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Dr. Thomas Costello

ENT and Head and Neck Surgery
Winchester, MA
23 years experience male

Locations

Office

WOBURN, MA

Address

100 Trade Center, Suite #750, WOBURN, MA
Directions

About

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, Korean

Doctor Q&A

47 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Thomas Costello
23 years experience
Hard to say: You are probably most contagious for the 48 hours before you show any symptoms. You will stay contagious as long as you have symptoms. You should be... Read More
A 31-year-old female asked:
Dr. Thomas Costello
23 years experience
Dry air: Probably the most common cause of those symptoms is dry air. This is very common in cold weather. You could try a room humidifier. Also, for the no... Read More
A 18-year-old female asked:
Dr. Thomas Costello
23 years experience
See a doctor: The symptoms could be as simple as a viral infection and if the pain is mild and the bleeding minimal then you could wait and see if it goes away on i... Read More
A 21-year-old female asked:
Dr. Thomas Costello
23 years experience
No: Airway obstruction in the nose is not normal. If it has been there a long time then it may be a structural problem like a deviated septum. If it is ... Read More
A 18-year-old male asked:
Dr. Thomas Costello
23 years experience
Many possibilities: If you have chronic nasal congestion you should get checked out. It could be from a structural problem like a deviated nasal septum (the septum is th... Read More
A 48-year-old member asked:
Dr. Thomas Costello
23 years experience
Medication trial: There is a prescription nasal spray which can be used as needed which may help exercise induced rhinitis. The brand name is Atrovent Nasal Spray (it ... Read More
A 24-year-old male asked:
Dr. Thomas Costello
23 years experience
Amoxicillin: The problem with sinusitis is accurate diagnosis. If the symptoms have been present for less than 10-14 days studies show that the chances of it bein... Read More
A 28-year-old male asked:
Dr. Thomas Costello
23 years experience
Completely different: Fluticasone furoate is a topical nasal steroid in a spray form. It works by reducing inflammation over time through a variety of pathways. Fexofenad... Read More
A 48-year-old member asked:
Dr. Thomas Costello
23 years experience
Will not restore: Hearing aids will amplify sound for you. It will not restore your hearing. Review of your hearing test would be necessary to know if you would be li... Read More
A 40-year-old member asked:
Dr. Thomas Costello
23 years experience
Symptom control: Most sinus infections will resolve on their own. Nasal saline rinses, decongestants (afrin nasal spray for up to 4 days but not longer), steam shower... Read More
A 53-year-old male asked:
Dr. Thomas Costello
23 years experience
An allergy?: It is possible it is an allergic reaction on the skin. Check to see if he is using any new products on his skin. This could be a prescription or ove... Read More
A 64-year-old female asked:
Dr. Thomas Costello
23 years experience
Consider tubes: Ear tubes (tympanostomy tubes) may be a good option for you. Tube insertion usually requires about ten minutes of general anesthesia and is done as a... Read More
A 42-year-old member asked:
Dr. Thomas Costello
23 years experience
Depends ....: A laceration needs to be addressed relatively quickly. If it has been less than 24 hours since the cut then it can b cleaned and closed with stitches... Read More
A 24-year-old female asked:
Dr. Thomas Costello
23 years experience
Medications: The most common cause of this is a medication side effect. This can be from over the counter or herbal supplements as well. Inadequate water intake ... Read More
A 22-year-old female asked:
Dr. Thomas Costello
23 years experience
Depends on the drug: Not all medications can be crushed - in some cases it can be dangerous. Check with the pharmacist first. If it is safe to crush then the only differ... Read More
A 18-year-old male asked:
Dr. Thomas Costello
23 years experience
NO: Tonsil stones are a mechanical problem which has to do with accumulation of debris in the pits (crypts) of tonsils. Antibiotics may temporarily reduc... Read More
A 27-year-old female asked:
Dr. Thomas Costello
23 years experience
Which nose spray?: Some over the counter nasal sprays if used consistently will cause rebound nasal congestion. These include afrin, phenylephrine or any similar medica... Read More
A 43-year-old female asked:
Dr. Thomas Costello
23 years experience
Thrush?: Thrush could present like that. People with diabetes or who have been on recent antibiotics or who use steroid pulmonary inhalers (e.g. Flovent) are ... Read More
A 30-year-old male asked:
Dr. Thomas Costello
23 years experience
Septorhinoplasty: You need a thorough evaluation which may include a physical exam, nasal endoscopy and possibly even a ct scan of the sinuses. Should the problem seem... Read More
A 25-year-old female asked:
Dr. Thomas Costello
23 years experience
This is not typical: First off, the diagnosis needs to be confirmed. Vestibular neronitis can give intense spinning sensation which can last 7-10 days sometimes followed ... Read More
A 20-year-old female asked:
Dr. Thomas Costello
23 years experience
How severe?: If the symptoms are mild and go away in a day or two and if you are otherwise healthy then probably not. However, if the pain is moderate to severe t... Read More
A 60-year-old female asked:
Dr. Thomas Costello
23 years experience
Yes: There is a pediatric formulation that comes in granule form. Make sure to follow the dosing instructions on the package.
A 24-year-old male asked:
Dr. Thomas Costello
23 years experience
Allergies: Sneezing is very suggestive of environmental allergies. At night some of the allergens which are most common include dust, mold and pets. Some commo... Read More
A 41-year-old member asked:
Dr. Thomas Costello
23 years experience
Symptoms?: As long as the two tonsils are roughly the same size, large tonsils by themselves are not a problem. Sometimes they will cause symptoms (soreness, ge... Read More
A 39-year-old member asked:
Dr. Thomas Costello
23 years experience
