Medical Forum / Diseases and Disorders / Sinusitis / May 2007
slightly odd question about sinusitis
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brian - 18 Apr 2007 12:18 GMT I'm not quite sure of how to phrase this question, but I'll give it a try.
Can a person be suffering from sinusitis if they have no particularly severe, localised symptoms, and no really bad pain, but 'generally feel awful'?
For years now, my symptoms have been:
1) a slight tightness in the forehead.
2) a 'full' feeling near the ears (though my ears aren't blocked).
3) sometimes, a very slight clicking sound in my ears when I swallow.
4) a *very* slight pain, and feeling of fullness, under the eyes.
5) a compulsion to swallow every few minutes (sometime every few seconds). When I do this, there's a sensation of thick stuff sliding into my throat.
6) faint nausea all the time.
7) a 'muddled' feeling in the head.
8) lethargy, and a feeling that 'everything's just too much trouble'.
9) a continual compulsion to clench my teeth.
The point that I'm trying to make is that while I can't say I have any of the more 'dramatic' symptoms I read about from sinus sufferers ("the pain is so bad..." etc), these 'vague' symptoms I have all add up to my often feeling that there's nothing in life left to enjoy.
Does any of this ring true to people here?
truehawk - 18 Apr 2007 13:22 GMT > I'm not quite sure of how to phrase this question, but I'll give it a > try. [quoted text clipped - 31 lines] > > Does any of this ring true to people here? Goo check Nausea check Brain Fog check Lethergy check
Julie - 18 Apr 2007 17:36 GMT That absolutley sounds like sinusitis to me. I'm no expert but all your symptoms sound exactly like how I feel all the time lately although I do have days where I have really bad pain too. Have you seen an ENT and had a CAT scan? I hope you do and can get some answers. I suffered for years before I had my sinus surgery having no idea what was wrong with me. It was by OBGYN who saw I was puffy under my eye and sent me to a ENT who diagnosed a chronic sinus infection which I did end up needing surgery for. It worked GREAT for 10 years although now I'm having problems again. In any case, my point is that my symptoms back then were pretty vague and mild but I was *miserable* and always felt nauseaus and tired and was SO depressed. Get it checked out and best of luck.
brian - 19 Apr 2007 11:50 GMT > That absolutley sounds like sinusitis to me. I'm no expert but all > your symptoms sound exactly like how I feel all the time lately [quoted text clipped - 8 lines] > and always felt nauseaus and tired and was SO depressed. Get it > checked out and best of luck. Thanks for your input. I did get an X-ray about 30 years ago, but I've forgotten what it showed.
As to getting a CAT scan, my problem is that I live in the UK, and in this country you either have to go with the National Health Service (paid for out of taxes), in which case you have to wait months, and you'd probably not be allowed a CAT scan for something as 'trivial' as sinusitis, or else you have to 'go private', which over here is only for the rich (I recently read a book written by a cancer sufferer that mentioned CAT scans as costing about £800/$1500 each).
DMF - 18 Apr 2007 18:03 GMT brian wrote...
> I'm not quite sure of how to phrase this question, but I'll give it a > try. [quoted text clipped - 3 lines] > feel awful'? > For years now, my symptoms have been: <snip of symptoms>
Your symptoms are very similar to mine. Do you recall when this condition started? Was it preceeded by any other illness like the flu, etc. Did you get an acute sinus infection that was "cured" with a short course of antibiotics? Did you take any other drugs?
Regards, David
brian - 19 Apr 2007 11:43 GMT > brian wrote... > > I'm not quite sure of how to phrase this question, but I'll give it a [quoted text clipped - 14 lines] > Regards, > David Thanks for everyone's help here. As to when it started, well, I've always had asthma and hayfever, so I do remember having a blocked nose a lot in Summer from way back in schooldays.
In my early 20's, I started to have toothache in my upper molars and went to four different dentists who all disagreed (opinions varied from "I've X-rayed your teeth and they're fine" to "you've got decay under several of your fillings"). Finally I got several teeth refilled, but this didn't do much good. It was only after that that a doctor told me that sinusitis can cause pain in the upper teeth.
