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Medical Forum / Diseases and Disorders / Sinusitis / March 2005

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MY SEPTOPLASTY - 9 MONTHS LATER

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ChrisCoaster - 18 Nov 2003 16:28 GMT
In February I had my deviated septum corrected.  It did improve my
breathing over the summer, but I still felt a "presence" in my sinuses
deep inside my head and going down my throat.  When I blew, nothing
came out, and if it did, it was hard and dry.

Last month, I had a nasty but short-lived cold, and since then, I've
been blowing my nose every five minutes because it's been pouring wet
clear mucous like a faucet!  The last week or so, it's been slowing
down to where I just have to blow it several times in a row in the
morning when I wake up, and during the day I blow it once every hour
or so.

My question is: Did it take 8 or so months for all the mucous that
accumulated over the years to finally "unplug", break loose, and come
out?  Now all that comes out is gooey or runny but clear, and my inner
sinuses don't feel as heavy.

Any ENTs want to chime in?

-ChrisCoaster
ChrisCoaster - 21 Nov 2003 19:46 GMT
> In February I had my deviated septum corrected.  It did improve my
> breathing over the summer, but I still felt a "presence" in my sinuses
[quoted text clipped - 16 lines]
>
> -ChrisCoaster

??
Don Brady - 21 Nov 2003 22:14 GMT
>> In February I had my deviated septum corrected.  It did improve my
>> breathing over the summer, but I still felt a "presence" in my sinuses
[quoted text clipped - 16 lines]
>>
>> -ChrisCoaster

??

I wouldn't expect a lot of replies when you specify that you only want to hear
from ENT's.  
jon banquer - 22 Nov 2003 01:06 GMT
Greetings Dr. Don,

"I wouldn't expect a lot of replies when you specify that you only want to
hear from ENT's.

After dealing with sinusitis for 6 years I really think I could do a
credible job of faking it. Have no doubt others could as well. :>)

IMO, chronic sinusitis is not even close to being an exact science...
although I wish it was.

Hope your feeling well.

In good health,

Dr. Jon

> >> In February I had my deviated septum corrected.  It did improve my
> >> breathing over the summer, but I still felt a "presence" in my sinuses
[quoted text clipped - 21 lines]
> I wouldn't expect a lot of replies when you specify that you only want to hear
> from ENT's.
ChrisCoaster - 24 Nov 2003 21:35 GMT
> Greetings Dr. Don,
>
[quoted text clipped - 12 lines]
>
> Dr. Jon

> > ??
> >
> > I wouldn't expect a lot of replies when you specify that you only want to
>  hear
> > from ENT's.
______________________

Alright, alright alright!  I apologize if I offended anybody or
insulted their intelligence.

You will learn when dealing with me that my sense of humor IS the
definition of irreverence.  I meant not just ENT specialists, but
anybody who has received the procedure.

-CC
jon banquer - 24 Nov 2003 22:12 GMT
Hmmm.... I see your most likely in Connecticut, my old home
state. This makes me even *more qualified* to answer your
question. (joking. :>) )

To directly answer your question it usually took me 6 months
to feel like I had fully recovered from the effects of sinus
surgery.

In addition, in my case, I find that chronic sinusitis takes
multiple approaches to "manage".... nasal steroids,
irrigating the sinuses at least 3 times a day,
pseudoephedrine, operations. I still have bad days with a
major shift in barometric pressure / major weather change.

To me it's become how do I  manage it. No operation has
cured me.... just helped.  Based on what has been posted in
this group, if things get worse, I have other things I may
very well try... like a hydrogen peroxide solution. I will
go this route if my sinus infections return.

jon

> > Greetings Dr. Don,
> >
[quoted text clipped - 28 lines]
>
> -CC
Can do - 24 Nov 2003 23:29 GMT
Jon, greetings.... You said: "No operation has cured me.... just helped.
Based on what has been posted in this group, if things get worse, I have
other things I may very well try... like a hydrogen peroxide solution. I
will go this route if my sinus infections return."

I had sinus surgery many years ago. Had chronic sinusitis before the
surgery. For about six months, after the surgery, I felt great. Then the
sinusitis came back full force. From then on, it was one sinus infection
after another, especially on the side where I had the surgery.

