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Medical Forum / Diseases and Disorders / Sinusitis / April 2007First opinion, second opinion
Well I had taken a break from 'dealing' with this problem and decided to 'live' with it about a year ago. After a year, I thought I give it another shot... Symptoms=Chronic sore throat, pnd, and strange random rotten egg odor. Second opinion...acid reflux. Same as the first opinion. Ah. Depressing because again 1) opinion wasn't definitive and 2) I did all the LPR things you are supposed to do the first time around with little relief. I'm 34 years old, is this the rest of my life? >Well I had taken a break from 'dealing' with this problem and decided >to 'live' with it about a year ago. After a year, I thought I give it [quoted text clipped - 7 lines] >did all the LPR things you are supposed to do the first time around >with little relief. I'm 34 years old, is this the rest of my life? Hope not. Have you been tested for allergies? Immunotherapy might help you. It's helped many, including me. Rick On Apr 6, 7:17 pm, r...@spamgmail.com wrote: > >Well I had taken a break from 'dealing' with this problem and decided > >to 'live' with it about a year ago. After a year, I thought I give it [quoted text clipped - 12 lines] > > Rick Yep, have had skin and blood tests. Only came out with mild cat allergy. I don't own a cat and have not had contact with cats since forever. I have had sinus problems here and there for about 15 years or so...at least I think so. It's only been last two years with the throat issue. And the ENTs usually find my sinuses to be hunky dory. Go figure. The problem is when I hear acid reflux...all of a sudden, I get terrible heartburn etc. It's like I hear the diagnosis and my body follows with the symptoms! I've been fine all week eating tomatoes and cheese with salad and bam, tonight, chest pain and gassiness. Btw, I am completely stuffed up from the nasal scope this morning. I mean, my nose is whistling! I'm assuming it's my nasal passages reacting to the intrusion of the scope and the number spray and gel. I'm pretty sure most everyone here has had this scope. Is this a common reaction? >Btw, I am completely stuffed up from the nasal scope this morning. I >mean, my nose is whistling! I'm assuming it's my nasal passages >reacting to the intrusion of the scope and the number spray and gel. >I'm pretty sure most everyone here has had this scope. Is this a >common reaction? The opposite for me - I believe the spray they use is a decongestant as well as an anaesthetic, and I find my nose really clear for some time after an ENT visit. > On Apr 6, 7:17 pm, r...@spamgmail.com wrote: > [quoted text clipped - 32 lines] > I'm pretty sure most everyone here has had this scope. Is this a > common reaction? don: My nasal congestion also becomes worse whenever anaesthetic is used in my nose. Have you had a swallowing study? Did they comfirm acid reflux? You could also quite easily have h. pylori. the bacteria that causes stomach ulcers. It is also very common. These guys can damage your esphogas and cause acid reflux and ulcers and stomach cancer if left to go on. The stomach discomfort and sore throat you have might also be caused by actinomycetes and friends. They are common soil organisms that almost never show up in culture because they need different culture conditons than those normally used, so they usually fly off the radar. They are found in human waste water and make a great mess in sewage treatment plants because the goo they make is especially strong so collodial silica has to be used to break up the foaming. Dr Flory, the doctor that did the lion's share of the work developing penicillin, had ongoing stomach problems and identified actinomycetes in his stomach mucus as the source. If these bugs are what you have then a couple a weeks of clarithromycin or Zithomax and pepto bismol followed by a couple of weeks of metronidazole should put paid to both. > > On Apr 6, 7:17 pm, r...@spamgmail.com wrote: > [quoted text clipped - 60 lines] > clarithromycin or Zithomax and pepto bismol followed by a couple of > weeks of metronidazole should put paid to both. I have had an endoscopy, manometry and a 24HR double probe PH test done. All pretty much normal. No H Pylori, no excessive acid reflux and normal esophageal valve pressure. Stomach and esophagus looked fine, no polyps etc. The GI doctor recommended I see a speech therapist for aerophagia. The current ENT told me he knows the recommended speech therapist and that this recommendation is usually given when the GI doesn't really know what's going on. The ENT said seeing the speech therapist doesn't usually end up working. > > > On Apr 6, 7:17 pm, r...@spamgmail.com wrote: > [quoted text clipped - 71 lines] > know what's going on. The ENT said seeing the speech therapist > doesn't usually end up working. Oh, the GI's diagnosis of my probe test was that I had 'pseudo' reflux. I had acid reflux when burping, otherwise I didn't really reflux acid. Breath test for urea? thyroid. Your thyroid cartilage is in that area, and there are viruses that will make it hurt. But really, considering how long this has been bothering you, sounds like skunge has colonized your vocal cords themselves. > Well I had taken a break from 'dealing' with this problem and decided > to 'live' with it about a year ago. After a year, I thought I give it > another shot... > > Symptoms=Chronic sore throat, pnd, and strange random rotten egg odor. What color is your Post Nasal Drip? Clear or discolored?  SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. Usually clear or pasty white when I irrigate daily. If I skip a day or two, then I get some light green, gray and yellow mucous. Btw, the ENT said he doesn't think I have PND. He said people with reflux often think the mucous is PND from the nasal passages, but in reality it's mucous from the throat dealing with the acid. His initial recommendation leaned towards "live with it" but after I made clear that this is a serious quality of life issue for me, he told me to come in the next time I am suffering from serious symptoms without an appointment so he can see what my throat looks like when I'm really suffering. Right now, I'm just in the regular, "normal" chronic low level sore throat mode. He did check out my tonsils to see if they could be problem. He noted that he did see small holes which could trap bacteria and cause grief. But he couldn't tell for sure since at my appointment he didn't see any trapped debris. His diagnosis of acid reflux was based his seeing red and swollen vocal cords with nothing else out of the ordinary for my nasal passages and tonsils. > > Well I had taken a break from 'dealing' with this problem and decided > > to 'live' with it about a year ago. After a year, I thought I give it [quoted text clipped - 8 lines] > Email: sdlit...@earthlinkNOSPAM.net > Remove the NOSPAM before replying to me. > Usually clear or pasty white when I irrigate daily. If I skip a day > or two, then I get some light green, gray and yellow mucous. Well, you shouldn't have that. That's why I asked about the color. People with reflux who think it's PND don't actually have *discolored* PND. Discolored PND is a sure sign of trouble in the upper respiratory tract somewhere. That's one way my own ENT tells reflux apart from sinusitis. And then the throat problems may result from the PND inflaming the larynx. Discolored PND contains a variety of things, from pathogens to inflammatory chemicals secreted by your body as defensive, all of which have an irritating effect on the throat. What did your CT scan show? SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > That's why I asked about the color. People with reflux who think it's > PND don't actually have *discolored* PND. Discolored PND is a sure sign > of trouble in the upper respiratory tract somewhere. That's one way my > own ENT tells reflux apart from sinusitis. Hmm...okay, I'll ask my ENT next time. I won't irrigate for a few days either and maybe that will show him the nasal passages in its natural state. I had irrigated the night before a morning appointment and the ENT thought I looked pretty clear. What I clear out from my nose is only slightly discolored if I do not irrigate for a few days, isn't that "normal"? Wouldn't anyone's mucus become discolored after hanging up around the upper nose area for a few days? CT Scan from 18 months ago showed a couple of cysts and not much else. ENT commented that she didn't really see anything wrong. She said if there was something to note, it was that my turbinates were ever so slightly swollen. The ENT said that I didn't have PND, that the mucus was from my throat probably, and not from my sinuses. That my irritated throat area was a classic sign of reflux. I'm overseas currently and I irrigated right after I got to the hotel and I got light yellow, green and bloody chunks. This after flying from DC to Japan with one stop. I've been fairly clear since. Maybe I do not have any problems per se, but just that my sinuses are a little more sensitive than most people's? > I'm overseas currently and I irrigated right after I got to the hotel > and I got light yellow, green and bloody chunks. That's definitely not normal. And it sounds like your sinus problems are being exacerbated by air travel, which doesn't surprise me one bit. Are you a frequent flier? SignatureSteven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > > I'm overseas currently and I irrigated right after I got to the hotel > > and I got light yellow, green and bloody chunks. [quoted text clipped - 10 lines] > Email: sdlit...@earthlinkNOSPAM.net > Remove the NOSPAM before replying to me. "Normal" for me is to get some white mucuos when irrigating. Not a large amount, but some sliver or bits. The discolored stuff seems to happen after very long flights or if I don't irrigate for a few days. I'm not really a frequent flier...it comes in waves, but on average, I do about 1-2 trips per month. The last month has been hectic. I've probably spent 20 days out of 28 on the road. Other times, I'll go a month or two w/o any travel at all. I have the "reflux" problems either way, though I realize that traveling and work stress execerbates the frequency of symptoms. For example, the horrible odor...which would happen a few times a week has been the last week or so, happening several times a day now. I flew yesterday briefly and the entire time, I could smell whiffs of something gross. It's hard to accept that it could be coming from my stomach.... I'm looking into stress and transient sphincter relaxation. Apparently, people have had some success with biofeedback as an approach. |
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