Caramanico Cathy

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Physicians & Surgeons, Family Medicine & General Practice, Physical Therapists, Physicians & Surgeons

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(610) 279-7878

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Map & Directions60 W Germantown PikeNorristown, PA 19401 Write a Review

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Categories: Physicians & Surgeons, Family Medicine & General Practice, Physical Therapists, Physicians & Surgeons, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Otorhinolaryngology (Ear, Nose & Throat), Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Surgery-General

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Phone: (610) 279-7878

Address: 60 W Germantown Pike, Norristown, PA 19401

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Caramanico Cathy

General Practitioners

Osteoporosis
Headaches
Arthritis
GERD can affect people of all ages – even infants and children can get it. In the US, over 15 million adults suffer from heartburn on a daily basis. Some risk factors are known to negatively affect the function of the lower esophageal sphincter, including being overweight or obese, being pregnant, or smoking (including passive smoking). There are also several known medications that may cause GERD or exacerbate its symptoms. These include certain sedatives, blood pressure medications, asthma medications, and antidepressants. Gastroparesis, which involves delayed emptying of the stomach, can increase your risk of GERD, as can certain connective tissue diseases, such as lupus or rheumatoid arthritis.
Fibromyalgia
Like any arthritis, TMJ arthritis is also more common with age, especially if arthritis elsewhere is present. People with soft-tissue disorders like fibromyalgia can also be prone to TMJ problems.
Sinusitis
One in eight adults suffers from chronic sinusitis annually and is considered one of the most common health ailments in the United States.
Medical Weight Loss
Pediatric Care
If you have or suspect that you have a hearing loss in one or both ears, you may find yourself deciding between an audiologist or hearing doctor (also known as an ENT doctor) to get your hearing tested. An audiologist is a hearing specialist trained to diagnose and measure hearing loss, balance disorders, and tinnitus. Some may offer a specialty such as hearing aid selection/fitting, cochlear implants, pediatrics, and more. A hearing doctor is a medical doctor and also a hearing specialist trained medically and surgically to manage disorders of the ear. Similar to an audiologist, they can treat hearing loss, balance disorders, and tinnitus but can, additionally, treat ear infections, swimmer’s ear, cranial nerve disorders and congenital disorders.
Snoring
However, many people do suffer from a severe deviated nasal septum which can block one side of the nasal passage and result in reduced airflow. This makes breathing difficult and can lead to snoring and sleep apnea. A deviated septum can also cause additional oral or dental problems such as bad breath or tooth decay.
Primary Care
The list of conditions treated and managed by a neurotologist goes on and on. It covers hard-to-pronounce words such as glomus tumors, cerebrospinal fluid leaks, otosclerosis, autoimmune inner ear diseases, mastoiditis, facial paralysis, and cholesteatoma, among others. If you’re experiencing symptoms relating to hearing, balance, your ears, face, or head, your first stop should be with your primary care family physician. After an assessment, your doctor can then refer you to the relevant specialist, such as an ENT doctor specializing in neurotology.
Ear Infections
Our extensively trained and experienced hearing doctors treat hearing loss, balance disorders, tinnitus, ear infections, swimmer’s ear, cranial nerve disorders and congenital disorders.
Sleep Disorders
A common sleep disorder known as obstructive sleep apnea (OSA) is often associated with snoring. However, not everyone who snores has OSA. Both children and adults can suffer from OSA.
Emergency Care
If you have bleeding it will usually be around day 7, after the scabs have begun to slough off. If you just see a little bloody spit, you don’t need to do anything. If your mouth is filling with blood, do the ice-water swishes as it says in your instructions and call us. If bleeding continues or comes back, go to the nearest emergency room or call 911. This will only happen about 1-2% of the time so hopefully you won’t have to worry about it. The risk of bleeding is the reason we do not want you to travel outside the area for 2 weeks after an adult tonsillectomy (you must remain near a major hospital that has ENT doctors on staff).
Bronchitis
Immunizations

Ophthalmologists

Glaucoma
If you experience excessive nasal bleeding, symptoms of infection or symptoms suggesting that the implant has moved, such as irritation or a choking sensation in the back of the throat, immediately contact a healthcare professional. Close monitoring is recommended if you have a change of vision or a history of increased intraocular pressure, glaucoma and/or cataracts.
Cataracts

Pregnancy
Labor and Delivery
A deviated septum can also result from trauma or injuries, i.e., childbirth for babies and contact sports, incidental contact, rough play, or vehicular accidents for adults (to name but a few)

Gastroenterology
If you’re experiencing heartburn for the first time, it can be difficult to tell the difference between GERD and a heart attack. Both GERD and a heart attack involve chest pain. If in doubt, we recommend going to the nearest emergency room. Heart attacks are typically associated with shortness of breath and pain in the arm or jaw. Chest pain from heart disease is also usually exacerbated by physical exercise, which is less likely with GERD. However, unless you’re an expert in cardiology and/or gastroenterology, it’s still best to be examine by a qualified doctor if you’re not sure.

