Feldman Bruce A

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Map & DirectionsDirections20528 Boland Farm Rd Ste 210Germantown, MD 20876 Write a ReviewWrite Review

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Phone: (301) 515-6314

Phone: (301) 515-1673

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DR Bruce A Feldman MD

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Physicians & Surgeons, Physical Therapists, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Oncology, Physicians & Surgeons, Otorhinolaryngology (Ear, Nose & Throat), Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Sleep Disorders, Sleep Disorders-Information & Treatment

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Phone: (301) 515-8090

Address: 20528 Boland Farm Rd Ste 210, Germantown, MD 20876

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Feldman Bruce A

General Practitioners

Sinusitis
Sinusitis is an inflammation of the membrane lining of any sinus, especially one of the para-nasal sinuses. Acute sinusitis is a short-term condition that responds well to antibiotics and decongestants; chronic sinusitis is characterized by at least four recurrences of acute sinusitis. Either medication or surgery is a possible treatment.
Snoring
Many of us don’t think of snoring as something that we should be too concerned about unless your bed partner is keeping you from getting a good night's sleep!
Ear Infections
Otitis Media is the medical term for inflammation of the middle ear. When the middle ear is infected, the condition is known as Acute Otitis Media. Acute otitis media occurs when a cold, allergy or upper respiratory infection and the presence of bacteria or viruses lead to the accumulation of pus and mucus behind the eardrum, blocking the eustachian tube. This causes earache, swelling and redness. When fluid forms in the middle ear the condition is known as Otitis Media with Effusion. This is usually associated with a recovering ear infection or one that is about to occur. Fluid can remain in the ear for weeks to many months. When an ear problem persists or repeatedly returns, this is sometimes called chronic middle ear infection, also known as glue ear. If left untreated, ear infections can have potentially serious consequences.
Sleep Disorders
First of all, it is absolutely necessary to rule out obstructive sleep apnea or other sleep disorders. Be wary of any doctor who says it is not necessary. Behavioral and lifestyle changes may be suggested. Losing weight, sleeping on your side, refraining from alcohol and sedatives are often recommended.
Diarrhea
Immunizations
Adults and children of any age can be tested for allergies. Because different allergens bother different people, your allergist will take your medical history to determine which test is the best for you. Some medications can interfere with skin testing. Antihistamines, in particular, can inhibit some of the skin test reactions. Use of antihistamines should be stopped one to several days prior to skin testing. Reasons for allergy testing: To help you manage your allergy symptoms most effectively, your allergist must first determine what is causing your allergy. For instance, you don’t have to get rid of your cat if you are allergic to dust mites but not cats, and you don’t need to take medication all year if you have a seasonal allergy to ragweed. Allergy tests provide concrete information. And once you know the specific allergens causing your symptoms, you can try to: avoid exposure to the allergens; get specific medical treatment; and if necessary, consider specific vaccination with the allergen, or “allergy shots.”

Endoscopy
Nasal endoscopy offers the physician specialist a reliable, visual view of all the accessible areas of the sinus drainage pathways. First, the patient’s nasal cavity is anesthetized; a rigid or flexible endoscope is then placed in a position to view the structure of the nasal cavity. The procedure is utilized to observe signs of obstruction as well as detect nasal polyps hidden from routine nasal examination. During the endoscopic examination, the physician specialist also looks for pus as well as polyp formation and structural abnormalities that will cause the patient to suffer from recurrent sinusitis.

Endocrinologist

Diabetes Care
Thyroid
Thyroid Cancer
Nodules within the thyroid gland are very frequent in the adult population. Some studies suggest up to 50% of the adult population have thyroid nodules. Thyroid nodules commonly are benign, but may represent thyroid cancers. The risk of thyroid cancer is higher in an elderly age group, and is higher with a past history of radiation therapy. Also, the larger a thyroid nodule is, the higher the risk of malignancy for some nodules. Thyroid nodules may be identified during routine physical exams by general medical physicians, or may be identified by the patient during a shower or during shaving. Thyroid nodules, when they are large enough, can also be sensed as a lump in the neck, especially noticeable during swallowing.

