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Endormir Sleep And Sinus Institute

Sleep Apnea Treatment San Antonio Tx

Pasha Snoring and Sinus Center Patient Stories: Jerry

Obstructive sleep apnea is a condition takes a heavy toll on health, well-being, and quality of life. The good news is that OSA usually treatable. Our sleep apnea surgery success rate is very high, and our patients are delighted by the significant improvements they experience after treatment. Link video of obstructive sleep apnea here

Options for sleep apnea surgery include:

A contemporary two-phase surgical approach for OSAS treatment has been developed to limit over operating and to decrease risks of surgery. It is important to note that if this phased protocol is used the patient and referring physician must understand that both phases may be necessary. The protocol was not intended to be a single phase protocol. A polysomnogram is necessary after phase one . If the patient is controlled no further treatment is needed. If incompletely treated then phase two is appropriate.

The first phase is the most conservative approach and addresses palatal and tongue base obstruction without movement of the jaw or teeth. An Inspire hypoglossal stimulator may be considered for treatment of airway obstruction. It should be emphasized that improved surgical success is dependent upon optimizing the soft-tissue. Maxillomandibular advancement and Distraction Osteogenesis with Maxillary Expansion are performed to improve severe obstructive sleep apnea as well as expand the nasal airway.

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Our treatment frequency feature helps you understand how often a provider performs or treats a specific procedure/condition compared to other doctors. Providers rank in one of four frequency categories:

Specific procedures/conditions that dont have enough data are indicated with May Perform. We encourage you to contact the provider with questions about their experience.

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  • Evaluation and Treatment of Sleep DisordersMay Perform
  • Fiberoptic Endoscopic Evaluation of Swallowing May Perform
  • Middle Ear Implant Candidacy EvaluationMay Perform
  • Treatment Frequency

    Many providers have expertise treating multiple conditions or procedures. FindCare uses a variety of data sources to determine which conditions or procedures a provider treats and their level of experience.

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    How Can I Stay Healthy While Taking Advil Cold & Sinus

    To stay healthy while youre not feeling well, it is essential to take Advil Cold & Sinus, as directed by your healthcare provider.

    Since there are so many OTC medications to help relieve cold and flu symptoms, consider talking with your pharmacist to prevent taking several doses of the same type of drug, limit drug interactions, and find the best product for you based on your symptoms, medical conditions, and other medications that you may take.

    While taking Advil Cold & Sinus, notify your healthcare provider if you experience any of the following:

    • Cold and flu symptoms that worsen or that dont go away
    • Fever that worsens or lasts more than three days

    Will Balloon Sinuplasty Help Your Chronic Symptoms

    Sleep and Sinus Surgery at Endormir Clinic in San Antonio, Texas

    The American Sinus Institute specializes in Balloon Sinuplasty. Our leading physicians are Board Certified in Otolaryngology and serving patients from across Texas at our state of the art centers. Our staff members, clinicians and physicians are experts in the ENT field who have undergone extensive training. We are committed to delivering quality care through compassion, detail and focus on solving your sinus problems. Balloon Sinuplasty is a minimally invasive procedure that opens sinus passages. It relieves the pain and pressure associated with chronic sinusitis. If you are experiencing any of the symptoms listed below, you may be a good candidate for Balloon Sinusplasty.

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    What Other Medications Interact With Advil Cold & Sinus

    Use caution when taking the following medications with Advil Cold & Sinus:

    Talk with your pharmacist or healthcare provider for more detailed information about medication interactions with Advil Cold & Sinus.

    And be sure to talk with your healthcare provider about any other medicines you take or plan to take, including OTC, nonprescription products, vitamins, herbs, or plant-based medicines.

    Richmond Hill Sleep And Lung Institute


    As the leading clinic in York Region, were committed to going above and beyond to provide our patients with the professional care and attention they need. With our highly experienced team, extensive services and state-of-the-art technology, you can rest assured that Richmond Hill Sleep and Lung Institute can help with all your sleep issues.

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    How To Take Advil Cold & Sinus

    Take one or two coated tablets or capsules of Advil Cold & Sinus every four to six hours as needed, for no longer than three days if treating a fever or longer than seven days if treating nasal congestion. If symptoms persist, the drug should be stopped, and a healthcare provider should be consulted.

    Do not take more than six tablets or capsules in 24 hours. To prevent interfering with sleep, do not take the last dose within two hours of bedtime.

    Advil Cold & Sinus can be taken with or without food. However, if you experience an upset stomach, take the medication with food or milk.

    Endormir Sleep And Sinus Institute

    Welcome to the Pasha Snoring & Sinus Center!

