expert type icon EXPERT

Dr. James Hadley

Ear, Nose and Throat Doctor (ENT)

Dr. James Hadley is an ear, nose and throat (ENT) doctor, also known as an otolaryngologist, practicing in Naples, FL. Dr. Hadley 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.
46 years Experience
Dr. James Hadley
  • Bonita Springs, FL
  • Universite De Bordeaux Ii, Ufr De Medecine
  • Accepting new patients

Deviated septum?

ENT Evaluation is warranted.

I was prescribed a z pak?

Z-packs are not used to treat your symptoms and can be discontinued. Topical emollients will assist to improve the itchy ears.

Are tonsil stones surgically removed?

Not necessarily. These are cryptic debris in the tonsil crypts and can be dislodged in ENT office exams or use of irrigation techniques.

What is Meniere's disease?

Ménière's disease is described as a clinical condition characterized by endolymphatic hydrops. Clinical signs and symptoms include episodes of disabling dizziness and vertigo characterized READ MORE
Ménière's disease is described as a clinical condition characterized by endolymphatic hydrops.
Clinical signs and symptoms include episodes of disabling dizziness and vertigo characterized as a spinning sensation with prostration associated sometimes with nausea and emesis. Usually there is associated fluctuation of the hearing with diminished hearing in the associated ear along with loud ringing in the ear and a sensation of ear pressure.
These episodes may last several hours and then dissipate as the fluid pressure is released. Characteristically this is a problem in adults, sometimes secondary to the overproduction or lack of elimination of inner ear fluids. Treatment is usually symptomatic with sedation and antihistamine therapy such as meclizine. Hearing testing is highly recommended and follow up with otolaryngology is also recommended as well.

Why are my ears so itchy?

Desiccation and scaly ear. Canals symptoms are secondary to possible buildup of dry cerumen in the external ear which can be ameliorated with the use of topical emollient therapy READ MORE
Desiccation and scaly ear. Canals symptoms are secondary to possible buildup of dry cerumen in the external ear which can be ameliorated with the use of topical emollient therapy such as baby oil or other skin creams. Chronic exposure to water and retention of water and external ear will give rise to a dryness of the skin and predisposed to this symptom of pruritus.

Is it normal to have pressure built up in your ear?

Symptoms of pressure in the middle ear may be secondary to common problem of eustachian tube dysfunction. This causes a feeling of fullness and slight decreased hearing, which READ MORE
Symptoms of pressure in the middle ear may be secondary to common problem of eustachian tube dysfunction. This causes a feeling of fullness and slight decreased hearing, which is alleviated with "popping" the ears with swallowing or yawning or positive pressure like blowing through the nose with a nose closed.

What does white bumps on tonsils mean?

Tonsils have cryptic areas. Sometimes the folds in the tonsils will retain leftover debris from the shedding of the membranes. This will allow tract local bacteria of the mouth READ MORE
Tonsils have cryptic areas. Sometimes the folds in the tonsils will retain leftover debris from the shedding of the membranes. This will allow tract local bacteria of the mouth and oral cavity give rise to a syndrome of "tonsil stones". This is actually a combination of the local bacteria of the mouth and oral cavity that may build up and attached to the areas of the folds of the tonsils that prevent elimination of the material. This can be alleviated with irrigation of the tonsil region.

What causes fluid to form in one's eardrum?

Fluid sensation of the middle ear is common, possibly secondary to underlying issues of eustachian tube dysfunction, which may be secondary to low-grade allergy symptoms and/or READ MORE
Fluid sensation of the middle ear is common, possibly secondary to underlying issues of eustachian tube dysfunction, which may be secondary to low-grade allergy symptoms and/or sinus congestion. Treatment of eustachian tube dysfunction with positive pressure and Valsalva type maneuver can alleviate the symptoms on a regular basis. This includes "popping" of the ears with gentle pressure by blowing through the nose for the nostrils closed.

What are the treatment options for sinusitis?

The majority of cases of sinusitis and rhinosinusitis are secondary to a viral syndrome. Viruses may last 3-5 days and usually are, not complicated with bacteria. Bacterial infections READ MORE
The majority of cases of sinusitis and rhinosinusitis are secondary to a viral syndrome. Viruses may last 3-5 days and usually are, not complicated with bacteria. Bacterial infections sometimes occur after symptoms do not improve with a, respiratory tract inflammation after 7-10 days. Only then should antibiotics be administered.

Can acid reflux cause issues in my throat?

