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Medical Forum / Diseases and Disorders / Sinusitis / November 2005

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alcohol and chronic sinusitus

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aboryszewski - 04 Nov 2005 20:38 GMT
Hello,

My name is Alex Boryszewski and I am 21 years old.  I am in college and
go to a university and have a question regarding alcohol and chronic
sinusitis.  I will briefly update you on my story.....Doctors found
nasal polyps in both sinusis a couple years ago and I had surgery two
august's ago and about 7 months later the polyps returned, I had
surgery this past august and two months later the polyps were back.  I
was put on oral steroids for about 4 weeks to shrink them and i just
finished my steroids and I am feeling great.  The problem with steroids
is that I have already been on them too much and it is dangerous to be
on prendisone for too long.

My question comes regarding the fact that in the past few years when I
drink alcohol it seems my problems get worst, even to the affect that i
started to think alchol could be creating a lot of my chronic problems.
After talking to my doctor we decided I needed to stop drinking beer
and wine.  I asked him about liquor and he said it could effect me too.
Whiskey and Rum, I noticed, caused the same problems, but they also
have some of the same ingrediants as beer and wine.  Being at college
and being in a social fraternity has caused me to be depressed being
the only one that doesnt drink.  It has been pretty hard not to but I
do understand that my health is more important so I havent touched a
drop for over a month and a half.

I was wondering if anyoen can give me input on their experience with
this and if they have any advice on if there is any type of alcohol I
can drink that would not cause my problems.  I know every case is
different but I am just curious on other's experience regarding this
subject.

Sorry for the long letter but I hope many will reply.

Thank you very much,

Alex
Steven L. - 05 Nov 2005 01:05 GMT
> My question comes regarding the fact that in the past few years when I
> drink alcohol it seems my problems get worst, even to the affect that i
[quoted text clipped - 11 lines]
> this and if they have any advice on if there is any type of alcohol I
> can drink that would not cause my problems.  

It's the ethyl alcohol itself that is known to worsen sinusitis, by both
swelling the nasal and sinus membranes, and by acting as a diuretic,
resulting in drying out the nasal passages.  Though the sulfites and
congeners in whiskey and wine can be even worse.  Not recommended for
anyone with sinus problems.

If you absolutely have to drink some alcoholic beverage, try vodka--it's
just alcohol and water without a lot of other crap in it, so it's the
least objectionable drink I can think of.  Some brands are purer than
others.  A pure vodka, without any congeners, should be tasteless (and
nearly hangover free).  If you don't like tasteless drinks, put some
orange juice in it and mix yourself a Screwdriver.

And when you drink an alcoholic beverage, always drink a LOT of water as
well.  You want to make sure that the diuretic effect of the alcohol
doesn't dehydrate you and dry out your nasal passages.

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aboryszewski - 06 Nov 2005 22:56 GMT
Thank you for your reply and you seem knowledgeable on the situation.
I have a question for you if you dont mind answering, if you know.  Is
the cogeners the main thing that would be causing my membrane to swell
and worstening the sinusitis?  

Thanks,

alex
Steven L. - 07 Nov 2005 00:08 GMT
> Thank you for your reply and you seem knowledgeable on the situation.
> I have a question for you if you dont mind answering, if you know.  Is
> the cogeners the main thing that would be causing my membrane to swell
> and worstening the sinusitis?  

No.  As I said, it's the alcohol itself.  The congeners, sulfites and
other ingredients may make that even worse, if you're sensitive to those
ingredients.  But alcohol itself swells the nasal passages and dries
them out by acting as a diuretic.  That's why alcoholic beverages of any
kind should be avoided if you have sinusitis.

Vodka is nearly pure alcohol and water.  So at least you won't have to
worry about your nose reacting to sulfites or congeners.  And if you
drink a lot of water with it, you can prevent the drying effect caused
by alcohol's diuretic effect.  So if you absolutely must have an
alcoholic beverage, watered-down vodka is your best bet.

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Susan - 07 Nov 2005 00:30 GMT
>> Thank you for your reply and you seem knowledgeable on the situation.
>> I have a question for you if you dont mind answering, if you know.  Is
[quoted text clipped - 12 lines]
> by alcohol's diuretic effect.  So if you absolutely must have an
> alcoholic beverage, watered-down vodka is your best bet.

Yabbut, some of us drink for pleasure, not for a buzz.

I drink red wine, occasionally, sometimes semi regularly.  It's good for
my lipids and blood sugar and I like it.

Why can't I just drink extra water when I have wine, to compensate for
any drying?

Susan
Steven L. - 07 Nov 2005 02:39 GMT
> Yabbut, some of us drink for pleasure, not for a buzz.

