New York. Dr. Nass specializes in diseases and disorders of the ear, nose and throat as well as other parts of the head and neck. Such structures an ENT may work on include the sinuses, larynx (voice box) and mouth in addition to the ear, nose and throat. There are seven areas of expertise that an ENT might specialize in, and these are: allergies; facial reconstructive surgery; head and neck; laryngology; otology/neurotology; pediatric otolaryngology; and rhinology.
49 years Experience
Dr. Richard Nass
  • New York, New York
  • New York University School of Medicine
  • Accepting new patients

Should I visit the doctor?

I would advise you to have a professional evaluation.

My ear pressure?

Probably a blockage of the “ear ventilating tubes”( eustachian tubes). Sudafed, long-acting should help BUT cannot be used if you have high blood pressure, cardiac disease, asthma, READ MORE
Probably a blockage of the “ear ventilating tubes”( eustachian tubes). Sudafed, long-acting should help BUT cannot be used if you have high blood pressure, cardiac disease, asthma, “overactive” thyroid, or certain types of glaucoma.

Nose injury?

You should be seen 4-5 days after injury if there is any change in nasal breathing compared to before injury, any change in appearance after any swelling has resolved. If you developed READ MORE
You should be seen 4-5 days after injury if there is any change in nasal breathing compared to before injury, any change in appearance after any swelling has resolved. If you developed a fever over 100 F, be seen sooner.

Ruptured eardrum?

Yes, make an appt. to see your ear surgeon.

Deviated septum?

You should have an ENT exam/consultation. Between your symptoms which have not improved on medication and the single image you included an ENT evaluation is appropriate.

I have multicolored mucus?

Left-sided bacterial sinusitis is most likely diagnosis….should be evaluated.

Ear pain and throat pain?

Sounds like a sinus infection with blockage of eustachian tube and possible secondary ear infection. Sore throat may be simple irritation from sinus drainage. You shouls be evaluated READ MORE
Sounds like a sinus infection with blockage of eustachian tube and possible secondary ear infection. Sore throat may be simple irritation from sinus drainage. You shouls be evaluated to assess for bacterial infection requiring antibiotics.

I have chronic sinusitis, eustachian tube dysfunction, tinnitus, pulsatile tinnitus, and cholesteatoma?

Was the surgery just septoplasty or this plus a sinus procedure? Do you (or did you) have medically prove chronic sinusitis? If you have untreated sinus disease, this could have READ MORE
Was the surgery just septoplasty or this plus a sinus procedure? Do you (or did you) have medically prove chronic sinusitis? If you have untreated sinus disease, this could have been present for many years and caused a “retraction-pocket cholesteoma. It should be addressed to lessen chance of eustachian tube problems in the future. Also, the size of the cholesteotoma on CT, your hearing level, and the status of the ossicles?? Many variables here.

Hoarse voice problem?

Hello, You need a full head and neck examination including an office-based examination of your “liwer throar” and “voice box.” Your symptom has many possible causes. Best READ MORE
Hello,

You need a full head and neck examination including an office-based examination of your “liwer throar” and “voice box.” Your symptom has many possible causes.

Best of luck,

Dr. Nass

What should I do?

I would advise your going to the nearest ER immediately for evaluation and management.

Ear infection?

“SwimEar” is an over-the-counter product. 3 drops in affected ear 3 times/day.

Do I have strep throat?

Hi, you need to be examined to determine this is a bacterial infection requiring antibiotics, a viral infection, or another process.

Neck and eye pain?

Would advise an orthopedic evaluation if not had one already…sounds like a musculoskeletal problem.

Vertigo?

Yes, there are alternative meds…but what was your diagnosis when you saw the ENT doctor, and what are current recommendations?

I was prescribed a z pak?

Zpak is not the first choice for ear infections unless specific circumstances - outer or middle ear infection? Do you have any chronic med. problems, antibiotic allergies, recent READ MORE
Zpak is not the first choice for ear infections unless specific circumstances - outer or middle ear infection? Do you have any chronic med. problems, antibiotic allergies, recent or current antibiotics for other reasons? A lot of variables.

Embedded fiberglass?

Would advise your going to nearest ER for evaluation and management.

Hearing loss?

TMJ does not cause objective hearing loss on formal audiometric testing… you should be professionally evaluated.

Fever?

Headache and fever without any other ENT or general symptoms- You should contact your PCP.

Excessive burping?

A number pf possibilities, including acid reflux… try otc pepcid twice/day for 2 weeks. (Minimize caffeine, alcohol, fried and spicy foods, 2-3 hours between last meal and going READ MORE
A number pf possibilities, including acid reflux… try otc pepcid twice/day for 2 weeks. (Minimize caffeine, alcohol, fried and spicy foods, 2-3 hours between last meal and going to bed.) If symptoms persist, would advise calling for appt.

Dr. Nass

Throat discomfort?

Many possibilities for this symptom… deserves an examination.

Dr. Nass