Same or Next Day ENT Appointments Available. Most Insurances Accepted.

Northeast Atlanta ENT has been in practice for over 30 years.  Located in Johns Creek (Suwanee), Lawrenceville, and Dacula (Hamilton Mill), our vision is to provide patients with excellence in care. We focus on delivering tailored, specialized services and treatments for all ENT-related issues.

We are honored to be a recipient of the Top Doctor of Atlanta this year, nominated by our professional colleagues among an exceptional roster of Metro Atlanta physicians.  Our peers and our patients alike continuously acknowledge our success. Here are our most recent patient reviews and their reasons for choosing us.

With the expansion of our larger facility in Johns Creek, we are thrilled to announce Dr. Travis Weinsheim and Dr. Tanisha Hutchinson have joined our team. These additions will help us further accommodate our patients, as well as enhance our service and treatment options. Each location specializes in both general Adult and Pediatric ENT. We offer advanced medical technology and a wide range of services, including allergy testing and treatment, audiology and hearing aids, sinusitis and balloon sinuplasty, snoring and sleep apnea, head and neck surgery, and cosmetic procedures.

Our partners, Dr. Jeffery Roth and Dr. Ajaz Chaudhry, have worked together to launch the new Northeast Atlanta ENT website. Our rebranding focuses on patient relations by helping existing and potential patients get to know our doctors and specialists better. We want you to be absolutely confident in choosing us. Our patients love it! Come check it out!

Sleep Apnea is a sleeping disorder that causes abnormal breathing patterns, usually accompanied by snoring. Sleep Apnea is broken down into three different types:

  1. Obstructive – relaxed throat muscles cause an obstruction.
  2. Central – the brain does not send the proper messaging to the muscles.
  3. Complex – includes both Obstructive and Central.

Symptoms for all three types can overlap, which sometimes makes Sleep Apnea difficult to diagnose and treat. If you’re experiencing any of the following (or a combination), it may be time to see your ENT Specialist:

  • Episodes of disrupted breathing or not breathing at all
  • Fatigue during the day or Hypersomnia
  • Excessive or loud snoring
  • Dry mouth
  • Headaches
  • Irritability
  • Insomnia

Our doctors here at Northeast Atlanta ENT specialize in Sleep Apnea, providing you with exceptional care and options to treat the root cause of the issue. Our newest option for treatment is called Inspire, an FDA-approved device that is implanted during an outpatient, non-invasive procedure that treats Obstructive Sleep Apnea at the core. All you have to do is press a button, and the device opens your airway to ensure better airflow and a peaceful night’s sleep. No more masks or noisy machines!

For more information about Sleep Apnea and how Northeast Atlanta ENT can help you, listen to Dr. Matthew Carmichael’s short video: https://northeastatlantaent.com/snoring-sleep-apnea/

Get to know Dr. Carmichael: https://northeastatlantaent.com/matthew-carmichael-md/

If you’d like to read more about Inspire, go to https://www.inspiresleep.com/

For more information or to schedule an appointment, call us today: (770) 237-3000.

Swimmer’s Ear – What You Need to Know for Summer

Swimmer’s Ear, also known as Otitis Externa, is an infection caused by water trapped in the outer ear canal that connects your eardrum to the outside of the ear. When the water pools inside the canal, it creates a moist environment for bacterial growth along the thin tissues of the canal. Sometimes Swimmer’s Ear is caused by damaging the thin tissues in the outer canal using cotton swabs, fingers, or other objects.

During the summer, Swimmer’s Ear is very common. It is caused by water from lakes, rivers, pools, or saltwater. Symptoms range from mild to severe, depending upon how much water pools or how long the water has been in the ear canal.

How do you know if your child has Swimmer’s Ear?

Mild or moderate symptoms may include:

  • Itching inside the ear
  • Ear redness on the outside opening of the canal
  • Discomfort when pulling or pushing on the ear
  • Drainage of clear, odorless fluid
  • Partial blockage and feeling of fullness
  • Muffled hearing

If your child starts to experience a fever, severe pain, or swelling of the lymph nodes in the neck, see a doctor immediately. Once your child has a fever, the infection is significant enough to require antibiotics or other treatment.

Although your outer ear canals have natural defenses to prevent infection, follow these tips to help avoid Swimmer’s Ear:

  • Avoid water that has high bacteria levels (lakes and rivers).
  • Keep the ears dry; thoroughly dry your ears after swimming and bathing with a soft towel or put a hairdryer on the lowest setting to dry the ear canal.
  • Do not aggressively clean the ear canal with cotton swabs.
  • If you have hearing aids or wear devices such as earbuds or Bluetooth, make sure to clean them after each use.
  • After swimming, use Swimmer’s Eardrops to dry up any water that accumulates out of reach of a cotton swab or hairdryer.

