Upper respiratory problems are common presenting concerns. Sinusitis, chronic congestion, and seasonal allergies (hay fever) often respond well to dietary changes, as well as nutritional and botanical supplementation, acupuncture and homeopathy. You can expect to give a detailed history – first to exclude serious underlying diseases, and to explore possible contributing causes including environmental allergens such as pollen and animal dander, food allergies, as well as chemical sensitivities. Inner ear issues such as tinnitus and vertigo have been helped by acupuncture, and sometimes spinal manipulation and other manual therapies. Sleep apnea, a serious health condition that can contribute to hypertension and cardiac issues, is diagnosed by a sleep specialist. Treatment begins with improved sleep hygiene together with dietary and lifestyle changes that promote optimal weight.