    Sleep Medicine 1 Provider

    14603 Huebner Rd, San Antonio TX, 78230

    Make an Appointment

    • Blue Cross and Blue Shield of Texas
    • Allergic Rhinitis
    • Continuous Positive Airway Pressure
    • Deviated Septum
    • Evaluation and Treatment of Sleep Disorders
    • Fiberoptic Endoscopic Evaluation of Swallowing
    • Head or Neck Lump or Swelling
    • Salivary Gland Stones and Inflammation

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    Air Force Career & Medical Aspirations

    Dr. Barrera’s stud academic and athletic status led to his recruitment and nomination by his two senators, propelling him through the Air Force Academy in 1989, where he attended the Academy’s Preparatory School before going to the school “up on the hill.” He majored in biochemistry and graduated with military distinction, which allowed him to receive a coveted health professions scholarship to go to medical school.

    During his tenure in medical school at the University of Colorado, Dr. Barrera fell in love with the anatomy of the head and neck and found a desire to be an ear, nose, and throat surgeon. He began research in genomics and head and neck cancer in a lab for the last two years of medical school, where he published papers that caught the attention of the Chairman, Dr. Bruce Jafek. His excellence led to a residency where only three applicants out of 50 were accepted.

    Dr. Barrera has excelled in both his medical aspirations and military operations throughout his career. After completing his residency, the Air Force sent him to Tokyo to practice at the Yokota Air Base. Dr. Barrera highlighted that this significant move was made possible by the love and support of his wife, Dena, who was caring for a young child with another one on the way. For the first three years of his career, Dr. Barrera was in charge of all head, neck, and ENT surgery for the airbase and the entire mainland of Japan.

    Don’t worry he got to fly some planes while he was there.

    About Nici E Bothwell Md

    Nici Eddy Bothwell, MD isa sleep medicine otolaryngologistwho practices at North Central Federal Va Cboc Pharmacylocated at 7400 Merton Minter StinSan Antonio, TX 78229 .

    Dr. Nici E. Bothwellhas 16+ yearsof experience in sleep medicine otolaryngology.


    Nici E. Bothwell, MD earneda degreeof aDoctor of Medicine.

    Licenses and Affiliations

    Nici E. Bothwell, MD has been registered with the National Provider Identifier databasesince December 19, 2005,and her NPI number is 1033195417.Dr. Bothwell certified herNPI information on 08/03/2022.

    Book an Appointment

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    Dosage: How Much Advil Cold & Sinus Should I Take

    Additional Content Provided and Reviewed by IBM Micromedex

    The dose of this medicine will be different for different people. Follow your healthcare provider’s orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your healthcare provider tells you to.

    The amount of medicine you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

    For symptoms of cold or flu:

    For oral dosage form :

    • Adults and children 12 years and older1 to 2 capsules every 4 to 6 hours a day. Do not take more than 6 capsules per day. Each capsule contains 200 milligrams of ibuprofen and 30 milligrams of pseudoephedrine.
    • Children younger than 12 yearsUse is not recommended.

    For oral dosage form :

    • Adults and children 12 years and older1 to 2 tablets every 4 to 6 hours a day. Do not take more than 6 tablets per day. Each tablet contains 200 milligrams ibuprofen and 30 milligrams pseudoephedrine.
    • Children younger than 12 yearsUse is not recommended.

    What Are Reasons I Shouldnt Take Advil Cold & Sinus

    Sleep Apnea Treatment, San Antonio, TX

    Avoid using it if you’re allergic to Advil Cold & Sinus or its ingredients. Ask your pharmacist or healthcare provider for a complete list of the ingredients if you’re unsure.

    Don’t take Advil Cold & Sinus if the following applies to you:

    • Allergic reaction to aspirin, ibuprofen, and similar medications
    • Before or right after heart surgery
    • Children under 12 years old
    • Monoamine oxidase inhibitor medication use within the last 14 days

    Advil Cold & Sinus might worsen the following conditions. So, talk with your healthcare provider before taking this OTC product.

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    Texas Center For Facial Plastic And Laser Surgery & Endormir Sleep And Sinus Institute Is Among First In Texas To Offer New Option That Improves Nasal Breathing Without Altering Appearance

    SAN ANTONIO, Oct. 03, 2017 Dr. Jose Barrera is among the first in Texas to offer the LATERA® absorbable nasal implant, to address one of the root causes of nasal obstruction which affects more than 20 million Americans.i Nasal obstruction restricts airflow through the nose and often negatively impacts ones quality of life.ii Symptoms include nasal congestion, labored nasal breathing, challenges getting enough air through the nose while exercising, and trouble sleeping.iii

    Cottle Maneuver

    A photo accompanying this announcement is available at

    One of the most common causes of nasal obstruction is nasal valve collapse , which occurs when the lateral wall of the nose collapses inward as a person inhales.iv,v The LATERA® absorbable nasal implant supports this lateral cartilage, which may help you breathe better through your nose with significant quality-of-life improvements.ii

    Dr. Barrera will be offering the LATERA implant at his new offices, which open on October 30th at 14603 Huebner Road, Building 1, San Antonio, TX, 78230.

    Im so glad Dr. Barrera recommended LATERA for my NVC. The staff at Facial Plastic Surgery & ENT was great, and Dr. Barrera explained how LATERA works which made me feel confident in choosing it, said Robert Demel, Dr. Barreras patient and LATERA recipient. I am sleeping and breathing better my quality of life has improved dramatically.