For questions or to schedule an appointment, contact us today: (770) 237-3000.

What is the Purpose of Ear Wax?

The production of ear wax is one of ear’s defenses to harmful bacteria and particles in the air. Ear wax, also called Cerumen, is produced in the outer part of the ear canal. Ear wax can be different colors and consistencies depending upon the individual; it is made of a combination of dead skin cells and hairs mixed with two different gland secretions.

Ear wax is completely normal, unless the color changes from yellow or yellowish-orange to very dark in color or if it contains blood or infection. Overproduction can be an annoyance, and it can be a sign of an underlying issue within the ear. If you are removing ear wax constantly or on a consistent basis, it might be a good idea to make an appointment with your ENT Specialist.

When Ear Wax Can Become a Problem

Ear wax can build up in the ear canal to a point where it causes complications. Cerumen impaction happens when ear wax builds and blocks off the canal, causing hearing loss, irritations, or potential problems if going undiagnosed.

Symptoms of Cerumen Impaction:

  • Difficulty hearing that is worsening
  • Discharge (greenish or contains dried blood) from the ear
  • Feeling of fullness in the ear
  • Ear pain or ringing noises
  • Itchiness inside the ear
  • Dizziness

When it comes to preventative care, it is important to understand that the human ear is designed to clean itself. Earwax buildup and blockage often occurs, because people incorrectly use cotton swabs or Q-Tips to clean their ears. Instead of getting rid of the wax, the wax is pushed deeper into the ear canal causing impaction or injury. When using swabs, only clean the outside of the ear canal. Do NOT use ear wax candles or suction devices to clean your own ears. Although there are some home remedies that may help remove ear wax, impactions must be removed with special devices by a healthcare provider. Using these devices on your own may cause greater harm or damage.

For questions, or to schedule an appointment, contact us today: (770) 237-3000.

Nasal Polyps are usually painless, noncancerous growths that develop in the soft tissues of the sinus cavities, usually in the hollow spaces near the bones around the inside of the nose. These growths can become irritated and swollen, which partially blocks the nasal passages.

Polyps form due to chronic inflammation, where the tissues in the nose stay inflamed for long periods of time; fluid builds up, and the membranes continue to grow around the buildup and inflammation. The cause of Nasal Polyps is usually linked to conditions such as Asthma, Allergic Rhinitis, Chronic Rhinosinusitis, Cystic Fibrosis, or repeat sinus infections.

What are the symptoms of Nasal Polyps?

The biggest concern of large, growing polyps is the blocking of the nasal passages. This can cause difficulty breathing, repeated sinus infections, Sleep Apnea, or frequent Asthma attacks.

Other symptoms can include:

  • Nasal congestion or drainage
  • Loss of smell or taste
  • Pressure or pain
  • Post nasal drip
  • Nosebleeds
  • Headaches
  • Snoring

Polyps are usually diagnosed through physical exams, where an ENT specialist will look into the nose with a nasal endoscope or perform a CT scan to see further into the sinus cavities. Some polyps can be treated through the use of steroid sprays, oral steroids, injections, stents to prop open the passages or even outpatient surgery. Unfortunately, even with treatment and surgery, polyps can redevelop. It may be possible that allergies cause the polyp formations, so allergy testing may be another option to get to the root cause. In the meantime, antihistamines and decongestants may be used.

Here are some tips for prevention or possibly remedying smaller or developing polyps on your own:

  • User a humidifier to keep the air moist and reduce inflammation.
  • Use a nasal spray or rinse to moisten the nasal passages.
  • Avoid irritants such as dust, debris, or smoke.
  • Manage your allergies or asthma.

You may call us anytime to schedule an appointment with one of our ENT Specialists to properly diagnose Nasal Polyps and a plan of treatment.

The glands in our noses continually produce mucus, because mucus keeps the nasal tissues moist, while also keeping them “clean.” Mucus is what helps the body fight infection, clearing what is inhaled, and moistening the air that you breathe. Most of the time, mucus is swallowed unconsciously. When you feel like mucus is gathering or dripping in the back of your throat, it is called Post-Nasal Drip.

Signs of Post-Nasal Drip can include:

  • Frequent swallowing or clearing the throat
  • “Lump” feeling in the back of throat
  • Throat soreness or irritation
  • Feeling mucus drainage
  • Bad Breath
  • Hoarseness
  • Swelling

What are the causes of Post-Nasal Drip?

Post-Nasal Drip is usually caused by environmental changes or changes within the body.

