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Dr. John Chastain

ENT and Head and Neck Surgery
Marietta, GA
21 years experience

Locations

Office

Marietta, GA

Address

Marietta, GA
Directions

About

Bio

A native of North Georgia, Dr. Chastain prides himself on giving back to the area in which he was raised. After graduating from Georgia Tech with highest honors on a full academic scholarship, he attended medical school at the Medical College of Georgia. Dr. Chastain then garnered a highly sought-after residency position, training under ENT experts in their respective subspecialty fields at Saint Louis University Hospital and its affiliated hospitals in the Midwest after a general surgery internship at the same institution. Dr. Chastain has authored articles and book chapters on sinus anatomy and pathology, and he has taken part in surgical mission work in Honduras, performing sinus, thyroid, and ear surgery. As a resident, Dr. Chastain received the 2006 ENT Resident Research Award and scored in the 100th percentile on the national otolaryngology in-service examination. Dr. Chastain is certified by the American Board of Otolaryngology- Head and Neck Surgery. His practice interests include surgery of the thyroid and parathyroid glands, head and neck cancer surgery, facial plastic and reconstructive surgery, and nasal and sinus surgery. He also enjoys working with children and performing a wide variety of general ENT procedures, from ear tubes and tonsils to neck mass excision and airway surgery. Dr. Chastain enjoys the wide variety of medical issues and types of pediatric and adult patients he sees on a daily basis. He is a member of the American Academy of Otolaryngology- Head and Neck Surgery as well as the Cobb County Medical Society, and he serves on the Wellstar Surgical Services Quality Committee.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

