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Medical Forum / Diseases and Disorders / Sinusitis / October 2004

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Chronic Sinusitis misery!

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~ÐÅRÅ~ - 26 Oct 2004 02:42 GMT
Steven Litvintchouk - 26 Oct 2004 17:41 GMT
> I had a 6 yr. old molar that my
> dentist said needed to come out quite awhile ago.. and I ignored him,
[quoted text clipped - 15 lines]
> cheek, and left nasal area, congestion producing yellou mucous when and
> if I can blow my nose.  

It is entirely possible that an abscess from an upper molar can spread
infection into the maxillary sinus on that side of your head.  There is
only a thin layer of bone separating the sinus from the roots of the
molars.  Sometimes the root of a molar actually penetrates thru the bony
wall.  Your dentist should be able to take some X-rays and see if that
bony wall appears to have been perforated.

> So, my quierie here is, will THIS THING RIDE ITSELF OUT
> WITH DAILY CARE AND HOW COME THE ANTIBIOTICS, OF 2 PRESCRIPTIONS DIDN'T
> KNOCK IT?

Does your dentist think that your original tooth abscess is clearing at
least?  If you truly have sinus problems being caused by dental
problems, then the dental problems need to be addressed.

Now these days it's getting harder to treat all kinds of infections with
antibiotics, because the bugs have evolved over the years to become
resistant to many antibiotics.

Penicillin and amoxicillin are related drugs.  If the bugs were
resistant to one, they may be resistant to the other.  More and more
bugs are resistant to penicillin these days.

My dentist had to give me a real high dose of tetracycline (2,000
mg/day) to completely cure a nasty tooth abscess.  I didn't want to take
any chances, so I had him also prescribe Zithromax, and I took both of
them together simultaneously.  It worked.  That really carpet-bombed
those bugs out of existence.

The good news is that doxycycline (related to tetracycline), and
Zithromax, are both sometimes used to treat sinus infections.  So is
Biaxin, which is related to Zithromax.

> I haven't seen an ENT yet, because I have no health insurance and I'm just
> trying to do all i can to doctor it myself. As it doesn't seem, there is
[quoted text clipped - 3 lines]
> and is there a chance that it will go away if I keep on treating it with
> all the suggestions recommended??

If you're still having abscess problems in your mouth, it might be worth
getting a second opinion from another dentist.

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Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

~ÐÅRÅ~ - 27 Oct 2004 06:51 GMT
Thanks for responding. When I went for my follow-up appt. 1 wk. after
extraction, he said I was 'healing nicely.' I shot an eye at him
wondering if he was assessing me correctly, knowing I felt this
discomfort which spelled infection. Thanks for the tidbit anatomy
lesson, yes, he has recent x-rays of me, full mouth taken last august.
Thus far, my home Rx is helping. IE: Vaporizer on from eveing til morn,
hot compresses, tea, lots of hot tea in the morning minus milk; mega
doses of vitamin C, hot soups and fresh vegetables and fruit (seems I
crave the things that are medicinal when one has a cold). And on a rainy
day a bit ago, I heated up some V-8 juice in the microwave in a cup.
There SEEMS to be less mucous production, less facial pressure, less
swelling. I attribute that with the amt. of injections he gave me (upper
gumline above the molar) he may have punctured that 'wall' of
bone that you mentioned? As it was the 6 yr. old one very close to the
cheekbone area and it may have contributed to this absess spreading
further into the sinus
cavities. My procedure has been corrected dentally so there'll be no
further need
for this for the tooth he extracted. After he pulled it he dug in there
and cleaned up the area surrounding it since i was heavily anesthesized
locally. The extracted area feels Ok. I'm not too sore or in any pain
from the area he extracted. I think what
might have happened was that I didn't
hot salt water rinse enough after extraction and I slept with the stay
plate
in overnight and that may have compounded the problem. I should have
been diligent about the importance of
hot salt water rinse after the extraction
regardless of the prescribed antibiotics.
But they told me to keep it 'in' so I could
adjust to it, and they didn't give me any instructions post op, and I
probably need to rest more and take it easy and I didn't allow myself to
do that either.  Tonite, I mangaged to taste my food SOMEWHAT for the
very first time. Not a huge improvement but a promising one. It's
maddening not to be able to taste dinner especially when I love to cook
and enjoy it. But from what I am gathering here and in the links, it
does not seem that drs. can do much with sinusitis after a certain amt.
of doses of antibiotics are given, and then I read in here about surgery
and sometimes that doesn't work. this is a first for me, and I just hope
its temporary. I just read the post about perioxide, and don't think I
hadn't thought of that as well, combined with water. But I have to
wonder if thats a hoax, no offense to the poster. (yet it does make
sense) Dara
Steven Litvintchouk - 27 Oct 2004 17:34 GMT
> There SEEMS to be less mucous production, less facial pressure, less
> swelling.

That's good news!

> But from what I am gathering here and in the links, it
> does not seem that drs. can do much with sinusitis after a certain amt.
> of doses of antibiotics are given, ....

It's not so much that, as it is that too many primary-care doctors seem to
toss antibiotics at a sinus infection without trying to figure out what the
cause of the sinusitis is.  If the cause isn't found and corrected, then
either antibiotics won't work, or they may work temporarily but another
sinus flareup may happen not long after the course of antibiotics is
completed.