Ultrasound
The evaluation of the thyroid nodule involves a complete history and head and neck physical exam, including evaluation of vocal cord function. The nerve to the vocal cord travels just deep to the thyroid and can occasionally be affected by thyroid nodules. This requires a vocal cord evaluation after a complete history and physical exam. Testing is typically recommended, usually a blood test to assess the functioning of the thyroid and often a thyroid ultrasound to assess the exact nature and size of the thyroid nodule. This is a painless test which involves no radiation. The central test for work-up of the thyroid nodule is a fine needle aspiration. Fine needle aspiration (FNA) can be considered a microscopic needle biopsy. This often allows definitive diagnosis. Surgery is typically reserved for lesions that are identified as malignant or suspicious on fine needle aspiration. Other treatment options are available for lesions that are benign on fine needle aspiration. For large thyroid masses/goiter, additional evaluation is often necessary, and may include CT scanning, MRI scanning, or barium swallow. The purpose of these tests is to assess the relationship of the thyroid mass to the adjacent swallowing tube (esophagus) and breathing tube (trachea).
MRI
The evaluation of a neck lump, nodule, or mass is performed by the Otolaryngologist. It is important to assess a history of smoking in a patient with a neck nodule. A complete head and neck exam is essential to view the entire upper aerodigestive tracts (breathing/swallowing passage). During the ENT office exam, the location of the nodule can often given a clue as to its identity. CT and MRI scanning and other radiographic evaluation is sometimes necessary. Fine needle aspiration (please see thyroid nodule above) is often a centrally important test in the work-up of a neck nodule and represents a microscopic biopsy that usually provides definitive diagnosis without surgery.
Chemotherapy
Reducing your cholesterol level may reduce your tinnitus. Vascular Abnormalities: Arteries may press too closely against the inner ear machinery or nerves. This is sometimes correctable by delicate surgery. Stress: Stress is not a direct cause of tinnitus, but it will generally make an already existing case worse. Diet and Other Lifestyle Choices: Like stress above, a poor diet can worsen an existing case of tinnitus. Alcohol, tobacco, caffeine, quinine/tonic water, high fat, high sodium can all make tinnitus worse in some people. Drugs: Many prescription and over-the-counter drugs may cause tinnitus and/or hearing loss that may be permanent or may disappear when the dosage is reduced or eliminated. Before starting treatment with any prescription drug, tinnitus sufferers should always ask their physician and/or pharmacist about the potential for ototoxic side effects. These drugs include; salicylate analgesics (higher doses of aspirin), naproxen sodium (Naprosyn, Aleve), ibuprofen, many other non-steroidal anti-inflammatories, aminoglycoside antibiotics, anti-depressants, loop-inhibiting diuretics, quinine/anti-malarials, oral contraceptives, and chemotherapy.
Radiation Therapy
Treatment for head and neck cancer is very dependent on the type of tumor, where is has occured, and how large the tumor is. The goal in all cancer treatment is to remove the tumor with as little damage as possible to important structures in the head and neck. For many tumors treatment involves a combination of surgery and radiation therapy. There are some tumors that are treated best with only radiation therapy, and others that can be totally cured with surgery alone. There are too many variables to describe in general how a head and neck tumor is best treated, and each case must be considered on an individual basis by your physicians.

Otolaryngology
The ear, nose and throat physicians at The Feldman ENT Group who specialize in pediatric otolaryngology are experienced in treating conditions both in the office and operating room that occur often and/or exclusively among babies, children and adolescent patients.
Reconstructive Surgery
Specializes in facial plastic and reconstructive surgery with special interest in rhinoplasty, face lift, and eyelid rejuvenation, disorders of nasal breathing, and sinus disease

Plastic Surgeons

Rhinoplasty
Plastic Surgery
Face Lift

Lesions
The sufferer might hear the pulsatile flow of the carotid artery or the continuous hum of normal venous outflow through the jugular vein when in a quiet setting. It can also be an early sign of increased intracranial pressure and is often overshadowed by other neurological abnormalities. The sounds may arise from a turbulent flow through compressed venous structures at the base of the brain. Subjective Tinnitus. This form of tinnitus may occur anywhere in the auditory system and is much less understood, with the causes being many and open to debate. Anything from the ear canal to the brain may be involved. The sounds can range from a metallic ringing, buzzing, blowing, roaring, or sometimes similar to a clanging, popping, or nonrhythmic beating. It can be accompanied by audio-metric evidence of deafness which occurs in association with both conductive and sensorineural hearing loss. Other conditions and syndromes which may have tinnitus in conjunction with the condition or syndrome, are otosclerosis, Meniere’s Disease, and cochlear or auditory neve lesions. Hearing loss, hyperacusis, recruitment, FMS, and balance problems may or may not be present in conjunction with tinnitus.

Physical Therapists

Physical Therapy
FYZICAL’s treatment and recovery protocols include utilizing cutting-edge equipment which isn’t available at any other outpatient physical therapy or treatment center in the area. Visit our site and read more about what FYZICAL can do for you.

Allergies
Discovering what you are allergic to is vital to a successful treatment. Allergy testing is conveniently done at the Feldman ENT Division offices.

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