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Medical Forum / Diseases and Disorders / Sinusitis / March 2007

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( TN Artist, trish,tn ) - 04 Mar 2007 23:38 GMT
How does one find out if they have a infection in the sphenoid sinus -?
I read about this sinus prob on line -which sure did fit my problems of
late -Headaches -blood and pus in the nose,( for 6 months now  & fever
-low grade  . Mostly I am very miserable in the am -after using motrin
it gets some better .The allergist prescribed allegra and singuliar -
BUT the CT scan says I do not have a sinus infection ???????? Trish
Steven L. - 05 Mar 2007 04:51 GMT
> How does one find out if they have a infection in the sphenoid sinus -?
> I read about this sinus prob on line -which sure did fit my problems of
> late -Headaches -blood and pus in the nose,( for 6 months now  & fever
> -low grade  . Mostly I am very miserable in the am -after using motrin
> it gets some better .The allergist prescribed allegra and singuliar -
> BUT the CT scan says I do not have a sinus infection ???????? Trish

Did you consult an ENT?  Who interpreted the CT scan for you?

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Steven D. Litvintchouk
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( TN Artist, trish,tn ) - 05 Mar 2007 21:55 GMT
The ENT called for and read the scan .    (ear nose throat DR.) My
Internal med saw the scan & thought he saw infection -go figure .I'm
thinking the ENT man may be nipping his own meds lately -last time he
cleaned out my sinus he used Cocain in my nose  -which was perfect for
me, having lung probs -(anesthesia caused me porblems ) I liked it a lot
myself :)
truehawk - 06 Mar 2007 01:26 GMT
Does your neck hurt?
Is it stiff?

Also I think that using Cocaine much kills off Cilia,
so it won't do for anything other than the ocassional
office procedure.
( TN Artist, trish,tn ) - 06 Mar 2007 03:20 GMT
Yes but that is typical for me . I did think the Cocain was good for
this medical procedure -done at a hopsital. Anesthesia is bad news for
those with copd
truehawk - 06 Mar 2007 04:39 GMT
On Mar 5, 10:20 pm, TNARTL...@webtv.net (\( TN Artist, trish,tn \))
wrote:
> Yes but that is typical for me .

Right

Stiff neck is one of the symptoms of infection in the sphenoid sinuses
so you probably are right.
How to get an ENT to treat it is another matter.
truehawk - 05 Mar 2007 10:18 GMT
Trish:
What they mean is that they do not see unusal swelling anywhere.
Period.
A CT scan only registers density differences.
They can tell if one of your sinuses is filled with something, or
if they did not up the voltage too high, they can tell how thick the
lining of th sinuses over the bone is..
But I have seen a lot of CT scans without the benchmarks and density
references that
I would normally expect to use to judge the quality of an X-ray.
Especially one that uses FT and image processing software. If the
voltage is too high
everything is black and the ability to distinguish details of soft
tissue goes away.

The gold standard for diagnosis is supposed to be the MRI, because
properly done it can
distinguish tissue from goo.

I have been wondering if a gallium scan could be done of the
sinuses.
Radioactive Gallium sticks to the bugs and inflamation, and lights up
the infected site on an x-ray film,
however I can see that the bones of the skull make it really hard to
get any information about the status
of the sinuses, or maybe not. Worth asking if it can be done.

Some chemical engineers are working on a dye that sticks to the goo
and turns it a bright floresent
pink while not tinting healty tissue, so when the ENTs look though
their endoscope they can tell the biofilm goo eating you, from you.
(though making it glow firefly green is more fun, but the more uptight
type of ENT may call security on you.)
 
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