Neurology
Another way of explaining it is that neurotology is the overlap between neurology (study of the brain and nervous system) and otology (study of the ear).
Multiple Sclerosis

Attention Deficit Hyperactivity Disorder (ADHD)
While snoring in adults does not always indicate the presence of OSA, snoring or noisy breathing is abnormal in children. OSA is often overlooked in kids because the symptoms of OSA can be different in children than they are in adults. Not all children with OSA snore, and when they are tired they rarely nap, instead they become hyperactive (and may mimic those children with attention deficit-hyperactivity disorder) or develop behavioral problems. These behavioral problems may manifest themselves as irritability, lack of concentration, easy distractibility, and hyperactivity which can lead to problems at school. Some children with OSA are improperly diagnosed with attention deficit-hyperactivity disorder (ADHD). Additionally, many children with OSA are not overweight. Common symptoms of sleep apnea in children may include...
Depression
Mental Health
Antidepressants and antianxiety medications. If tinnitus is contributing to poor mental health, these medications can aid in lifting your mood and alleviating depressive or anxiety symptoms
Anxiety

Endocrinologist

Diabetes Care
Endocrinology
The thyroid and parathyroid glands are located around the base of your neck. Along with other team players such as the pituitary gland, hypothalamus, adrenal glands, and pancreas, they make up the endocrine system. The endocrine system holds an important role in the body as it regulates a number of functions, including metabolism, reproduction, growth, and mood. Although endocrinology is its own specialty area of medicine, ENT (ear, nose, throat) surgeons get to play a part in disorders of the thyroid and parathyroids due to their location in the neck.
Hypothyroidism
Hypothyroidism The opposite of a hyperactive thyroid is also possible – hypothyroidism. An autoimmune condition known as Hashimoto’s disease can cause damage to the thyroid, leading to underproduction of T3 and T4. This can result in symptoms such as...
Thyroid
Hyperthyroidism One of the most common thyroid disorders is an overactive thyroid, known as hyperthyroidism. The main cause of hyperthyroidism is an autoimmune disorder called Graves’ Disease, but other thyroid conditions such as nodules or goiter can also lead to an overactive thyroid. Excessive T3 and T4 hormones circulating in the body can lead to symptoms including...

MRI
Your Tinnitus doctor, more commonly your ENT doctor, will most likely be able to diagnose tinnitus based on the symptoms you report such as ringing in the ears, buzzing, and many of the aforementioned symptoms. Before considering treatment for tinnitus however, your doctor will work to identify underlying conditions that could be contributing to your symptoms. Your ears, head, and neck will be examined, your medical history will be considered, and specific tests may be administered such as a hearing test, blood test, CT/MRI scans, or a movement test of your eyes, jaw (for signs of TMJ typically), neck, arms, and even your legs.
X-Rays
Computed Tomography
In order to properly treat AERD, the patient needs to be evaluated by an otolaryngologist. Our ENT doctors will examine the patient and order the appropriate tests including a CT scan of the sinuses to further evaluate the sinus disease and polyps. The first step in treating the polyps will be sinus surgery followed by an aspirin desensitization program. We work closely with allergists who are trained in aspirin desensitization. Undergoing this multi-step process ensures the most accurate way to prevent polyp regrowth post-operatively and to decrease the risk of asthma flair ups and recurrent sinus infections.
Chemotherapy
Dec 14, 2022 | Hearing Loss In a paper published earlier this year, a study has found a concerning rate of hearing loss occurring in cancer survivors after chemotherapy. The study, which came out of the University of California San Francisco, followed almost 300 survivors of the four most common...
Radiation Therapy
Radiation therapy. There are a few different types of radiation therapy that can be used to treat acoustic neuromas. These include stereotactic radiosurgery, stereotactic radiotherapy, and proton beam therapy. In each case, very precise doses of radiation are delivered to the target area (that is, the tumor), minimizing the impact on the surrounding tissues. The aim of radiation therapy is to prevent the acoustic neuroma from growing and, in some cases, can even shrink it. Radiation therapy may be most appropriate for people who are not suitable for surgery, such as the very elderly or those in ill-health who would not do well with surgery.

Otolaryngology
One of Only Six Medical Groups in the United States to Hold Triple Board Certification in Otolaryngology, Sleep Apnea Surgery and Sleep Medicine
Reconstructive Surgery
Physical therapy can help to maintain your facial muscles while they recover as paralyzed muscles are known deteriorate from lack of use. You may be given certain exercises or taught how to massage your muscles. Infrequently, people with Bell’s may be recommended reconstructive surgery to correct long-lasting damage or dysfunction of certain parts of the face; for example, to help the eyelid close properly or lift the eyebrow so the face is more symmetrical.

Plastic Surgeons

Rhinoplasty
We can combine cosmetic rhinoplasty with an endoscopic sinus surgery procedure to refine and contour the shape of your nose.
Plastic Surgery
Dr. Lana B. Patitucci is Board-Certified in Otolaryngology-Head and Neck Surgery and Facial Plastic Surgery. She is also one of the leading pediatric ENT doctors in Philadelphia. She has been voted “Top Doc” by Philadelphia Magazine for the past 7 years and received the Patient Experience Excellence Award from Chestnut Hill Hospital in 2021.

Cyst
Lesions
We specialize in various surgical procedures including placing ear tubes for recurrent ear infections, removing tonsils and adenoids for recurrent sore throats or snoring or removing simple neck masses/lesions. If surgery is necessary, we are affiliated with surgical centers near you that have pediatric anesthesiologists available to care for your child.

Physical Therapists

Physical Therapy
Vestibular rehab is a form of physical therapy which is a gentle, non-invasive treatment for vertigo. Specifically, a test called the Dix-Hallpike is performed. During the test, the patient is placed in both a sitting up and then lying down position with the head moved in different positions to stimulate the dizzy symptoms. If the test is then found to be positive, an Epley Maneuver is performed to put the displaced crystals back in their original position, thereby treating the dizziness.
Neck Pain
TMJ Dysfunction
Our TMJ doctors are trained and experienced to expertly diagnose, treat, and manage TMJ dysfunction and disorders.

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