Sure.  But I assume that the original poster and his college frat
brothers are looking to get buzzed on Saturday nite.

> I drink red wine, occasionally, sometimes semi regularly.  It's good for
> my lipids and blood sugar and I like it.

Don't they sell non-alcoholic wines in your locale?  They're sold in my
area but I don't buy them.

> Why can't I just drink extra water when I have wine, to compensate for
> any drying?

You can.  But I think that alcohol is not just a diuretic.  It can also
cause the blood vessels to dilate, which in turn can cause the nasal
passages to swell.  (It's the dilation effect that causes a flushed face
when you drink enough alcohol.  Afrin works by being a
vasoconstrictor--opposite effect.)  Drinking water will alleviate the
diuretic effect but not the dilation effect.

Since you've said you don't need the buzz, you might try non-alcoholic
wines.

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Susan - 07 Nov 2005 04:18 GMT
> Sure.  But I assume that the original poster and his college frat
> brothers are looking to get buzzed on Saturday nite.

Okay.

> Don't they sell non-alcoholic wines in your locale?  They're sold in my
> area but I don't buy them.

I'm not drinking it only for the medicinal properties, I like to drink
*good* wine.

> You can.  But I think that alcohol is not just a diuretic.  It can also
> cause the blood vessels to dilate, which in turn can cause the nasal
> passages to swell.  (It's the dilation effect that causes a flushed face
> when you drink enough alcohol.

I'd fall over dead before I could drink enough alchohol to flush my face
red.  Half a glass puts me away.  I guess that means I never drink
"enough alchohol."  :-)

 > Afrin works by being a
> vasoconstrictor--opposite effect.)  Drinking water will alleviate the
> diuretic effect but not the dilation effect.

I haven't noticed a problem with stuffiness.  I am having sinus trubs
again, but that seems to be the result of a cold.

> Since you've said you don't need the buzz, you might try non-alcoholic
> wines.

I doubt I'd be enjoying them  and I think the half glass I'm capable of
drinking on the sporadic occasions I have wine will do much damage to my
sinus (I have one troublesome one, right ethmoid).
Good tip about extra water, though.

Susan
DD DDD - 16 Nov 2005 02:44 GMT
What vodka is tasteless? I would like 1-2 shots some days. But I must be
buying junk. Any certain brands without being taken for spam. Thanks.
One thing I learned is stay away from wine. It clogs me up. Beer seems
ok. Let me know. Thanks
dfddf - 16 Nov 2005 03:06 GMT
> What vodka is tasteless? I would like 1-2 shots some days. But I must be
> buying junk. Any certain brands without being taken for spam. Thanks.
> One thing I learned is stay away from wine. It clogs me up. Beer seems
> ok. Let me know. Thanks

Vodka is supposed to be tasteless.  You'll have to ask why and for the
best brand in alt.culture.true-russian.alcoholics.
dufrene237 - 21 Nov 2005 13:34 GMT
Hey yeah I'm a 22 year old college sutdent mslelf and I had the same
problem with drinking. I just last week and my last endoscopic sinus
surgery (hopefully) and while I'm breathing better, I'm afraid to take
a drink. From what I'm reading on this post, a really good screwdriver
is my best bet?
Steven L. - 21 Nov 2005 18:01 GMT
> Hey yeah I'm a 22 year old college sutdent mslelf and I had the same
> problem with drinking. I just last week and my last endoscopic sinus
> surgery (hopefully) and while I'm breathing better, I'm afraid to take
> a drink. From what I'm reading on this post, a really good screwdriver
> is my best bet?

Right now, you shouldn't drink anything alcoholic at least until your
sinuses have healed.  Sinus surgery isn't like having your gall bladder
removed.  After the surgery your sinuses undergo a long healing process
that can take months.  Try not to do anything to disrupt that process:
Avoid alcohol; wash your hands frequently to avoid catching colds; don't
go swimming; etc.

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dufrene237 - 21 Nov 2005 21:38 GMT
Thanks my doc did not say that it could take months to heal. Man I
would have screwed them right back up on New Years lol
dfddf - 05 Nov 2005 06:27 GMT
> Hello,
>
[quoted text clipped - 32 lines]
>
> Alex

Your story sounds exactly like mine.  I don't drink excessively
but like a beer or two on the weekends.  I had to totally stop
because it was a severe allergic reaction.  Then I read that
taking acidophilis could help.  I popped anywhere from 4 to 16
capsules a day for several months.  My sinusitis got better but
not perfect.  I decided to try beer again and had no reaction.
I'm drinking an Anchor Steam as I type.  No lie.

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