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Medical Forum / Diseases and Disorders / Sinusitis / June 2005What to do?
I had a septoplasty for a deviated septum about 2 years ago. I still get chronic sinusitus. When I am congested and blow my nose the passage (that feels like it is going up near the eyes) feels blocked. Some of the time (if I am lucky) this moves (reluctantly) and mucus (usually clear suprisingly) can pass down, the rest of the time it will not budge unless I blow hard and often nothing comes out anyway. When I am lying on my side and it is particularly bad, blinking my eyes massages the sinus and helps the tightness. Sometimes only a sever build up of pressure will force out any mucus. I have had a scan and the local ENT specialist claimed everything was within "acceptable" limits. Some days I am using irrigation, a nasal spray, taking Ibuprphen, I am eating well. I just started getting more exercise and drinking more water. What else can I do? Should I go to see an allergist or go back again to my GP? >I had a septoplasty for a deviated septum about 2 years ago. I still >get chronic sinusitus. When I am congested and blow my nose the [quoted text clipped - 7 lines] >the local ENT specialist claimed everything was within "acceptable" >limits. As a first step, I would suggest taking the films from tha scan (*not* the report) to another sinus specialist (e.g at a major University Medical cneter) for a second opinion. > Some days I am using irrigation, a nasal spray Which nasal spray? There are many different kinds that are totally different from each other. >, taking >Ibuprphen, I am eating well. I just started getting more exercise and >drinking more water. What else can I do? Should I go to see an >allergist or go back again to my GP? You probably are allergic or sensitive to dust and mold (as so many are).. Try some experiments to try to verify that (e.g. live elsewhere for a week). OK, I would have to first get the scan... I will ask the GP about second opinion (he told me I would have to pay, when I mentioned it before.) The spray I am using is Rhinolast. >OK, I would have to first get the scan... I will ask the GP about >second opinion (he told me I would have to pay, when I mentioned it >before.) The spray I am using is Rhinolast. Ah that is an antihistamine, which is a drying agent. It can prevent runny nose, sneezing, itching etc. but is going to tend to thicken the mucus. If your mucus is too think to tolerate (which I think you are saying), you may be much better off with a steroid spray (Nasonex or Flonase or Rhinocort). The steroid sprays are a much better choice for many people...... I feel there should be more mucus, I feel like the middle sinuses (I guess the ethmoid and / or sphenoid) on my left side are blocked up, but the part where they open out (the turbinates?) is swollen or there is something there (polyps maybe?). I think part of my problem is that my sinuses are not producing enough mucus. >I feel there should be more mucus, I feel like the middle sinuses (I >guess the ethmoid [quoted text clipped - 3 lines] >maybe?). I think part >of my problem is that my sinuses are not producing enough mucus. Then I do not understand why you are taking the Rhinolast It is going to reduce the mucus production. Try a steroid spray instead, > I had a septoplasty for a deviated septum about 2 years ago. I still > get chronic sinusitus. When I am congested and blow my nose the [quoted text clipped - 10 lines] > drinking more water. What else can I do? Should I go to see an > allergist or go back again to my GP? Congestion can sometimes be triggered by Hidden (delayed) Food Allergies. Allergist do not test for all types of food sensitivities. The most accurate tests for mild or moderate food allergies are the ones where you actually eat the food. The testing done by allergists have varying degrees of accuracy. Food sensitivities can trigger asthma, eczema, psoriasis, acne, sleep disorders, migraines, and many other health problems. Reactions to foods can occur up til 72 hours after you eat a food. I have a delayed allergy to corn (corn syrup, corn starch, etc.). I didn't know this for years because corn is in 99% of processed foods (when you include additives). I never knew that corn was triggering my eczema. It was also causing me to have a runny nose too. Brad_Chad > Congestion can sometimes be triggered by Hidden (delayed) Food >Allergies. Allergist do not test for all types of food sensitivities. [quoted text clipped - 9 lines] >additives). I never knew that corn was triggering my eczema. It was >also causing me to have a runny nose too. It can happen but sinusitis in particular is more commonly caused by airborne allergens than by food ones. I got a different spray called nasonex (lol, who thinks up these names?) and some antibiotics. Two days in and something is happening the swelling feels a little better. The GP did not rate seeing an allergist, said most people come out allergic to the same things, the same GP who gave me injections for allergies when I was a kid. As for airborn allergens, it is quite windy where I live so I get plenty of fresh air. > I got a different spray called nasonex (lol, who thinks up these > names?) and some antibiotics. Two days in and something is happening [quoted text clipped - 3 lines] > airborn allergens, it is quite windy where I live so I get plenty of > fresh air. My allergy shots help me with nasal stuffiness and irritation enormously. My allergist is aggressive in reaching desenzitization at 3 mos, then on maintenance every month, or every two weeks if needed. If it's windy where you are, you're getting more pollen swirling around than if iw weren't. Dry windy days are the worst. Susan >I got a different spray called nasonex (lol, who thinks up these Nasonex, Flonase and Rhinocort are the three most popular steroid sprays. They are preferable to the antihistamines in many cases... >names?) and some antibiotics. Two days in and something is happening >the swelling feels a little better. The GP did not rate seeing an >allergist, said most people come out allergic to the same things, the >same GP who gave me injections for allergies when I was a kid. As for >airborn allergens, it is quite windy where I live so I get plenty of >fresh air. |
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