The only time I've ever had antibiotics is when I've had a cold that has been followed by what docs call a 'secondary bacterial infection' (ie: bacteria taking advantage of the body's weakened state after the cold). In the past few years, BTW, I've noticed that after a cold I *nearly always" get such an infection. I can't remember if my sinuses got better after the antibiotics, though - I certainly can't remember feeling a whole lot better after taking them.
The only other drug I've been given is Beconase, once several years ago (spray bottle) and once just recently (aerosol). It doesn't seem to do much good, but maybe it's me not persevering: if I don't get a very marked effect from a drug very quickly, I tend to feel "this obviously isn't going to work" and either consciously give up taking it or just gradually stop bothering to.
MZB - 19 Apr 2007 21:24 GMT Brian:
You should give the steroid sprays a week or so to see if they will help
Mel
>> brian wrote... >> > I'm not quite sure of how to phrase this question, but I'll give it a [quoted text clipped - 40 lines] > obviously isn't going to work" and either consciously give up taking > it or just gradually stop bothering to. DMF - 19 Apr 2007 23:45 GMT > Thanks for everyone's help here. As to when it started, well, I've > always had asthma and hayfever, so I do remember having a > blocked nose a lot in Summer from way back in schooldays. <snip>
Sounds like under or untreated sinus infection but you really need to see a doctor who specializes in sinusitis and an allergist to deal with your allergies or it will just recur.
Re: socialized medicine in UK. Better come over to the US to get treated before Hillary Clinton is elected president because she is liable to socialized healthcare here too and then we are all screwed.
Regards, David
truehawk - 20 Apr 2007 04:24 GMT > brian wrote> Thanks for everyone's help here. As to when it started, well, I've > > always had asthma and hayfever, so I do remember having a [quoted text clipped - 13 lines] > Regards, > David I am sure that if we have full single payer, there will always be the option to go have the work done privately. Now here in the States we simpally pay the insurance company more than we pay the doctors. They in turn ration care, dictating what they will and will not cover.
And since cureing people is less lucritive than having them on medication for the rest of our lives phage therapy and vaccination development languish in this country while drug breakthroughs paid for with Federal tax dollars are licensed to private industry to develop.
Which is one reason that the efficacy stastics from studies done in this country are lousy and why we have a problem with MRSA and other resistant bacteria, whereas the former Soviet Republic of Georgia which developed phages over the last half century does not.
Per capita medical spending in this country is 2 or 3 times what it is per capita in countries with single payer systems and I was reading that less than 50% of those that are fully covered by insurance recieve the treatment up to the "standard of care". Our system sucks for the uninsured, but it ain't great for the fully covered either.
I have had HMSA, Blue Cross, Kaiser, and several PPOs, and I have to say that HMSA was the best by FAR.
DMF - 24 Apr 2007 23:44 GMT truehawk wrote...
>> Re: socialized medicine in UK. Better come over to the US >> to get treated before Hillary Clinton is elected president >> because she is liable to socialized healthcare here too and >> then we are all screwed. <snip>
> Our system sucks for the uninsured, but it ain't great for the fully > covered either. Our system sucks because of the growing nationalization of health care industry. It will be worse when the post-office is running it. You might want to check your premise that even if the US has a nationalized system, private access (for the rich!) will still exist. That may be true but the best people will not BECOME doctors as they opt for other careers. The type of person who is happy to work under orders from the gov't is not the type of person you want treating you. I see from your posts that you are already clashing with doctors who can't or won't think for themselves and are happy to stick with "standard" practices even though its not working or the facts indicate alternative treatments.
Eventually the best will retire, leave for other careers or never become doctors in the first place. It has to be so... see our only hope...
Capitalism: The Unknown Ideal, by Ayn Rand http://capmag.com/store/store_detail.asp?ID=3
> I have had HMSA, Blue Cross, Kaiser, and several PPOs, and I > have to say that HMSA was the best by FAR. HMSA = ?
Regards, David
truehawk - 26 Apr 2007 22:01 GMT > truehawk wrote... > >> Re: socialized medicine in UK. Better come over to the US [quoted text clipped - 30 lines] > Regards, > David David:
You have made an assumption that profit motive = cured patients.
Drug companies and doctors make much more from chronicly ill patients than cured ones.
