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Medical Forum / Diseases and Disorders / Sinusitis / February 2006Sinus really bad and I've done it all
I do irrigation,allergy shots weekly, had surgery,even have chiropractic and am trying laser light therapy, reluctantly I am on antibiotic ( again) because I have had so much yellow pus for over a month. The last time I was on antibiotics it did not help but I'm desperate! I could irrigate more but it causes so much irritation and neuralgia it's very uncomfortable. I've had a follow up scan after the surgery in which they removed a growth of mold and the ENT says everything is now open. I think I maybe more sensitive to dust and viruses now after the surgery. I've seen a neurologist but he can only help with headaches. I have an appointment for a second opinion with another allergist in a couple weeks. I have had sinus for many years but was doing well after discovering irrigation on this newsgroup about 3 years ago, until this last year when I started on a down hill slide. Now I'm desperate and don't know what to do? I don't even know what to do about a vacation that was planned for this next month : will I feel well enough? should we go to the desert or ocean front? Any help would be very appreciated. Jay On 1/29/06 10:38 AM, in article > I do irrigation,allergy shots weekly, had surgery,even have chiropractic and > am trying laser light therapy, reluctantly I am on antibiotic ( again) [quoted text clipped - 14 lines] > > Jay Laser light therapy? What's that? I never heard of it. Ask your doctor if pulsatile irrigation to help restore your nasal cilia would be of benefit to you. Laser light therapy is a new technology that works similar to ultrasound therapy. And I do use pulsate irrigation with an older style adjustable waterpik and the adaptor. Thanks for your response Jay > On 1/29/06 10:38 AM, in article > [quoted text clipped - 27 lines] > Ask your doctor if pulsatile irrigation to help restore your nasal cilia > would be of benefit to you. On 1/30/06 4:13 PM, in article AYxDf.81383$PY6.33235@tornado.ohiordc.rr.com, > Laser light therapy is a new technology that works similar to ultrasound > therapy. And I do use pulsate irrigation with an older style adjustable > waterpik and the adaptor. > Thanks for your response > Jay Ultra sound is a method of diagnosis. I know of no literature about using laser light for sinuses. Laser light is used for rock concerts. I can say from personal experience that lazer light therapy is very effective for pain relief for tennis elbow.and it has been shown to be of help in speeding healing of wounds. How much it does for the sinuses I'm not sure but it's worth a try and this is a trial so it's not costing me anything. Ultrasound therapy is used for muscular pain relief . I know both are used by Chiropractic Physicians and ultrasound is used by Physical therapist others may use these as well but I don't know. Thanks for your response Jay > On 1/30/06 4:13 PM, in article > AYxDf.81383$PY6.33235@tornado.ohiordc.rr.com, [quoted text clipped - 7 lines] > Ultra sound is a method of diagnosis. I know of no literature about using > laser light for sinuses. Laser light is used for rock concerts. >I do irrigation,allergy shots weekly, had surgery,even have chiropractic and >am trying laser light therapy, reluctantly I am on antibiotic ( again) [quoted text clipped - 12 lines] >should we go to the desert or ocean front? >Any help would be very appreciated. What are the symptoms you want to relieve? Maybe you have pain but I hesitate to assume things... I have a lot of facial pain, nasal congestion, running nose and headaches.Sinuses feel inflamed, facial swelling, difficulty wearing glasses.I often feel as if my whole head is swollen. Thanks for your response Jay >>I do irrigation,allergy shots weekly, had surgery,even have chiropractic >>and [quoted text clipped - 22 lines] > hesitate > to assume things... >I have a lot of facial pain, nasal congestion, running nose and >headaches.Sinuses feel inflamed, facial swelling, difficulty wearing >glasses.I often feel as if my whole head is swollen. Well it sounds as if thngs are draining well now amd if you are back to normal anatomically that has a lot of potential. More rotten drainage is usually good because it is was even worse to have it bottled up, which it eveidently was. If you can get past this point, things may get better. Obviously you need to maximize your chances to compeltely clar the infection right now because this will be one of the best times, befoe too much inflammation starts up. Medical possibilties include light oral steroids, steroid sprays, and antiobiotics. Non medical factors are lots of rest, and low stress (take some vacation time). If there are things in your environment (dust, smoke, mold) that you eally knoiw irritate you nose, then I can assure you that they irritate your sinuses too, and you have to get away from them..... Oh and aslo have you got a good internist (Board certified specialist in inteeranl medicine) involved? You need to. (A family practitioner is not an adequate substitute.). You need a complete blood workup for anemia, white blood call morphology, TSH thyroid level, and any other tests he/she needs to see if there is a systemic problem affecting the immune system. They know the tests that are needed for that. Now sometimes all the above is done routinely but sometimes not..... > Oh and aslo have you got a good internist (Board certified specialist in > inteeranl medicine) involved? [quoted text clipped - 7 lines] > problem affecting the immune system. They know the tests that are needed for > that. I used to recommend immunological workups, until I found that the statistics are that true immunological disorders affect maybe 1 in 700 people, making it an expensive shot in the dark. (And it's a crap shoot that some insurance companies won't even pay for--I can speak from personal experience about that) OTOH, hypothyroid is more common and cheaper to test for, so that test is a cost-effective step.