Symptomatic reflux causes a great deal of issues with the posterior portion of the throat and the larynx. Usually the symptoms are symptomatic with acid reflux and heartburn situation READ MORE
Symptomatic reflux causes a great deal of issues with the posterior portion of the throat and the larynx. Usually the symptoms are symptomatic with acid reflux and heartburn situation which can be alleviated with the use of Tums or other antacids and also with over-the-counter medications such as famotidine and/or omeprazole.
Laryngeal pharyngeal reflux is extremely common in patients causing a great you will of throat clearing and feeling of irritation and posterior nasal drainage and discharge, which is usually alleviated with the dietary treatments, avoidance of acidic foods and coffee and chocolate as well as avoiding eating meals, 2 hours before bedtime.

Is my snoring related to a nose blockage?

Snoring is a very common problem and usually related to symptoms of the soft palate, base of tongue and tissues of the oral cavity. Nasal blockage can cause nasal congestion and READ MORE
Snoring is a very common problem and usually related to symptoms of the soft palate, base of tongue and tissues of the oral cavity. Nasal blockage can cause nasal congestion and obstruction, which may contribute somewhat to some degree of mouth breathing and resulting snoring.

I seem to have lost my sense of smell. What could be causing this?

ENT physicians, otolaryngology physicians are the doctors who treat the active problems with lack of sense of smell and/or taste. Most common issue is the degree of nasal congestion READ MORE
ENT physicians, otolaryngology physicians are the doctors who treat the active problems with lack of sense of smell and/or taste. Most common issue is the degree of nasal congestion and obstruction, sometimes viral syndromes. Because this and/or gradual aging and history of familial loss of sense of smell.

Why do I hear ringing in my ears?

Tinnitus "ringing in the ears" is extremely common. Usually this is secondary to a form of mild degeneration of the tiny inner ear cells that pick up the hearing sounds. Once READ MORE
Tinnitus "ringing in the ears" is extremely common. Usually this is secondary to a form of mild degeneration of the tiny inner ear cells that pick up the hearing sounds. Once they are not working well, this leads to degeneration of sound production and incompatibility with the nerve to send proper messages to the brain.

My father is 80 years old and is partially deaf. What hearing aid would you suggest for him?

Professional hearing testing should be reviewed by a clinician prior to consideration of hearing devices to rule out any other problems. Many different hearing devices can be offered READ MORE
Professional hearing testing should be reviewed by a clinician prior to consideration of hearing devices to rule out any other problems. Many different hearing devices can be offered but the decision rests upon the review of the results of hearing testing.

Lately, my ears seem to have more wax than usual. Could this be a sign of an infection?

This is not a type of infection. The ears tend to be self-cleaning and the response to the cool water may increase some of the normal mechanisms to have the ears clean themselves. READ MORE
This is not a type of infection. The ears tend to be self-cleaning and the response to the cool water may increase some of the normal mechanisms to have the ears clean themselves.

I have slight pain in my throat and it seems to be a little red. Can you suggest some quick home remedy to treat my condition?

More than likely this may be the initiation of a viral type syndrome. The throat does respond with increasing swelling to fight off infection. Discomfort may settle down after READ MORE
More than likely this may be the initiation of a viral type syndrome. The throat does respond with increasing swelling to fight off infection. Discomfort may settle down after 48 hours and if persisting symptoms occur, consult your clinician. Ordinarily, hydration and acetaminophen may help out.

Are antibiotics required to treat a throat infection?

This still could be a type of initial viral syndrome and antibiotics are not indicated for such. If the patches persist after 5 days and symptoms do not improve, antibiotic may READ MORE
This still could be a type of initial viral syndrome and antibiotics are not indicated for such. If the patches persist after 5 days and symptoms do not improve, antibiotic may be considered after culture techniques.

Will repeatedly using earplugs put me at risk of an infection?

Earplugs should not cause infection. Cleaning the external portion of the earplugs is beneficial to prevent any irritation to the skin of the ear canal. Earplugs may potentially READ MORE
Earplugs should not cause infection. Cleaning the external portion of the earplugs is beneficial to prevent any irritation to the skin of the ear canal. Earplugs may potentially trap some normal earwax in the external ear or canal so that cleansing the ear canal is beneficial.

Can swimmer's ear get worse?

Usually the episodes of recurring external ear inflammation from swimming is not harmful but certainly painful. Prevention of ear infections following swimming using a combination READ MORE
Usually the episodes of recurring external ear inflammation from swimming is not harmful but certainly painful.
Prevention of ear infections following swimming using a combination of swimmer eardrops such as alcohol and acetic acid is beneficial to help reduce the number and frequency of these infections.

Could a sinus infection cause bad breath?

Sinus inflammatory nasal congestion may increase the degree of nasal and sinus mucus. This may tend to dry out and tagged a causing some thickened secretions in the posterior READ MORE
Sinus inflammatory nasal congestion may increase the degree of nasal and sinus mucus. This may tend to dry out and tagged a causing some thickened secretions in the posterior oral cavity resulting in halitosis. Using topical nasal saline irrigation techniques will help reduce that frequency and improve the symptoms of the halitosis.