By James B Maddox MD PA
May 06, 2019
Category: Uncategorized
Tags: Acid Reflux  

One of the most common problems that Americans have is gastroesophageal reflux disease, better known as acid reflux. The National stomach-painInstitute of Diabetes and Digestive and Kidney Diseases estimates that up to 30 percent of the American population may struggle with it at some point in their lives. It’s common for patients who have a history of eating foods that disrupt their digestive system. You can get help dealing with acid reflux from Dr. James Maddox in Garland, TX.

What Is Acid Reflux and What Causes It?
When acid regurgitates from your stomach back into your esophagus, this is called acid reflux. It happens because a valve entering the stomach doesn’t close completely after you consume food. Patients who have a hernia may be more prone to this condition. The symptoms include a feeling of burning in the chest, excess mucus in the throat, bad breath, constant burping or hiccups, nausea, and bloating of the stomach. Eating foods (especially spicy ones) right before bed can aggravate symptoms, and patients who are overweight or frequently drink acidic beverages may also have recurrent acid reflux.

Acid Reflux Treatments
Garland ENT Dr. Maddox may have a solution to help you calm your acid reflux symptoms. Here are a few options you’ll talk about:

- Endoscopy or X-rays to look at the esophagus and stomach.
- Esophageal monitoring to see how the acid levels vary in your stomach during the course of a day.
- Prescription medication to reduce stomach acid after eating.
- Dietary modifications, including a nutritional consultation.
- Fundoplication surgery to tighten the lower esophageal sphincter.

Managing Acid Reflux at Home
After you consult your doctor and get treatment for acid reflux, you must also manage the condition at home and make important changes. Here are a few tips for how to keep symptoms in check:

- Avoid eating foods or snacks right before you lay down (at any time of day) and take a walk after a meal instead.
- Eat more vegetables and reduce your consumption of foods or beverages that are spicy, salty, carbonated, or acidic.
- Quit using tobacco products.
- Take action to lose weight and maintain a normal BMI.

Get Treatment for Acid Reflux
Acid reflux can be a difficult condition to manage, but a doctor can help. Call (972) 272-5555 today to schedule a visit with Dr. James Maddox, an ENT serving patients in Rowlett and Garland, TX.

By James B Maddox MD PA
March 11, 2019
Category: ENT Conditions
Tags: Allergies  

Woman With AllergiesA runny nose, itchy, reddened eyes, sneezing...these miserable symptoms represent something millions of Americans suffer from. It's allergies, and Dr. James Maddox, your Garland ENT doctor, helps patients of all ages manage their symptoms. Learn how this experienced physician pinpoints the triggers of allergic reactions and relieves them.

What are allergies?

The Asthma and Allergy Foundation of America says that broadly speaking, allergic symptoms occur when your body's own immune system reacts too strenuously to something you have eaten, touched, or inhaled. Common allergic triggers are:

  • Dust
  • Mold
  • Plant pollen
  • Food
  • Fabric
  • Insect bites
  • Latex gloves and condoms
  • Animal dander (tiny bits of an animal's skin--typically from a pet cat or dog)
  • Some medications, such as antibiotics

Symptoms range from mild to severe (anaphylactic shock is rare but life-threatening as it threatens the ability to breathe and have proper organ function). At our Garland office, allergies can be identified, alleviated, and managed so that patients feel good and function at their best.
Common allergy symptoms include:

  • Coughing
  • Sneezing
  • Fatigue
  • Itchy, watery eyes
  • Nasal congestion and copious mucus production
  • Post-nasal drip
  • Sinus headaches
  • Dizziness
  • Drop in hearing

Testing for and treating allergy symptoms

Blood work and skin testing help your otolaryngologist determine what environmental triggers, food allergies, and tactile irritants cause your various allergy symptoms. Dr. Maddox also listens carefully to patient input on what they believe may trigger their symptoms, the allergies' exact nature, how long they last, and what may worsen or improve them. The doctor then carefully creates a care plan tailored to individual need, medical history, age, lifestyle and of course, results of allergy testing.

Common strategies for avoiding or managing allergy symptoms include:

  • Avoidance of known triggers (if possible)
  • Immunotherapy (ie allergy shots) which expose the patient to a small number of allergens to desensitize the immune system's reactions
  • Antihistamine medications to block production of the natural substances that the body makes when exposed to a trigger
  • Nasal decongestants, including steroidal medication if needed
  • Corticosteroidal creams to reduce the itching and inflammation from skin reactions
  • Self-injected epinephrine (epi-pen) which reverses the severe symptoms associated with insect bites, food, and medications

People with persistent allergies should keep a diary of symptoms and triggers whenever possible, and those with life-threatening conditions should alert family, coworkers, teachers, and so on. Medical alert jewelry, such as a bracelet or necklace, is helpful, too.

Take control
Your allergy symptoms needn't rule your life. Identify and manage them with the knowledgeable assistance of Dr. James Maddox. Call his Garland office today for a helpful consultation: (972) 272-5555.

By James B. Maddox, MD
July 12, 2018
Category: None
Tags: Untagged

Woman sneezing from allergiesYou may have allergies that show up in the spring when plants are flowering and grass is growing. You’ve grown used to the itchy, allergies watery eyes and sneezing. But now, you have allergies in winter too, when you’re indoors because of bad weather. Your ENT specialists want you to know that allergies aren’t just seasonal. They can affect you all year long.

Hay fever, also called allergic rhinitis, is common during the spring and summer months and is caused by an allergic response to tree or grass pollen and various other flowering plants. But allergies aren’t confined to just spring and summer. When you are indoors during the fall and winter, you can experience allergies to pet dander, dust mites, mold and many other indoor irritants. You can also be allergic to certain foods and not even realize it.

Your first step in dealing with allergies is to learn what you are allergic to. Your ENT doctors can test you for food allergies and a variety of both indoor and outdoor allergens. Once you’ve found out what you are allergic to, your doctors may prescribe:

Allergy shots—typically given once a week with either a single injection or multiple injections depending on how many things you are allergic to.

Sublingual drop therapy—a convenient option for people on the go, or those who don’t want injections; your doctors mix up a custom treatment solution which you can take at home and use daily, as a drop under your tongue.

There are also some remedies you can try at home to get relief from allergy symptoms, such as:

  • Irrigating your nasal passages with a saline solution
  • Over-the-counter antihistamines and decongestants
  • Using allergy-proof pillowcases and linens
  • Using allergy or HEPA filters in your house, especially in the bedroom
  • Vacuuming your carpets regularly
  • Keeping your pets off of furniture and out of your bedroom

If you have irritating allergies, you already know they can affect your life. They can keep you from doing the things you like, and worst of all, they may not be just seasonal. But now there’s help just a phone call away from your ENT specialists. Call today and get some relief from your allergies!

By James B Maddox MD PA
October 05, 2015
Category: Uncategorized
Tags: Untagged

Welcome to the Blog of James B Maddox MD PA

James B Maddox MD PA would like to welcome you to our blog. Here you will find informative and useful postings about otolaryngology and our practice.

At James B Maddox MD PA we believe that educated patients are better prepared to make decisions regarding their health and wellbeing.  Our blog was designed to provide you with valuable ear, nose and throat information, the latest otolaryngology developments and health advice from our dedicated team. 

James B Maddox MD PA hopes you find our blog to be a great resource for keeping up to date with proper otolaryngology care and treatments.

We welcome all comments and questions.

-- James B Maddox MD PA





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James B Maddox MD PA

777 Walter Reed Blvd Ste 200 
Garland, TX 75042