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Medical Forum / Diseases and Disorders / Sinusitis / May 2006

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Long time posters here, what's your story?

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mr_lamouche - 17 Apr 2006 02:05 GMT
Hey guys,

I just wanted to ask what the story is of the long time posters here, I
guess to try and give myself an idea of how things might be.

Have been to an ENT finally, CT scan totally clear, am still completely
fatigued with weak legs and arms, and regularly bad pain just above
left eyebrow plus watering eye. I also get a sort of swollen throat,
not conventionally like a sore throat, just really dry like I'm
thirsty, a little sore, and drinking water doesn't fix, this sometimes
causes problems breathing.

I was just starting this thread to ask some of the regulars here, what
stage are you at? Did you feel awful at one point and get better? I've
been sick for 7 or 8 months, I feel very weak as I described and have
had lots of stuff ruled out. Sinuses are the one thing I do believe are
my problem.

Does it get better, does this resonate with anyone? The weakness,
problems breathing occasionally? I realise there are questions asked
here all the time, I guess I just want to see what improvement people
have here, or what future there is for people with really troublesome
sinuses.,

Having seen allergist/gp/ENT, my last thing to keep me working and
trying hard is the Grossan Hydropulse, anyone experienced a massive
improvement after this?

Can sinuses make me feel as run down and weak as I do? (like after a
day's lifting for someone healthy, keeping in mind I've been checked
out fairly extensively over the last year)

Appreciate any help as always....

Thanks,

Ronan.
Don Brady - 17 Apr 2006 04:47 GMT
>Hey guys,
>
[quoted text clipped - 3 lines]
>Have been to an ENT finally, CT scan totally clear, am still completely
>fatigued with weak legs and arms,

If your CT scan is really totally clear, then in my opinion you may have a
different problem altogether from sinuses.  

Weak arms and legs suggest a neurological problem.

I would find a really good internist.

Obvious possibilities include anemia, thyroid etc.

> and regularly bad pain just above
>left eyebrow plus watering eye. I also get a sort of swollen throat,
[quoted text clipped - 7 lines]
>had lots of stuff ruled out. Sinuses are the one thing I do believe are
>my problem.

It is very doubtful if the CT scan is clear.

>Does it get better, does this resonate with anyone? The weakness,
>problems breathing occasionally? I realise there are questions asked
[quoted text clipped - 9 lines]
>day's lifting for someone healthy, keeping in mind I've been checked
>out fairly extensively over the last year)

Anything is possible but you need to find out definitely what *is* causing your
problem,  not what might be.    Hunches are not a good way to go.

Never be sure  that their check-outs are adequate.  I think they are not.

Go to Mayo if you have to.  They will figure out what is causing weak arms and
legs.

>Appreciate any help as always....
>
>Thanks,
>
>Ronan.
Don Brady - 17 Apr 2006 05:12 GMT
By the way, when  you refer to arm and leg weakness, do any of the following
apply?

Do you tend to drop things or have trouble grasping them?

Do you limp when walking or running?

Do you have tingling sensations?
mr_lamouche - 17 Apr 2006 10:29 GMT
I would definitely not say as weak that I drop things or can't grasp
them, nor do I limp when walking or running.

It's more like a general weakness, like the way you'd feel when you
have a bad flu or virus,I guess arms and legs are where I notice it. On
a bad day I'd still be able to stand at work all day ok (I stand at
work), but would just feel that jelly type sensation you sometimes get
after you've gone for a big workout the day before, or spent the day
lifting stuff. Not a strong tingling I wouldn't say. I guess I've been
back and forth to my GP so many times that I trust him to have
suggested something neurological, he wrote to my ENT saying he believed
sinuses were the cause of my problems, but I guess it's possible he's
wrong.

One Dr suggested my weakness could be caused by sleep apnoea, I haven't
checked this out yet and in the absence of other ideas am thinking
about it, whenever I can afford it.

The CT scan was a surprise since as I said I have a fairly consistent
pain and watering in the same place, my nose is always swollen and dry
and I have mucuous in my throat constantly and that raw throat feeling.
I mean these all seem like classic sinus symptoms.
Don Brady - 18 Apr 2006 04:03 GMT
>I would definitely not say as weak that I drop things or can't grasp
>them, nor do I limp when walking or running.
[quoted text clipped - 5 lines]
>after you've gone for a big workout the day before, or spent the day
>lifting stuff.