Yes: Piercing through cartilage increases risk of infection and scarring. The infection can be serious and cause changes to the appearance of the ear. Ho... Read More
A 45-year-old member asked:
Dr. Thomas Costello
23 years experience
Varies: This is common after an episode of otitis media and can persist up to 3 months. However, there are people who live with it constantly and may need in... Read More
A 26-year-old male asked:
Dr. Thomas Costello
23 years experience
Antibiotic ointment: Gently apply some antibiotic ointment like Bacitracin to the very front of the inside of the nose twice a day and try your best not to blow and wipe y... Read More
A 34-year-old male asked:
Dr. Thomas Costello
23 years experience
Not unusual: Are you on any other treatments beside the antibiotic. Some nasal sprays can cause minor bleeding or dry membranes from decongestants. The blood may... Read More
A 42-year-old female asked:
Dr. Thomas Costello
23 years experience
It could: Any inflammation in the facial area can trigger a migraine. There is a large nerve called the trigeminal nerve which is responsible for the pain. Oc... Read More
A 22-year-old male asked:
Dr. Thomas Costello
23 years experience
3 levels: 1. Avoidance - if it is possible to limit exposure to what you are allergic to that is the place to start -> works best for animals and dust. 2. Me... Read More
A 30-year-old member asked:
Dr. Thomas Costello
23 years experience
Probably not: Any medication could potentially cause any side effect. The ones you mentioned are not common for antacids. However, acid reflux can cause coughing ... Read More
A 18-year-old female asked:
Dr. Thomas Costello
23 years experience
What is the goal?: If the primary goal is to improve breathing through your nose, then an inferior turbinate reduction is reasonable. If the primary goal is to decrease... Read More
A 42-year-old male asked:
Dr. Thomas Costello
23 years experience
Long term problem: Tmj is a frustrating problem that can cause a variety of symptoms. It is multifactorial and often we are left treating symptoms rather than the under... Read More
A 32-year-old member asked:
Dr. Thomas Costello
23 years experience
Salt Water: Nasal saline flushes either with a neti pot or a rinse bottle is probably the single best non-pharmaceutical remedy for sinusitis. Many of my patient... Read More
A 34-year-old female asked:
Dr. Thomas Costello
23 years experience
Consider iodine dcan: As you are probably aware, thryoglobulin is only made by thyroid cells. Should your level be rising it would suggest that you have some thyroid cells... Read More
A 40-year-old member asked:
Dr. Thomas Costello
23 years experience
Rest and hydration: While not very satisfying, the old fashion advice of drink a lot of fluids and get enough rest is probably the best we have. Dietary supplements have... Read More
A 37-year-old member asked:
Dr. Thomas Costello
23 years experience
Rest and hydration: While not very satisfying, the old fashion advice of drink a lot of fluids and get enough rest is probably the best we have. Dietary supplements have... Read More
A 57-year-old female asked:
Dr. Thomas Costello
23 years experience
Disrupts biolfilms: The theory is that in a sinus that is colonized with certain bacteria, the bacteria can form a layer that resists antibiotics form penetrating into it... Read More
A 37-year-old member asked:
Dr. Thomas Costello
23 years experience
Local sports store: Most athletic stores carry these or can obtain them within 24 hours. They have a foam cushion and a hard plastic shell and velcro in the back. It is... Read More
A 35-year-old member asked:
Dr. Thomas Costello
23 years experience
No medicines: There is no medicine to get rid of tonsil stones. Salt water gargles, gentle brushing of the tonsils and a water pik at a low setting have been thing... Read More
A 30-year-old member asked:
Dr. Thomas Costello
23 years experience
Yes: It is possible for a pill to become lodged in the throat and depending on the medication this can be quite serious. More commonly, the pill passes bu... Read More
A 35-year-old male asked:
Dr. Thomas Costello
23 years experience
Depends on location: If the symptom is high up in the throat then the tonsils can sometimes give this sensation. Lower down in the throat it could be from reflux or some ... Read More
A 43-year-old member asked:
Dr. Thomas Costello
23 years experience
Cryptic tonsils: As some people get older, their tonsils lose their smooth surface and become pitted or cryptic. The purpose of the tonsils is to sample debris (food ... Read More
A 28-year-old female asked:
Dr. Thomas Costello
23 years experience
Could be ....: Many things. Some of the most common causes of this include a medication side effect, reflux (can be silent reflux) or cough variant asthma.
A 18-year-old female asked:
Dr. Thomas Costello
23 years experience
How severe?: If your symptoms are mild it is probably fine to continue to treat symptomatically. I would avoid using a nasal decongestant spray (afrin or similar)... Read More
A 53-year-old female asked:
Dr. Thomas Costello
23 years experience
Might by heartburn: Sometimes acid reflux from the stomach can present like this. However, it can also be a sign of a more serious condition. I would either see your do... Read More
A 27-year-old female asked:
Dr. Thomas Costello
23 years experience
Nasal congestion: This could be multiple things from an allergic reaction, a viral cold or a bacterial infection. If it goes on for more than a few days then you shoul... Read More

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

2
Recommendations
128
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Costello is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Costello is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Awesome will try thanks a bunch!! =)
HealthTap member
Thank you, your answer was very helpful! Thank you
HealthTap member
Thank you, your answer or tip was very helpful!

Education & Training

Medical/Graduate school

Boston University School of Medicine, MA
Graduated 1999MD

Awards

Top Otolaryngologist, Second Place, Massachusetts - Winter
2013
HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less