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Medical Forum / Diseases and Disorders / Sinusitis / June 2006could sinusitis cause lightheadedness? thinkin about surgery
so, last summer, I was diagnosed with chronic sinusitis, I've tried allergra and Alavert and I don't seem to respond to those. the doc suggested I get FESS (i think), but didn't do it because was afraid of the after affects of it...the whole blindless thing scares me...whats the % of people becoming blind from it? I've had sinusitis for almost 3 or maybe 4 years now, everyday I get the usual pressure in my forehead, hard to concentrate, and I'm always fatigued. in the recent weeks, maybe about 3 weeks, when I get up from bed, I get this weird lighheaded dizzyness...it's not really vertigo, then about a week ago, I would have the same feeling in and out the entire day, regardless of what I'm doing. the doc thought I had an ear infection brewing so she prescribed me anitbiotics, it's been a week now and I'm off the antibiotics, it hasn't gotten better...might have gotten worse... now, jsut since yesterday, and espically today, I have this feeling of floating and feel lightheaded. Also when I was lightheaded, it's very hard to focus, my brain just feels blank and I can't think. Did I just come up with new symptoms? i saw that a couple month ago, there's a new procedue called sinuplasty, should I wait another year to see what new procedures are avaliable? could my sinusitis get worse and do permanent damage to my brain because it seems like I'm not getting enough oxygen up there. > so, last summer, I was diagnosed with chronic sinusitis, I've tried > allergra and Alavert and I don't seem to respond to those. [quoted text clipped - 23 lines] > damage to my brain because it seems like I'm not getting enough oxygen > up there. One of the ways I know I have a sinus infection acting up is when I get bouts of sudden lightheadedness or of feeling motion sick. I sometimes feel this way during high pollen seasons. You might try irrigating and Astelin nasal spray for both and see if that helps. Susan oo, when i meant alavert, i meant Astelin, it only helped bit, cleared some of the flem in the back, but I still have th pressure. I do get really bad sinus headaches when I get sick, but only sometimes. Nor do I get an sinus infection when I get sick, but sometimes it takes a while to recover when I get sick. I got a CAT scan last year as well and they said it needs surgery, but if I can avoird it, i would. In a couple weeks, I'm getting second opinions. Also if I remember right, he said I had a deviates septum that he said he could fix while he is in my nose doing the FESS. > x-no-archive: yes > [quoted text clipped - 35 lines] > > Susan > oo, when i meant alavert, i meant Astelin, it only helped bit, cleared > some of the flem in the back, but I still have th pressure. [quoted text clipped - 7 lines] > opinions. Also if I remember right, he said I had a deviates septum > that he said he could fix while he is in my nose doing the FESS. Are you saying that your doc suggested FESS before implementing other interventions? I have a deviated septum, too, and I have to irrigate daily with saline and spray often with Bactroban diluted in saline solution. I also take Zyrtec, Astelin, occasional Sudafed non-drying formula, and occasionally one spray of Afrin in my right nostril. Irrigation is probably the single most important thing I do that has allowed me to escape more drastic interventions so far, but I can't let up on doing it at all. Susan Here's how it went down. I went to the specialty doc. I tell him the symptoms, he presribed me Astelin. use it for like half a year. nothing. gives me allegra, and Nasarel (flunisolide)...doesn't really help...still get the annoying pressure in my forehead. so he ordered an CAT for my sinus, from the CAT, he says I need to straigheted somethign...deviated septum I believe?...then also cut slits in my sinuses (FESS?) to get more air in there. I thought sudafed wouldn't help, but yesterday, I was feeling really blocked up, so I took some sudafed, it helped quite a bit...more than the astelin or any medicine the doc gave me. do you think doing irrigation would help, he made no mentions of that. > x-no-archive: yes > [quoted text clipped - 23 lines] > > Susan > Here's how it went down. > [quoted text clipped - 