> Not a strong tingling I wouldn't say. I guess I've been
>back and forth to my GP so many times that I trust him to have
>suggested something neurological, he wrote to my ENT saying he believed
>sinuses were the cause of my problems, but I guess it's possible he's
>wrong.

He might want to revise his opinion now that you have the results from the ENT.
Have you asked him?  You can ask hin what he sugegsts to do next.

>One Dr suggested my weakness could be caused by sleep apnoea,

Yes it could.  

Do you tend to fall asleep if you to a movie (or whatever you call that in the
U.K. - "the cinema" maybe) ?   That would be an indication you are not getting
enough sleep.

>I haven't
>checked this out yet and in the absence of other ideas am thinking
[quoted text clipped - 3 lines]
>pain and watering in the same place, my nose is always swollen and dry
>and I have mucuous in my throat constantly and that raw throat feeling.

Hmm raw throat might not necessarily point to sinus exclusively.  It sounds
more like a generalized low-grade infection or low resistance..

I would check white blod cell morphology and other indicators of immune status.

Now, your immune system definitely is adversely affected by insufficient rest.
and if you answer my question above you will have an indication as to that.....

>I mean these all seem like classic sinus symptoms.

I do not doubt that you have such symptoms.

.......
mr_lamouche - 18 Apr 2006 11:28 GMT
Yes we would say "the Cinema", indeed. I'm actually Irish,  but we
don't have an exclusive turn of phrase for that one I guess. Perhaps
movie is more common now too.

I don't fall asleep in the cinema or in similar situations, I mentioned
this to my Dr and he said I was quite young, at 23, and that sleep
apnoea could be causing alot of physical fatigue but I was still
fighting off the really dire need for sleep aspects of it.

In other developments, my ENT called me today to have a review
appointment, so perhaps the CT scan is not clear afterall.
Don Brady - 18 Apr 2006 16:44 GMT
>Yes we would say "the Cinema", indeed. I'm actually Irish,  but we
>don't have an exclusive turn of phrase for that one I guess. Perhaps
[quoted text clipped - 4 lines]
>apnoea could be causing alot of physical fatigue but I was still
>fighting off the really dire need for sleep aspects of it.

Yes that is possible.

>In other developments, my ENT called me today to have a review
>appointment, so perhaps the CT scan is not clear afterall.

That's good that you will get to see him again.....
mr_lamouche - 28 Apr 2006 13:53 GMT
So I officially have a sinus infection according to my CT scan, my
front left ethmoid sinus has infected mucuous in it, which makes sense
as this is where all my pain has been. The ENT was keen to try
antibiotics, plus nasonex/otravin/betnesol and regular salt water
rinsing, for a month, before he does any operating.

I'm kinda dubious about antibiotics working but I guess if they don't
there is the possibility of an operation which the ENT said would be
quite routine.

Does this all sound ok, is there anything else I should be doing myself
here,  or anything people find fault with in the ENT's procedure,
besides the obvious stuff like eating well, vitamins etc?

> >Yes we would say "the Cinema", indeed. I'm actually Irish,  but we
> >don't have an exclusive turn of phrase for that one I guess. Perhaps
[quoted text clipped - 11 lines]
>
> That's good that you will get to see him again.....
Don Brady - 29 Apr 2006 05:30 GMT
>So I officially have a sinus infection according to my CT scan, my
>front left ethmoid sinus has infected mucuous in it, which makes sense
[quoted text clipped - 9 lines]
>here,  or anything people find fault with in the ENT's procedure,
>besides the obvious stuff like eating well, vitamins etc?

Well the insurers require a trial of antibiotics befroe surgery so you have to
give it a try.

As to surgery being routine, personally I would (and did) pick a sinus surgeon
as a separate exercise from getting the diagnosis,  Surgery is harder than
diagnosis and you need the most experinced surgeon you can get.
Duke - 15 May 2006 14:45 GMT
Have your thyroid checked ( blodd tests) .Read in advance of your
appointment so you know to ask specifically what your TSH score was ,
rather than accepting "normal".  Discuss sleep apnea ( do you snore or
startle yourself awake with a "snort" or gasp for air at any time ? If
so, you may have it). Either of these conditions can certainly create
the symptoms you suggest. Also, sinusitis can as well. You can
certainly present with a normal CT scan and have infections. May of us
do. I just had the worst infection in years this winter, presented with
normal CT Scans , and finally got better on doxycyline. Recalcitrant
rhinosinusitis. Would not wish upon my worst enemy. Continue your
research. Consider ordering a book on the topic ( Powells online ) from
Dr. David Kennedy. Exact title escapes me, just do a search.

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