  • An individual may experience allergies or allergic reactions that increase mucus production.
  • When moisture in the air is low, the body overproduces mucus to make up for the change.
  • Breathing cold air will irritate the nose and throat; mucus is produced to warm the passages.
  • Illnesses, such as colds, sinus infections, and the flu increase mucus.
  • Eating spicy foods will cause the body react and produce more mucus.
  • Mucus production changes when coming in contact with chemicals, such as cleaning products.
  • Acid Reflux can increase mucus (or phlegm) causing hoarseness or trouble swallowing.

If you’re experiencing any of these systems continuously or during certain seasons of the year, you may want to schedule an appointment with your ENT. Although Post-Nasal Drip can be difficult to cure, there are several ways to treat the underlying causes. It may be that you have allergies you weren’t aware of, an infection the needs antibiotics, or perhaps you have Acid Reflux. It is important to identify the cause, so your ENT can make personalized recommendations for you. For questions, or to schedule an appointment, contact us today: (770) 237-3000.

Pollen counts in Georgia are on the rise due to the last couple of weeks of warmer temperatures. It is quite possible you’ve already seen the yellow “dust” floating around.

What types of pollen are you seeing? Right now, from late March to mid-April the tree pollen is what you’ll see the most; Oak and Birch will peak during this timeframe. Following the trees, it will be grass. Grass pollen will last for several months, finally dying down in the Fall. It isn’t until Fall that you begin to feel the effects of weed pollens, which include sage, ragweed, and pigweed.

What can you do to alleviate allergies?

Instead of using OTC antihistamines and other medications, there are two types of immunotherapy treatments that “treat” the actual condition (or allergy). If you’re looking for something that may control your allergies better than medications, you have two options:

  1. Allergy drops, or Sublingual immunotherapy (SLIT), means “under the tongue.” Usually this form of treatment involves liquid drops or tablets. Allergy drops are only FDA approved to treat ragweed, timothy grass, dust mites, and certain grass species.
  2. Allergy Shots, or Subcutaneous immunotherapy (SCIT), means “under the skin.” This type of treatment involves injections. However, shots are not available for food allergies or chronic hives.

Both treatment options are designed to expose the body to a moderate amount of the allergen, allowing your immune system to battle it. Over a period of time, your symptoms begin to diminish, because your body becomes tolerant of the allergen. Depending upon how the allergen affects each individual, it may take less or even more time to begin seeing diminished symptoms. Effects of shots and drops are not immediate; the most improvement shows during the second and third year of treatment. It is possible that those with severe allergies may need ongoing treatment to keep symptoms under control.

If you’re interested in knowing more, contact us. We provide testing and treatment plans tailored to your allergies and symptoms.

Epistaxis (nosebleed) is the loss of blood from the tissues and vessels inside the nose. Nosebleeds are very common among all ages, genders, and ethnicities.

There are actually two different kinds of nosebleeds:

  1. Anterior – begins in the front of the nose where there are hundreds of tiny capillaries. This is the most common type of bleed, and most of the time – not serious.
  2. Posterior – begins deeper inside the nose, usually affecting the larger blood vessels. This type of bleed causes heavy bleeding and often needs medical attention.

The causes of nosebleeds can vary among age groups and different circumstances. Children can get nosebleeds due to allergies, objects in the nose, or physical trauma due to accidents. Adults may have nosebleeds due to certain medications (aspirin, warfarin) or medical conditions (high blood pressure, hemophilia). Pregnancy can also affect the size of blood vessels, putting pressure on the lining of the nose. Blood clotting disorders can also cause nosebleeds.

Common causes of nosebleeds:

  • Dry air (drier, low-humidity climates or heated indoor air)
  • Colds or upper respiratory infections (sinusitis)
  • Allergies (inflammation of the nose)
  • Blowing the nose forcefully
  • Frequent nasal spray usage
  • Objects in the nose
  • Chemical irritants
  • Deviated septum
  • Illegal drug-use
  • Injury

Less common causes of nosebleeds:

  • Illegal drug-use or alcohol use or tobacco use (smoking)
  • Bleeding disorders (hemophilia, leukemia, von Willebrand disease)
  • High blood pressure (Atherosclerosis)
  • Facial and Nasal surgeries due to tumors or polyps
  • Pregnancy

When you have a nosebleed, the best thing you can do is remain calm and sit upright with your head slightly leaned forward. Leaning slightly forward will keep blood from being swallowed, causing choking, nausea, vomiting or diarrhea. Pinch the soft parts of your nose together for at least 5 minutes. You can apply ice to the bridge of your nose, or you can use a decongestant spray on the bleeding side of the nose to help with the bleeding if necessary. Depending on the seriousness of the nosebleed and conditions, there are several treatment options. Please see an ENT specialist if you have concerns of recurring or frequent bleeds. For questions, or to schedule an appointment, contact us today: (770) 237-3000.