It seems that a country with socialized medicine would be more interested in curing the problem rather than prolonging it for profit. The ENT I saw at Duke did do a biofilm study, but the work was done in Holland, not here. I am not privy to the politics of why, I can only speculate as to why, but Judy N has commented on the prevelent conflicts of interest.
And doesn't Holland have socialized medicine?
DMF - 01 May 2007 03:31 GMT truehawk wrote...
> You have made an assumption that profit motive = cured patients. In the long run, yes (to the degree any particular disease can be cured) but I won't belabor the point but you really should read Ayn Rand's book on Capitalism. The main point is that the best people will NOT become doctors under a socialized system. Its a "cost" that the socialists don't ever mention.
> Drug companies and doctors make much more from chronicly ill > patients than cured ones. Yes, this is in the same category as the old myth about the oil companies buying the rights to a super carborator (or other engine gadget) that would get hundreds of miles to the gallon.
It is true that drug companies do make a lot of money from chronically ill patients but I am not so cynical to believe that they *know* a cure but withhold it from the market to make more money. Moreover, do you think that a doctor could get away with keeping his patients from learning of better treatments now that the internet exists? I know there are doctors who milk medicaid or perform unnecessary heart operations and etc, but I think they are in a very small minority. There are unscupulous auto mechanics too but its not the profit motive that creates them. Every social group has bad apples its not fair to disparage the whole group.
> It seems that a country with socialized medicine would be > more interested in curing the problem rather than prolonging > it for profit. You'd better check that premise. Its well known in economics that if profits (and free market pricing) is removed then other non-economic factors then decide who gets what at what cost. What this means is the politically connected or bribery determine who gets treatment while us Hoi Polloi have to grovel and kiss the a.s of the gatekeepers to get treatment (and poor treatment at that since all the best people won't work under such terms). Socialist healthcare systems are notorious for ignoring problems and denying treatments to lower costs.
Regards, David
neil0502@yahoo.com - 27 Apr 2007 00:18 GMT > Re: socialized medicine in UK. Better come over to the US > to get treated before Hillary Clinton is elected president > because she is liable to socialized healthcare here too and > then we are all screwed. Phew.
I was beginning to enjoy how free this NG was from political crap.
Susan - 27 Apr 2007 01:45 GMT >>Re: socialized medicine in UK. Better come over to the US >>to get treated before Hillary Clinton is elected president [quoted text clipped - 4 lines] > > I was beginning to enjoy how free this NG was from political crap. It still is if you kill file the crap instead of quoting and reposting it!
Susan
neil0502@yahoo.com - 27 Apr 2007 19:43 GMT ....you mean the way you did?
Got it. Lesson learned. Thanks ;-)
DMF - 01 May 2007 03:40 GMT Susan wrote...
>>>Re: socialized medicine in UK. Better come over to the US >>>to get treated before Hillary Clinton is elected president [quoted text clipped - 7 lines] > > It still is if you kill file the crap instead of quoting and reposting it! I'm not trying to destroy the newsgroup by dragging endless political discussions into it. However, anyone here and anyone who deals with the healthcare system knows the system is severely disfunctional. You can stick your head in the sand and call my post "political crap" if you like but in the years ahead, if the US healthcare system is nationalized then it WILL get worse. A cure for sinusitis is not going to fall out of the heavens it requires free doctors pursuing their own rational self interest (including profits). Read Ayn Rand's book on Capitalism if you are interested.
Regards, David
truehawk - 01 May 2007 06:04 GMT > Susan wrote... > > neil0...@yahoo.com wrote: [quoted text clipped - 23 lines] > Regards, > David David, as far as I can see, some of the best people are the microbiologists that love their work and do it for 50 to 100K a year. Many of them are women. They do it because they love it, not to get rich, They ARE the best people. And then there was Bill Smith, who had 3 microscopes in his back lab in his office when I was a kid and showed me how to do my first gram stain. He was a doc before a lot of insurance, and he made house calls and injected antibotic into my ears once to stop an infection, and told my mom that I had a 1.2.3 infection. He trained by the Army or the Navy one or the other, during the Korean war. He was the best. I have had several GPs who were wonderful doctors, not surgeons and never going to be rich, but crackerjack diagnostisions, and while in Washington state my old GP was campigning for Universal health care. My excellent doctor, Kevin Holcomb actually specializes in emergency medicine and trama, he'd be a doctor win loose or draw, also you mean to tell me that all the Canadian and English and Danish doctors that work for Universial health plans are 2ed rate? And I have met some wonderful Russian doctors, In fact Russia has no antibotic resistance problem to speak of, because they developed the viruses that kill pathogens instead of concentrating on antibotics so think that your assumption that the "best people' would not go into medicine is like saying that the "best people will no longer go into music if all you have it litergical music ( but what about Bach?), and the best people do not go into teaching, and that the best people will not become clergiman or monks or polieceman or fireman or engineers. And are the investment bankers who make millions a year and require offshore producion as a prerequsit for an offering, are they the "best people".