ENT and Head and Neck Surgery

Languages spoken

English

Doctor Q&A

106 Answers
18 Agrees
The number of answers this doctor has agreed with.
A 40-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
?? Get a scan: Lots of possibilities. Lymph node, parotid salivary gland enlargement, benign lump like lipoma, remnant of tissues from embryologic development, etc. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 74-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Yes: I don't want to intrude upon another surgeon's preferences, but it is almost universally felt to be beneficial to rinse the nose gently with saline sp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
MRI, blood tests: The most accurate way to diagnose a pituitary tumor is by mri. Some pituitary tumors secrete hormones. Blood levels of these hormones may be checked... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Few symptoms.: Pituitary tumors are slow-growing and tend not to cause any acute symptoms, allowing them to grow to a relatively large size prior to their discovery.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
OTC treatment: It is easy to pay a lot of $ for a tinnitus work up, but it very rarely uncovers anything sinister (this isn't chest pain....). Start with plenty of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
It depends: Fortunately, in the era of modern medicine, diagnosis is typically not all that difficult. Mri is generally quite reliable in diagnosing pituitary tum... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Not recommended: Allegra, claritin, zyrtec, and Benadryl (diphenhydramine) are a few of several commonly available oral antihistamines. These help with nasal, eye, sin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Need more details: There is a large list of things that can cause cough- asthma, reflux, allergy, sinus infection, nerve irritation, among others. A dry cough is less li... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Sorry: It's unfortunate that you have these symptoms, but they are not related to your having taken amoxicillin. Sounds like you have already had some inner... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Not to my knowledge: If there is any effect of Mucinex (guaifenesin) on testosterone levels or the androgen axis, it is not felt to be strong (or widely known).
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Your call: Doesn't sound like you have anything terrible going on, but i don't know if you have any other symptoms or chronic medical conditions that put you at ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Being human!: Opinions vary, but... Especially for women, thyroid nodules are very common. These are sometimes familial or inherited. There is little to be worried ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Careful...: Primary concern would be elevation of blood pressure with phenylephrine or any decongestant.... Would start at lowest dose per package instructions an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Likely a lymph node: If it presented pretty rapidly, likely a lymph node- normal structure involved in response to local inflammation or infection. Hard to tell by your d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Nope: You probably have obstructive sleep apnea, much more common than central apnea (where one "forgets to breathe"). The only real treatment for central a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
See a doctor: Unclear by history, but depending on where the lump is, it may be an enlarged thyroid (if at bottom of neck). Could be any number of things, possibly ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Rhinitis: Flonase is used to treat sinus and nasal inflammation. Nasal steroid sprays work best when used every day. You may find that another steroid spray wor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Yes: Oral tobacco (dip, snuff, chewing) and cigar smoking (or chomping) are risk factors for mouth, tongue, and throat cancer. More use = more risk, especi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Yes!: Psychology plays into throat symptoms, but organic causes are very common, e g reflux, neuromuscular conditions, large tonsils, etc. At a minimum, yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Not sure: There are 2 main types of hearing loss: sensorineural (inner ear) and conductive (problem with sound getting to the inner ear). A hole in the eardrum ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Antibiotic: Good for you for waiting out what may have started as a viral upper respiratory infection, but your symptoms are lasting longer than a typical viral s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Probably not.: Tinnitus usually varies in intensity over time and might be improved by some otc supplements (e g arches), prescription meds (e g nortriptyline), and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Debatable...: Highly debatable topic, but in general, snoring can be difficult to treat. For many adults, snoring is not caused by one problem area but is a combina... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Not likely: Difficulty swallowing along with weight gain seems coincidental. The only mechanism i can think of that would cause this would be worsening of underly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Yes: It is important to ensure you're treating otitis externa (swimmer's ear) and not something else, as treatment of ear pain varies depending on the caus... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
No: Hallucinations are not a symptom of sinusitis... Unless, i suppose, it keeps you up for days with insomnia, or if you overdose on some crazy strong co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Varies: Oral anesthetics are generally very safe in oral care. They may burn initially, and if numb, it may be easier to cause trauma (e g bite your tongue an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Mucocele?: A common cause is a blocked minor saliva gland, which is a benign condition. A swollen area could certainly be from trauma. A long-standing lump could... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
It's all relative: Pituitary tumors are rarely malignant, tend to grow slowly, and often present before they are very big. Also, some tumors only require medical treatm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
BP or BPPV: It's not uncommon to get a little dizzy with rapid change in position. Two common causes of more severe dizziness are orthostasis, failure to maintai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Possibly: Pain from ear infection is typically constant but might throb intermittently. I take it that you are younger by the way you posted the question; kids... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Sore throat: The most common symptom of tonsillitis is sore throat (although there are many other causes of throat soreness). This is often accompanied by redness ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Possibly: A sore throat with a yellow blister type lesion could be strep, other bacteria, a viral infection, or tonsillolith (tonsil stone). Hard to say. If it ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Underlying cause?: Halitosis (bad breath) has many causes, often not as obvious as onion salad or needing a breath mint / chewing gum or to brush your teeth. Gi problems... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Unclear...: Need lots more details and probably some tests through your local ENT doc or even er if severe. List of a few possibilities: could still be reflux in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
A few things: Patients often complain of what they feel is severe facial swelling, but it is rarely as bad as what the mirror tells you. Some have a little baseline... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Encourage + monitor.: Nursing a pituitary patient back to health, in the short term, encourage light but regular activity (limited walking) once they are home. Plenty of f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Eustachian tube: Eustachian tube dysfunction. Often seen with or after allergy exacerbation/ cold / sinus infection. Keep popping your ears several times a day, try ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Most tumors grow.: Even benign pituitary tumors may grow, albeit slowly. Observation may be appropriate for older or very ill patients, but treatment is important to es... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Need more details: There is a large list of things that can cause such symptoms- asthma, reflux, allergy, sinus infection, nerve irritation.... You really should see a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Trauma, dryness: Nosebleeds are often caused simply by dryness of the nose, sometimes compounded by trauma (nose picking), prominent blood vessels along the nasal sept... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
See a doc: Symptoms that linger and are only on one side are more concerning than those that are intermittent, short-lived, and/or on both sides. You need to see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 63-year-old male asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Yes!: This is more commonly known as eagle syndrome. The styloid process is a bone that goes down from the skull. It may be elongated or attached muscle lig... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 65-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
ENT eval, scope.: You are a heavy voice user and at risk for vocal nodules. Similar to how body builders form calluses on the hands, excess vocal use may form inflamed ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Usually not: Pituitary tumors are almost always benign, and most are amenable to surgical excision. Residual tumor is often treated with radiation therapy. Growth ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Sialadenitis: The history is indeed suspicious for parotid infection (parotitis) and/or stone in the parotid duct, but it is not clear exactly what is going on. Ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
Fix it: Broken nose is typically a "clinical" diagnosis, i e based on appearance and feel of the nose. Get checked by anent or plastic surgeon. Reasons to fix... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
It depends: Isolated sphenoid sinusitis is uncommon but may cause symptoms like any other sinus condition- congestion, pain/ pressure, post nasal drainage, fatigu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
No: While it is annoying, biting your cheek does not indicate anything sinister. Biting causes the area to swell, which makes it.... Easier to bite again... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Chastain
ENT and Head and Neck Surgery 21 years experience
OK!: This is an effective treatment for nasal congestion. It is usually less uncomfortable to add a little baking soda to the salt water. Otc single-use ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
387
Thank you notes
Mar 23, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Chastain is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Chastain is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! doc thank you!! my throat feeling better than before i guess i did eat that sandwich very rough!! thanks again!!
HealthTap member
Thanks for your quick reply! Due to hip probs I sleep in a recliner at times n my head drops forward and that makes me bite down for some reason
HealthTap member
Thanks so much. I am now feeling better. On steroids and more pain med. Dr. said no sign of infection. The donor bone used was very large.

Education & Training

Medical/Graduate school

Medical College of Georgia School of Medicine, GA
Graduated 2002MD

Awards

Top Otolaryngologist, Second Place, Georgia - Summer
2013
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