When it comes to Pediatric ENT, we spend the whole month of February promoting awareness of all the different types of conditions that can occur in children under the age of 18. Although each diagnosis is unique, we are highly specialized in creating treatment plans for each patient.

  • Ankyloglossia (Tongue-tie) is a condition where the movement of the tongue is restricted. This happens because tissue between the tongue and the floor of the mouth is too short or “tight,” causing issues with swallowing and speech. Tongue Ties are usually discovered at infancy, when the infant cannot latch or breastfeed properly.

  • Lip Ties happen with the tissue behind the upper lip is too thick, keeping the upper lip from moving as it should. Lip ties are categorized into 4 categories according to their severity: Class 1 Mucosal, Class 2 Gingival, Class 3 Papillary, and Class 4 Papilla Penetrating. Lip ties are treated depending on the severity of the issue.

  • Pediatric Gastroesophageal Reflux Disease (GERD) is another phrase for acid reflux. It occurs when stomach acid flows back into the esophagus. When the acid reflux becomes severe, it can cause complications in children and turn into GERD.

  • Pediatric Hearing Loss affects millions of children each year. The hearing loss can be temporary or permanent. Sensorineural Hearing Loss (SNHL) is permanent, while other cases are caused by infections, trauma or even medications.

  • Pediatric Sinusitis looks very different in children than adults. Children’s sinuses are not fully developed until late into their teen years, although the sinuses behind the check and between the eyes are present at birth. Pediatric sinusitis is difficult to diagnose in children, because the symptoms could be caused by allergies or viral illnesses.

  • Pediatric Sleep-disordered Breathing or SDB is a condition where the airway is blocked repeatedly while a child is sleeping. During this disrupted sleep, the body thinks the child is choking, which increases heart rate, blood pressure, and brain activity.

  • Pediatric Thyroid Cancer is NOT common. However, it can appear in children whose thyroid gland doesn’t produce the appropriate amounts of hormones that control the body’s energy and growth.

  • Swimmer’s Ear or acute otitis externa affects the outer ear and ear canal. It is caused by inflammation, irritation, or an infection due to water that gets trapped in the ear canal.

  • Tonsillitis (also known as pharyngitis) is the inflammation of the tonsils, which are located at the back of the throat. Typically, this condition is caused by a viral or bacterial infection. Children can experience recurrent tonsillitis or persistent chronic tonsillitis.

  • Adenoids are glands that are high in the throat and are part of the soft palate, which are not visible through the mouth or nose. When bacteria enters through the mouth or nose, the adenoids (much like the tonsils) will try to protect the body and absorb those pathogens and begin to swell. When those glands get “too big” they can cause issues.

For more information, or to schedule an appointment with us, contact us today: (770) 237-3000.

The nasal septum is the cartilage-like wall between the nostrils, which should be center of the nose so that the left and right nostrils are the same size. When the septum becomes “deviated,” it means that one nasal passage is smaller than the other.

In some cases, the deviation is minor, which causes little to no symptoms. Adults may or may not even notice, because the deviation is so small. However, cases can be severe, causing several different symptoms where treatment is necessary.

Symptoms can include:

  • Reduced Airflow – this can cause difficulty breathing or even more exposure to the larger side. The wider opening can cause a drying effect, which can lead to crusting or nosebleeds.

  • Blockagescongestion or obstructions can occur when the tissues that line the nose become inflamed or swell.

  • Facial Pain or Headaches – this happens when the surfaces of the nose touch from the swelling, which can cause sensitivity and pain.

  • Noisy breathing – when the nostrils become obstructed it can cause snoring or loud breathing.

  • Frequent Sinus Infections – Nasal passages become super sensitive and any allergen that usually passes through can get caught and cause infections in the sinus tissues.

What causes a severe deviated septum?

In some cases, a person can be born with a deviated septum, because the nose developed that way before birth. Most of the time, a severe deviated septum is caused by physical injury from sports, games, car accidents, or blunt force trauma to the nose.

When should you see a doctor?

If your deviated septum causes frequent nosebleeds, repeated sinus infections, or your breathing has become altered – it is time to see your ENT. An ENT may try different prescription medications to reduce the swelling or inflammation of the nose, which may only be temporary treatment. For severe cases, surgery is usually required. An ENT may perform one of the following to rectify the deviated septum:

  • Septoplasty – moving the septum back into place.

  • Rhinoplasty – reshaping the external appearance of the nose.

  • Septorhinoplasty – when the septum is moved and the external appearance is altered.

In almost all cases, these minor surgeries fix the issue with little downtime. No matter what, we have several ENT specialists that will look into your symptoms and issues and find a treatment plan that is right for you. Contact us today: (770) 237-3000.

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