A competent ENT won't just toss antibiotics at a sinus infection, but will
look for possible causes.

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Steven D. Litvintchouk
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Pamdomania - 27 Oct 2004 19:45 GMT
Hello,
Well i went shopping for you at  Google?s and
here are some things i found that i hope help a
little, plus i will add some of my own thoughts:
http://www.doctorspiller.com/extractions.htm#Sinus%20Perf
http://curezone.com/dis/1.asp?C0=135
http://www.meritcare.com/hwdb/showTopic.asp?pd_hwid=aa119480
http://dentistry.about.com/cs/a.htm
http://dentistry.about.com/od/oralsurgery/a/drysocket_RO.htm

Since your sense of smell/taste is returning, it
means you are making progress, so donot get
too depressed, however it doesnot mean you
are out of the woods, in that the condition
can turn chronic if you donot get rid of it
immediately. I feel your time has run out and
your turn to run out and get to that ENT. In
other words: make your appointment
yesterday or sooner. On the other hand, i
wouldnot really think of you as a candidate
for an ENT, however you have to start
somewhere. (Perhaps a good Dental Surgeon is the answer).

I just took some cephalexin for a
sinus infection, and the experience in my
upper right gum (between two old  molars)
was somewhat like an explosion of blood,
must be good stuff that cephalexin. (500MG
every 12 hours for 10 days). There was an
explosive reaction of feelings in my left sinus
as well - all of this after the FIRST capsule (:

This probably maynot be it however, if your
antibiotics arenot working, while something
else is getting worse, it means the really big
?f? word FUNGUS. Yes, of course it could
also mean you are experiencing resistance to
that particular drug of choice and should now
try the cephalexin; and do however take it for
10 days and every 12 hours if it is 500MG,
which i did suggest worked for me, on both
the tooth and the sinuses. If i were you i
would insist on the 500MG instead of the
250MG.

Are you taking 500 mg of Vit. C every 4
hours around the clock? It is a must, and i
feel what you are doing with all the
homeopath treatment and remedies is why
you are still alive, or not presently in the
hospital on intravenous drip. This is ok,
however it can turn the condition into
something of a chronic nature.

Are you using REAL Listerene mouth wash?
A little electric tooth brush is great.
What do you know about ?Dry Pocket??
I am having trouble finding it on the Internet.
Did you ?suck? at the hole left by the
extraction?
If you did you couldhave created a ?Dry
Pocket?.
The gooey matter left in the hole (pocket)
from
the extraction shouldhave been left there- uuhh
ooohh . . .
Dribble some Vit.E OIL into it when you go
to
bed at nights.
FOUND IT!!!
It isnot called ?pocket? it is called ?dry
socket?:
http://dentistry.about.com/od/oralsurgery/a/drysocket_RO.htm

http://www.doctorspiller.com/extractions.htm#Sinus%20Perf
5. Sinus perforation:
The image to the right is a detail from a
panoramic film.  The roots of the upper back
teeth are always in close approximation to
the maxillary sinus.  Since everyone is built
differently, The roots of the teeth may
actually appear to be inside the sinus.  There
is always a thin wall of bone between the
root and the sinus, but is can be very thin
indeed.  Most of the time, the bone remains
intact, but upon occasion, a piece of the bone
separating the root from the sinus may break
off and be removed with the tooth.  This
creates a direct connection between the sinus
and the mouth!  That means that you would
be unable to suck on a straw, because air
would rush into your mouth from your nose
through the socket.

Sometimes a sinus perforation will go
unnoticed by the dentist or the patient.  If the
perforation is small, the only symptom could
be a nosebleed.  If this happens, call the
dentist so he can prescribe the proper drugs
so that healing can proceed normally

When a sinus perforation occurs, the dentist
will prescribe an antibiotic to prevent
infection and a decongestant to keep the
sinuses clear during healing.  The patient
bites on his gauze as is usual after any
extraction, and a clot will form in the socket
as usual.  If nothing disturbs the clot, it will
organize during healing and close the
perforation.  Dry sockets rarely happen after
extraction of upper teeth unless the patient
smokes.

It is IMPERATIVE, however that the patient
do NOTHING that could disturb the clot.

Do not suck on anything for at least a week.
This puts pressure on the clot and could
dislodge it into the mouth.

Do not smoke...the longer you wait the
better.  This will dissolve the clot, or could
even suck it out of the socket.

Do not blow up balloons or anything else.
This puts pressure on the clot and could
dislodge it into the sinus.

Avoid sneezing. This explosive event will
definitely dislodge the clot.  

In the case of very large perforations, or in
case the clot dislodges and a perforation
between the sinus and the mouth remains
after healing, It may be necessary to perform
a further surgical procedure in order to draw
a flap of gum tissue over the perforation to
close it permanently.

irish-dara@webtv.net (=?ISO-8859-1?Q?~=D0=C5R=C5~?=) wrote:
><html>Hi, I just found this group over the wkend. And read almost all of
>the posts in here. I hope no one will snub me due to my being on the
[quoted text clipped - 99 lines]
>sorry if this was too long, but I had to
>give a complete history here. Dara

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http://www.biblebelievers.org.au/benjamin.htm
MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
 
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