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    Sleep Apnea: The Silent Killer

    Sleep apnea occurs when tissues in the back of the throat collapse during sleep, causing an obstruction in the airway. This leads to pauses in breathing and reduced oxygen levels in the bloodstream. Individuals with sleep apnea in Las Vegas usually exhibit chronic loud snoring and may awake suddenly with a gasp or choke. This can occur repeatedly throughout the night as often as several hundred times in some cases and the consequences are steep. Patients suffer from daytime fatigue concentration difficulties memory lapses stress and irritability. They may experience a low sex drive and have a higher risk of being involved in an automobile accident. Threats to their physical health include cardiovascular disease, high blood pressure, stroke and diabetes. Personal relationships and job performance are often affected. Sleep apnea is a global health concern that affects around one billion people worldwide.

    Symptoms include:

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    An Alternative Treatment For Sleep Apnea

    The majority of sleep apnea patients benefit from continuous positive airway pressure . They must wear a mask that delivers steady bursts of air throughout the night to keep the airway from collapsing. This does work in most cases, but many patients find it extremely difficult to tolerate the mask. It is often uncomfortable and the noise from the machine can make falling asleep difficult.

    Fortunately, recent studies indicate that sinus surgery may be an effective alternative for some individuals with sleep apnea in Las Vegas those whose condition is the result of problems in the nose or sinuses.

    Swelling of the sinuses may be the result of polyps or cysts when these grow too big, they can block the airway and interfere with breathing. Removing these obstructions via sinus surgery can provide immediate relief for these patients.

    The type of sinus surgery will depend on the root cause of your problem and the severity of your symptoms. Youll likely be a candidate for one of two procedures:

    • Functional endoscopic sinus surgery . This procedure involves insertion of a flexible tube mounted with a camera through the nasal passages to remove blockages.
    • Caldwell-Luc surgery. This procedure is less common and more invasive. It involves excising larger growths in the nasal passages.

    Not all sleep apnea patients will benefit from sinus surgery, so its important to talk to a Las Vegas ENT specialist to determine a treatment plan that will work for you.

    A Legacy Of Excellence

    Top 10 Things You Need to Know About Sleep Apnea Surgery

    Returning from Japan, Dr. Barrera received an Arthur S. Flemming Award from George Washington University and was recognized as the clinical researcher of the year at the Department of Defense. These accolades led him on the path to being accepted into a dual fellowship program at Stanford University to become certified in plastic surgery, craniofacial surgery, and sleep apnea surgery. He completed the program in 2008 and continued to train with the world’s best, later inventing Sleep MRI, leading to multiple patents for Dr. Barrera.

    Finally, Dr. Barrera found his way to San Antonio, becoming chief of sleep apnea and craniofacial surgery at Lackland Air Force Base. In 2010, he deployed to Afghanistan as the only plastic and ENT surgeon on base. Dr. Barrera operated on local children with clefts, ear deformities, and scars of war that were brought in by patrols. After this deployment, he served the rest of his active duty commitment as the chief of facial plastic surgery at the San Antonio Military Medical Center and as the chairman of the department of otolaryngology for both the Army and the Air Force. Dr. Barrera led 70 people in the department, 17 surgeons, and 12 residents until 2014.

    Through persistence and an unwavering passion, Dr. Jose Barrera has established himself as a true Texas Innovator.

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    What Is Advil Cold & Sinus Used For

    Advil Cold & Sinus is a combination over-the-counter medicine used to relieve cold and flu symptoms.

    Although similar in some ways, the cold and flu are very different. The common cold is usually mild, with cough, congestion, and stuffy nose symptoms. The flu is typically more severe, with cough, fever, chills, body aches and pain, extreme tiredness, and headache symptoms.

    Jose Barrera Md Facial Plastic And Reconstructive Surgeon

    We are delighted to welcome Dr. Elizabeth Harris to the Texas Center for Facial Plastic and Laser Surgery Team. Dr. Harris is a board certified Plastic Surgeon and has been in practice in San Antonio since 1993. She specializes in breast augmentation and reconstruction, tummy tucks and Mommy Make

    Sleep is a critical part of our lives. During our sleeping hours, our bodies and minds recover from the many physical and mental strains of the day. Muscle is rebuilt, memories are formed, and neural pathways are regenerated during deep sleep.These restorative qualities of sleep often evade peo

    We are introducing our surgeons at Texas Center for Facial Plastic and Laser Surgery. Dr. José Barrera has been in practice 18 years. Dr. Barrera is an Inter nationally sought after Professor and Speaker in Facial Plastic and Reconstructive Surgery and Sleep Surgery. He has then served as the co-

    As we welcome a New Year, we remain #thankful. Joyful for the victories of 2020 and mindful of the challenges we overcame. We share in knowing that this past year was difficult for many of our patients, friends, and family. We pray and hope for healing and peace for our nation and world.New Staf

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