When I first tried the "upside down" sinus flooding with peroxide and baking
soda, I was also taking antibiotics at the same time. I did not know if the
irrigation technique would work, and I didn't want the sinus infection to
spread.

A week or two later, I was stuffed up again, and it continued to get worse.
This time, though, I tried the "upside down" sinus flooding all by itself,
without antibiotics. I was  apprehensive. I've had sinus infections spread
to my chest before, and I was going to get on another round of antibiotics
at the first sign of the infection spreading, or getting worse.

The "upside down" technique worked, and it is all I have used over the past
two years. I've gone up to three months, during that time, without having to
irrigate. I do, however, take Beconase AQ, twice a day, once in each
nostril, for comfort and insurance.

Best of luck with your treatment of your sinusitis!
ChrisCoaster - 26 Nov 2003 13:44 GMT
> Hmmm.... I see your most likely in Connecticut, my old home
> state. This makes me even *more qualified* to answer your
> question. (joking. :>) )

_________________
Thanks guys.  Actually, the running is slowing down, but I'm keeping
up a steady diet of water and juices between meals.  Hydration is key
to the healing process and to the body's re-balancing after "learning
how to breathe."

Brady has provided a healthy dose of shock value with his reply, sugg.
that I may have seepage of "brain fluid"!  God almighty....

But overall, things are improving.  Part of my problem was my indoor
lifestyle as a kid, which sheltered me from extremes of temperature
and wind, so I never developed the normal immunity most people have by
the time they grow up.

What I mean is if the temperature so much as budges, I will either
sneeze or develop a runny nose.  I'm not talking going from 70 to 50
over a couple days, I can get sick if the temp drops 3 degrees from 90
in the same afternoon!!  And any wind whatsoever - blows me over like
a house of cards, rasping, wheezing coughing.

At least the septoplasty has "straightened out" the drainage issues.

: )

-CC
Don Brady - 26 Nov 2003 18:09 GMT
>Brady has provided a healthy dose of shock value with his reply, sugg.
>that I may have seepage of "brain fluid"!  God almighty....

I'm sorry but I am obliged to point out possibilites suggested by symptoms as
described in posts.  I did put it second after describing the more common and
very postive explanation.

You wrote in part: "Last month, I had a nasty but short-lived cold, and since
then, I've been blowing my nose every five minutes because it's been pouring
wet clear mucous like a faucet!....."

What I said is completely accurate as a possibility, given that description.
You have not  seen anyone contradict it and you will not.   I cannot assume
that you are grossly exaggerating the symptom, although you might well be.  I
mentioned the test of whether it was unilateral or not.  This symptom has come
up quite a few times on this newsgroup and what I said is correct.

If I pre-discount possibilities by saying "that would only be a remote
possibility..." then the person will have no incentive whatsoever to even get
an opinion on it.

You posted on a public forum, and I also have to think of others who may have
the same symptom later ona nd find the thread.

So really I believe I was correct to post as I did.  Does anyone disagree?
jon banquer - 27 Nov 2003 01:56 GMT
> So really I believe I was correct to post as I did.  Does anyone disagree?

No.

I think you did the right thing.

jon

> >Brady has provided a healthy dose of shock value with his reply, sugg.
> >that I may have seepage of "brain fluid"!  God almighty....
[quoted text clipped - 21 lines]
>
> So really I believe I was correct to post as I did.  Does anyone disagree?
jon banquer - 27 Nov 2003 02:02 GMT
Glad your feeling better ! :>)

> At least the septoplasty has "straightened out" the drainage issues.

IMO, it's harder to get infections if your draining than if you have
blockage.

I take 120 mg of Pseudoephedrine every 12 hours every day so that
I don't drain, choke, or experience blockage.

jon

> > Hmmm.... I see your most likely in Connecticut, my old home
> > state. This makes me even *more qualified* to answer your
[quoted text clipped - 25 lines]
>
> -CC
Don Brady - 25 Nov 2003 08:02 GMT
>In February I had my deviated septum corrected.  It did improve my
>breathing over the summer, but I still felt a "presence" in my sinuses
[quoted text clipped - 12 lines]
>out?  Now all that comes out is gooey or runny but clear, and my inner
>sinuses don't feel as heavy.

