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Medical Forum / Diseases and Disorders / Sinusitis / November 2006Throat implicated in stuffy sinus
Not sure if this will help anyone, but ... On the left side of my throat, where the tonsil is, there are folds of skin in which some kinds of food, like rice or pieces of nuts, can get stuck. When that happens, after a day or so, I have a tickle in the throat together with swelling in the sinus on the left side. Right side remains clear. I have to monitor my throat for these particles, which I can dislodge by probing around the area with the tip of the handle of my toothbrush sterlized in alcohol and then rinsed off with water. Once the food particles are removed, the swelling in the sinus subsides in a day. If left undislodged, eventually the swelling develops into full-blown sinusitis, on the left side only. mike > Not sure if this will help anyone, but ... > [quoted text clipped - 8 lines] > day. If left undislodged, eventually the swelling develops into > full-blown sinusitis, on the left side only. Well, my ENT believes you. After thousands of sinusitis patients, he has become increasingly convinced that reflux can cause sinusitis. (If there are food particles large enough for you to see stuck in your throat, there must be zillions of them that are too small for you to see that are washing up there.) Try aggressive treatment for reflux and see what happens.  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. Actually, I think these particles are being snagged on the swallow, getting caught in the folds of the tissue on my left side of my throat, which is visibly different from the right side if you look closely. There are no folds on the right side. And it's only certain kinds of hard grainy food that get caught in the tonsil area on the left. I have, however, been taking Nexium 40mg/day for several years -- reflux is gone but this particular sinus/throat problem remains...which isn't to deny that reflux could be implicated for other people. -- mike >> Not sure if this will help anyone, but ... >> [quoted text clipped - 16 lines] > > Try aggressive treatment for reflux and see what happens. I still got reflux with me taking my Prilosec too. For a couple of weeks now I walk slowly around the house for 10 minutes after meals and I have no reflux . It feels so good waking up in the morning with no reflux with me doing this. shirleyann > Not sure if this will help anyone, but ... > [quoted text clipped - 10 lines] > > mike I have had a few doctors mention that having tonsils can promote sinusitis in some people by the food getting trapped within the tonsils. Thanks for posting this Mike. This could help a few people. I had my tonsils taken out years ago. They did this routinely to a lot of children in the 60s. J. On 10/13/06 10:06 PM, in article 1160802377.525254.11940@m73g2000cwd.googlegroups.com, "dreamharp" <janishuether@hotmail.com> wrote: > I have had a few doctors mention that having tonsils can promote > sinusitis in some people > by the food getting trapped within the tonsils. There is no such relationship. Food doesn't get trapped in the tonsils. Usually what you see are tonsoliths and these can be easily be cleared by pulsatile irrigation. On the other hand, this is simply stuff that the tonsils normally do and unless there is a serious odor, nothing needs to be done about it. Murray Grossan, M.D. Www.grossan.com Thanks for the reply, Dr. Grossan. Close observation of my own throat over 10 years leads me to believe that certain foods like nuts or rice or seeds are implicated, at least in my case, although perhaps these particles I'm disloding are not masticated pieces of these foods but are a byproduct of my tonsils reacting to these foods--tonsoliths as you say. Of one thing I am sure, however; this has something to do with these types of foods because the particles inside the folds appear only after I've eaten something like nuts or seeds or whole grains. It has happened to me time and time again over a decade; the effects are predictable and reproducible. I can make it happen simply by eating a snickers bar or by eating some mixed nuts or the kind of bread that has oats or sesame seeds on top. If I don't dislodge the particles, sinusitis develops on the left side; if I do dislodge them, the irritation subsides and my sinuses stay clear. Regards Mike > On 10/13/06 10:06 PM, in article > 1160802377.525254.11940@m73g2000cwd.googlegroups.com, "dreamharp" [quoted text clipped - 11 lines] > Murray Grossan, M.D. > Www.grossan.com I THINK I have a similar problem. Saw doctors and had tests, nothing came out of those visits and the doctors never wanted to address this annoying problem. But I suffer from random sulfuric smells from my mouth and I'm not sure if it's from my stomach, throat or sinuses. I've see the dentist twice annually and he assured me it's not a dental-related. The random events have increased this past week and I did gorge on nuts during this period. So I wonder if it's debris in the throat that's gone stinky. On the other hand, I notice that it usually happens after I eat, sometimes after I eat and recline. So that's when I think it's a stomach problem. On the third hand, I traveled this week and used decongestants to avoid stuffiness while flying...so I think it's sinus discharge.... So, as you can see, I've narrowed it down. LOL! I'm not an ENT, but I've had adult patients with enlarged tonsils who have gotten food caught in their tonsils. They also have the calcium deposits, but one in particular had a piece of brocholi that was killing her, and smelling, and she was able to manually remove it--with complete resolution of her symptoms. Another patient kept getting food caught in her tonsilar crypts, and finally had her tonsils removed. Maybe irrigation helps, but I could easily see how nuts and seeds could get caught in the crypts and cause a problem. Judy > I THINK I have a similar problem. Saw doctors and had tests, nothing > came out of those visits and the doctors never wanted to address this [quoted text clipped - 15 lines] > > So, as you can see, I've narrowed it down. LOL! sounds like you may ahve a diverticulum an the throat area etc--a pouch like defect--food can get in them and decay casuing foul taste and odour therf are techniques for luuking for the--i am not sure about if there are treatments for it--head neck surgeon would be an appropriate follow up for this problem hth peter >I THINK I have a similar problem. Saw doctors and had tests, nothing > came out of those visits and the doctors never wanted to address this [quoted text clipped - 15 lines] > > So, as you can see, I've narrowed it down. LOL! >Thanks for the reply, Dr. Grossan. Close observation of my own throat >over 10 years leads me to believe that certain foods like nuts or rice [quoted text clipped - 10 lines] >sinusitis develops on the left side; if I do dislodge them, the >irritation subsides and my sinuses stay clear. For me the cause and effect seem to be reversed. I caughed up some gunk (either from the tonsil or bronchus) after a 6-mile jog about a year ago. Since then I've kept up the exercise and feel a lot better overall. Chest and throat no longer feel congested and ticklish, also no more hardened stinky tonsiloliths. But I still have constant post-nasal drip. It just doesn't get accumulated as much down in the throat, because of the exercise. This leads me to believe the root cause of my problem is infection in the sinus. --Yu There is a type of bacteria called actinomyces that often "live" in the crypts of the tonsils. It usually isn't a problem, but I have read that it can also cause sinusitis. It produces "sulfur granules" that are yellow in the tonsils I would guess that it is theoretically possible for them to become dislodged and end up in the sinuses. Kathyw it might be what is called a diverticulum--a balloon like pouch--not sure ther is a treatment for it especially in the throat area--endoscopy and barium swollow might help diagnose it hth peter > Not sure if this will help anyone, but ... > [quoted text clipped - 10 lines] > > mike I spoke with an ENT specialist about it several years ago, who offered tonsilectomy as an approach ... with the warning that the tonsilectomy itself might leave similar crpyts in which small food particles (in my case, nuts & grains) could get stuck. So now I simply avoid those foods as best I can and dislodge the particles as soon as I feel the tickle. regards mike > it might be what is called a diverticulum--a balloon like pouch--not sure > ther is a treatment for it especially in the throat area--endoscopy and [quoted text clipped - 17 lines] >> >>mike |
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