post-nasal drip causing breathing problems

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mr_lamouche - 09 Jan 2006 22:11 GMT

how substantiated is the above theory? Is it common for this to happen
with chronic sinusitis?

what are the best ways to avoid this?

I keep reading the praise for irrigation but find it very difficult, I
find I get a very heavy headed fuzzy feeling after I irrigate, tho to
date I have only used saline nasal sprays.

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Susan - 10 Jan 2006 00:35 GMT

> how substantiated is the above theory? Is it common for this to happen
> with chronic sinusitis?
[quoted text clipped - 4 lines]
> find I get a very heavy headed fuzzy feeling after I irrigate, tho to
> date I have only used saline nasal sprays.

Heavy PND with sinus infection triggers asthma for me.

Susan

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Don Brady - 10 Jan 2006 01:27 GMT

>how substantiated is the above theory?

Have you seen it advocated somewhere as a theory? It can trigger them. Whether
it can cause asthma is another question. The two are correlated but exactly
what the causal sequence is is hard to say they both could have a common
cause.)

I suppose it *can*, by spreading infection downward, but whether this is

> Is it common for this to happen
>with chronic sinusitis?

Not necessarily.

>what are the best ways to avoid this?

Try to keep your sinuses as clear as possible,

>I keep reading the praise for irrigation but find it very difficult, I
>find I get a very heavy headed fuzzy feeling after I irrigate, tho to
>date I have only used saline nasal sprays.

I do not irrigate. It is just one approach....

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Murray Grossan - 10 Jan 2006 08:02 GMT

On 1/9/06 5:27 PM, in article d236s1tm51o38tv7dv2731hph01oj5n90h@4ax.com,

> irrigation but find it very difficult, I
>> find I get a very heavy headed fuzzy feeling after I irrigate, tho to
>> date I have only used saline nasal sprays.

Saline spray is not irrigation. The fuzzy feeling may be due to the
preservatives in the saline spray.

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Steven L. - 10 Jan 2006 16:42 GMT

> how substantiated is the above theory? Is it common for this to happen
> with chronic sinusitis?

My infected PND causes me regular attacks of bronchitis. By now, it
wouldn't surprise me if I'm headed for chronic bronchitis, which can
happen thru repeated infections down there.

> what are the best ways to avoid this?

First of all, you have to either get your sinusitis cured or get it
under the best control.

Then you can try seeing an asthma specialist to be tested for asthma.
If that's ruled out, then the other thing that infected PND can cause is
bronchitis, in which case a pulmonologist can help you.

For either asthma or bronchitis, an inhaled bronchodilator (such as
albuterol or Maxair) can be helpful.

Here's a simple test you can perform yourself in the meantime: Stand
up, take a very deep breath, and then blow out thru your mouth as hard
as you can. Keep doing it till your lungs are empty. The only sound
you should hear is the "whoosh" of the air coming out. If you hear a
high-pitched whistling sound as you're doing this, that's wheezing, a
possible sign of either asthma or bronchitis.

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mr_lamouche - 10 Jan 2006 21:45 GMT

At the moment I'm waiting for an appointment with an ENT in March, just
very hard to stop asking questions with these problems sometimes.

I don't have asthma, an asthma specialist gave me the all clear on that
front, and I had a lung x-ray etc, no problems there. I also got the
all clear as regards allergies.

I have a mild and quite dry cough sometimes, and an occasional wheeze,
the last time I remember a really noticeable wheeze was a night after I
attended a wedding and had some alcohol, I've pretty much given up
alcohol other than that.

When I do have the chest issue, it's like a kind of heavy feeling in my
lungs, like getting the air in and out isn't a free and easy movement.

The reason I suspect PND is that the symptoms in my nose are often
different when I suffer in the chest, when my nose becomes runny and
severely problematic, and my sinus pain increases, I don't feel I have
trouble in my chest as much, just the fatigue. Does this make sense or
is it a total red herring? If I had PND would this mean less mucuous
draining through my nose?

Also would I notice PND happening? I definitely often feel phlegm in
the back of my throat, and tho I don't notice pain in my throat my dr
said it seemed quite red and raw when he looked at it recently.

As ever I appreciate peoples experiences and advice.

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Steven L. - 10 Jan 2006 23:37 GMT

> At the moment I'm waiting for an appointment with an ENT in March, just
> very hard to stop asking questions with these problems sometimes.
[quoted text clipped - 23 lines]
>
> As ever I appreciate peoples experiences and advice.

Have you tried any means to raise the phlegm out of your lower airway,
like expectorants, inhaling steam thru your mouth, or nasal irrigation?
If you inhale steam for a half hour or so, it may liquefy that phlegm
in your airway, enabling you to cough it up. Then you can get a good
look at it and see if it's discolored.

Nasal irrigation to flush out secretions from your upper respiratory
tract can also help identify if those secretions are discolored.

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kathywb2001@yahoo.com - 11 Jan 2006 04:13 GMT

> I have a mild and quite dry cough sometimes, and an occasional wheeze,
> the last time I remember a really noticeable wheeze was a night after I
[quoted text clipped - 3 lines]
> When I do have the chest issue, it's like a kind of heavy feeling in my
> lungs, like getting the air in and out isn't a free and easy movement.

This may be far fetched, but have you had a CT scan of your lungs and
pulmonary function tests? A dry cough and a heavy feeling in the chest
could indicate something like hypersensitivity pneumonitis. Do you
work in an occupation that would expose you to large amounts of mold,
pigeon droppings, bacteria, etc. This doesn't always show up on a
chest XRay and sometimes not even a CT scan between exposures. It can
also contribute to sinus problems especially if the drainage is clear.
You could at least mention this to your pulmonologist, if you've had
any of these types of exposures. He/she can also order a
hypersensitivity pnemonitis panel. A positive test doesn't confirm
that you have HP, but does show abnormal exposure, and coupled with
symptoms and diagnostic tests can be very suggestive. HP is sometimes
hard to diagnose especially if it is the chronic or subacute type and
can slowly cause irreversible lung damage.if not caught in time.

Kathyw

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