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Medical Forum / Diseases and Disorders / Sinusitis / December 2007How long will chronic sinusitis last?
I have had chronic sinusitis for about 3 years now, and it has been getting progressively worse. I flush my sinuses two times a day with a netty pot. It doesn't look like I can be cured medically, seeing as how I tried a number of different antibiotics for over 2 months and it had no effect (aside from an unhappy stomache, haha). So is there any hope that it might just "go away", or am I looking at a lifetime case of sinusitis? Also, surgery is not an option. Thanks. > I have had chronic sinusitis for about 3 years now, and it has been > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 7 lines] > > Thanks. You might need probiotics after the antibiotics. I agree about the surgery point , only as a very last resort if the symptoms get unbearable. I've had sinusitis almost four years so far but is manageable with Flunisolide spray. I get 4 to 7 day bouts requiring many sprays and about two weeks off with only one spray every three or four days. I don't put anything else in my nose since I quit irrigation five months ago. I have an almost normal drainage now with the steroid spray. Any other treatment only seems to irritate and cause congestion. I made a rule for myself which is, "if it ain't broke don't fix it" For the last six months the steroid spray fixes the symptoms. The word chronic means , never goes away or always comes back. I've heard that some people have had (permanent?) results from surgery but I never communicated with any of them directly yet? Jamffer > ... > Jamffer I wouldn't mind if it was chronic but manageable, but I've tried the nasal spray stuff for the last two years. By worse I mean I'm limited when it comes to food (no sugar, no fruit, no dairy, no caffeine) and I cannot exercise for more than 5 minutes a day else my throat will block up and my nostrils will inflame. And even without exercising or eating those foods, mucus and pus still drips down and I have to spit it up around 20 times a day. And it's definitely chronic because I cannot remember a single day without coughing up an excessive amount of mucus. Yar, I'm a bit iffy about surgery. My doctor said that it will not work all of the time and a lot of people get their sinuses messed up from it. >> ... >> Jamffer [quoted text clipped - 6 lines] > eating those foods, mucus and pus still drips down and I have to spit > it up around 20 times a day. What did your CT scan show was going on inside your sinuses?  SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > > ... > > Jamffer [quoted text clipped - 13 lines] > work all of the time and a lot of people get their sinuses messed up > from it. Do you have any symptomatic or asymtomatic gum irritation? Also do you have allergy to the foods you avoid? Have you had any x-rays (CT scan) or MRI , which might indicate bone involvement or other issues? Jamffer > Do you have any symptomatic or asymtomatic gum irritation? > [quoted text clipped - 3 lines] > involvement or other issues? > Jamffer I do not have a gum irritation that I know of. I will definitely look into it though, as anything is helpful at this point. At first, my doctor and I thought that I merely had food allergies. I've been tested for foods and dust etc. and everything came back negative. I also had a blood sample taken and analyzed, but that also came back negative. The ENT's that I've seen cannot understand why I have a reaction to those foods. I did not have any reports about bone involvement. > > Do you have any symptomatic or asymtomatic gum irritation? > > [quoted text clipped - 14 lines] > > I did not have any reports about bone involvement. Do you know which sinuses are involved? Are there any tender spots around the sinuses? You can self-test your gums by pressing firmly on them and should not feel any tender spots. My maxillaries sometimes have tender spots that I treat by rolling my fingers on to massage, which helps, if done several times a day. When I've had serious congestion in the past, I found temporary relief with hot liquids like soup, hot V8 juice etc. Since I've fixed my tender gum spots and removed an old root canal ruminant, my sinuses are getting better over time. In a month or two I'll know more. Stay tuned to this group because there is a lot of comprehensive stuff that others have tried with varying results. Jamffer > I have had chronic sinusitis for about 3 years now, and it has been > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 7 lines] > > Thanks. I've had it 20 years. I hold the opinion that there is no cure. I claim this because no one has cured me yet. I've had numerous meds, irrigations, and two surgeries. When someone develops a real cure we will all know about it. > I've had it 20 years. I hold the opinion that there is no cure. I > claim this because no one has cured me yet. I've had numerous meds, > irrigations, and two surgeries. When someone develops a real cure > we will all know about it. Oh man, 20 years?! I've had a crap enough time in these past three, I can't imagine having it for a fourth of a lifetime. Thanks for the straight up answer though, I appreciate it. > > I've had it 20 years. I hold the opinion that there is no cure. I > > claim this because no one has cured me yet. I've had numerous meds, [quoted text clipped - 5 lines] > > Thanks for the straight up answer though, I appreciate it. I'm there, too. Better years and worse years, but ... chronic. I've had FOUR (count 'em: four) sinus surgeries and I'm ANYTHING BUT cured. I've probably been battling it -- in one form or another -- for almost 30yrs. And I KNOW others on this board can beat THAT ;-) Good luck! > I've had FOUR (count 'em: four) sinus surgeries and we need a lot more > information other than 4 surgeries like what surgical procedures where > done before i can comment on it fwiw peter > I've had it 20 years. I hold the opinion that there is no cure. I > claim this because no one has cured me yet. I've had numerous meds, > irrigations, and two surgeries. When someone develops a real cure > we will all know about it. Same with me. I have been taking antibiotics daily for about 3 years, but I still hope it will get better. I would love to quit taking the antibiotics, but when I do, all Hell breaks loose. I had sinus surgery 10 years ago, then again 13 months ago. Still, the infection remains. Becca > > I've had it 20 years. I hold the opinion that there is no cure. I > > claim this because no one has cured me yet. I've had numerous meds, [quoted text clipped - 7 lines] > > Becca That sounds like a pretty nasty case of it... > I have had chronic sinusitis for about 3 years now, and it has been > getting progressively worse. I flush my sinuses two times a day with a > netty pot. It doesn't look like I can be cured medically, seeing as > how I tried a number of different antibiotics for over 2 months and it > had no effect (aside from an unhappy stomache, haha). What did your sinus CT scan show was wrong with your sinuses? SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. > > I have had chronic sinusitis for about 3 years now, and it has been > > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 8 lines] > Email: sdlit...@earthlinkNOSPAM.net > Remove the NOSPAM before replying to me. >From what I can remember (they told most of the information to my mother), it was just that my sinuses were inflamed and there was pus along the lining of them. >>> I have had chronic sinusitis for about 3 years now, and it has been >>> getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 11 lines] > mother), it was just that my sinuses were inflamed and there was pus > along the lining of them. Can you call your doctor and have him send you the CT scan films and a copy of the radiologist's report on them? It would sure help us if we knew exactly what they found. Also, when they found pus along the lining, did your doctor take a culture of that pus? SignatureSteven L. Email: sdlitvin@earthlinkNOSPAM.net Remove the NOSPAM before replying to me. On 10/25/07 8:15 PM, in article 13i2mv1ecfjmb4a@corp.supernews.com, "Steven L." <sdlitvin@earthlink.net> wrote: >>>> I have had chronic sinusitis for about 3 years now, and it has been >>>> getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 18 lines] > Also, when they found pus along the lining, did your doctor take a > culture of that pus? Unfortunately the culture taken dirctly in the nose may not show the significant bacteria in the sinues. A needle aspiration is best way. Another way is to irrigate via pulsatile irrigation 200 cc of saline and then catch the next 200 cc in a sterile container. > On 10/25/07 8:15 PM, in article 13i2mv1ecfjmb4a@corp.supernews.com, "Steven > L." <sdlitvin@earthlink.net> wrote: [quoted text clipped - 26 lines] > Another way is to irrigate via pulsatile irrigation 200 cc of saline and > then catch the next 200 cc in a sterile container. * * * * * Murray; I think that it's a stretch to claim that pulsating water in the nasal cavity enters an infected sinus. It never seemed to work for me. If water does enter an infected sinus then it would also enter the uninfected sinuses which would be very bad, as you should know, Doctor. Jamffer * * * * * Role of Middle Meatus Aspiration Culture in the Diagnosis of Chronic Sinusitis. Triological Society Section Meeting Papers Laryngoscope. 