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Medical Forum / Diseases and Disorders / Sinusitis / August 2005

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Blocked nose after eating - Sinusitis?

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Lumo - 13 Aug 2005 15:08 GMT
For many years now I've been getting a blocked nose together with a
runny nose after eating.

It always starts 10 minutes or so after I eat, it doesn't seem to
matter what I eat. I've tried cutting out diary, wheat and so on but
it doesn't seem to affect it at all.

The only thing that I have noticed is that the time of day affects it.
I always get it worse with breakfast in the morning, by with my evening
meal it is not nearly as bad.

I went to the doctor last month about it, he gave me an X-Ray and said
I had sinusitis. Hr prescribed cetirizine and Nasacort nasal spray.
With the spray to be taken morning and night. I've noticed very
little, if any improvement on these.

Is this sinusitis, I don't seem to fit the description that well? And
if so is there anything else I could be taking or doing to help?
Susan - 13 Aug 2005 15:12 GMT
> For many years now I've been getting a blocked nose together with a
> runny nose after eating.
[quoted text clipped - 14 lines]
> Is this sinusitis, I don't seem to fit the description that well? And
> if so is there anything else I could be taking or doing to help?

Astelin nasal spray will work better if it's allery related, which it
sounds like it could be.

Susan
augustwestern - 13 Aug 2005 21:09 GMT
> For many years now I've been getting a blocked nose together with a
> runny nose after eating.
[quoted text clipped - 14 lines]
> Is this sinusitis, I don't seem to fit the description that well? And
> if so is there anything else I could be taking or doing to help?

Sounds like allergies and not sinusitis. Bread or dinner rolls eaten at
mealtime immediately stops up my nose.

Try a rotation diet to find out what is causing the stuffiness, then don't
eat whatever causes the stuffiness. I'd start with bread or milk products
for your first 2 suspects. The offending food is probably something you eat
regularly. For me, antihistamines didn't help much for my bread allergies
and this might be why the medicines aren't helping your symptoms.

As a last resort, see an allergist who treats food allergies (not all
allergists treat food allergies) and then get desensitized from whatever is
causing the allergic reaction.             best,  AW
Don Brady - 13 Aug 2005 22:09 GMT
>Try a rotation diet to find out what is causing the stuffiness, then don't
>eat whatever causes the stuffiness. I'd start with bread or milk products
[quoted text clipped - 5 lines]
>allergists treat food allergies) and then get desensitized from whatever is
>causing the allergic reaction.             best,  AW

Most people here have found that allergies allergies to airborne irritants are
far more common in causing sinusitsi than food allergies.

I do notount that you have food allergies but I do not think that they are that
common.
Susan - 13 Aug 2005 22:31 GMT
> Most people here have found that allergies allergies to airborne irritants are
> far more common in causing sinusitsi than food allergies.

I dunno... when I eat some finfish, I get so congested I can't breathe
through my nose.  Fish has very high histamine levels, maybe some other
foods do, too.

Susan
Don Brady - 14 Aug 2005 01:04 GMT
>I dunno... when I eat some finfish, I get so congested I can't breathe
>through my nose.

Ok but how much overall contribution is that making to the inflammation.

Is it is just transient ?    Th problem about dust and mold is that they are
there all the time.

I have not observed that reaction in myself.  I am not doubting that it happens
to you,  

>Fish has very high histamine levels, maybe some other
>foods do, too.

Salmon seem to help me......
Susan - 14 Aug 2005 01:06 GMT
>>I dunno... when I eat some finfish, I get so congested I can't breathe
>>through my nose.
>
> Ok but how much overall contribution is that making to the inflammation.

I can't say, I'm always so busy managing my nose and it's functions.  :-)

> Is it is just transient ?    Th problem about dust and mold is that they are
> there all the time.

It lasts quite a while, hours probably.  Yes, dust and mold are my
biggest issues, but if you add in the OP's problem getting congested
whenever he eats, nothing is draining, so unless he starves, it's there
all the time, virtually.

> I have not observed that reaction in myself.  I am not doubting that it happens
> to you,

It doesn't happen to me as much as it used to.  I also no longer get
giant hives on my inner arms from eating shellfish (which I also kept
eating).

>>Fish has very high histamine levels, maybe some other
>>foods do, too.
>
> Salmon seem to help me......

OOh, I just love wild king salmon, and it's in season!  I take fish oil
capsules no prob, too, but they're distilled.  Don't know if that makes
a diff.

Susan
Don Brady - 14 Aug 2005 01:25 GMT
>It lasts quite a while, hours probably.  Yes, dust and mold are my
>biggest issues, but if you add in the OP's problem getting congested
>whenever he eats, nothing is draining, so unless he starves, it's there
>all the time, virtually.

Oh I see what  you are saying that it occurs when he eats.

I guess it depends on whether it occurs with particular foods or with all
foods.

If the former, then it could possibly be food allergies (alhough I wonder if a
somwhat delayed reaction would not be more typical of food allergies).

If the latter, then his sinuses may just be full of junk and when he eats it
drains and irritates the turbinates into expanding.  That does happen to a
degree with me.  In that case, he needs to get his sinuses opened up one wya or
another.