The best doctors I know of feel strangled and beggered now between PPO guidelines on one hand and malpractice insurance requiremments on the other hand. AND the most profitable drugs on the PLANET are Pepcid and Zantac, drugs for chronic stomach inflammation which is probably bacterial in nature. And I read Fountainhead and Atlas Shrugged 40 years ago. I as a teenager I thought that Anne Ryan was a White Russian with an ax to grind, and a philosophy of recipical altruism to refute, however I think that in general people were better fed, educated and taken care of medically under the Communist regiem than under the Zars. Soviet science has been both wide ranging and productive, and seems more inclined to follow the odd lead than our insurance and drug company lockstep over here. I know in the feild of rocket engineering, before the fall of the Soviet Union, we read the translations of their articals with interest and much of the work was outstandingly clever. Their economy made harsh toilet paper and cluncky shoes, and a big mess of a reactor, but beautiful iron birds, doctors, music, art, and dance. Things that people are passionate about they still did well. Becasue the best people are committed and passionate. No I think that you might want check you defination list, if by best people you mean the most money driven, then you are right, but you would get an arguement from people like Patch Adams about weather those are the best people.
judy.n - 01 May 2007 12:28 GMT May I second Elizabeth's arguement about universal healthcare: the un- insured and under-insured in this country is a national travesty. The current trend toward affordable health care is high deductible plans, that leave the struggling employees on the hook for the first couple of thousand of health care costs--and our local hospitals are in terrible financial trouble as these "paycheck to paycheck" insured employees can't afford their deductible. I'm in primary care, and the pay is lousy and hours are long. The trend in medical schools in the US is to avoid primary care, because the students can't pay off their loans with our earning potential. Yet, a radiologist earns 5 times as much. There's a bimodal distribution of income in healthcare with primary care at the low end--and when you factor in the actual hours worked-- including call--our hourly wages are low, with a second higher income distribution for specialists/proceduralists. It's based on insurance reimbursement for procedures over thinking. My daughter's fiance is currently in a family medicine residency, and he's brilliant and trained at top schools. Currently, family medicine residencies are filled with 67% foreign grads. He wanted to actually take care of patients, but he's bucking the trend, and honestly, I keep telling him to switch to a specialty that will allow him a better lifestyle. I believe universal healthcare won't be perfect, but it will take the obscence profits away from companies like Unithed Health and hopefully put them back into actual health care. I also read Ayn Rand years ago, and discounted her as overly simplistic. Judy
> > Susan wrote... > > > neil0...@yahoo.com wrote: [quoted text clipped - 78 lines] > would get an arguement from people like Patch Adams about weather > those are the best people. Ghamph - 18 Apr 2007 20:02 GMT Same symptoms as mine except that I get thick nasty yellowish goo. Swollen nasal passages , difficulty breathing through nose. Never goes away severity varies. Slight feverish but no nausea. Jamffer
> I'm not quite sure of how to phrase this question, but I'll give it a > try. [quoted text clipped - 31 lines] > > Does any of this ring true to people here? Kofi - 19 Apr 2007 10:22 GMT > I'm not quite sure of how to phrase this question, but I'll give it a > try. [quoted text clipped - 31 lines] > > Does any of this ring true to people here? Many of these symptoms apply to jaw disorders like TMJ and bruxism (especially the teeth clenching). There's a lot of overlap with sinusitis and they often occur together in clusters. You might want to get checked out my a myofascial dentist. If you have a jaw problem, the dentist can fit you with a splint to sleep with at night.
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