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. >> Oh and aslo have you got a good internist (Board certified specialist in >> inteeranl medicine) involved? [quoted text clipped - 13 lines] >that some insurance companies won't even pay for--I can speak from >personal experience about that) Right I did not mean anything really fancy, but as you say below I would test for thyroid and seveal types of anemia. >OTOH, hypothyroid is more common and cheaper to test for, so that test >is a cost-effective step. > I do irrigation,allergy shots weekly, had surgery,even have chiropractic and > am trying laser light therapy, reluctantly I am on antibiotic ( again) [quoted text clipped - 12 lines] > should we go to the desert or ocean front? > Any help would be very appreciated. here are some ideas: Overly conservative surgery can end up leaving pockets of infection. You should contact an ENT who has skilled in revision surgery to see if a second surgery might fix what the first surgery missed. Revision surgery is tricky because of the loss of anatomical structures that were removed by the first surgery, so not every ENT is good at it. If you had true fungal sinusitis, you need to see an ENT and/or infectious disease specialist who knows how to treat it. Oral steroids may help. Finally, at the stage you're at, intravenous antibiotics and antifungals may be more effective than the oral kind. There is evidence that IV antibiotics can get at stubborn sinus infections better than oral antibiotics. SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. The reader of the post operative CT scan was a different person than my ENT but both feel everything is anatomically ok now. I don't suppose that just being anatomically good eliminates the possibility of infection? The fact is I have much more dark yellow pus now aprox. 3 months post surgery than ever before. I wonder if opening things up was such a good Ideal after all ? I' m hoping the allergist will be helpful if I can hold out that long. I dread another surgery because I do not do well with anesthesia at all! so more surgery is a last option. Thaks for your help Jay >> I do irrigation,allergy shots weekly, had surgery,even have chiropractic >> and am trying laser light therapy, reluctantly I am on antibiotic ( [quoted text clipped - 29 lines] > antibiotics can get at stubborn sinus infections better than oral > antibiotics. > The reader of the post operative CT scan was a different person than my ENT > but both feel everything is anatomically ok now. I don't suppose that just > being anatomically good eliminates the possibility of infection? I'll bet you already had this infection when you were operated on. It's still there, that's all. The surgery should make it easier to get rid of the infection, if the right antibiotic or antifungal can be found. > The fact is I have much more dark yellow pus now aprox. 3 months post > surgery than ever before. I wonder if opening things up was such a good > Ideal after all ? Yep. The fact that you have more pus now may mean that the pus is draining, which is good. But the infection clearly isn't abating, which is not so good. Getting your allergies under control can prevent future infections. But it won't clear the infection you already have. With that much pus, an ENT should be able to do a sinus culture and see what bugs you have in your sinuses. What antibiotics have you been on, and what antibiotic are you on now? SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. I've been on Avealox and another I can't remember the name of that gave me a really bad rash ! I'm now on Augmentin. Thanks for the suggestions >> The reader of the post operative CT scan was a different person than my > ENT [quoted text clipped - 25 lines] > > What antibiotics have you been on, and what antibiotic are you on now? >The reader of the post operative CT scan was a different person than my ENT >but both feel everything is anatomically ok now. I don't suppose that just >being anatomically good eliminates the possibility of infection? >The fact is I have much more dark yellow pus now aprox. 3 months post >surgery than ever before. I wonder if opening things up was such a good >Ideal after all ? Yes, as Steven says, you have to open things up to have any chance at all to get things back to normal. >I' m hoping the allergist will be helpful if I can hold out that long. I >dread another surgery because I do not do well with anesthesia at all! so >more surgery is a last option. >Thaks for your help >Jay |
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