If it also occurs if, say, he drinks a glass of water, then the latter is more
likely I think.

>It doesn't happen to me as much as it used to.  I also no longer get
>giant hives on my inner arms from eating shellfish (which I also kept
>eating).

I would agree that you are very clearly allergic to that since you get/got
hives.......
augustwestern - 14 Aug 2005 06:07 GMT
> >Try a rotation diet to find out what is causing the stuffiness, then don't
> >eat whatever causes the stuffiness. I'd start with bread or milk products
[quoted text clipped - 10 lines]
>
> I do not doubt that you have food allergies but I do not think that they
are that
> common.

I do have the more common airborne allergies but I also have food allergies,
with the allergy to bread being the worst. The reaction takes only a few
minutes to manifest and is very predictable.

I remember getting popped by my father at the dinner table when I was a kid
because when I would eat bread my nose would immediately plug up - and being
a kid I would start blowing my nose at the table. My father has since
apologized.

Now I either avoid or limit my bread intake. It may also have something to
do with yeast, as certain types of bread are much worse than others in
producing the allergic reaction. Sour dough really plugs me up.

I'm just glad I'm not really allergic to nuts or shellfish, although
shellfish will sometimes make me feel odd if my histamine levels are already
high. I usually take a benadryl before going out to eat shellfish.    AW
Don Brady - 14 Aug 2005 06:44 GMT
>I do have the more common airborne allergies but I also have food allergies,
>with the allergy to bread being the worst. The reaction takes only a few
[quoted text clipped - 8 lines]
>do with yeast, as certain types of bread are much worse than others in
>producing the allergic reaction. Sour dough really plugs me up.

By the way have you checked for Celiac disease?  

>I'm just glad I'm not really allergic to nuts or shellfish, although
>shellfish will sometimes make me feel odd if my histamine levels are already
>high. I usually take a benadryl before going out to eat shellfish.    AW

Interesting.  I never eat shellfish much but have never noticed a reaction. But
I know that it is a common food allergy.....
Lumo - 14 Aug 2005 16:45 GMT
Hi again,

Thanks for the replies.

I've tried to eliminate different foods without much success.

Cereal and milk causes it.
Bread and jam causes it.
Crisps and water cause it.
Fruit (alone) causes it.

But in very small amounts I am ok, so after half a bag of crisps or a
small banana I'm ok. But a full bag of crisps or a larger helping of
fruit and it comes back.

I can't say I've ever noticed it with just a glass of water.

Also the time of day affecting it puzzles me, cereal and milk in the
morning will cause it much more severely than cereal and milk in the
evening. I wondered if it might be a dust/bed mite allergy that I spend
the day recovering from, with symptoms getting less severe throughout
the day. But I've also tired clean sheets with allergy covers
underneath and it made no difference.
Don Brady - 14 Aug 2005 19:13 GMT
>I've tried to eliminate different foods without much success.
>
[quoted text clipped - 14 lines]
>the day recovering from, with symptoms getting less severe throughout
>the day.

I think so.

> But I've also tired clean sheets with allergy covers
>underneath and it made no difference.

I think that your sinuses are full of gunk from airborne allergies and it is
just dumping when you eat a lot and the juices start flowing.   That is
actually good that it still dumps one way or another.

Eventually everything is so inflamed in there that it does not respond to
short-term changes in air quality..

You can see a sinus specialist for confirmation or try irrigation.....
Shirley Thebaglady - 16 Aug 2005 10:43 GMT
Try not eating bread or cereal made from wheat or wheat products.
For a day or a couple of days and see if you feel a little better.

shirley
Susan - 20 Aug 2005 23:35 GMT
> Hi again,
>
[quoted text clipped - 19 lines]
> the day. But I've also tired clean sheets with allergy covers
> underneath and it made no difference.

It sounds very much like a pattern common to either type 2 diabetes, or
severe insulin resistance.  All the foods you mention are rapidly
converted to blood sugar.  The fact that it's worse in the a.m. is a
very characteristic trait in diabetes, poorer carb tolerance in the a.m.

Why not try eating proteins with lots of veggies, laying off the fruit,
starch and sugars for a bit and see if it improves?

Susan
Don Brady - 13 Aug 2005 22:07 GMT
>For many years now I've been getting a blocked nose together with a
>runny nose after eating.
[quoted text clipped - 6 lines]
>I always get it worse with breakfast in the morning, by with my evening
>meal it is not nearly as bad.

You have enlarged turbinates due to allergies (in all liklihood).

>I went to the doctor last month about it, he gave me an X-Ray and said
>I had sinusitis.

You probably have sinusitis too, for the same reason.

Unforunately, they are mutually reinforcing (swollen turbinates and sinusitsi(
and  often occur together.

>Hr prescribed cetirizine and Nasacort nasal spray.
>With the spray to be taken morning and night. I've noticed very
>little, if any improvement on these.
>
>Is this sinusitis, I don't seem to fit the description that well? And
>if so is there anything else I could be taking or doing to help?

You need to try to eliminate dust and mold.

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