13 lines] > > do you think doing irrigation would help, he made no mentions of that. Yes, irrigation is the most helpful thing you can do prior to using the Astelin, Sudafed non drying sinus, and/or Bactroban spray. Make sure to use distilled or boiled water, and make your own saline mixture by googling up recipes for it here. I make a pint container with almost all kosher salt (no anti caking agents), some NuSalt (calcium chloride), like 1TBS, a tsp of baking soda and a tsp of xylitol. All but the kosher salt and the baking soda are optional. You need at least 1 tsp. of this mixture per 2 cups of water. You can buy an inexpensive NeilMed bottle which does a not so good job, IME, or a Grossan pulsatile irrigator (does a great job, but is expensive) or a Grossan adapter for a WaterPik if you have one. Some folks use a bulb syringe. Whatever tool you use, don't buy the premixed saline stuff, it's easy and cheap to make at home. You may want to try some 3% hydrogen peroxide once per week at first, one capful in 2 cups of saline, to clear out the gunk. HTH, Susan thanks a lot Susan, maybe I'll give it a try today, my head feels really stuffy today. do we irrigigate a bunch of times a day or just once a day? > x-no-archive: yes > [quoted text clipped - 39 lines] > > Susan > thanks a lot Susan, maybe I'll give it a try today, my head feels > really stuffy today. > > do we irrigigate a bunch of times a day or just once a day? For maintenance, I do once per day, but others here do it more frequently. If I have an infection, I irrigate 2 or 3 times per day. If I get a cold, I do that, too, to prevent an infection from developing. Susan I also get frank vertigo or lightheaded with sinusitis, or just congestion. Susan, I use a neti pot--my ENT doesn't like the pulsatile irrigators, he feels there's "barotrauma" and they're impossible to keep clean. What do you think? Judy > x-no-archive: yes > [quoted text clipped - 39 lines] > > Susan > I also get frank vertigo or lightheaded with sinusitis, or just > congestion. > Susan, > I use a neti pot--my ENT doesn't like the pulsatile irrigators, he > feels there's "barotrauma" and they're impossible to keep clean. > What do you think? I think he's totally off base about trauma, and that, as with any medical device, hygiene and scrupulous maintenance are critical. That said, I think the pulsatile irrigator has a great flaw in the coiled hose that can't be detached and replaced regularly, but I still think it's the best method currently available. Susasn Susan, I did use the water pik for years, but always wondered how to clean the tubing. How do you mix the bactroban? I will just apply it with a q-tip, and it works well for me. Judy > x-no-archive: yes > [quoted text clipped - 13 lines] > > Susasn > Susan, > I did use the water pik for years, but always wondered how to clean > the tubing. > How do you mix the bactroban? > I will just apply it with a q-tip, and it works well for me. The Q Tip doesn't seem to do anything for me, so I put about a 1/2" of ointment into a little spray bottle of saline mixture, and do about 3 sprays a few times per day. As to cleaning the tubing, I alternate running straight peroxide or diluted bleach solution through the machine. Susan On 6/7/06 5:35 AM, in article 1149683726.716050.205210@h76g2000cwa.googlegroups.com, "judy.n" > I use a neti pot--my ENT doesn't like the pulsatile irrigators, he >>> feels there's "barotrauma" and they're impossible to keep clean. >>> What do you think? One of the main advantages of the Hydro Pulse is that you have an exact pressure - 5 PSI which is ideal for irrigation. Higher pressure can be too irritating and lower pressure is not as effective. With Neti, sniffing, etc the pressure varies all over the place. Besides, you want to remove any blockage to the sinus and the pulsation is best for that, as well as restoring normal cilia function. Many of the "instant cures" have come from simply removing the thick mucus that blocks the sinus openings, as well as getting the cilia moving so they can drain the sinus "naturally". We use 4 units in the office daily. Cleaning and sterilizing is a snap. You can use 1 to 10 chlorox or 3% hydrogen peroxide. There is a reason why there are 30 + peer review medical journal articles recommending pulsatile irrigation. |
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