Well, it seems to me that one of two possibilities could apply:

(1) You are now getting a resumption of normal drainage as you say.  We would
hypothesize that correcting the deviated septum has allowed air into your
sinuses, and that in turn has, over time,  allowed the sinus blockages to heal
and a normal drainage (including past build up) to resume.  That is basically
what is supposed to happen and that is why the septum is corrected.

(2) There could be a more serious possibility.  Unilateral clear drainage is
not a good sign.    It can indicate a leak of brain fluid.   This can be
readily repaired when it does occur but does need to be attended to.  It can
occur as a complication of sinusitis.

If you are  getting unilateral clear drainage of the type you describe, I think
you *definitely* need to have it evaluated by a sinus specialist at a
University medical center to rule out number (2), and also for an opinion on
your symptoms in general....

Quite frankly, I do not like the sound of what you describe.....
Flushface - 11 Mar 2005 21:43 GMT
Re: surgery?
by "Flushface" <questoryia@[EMAIL PROTECTED] > Mar 8, 2005 at 01:26 AM

yo dude leave those turbs alone and they might get better on their own
and
be careful about the surgery because you may regret it for the rest of
your life! THATS a fact JACK! they say minimal but its a destructive
surgery where your nasal anatomy is altered for ever! Sinus openings are
usually the size of a pencil lead and your uncinate processes are goona
be
removed too! These help deflect inspired air and also direct the mucous
from your sinus to drain towards the back of your throat! Try and get the
surgeon to sign a contract saying he will try and return your nasal
interior to a "normal" structure, I bet he won't do it look up MIST and
also MESS these techniques are less destructive but the surgeon will do
what he wants anyhow and BILATERALLY too it only makes sense since you're
under the aenesthesia. BE VERY careful dude I'm still suffering from this
minor surgery over two years later and I saw a lawyer that says no way I
needed surgery but he won't take my case cause there is no "serious"
injury like blindness or "spinal fluid leak or brain infection"

SINUS SURGERY is reserved for cases that DO NOT respond to
medication!!!!!

do you have root canals on the problematic side?
I bet you do , they cause a lot of sinus infections but the dentist or
ENT
will not admit it unless there is a visible abcess on the Xrays bacteria
leaking into the sinus is "UNHEARD OF"

Dude operations can be staged, that means they do a little at a time. if
there is really something in your maxillary sinus then try and find a
surgeon that will go through your inferior meatus into your sinus and
then
close it back up when the mucous retention cyst is gone! I bet its a root
canal problem.

turn the bathroom light out at night and make sure its pitch black and
stick a bright flashlight into your mouth., if your sinuses glow under
your eyes than you are probably fine.

irrigating won't be really effective unless you use  kosher salt and
distilled water or boiled tap water  with a pinch of baking soda and
kosher salt. it should be neither warm or cold but as close to body
temperature as possible and twist your haed upside down as far as you can
then squirt it in gently but with a little force (minimal force!) then
drain it and do the other side , do each side 2-(3-4-5) times and then
drain by turning your head back and forth. You can also try AFRIN a
couple
of squirs in each nostril then wait 30 minutes then flush but don't use
the
AFRIN more than once or twice a month cause it causes your nose tissue to
have rebound congestion. Try the LINUS PAULING VITAMIN regimanit usually
knocks a sinus infection out for a day or two and there is SOMETHING
causing your infection but its not your turbinates or your inflamed
ethmoids or the swollen tissue these are all just symtoms. YOU must
persevere and discover the difinitive root cause that is causing your
infections and treat that! Don't rush into a surgery that you may regret.
LOOK on pub med or other ent journals about sinus surgeries, the recovery
times they chart are average 28 months and the success isn't that great,
check out mucosal tissue healing times which are now said to be over a
year and maybe longer. The medical, hospital, insurance industry wants
you
so the money merry go round keeps turning and your doctor will just say
keep flushing theres nothing wrong while you lose your mind and struggle
to breathe, avoiding all dust and contaminants fordear life because you
have become a nasal cripple! but from the outside you will appear normal
and everyone will wonder why you are going nuts.. Watch out for ENT
surgeons and start researching and becoming acutely aware of your noseand
whats going on in there and cure yourself if possible. GOODLUCK dude
minimal surgery my a.s!!!!!

 FLUSHFACE

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