107(12):1586-1589, December 1997. Gold, Steven M. MD; Tami, Thomas A. MD Abstract: Although empiric antibiotic therapy is often used for sinusitis, the emergence of antibiotic resistance has increased the failure rate of this approach. Culture-directed therapy usually increases treatment success, but traditional antral puncture is often accompanied by poor patient and physician acceptance. Endoscopically directed middle meatal aspiration culture is increasingly used in this setting, but studies have not convincingly demonstrated the validity of this technique. Both endoscopic middle meatal and direct antral cultures were performed during endoscopic sinus surgery. Cytologic examination was performed to confirm the presence of inflammatory cells. When culture results were compared in 21 specimen pairs, exact correlation was found in 18 (85.7%). Based on this study, endoscopically directed middle meatus aspiration culture appears to be a valuable alternative to antral puncture for guiding organism-specific antibiotic therapy in sinusitis. (C) The American Laryngological, Rhinological & Otalogical Society, Inc. On 10/26/07 4:04 PM, in article 13i4silq7i5m26@corp.supernews.com, "Ghamph" <ghamph@localnet.com> wrote: >> On 10/25/07 8:15 PM, in article 13i2mv1ecfjmb4a@corp.supernews.com, > "Steven [quoted text clipped - 39 lines] > Jamffer > * * * * * I am sorry you didn't understand. With pulsation, first you remove the nasal material before you get the sinus culture material. Our results with this method have been very useful. > Role of Middle Meatus Aspiration Culture in the Diagnosis of Chronic > Sinusitis. [quoted text clipped - 20 lines] > > (C) The American Laryngological, Rhinological & Otalogical Society, Inc. > I am sorry you didn't understand. With pulsation, first you remove the nasal > material before you get the sinus culture material. Our results with this > method have been very useful. Unless you have independent research citations supporting this claim, it's nothing more than a sales pitch. Any objective studies to show? Susan Personally: when I had a severe pseudomonas osteomyelitis after a sinus surgery, done by a "world expert" in Boston, who published an article that declared that patients with sinusitis had worse quality of life than patients with congestive heart failure (and then he abandoned me after the surgery because he insisted that all of his surgeries were successful), I found if I irrigated before going my local ENT, he couldn't find the problem. And he saw me weekly. So, I held up on irrigation, and he found the problem with the endoscope, and cultured out a multi-resistant pseudomonas. And then did a corrective surgery. I agree with Susan: the claims for pulsatile irrigation are purely andectodal: lets see some evidence here. Judy > x-no-archive: yes > [quoted text clipped - 8 lines] > > Susan On 10/27/07 11:51 AM, in article 5ohfleFmtsuvU1@mid.individual.net, "Susan" <nevermind@nomail.com> wrote: > Any objective studies to show? Only that my 5 person group has been using it successfully for years. > Only that my 5 person group has been using it successfully for years. So that's a resounding "NO" then. Susan > On 10/27/07 11:51 AM, in article 5ohfleFmtsu...@mid.individual.net, "Susan" > > <neverm...@nomail.com> wrote: > > Any objective studies to show? > > Only that my 5 person group has been using it successfully for years. That's not evidence, it's anecdotal: haven't you compiled any data to support your claims? Judy >> On 10/27/07 11:51 AM, in article 5ohfleFmtsu...@mid.individual.net, >> "Susan" [quoted text clipped - 7 lines] > support your claims? > Judy I would have hoped that by now that he would have subjected this to some double-blind studies. Years of claims and sales later, and still not done... "successfully" for whom? > On 10/26/07 4:04 PM, in article 13i4silq7i5m26@corp.supernews.com, "Ghamph" > <ghamph@localnet.com> wrote: [quoted text clipped - 11 lines] > material before you get the sinus culture material. Our results with this > method have been very useful. Monday, October 08, 2007 1:01 AM Re: New Study Casts Doubt on Irrigation For Chronic Sinusitis Murray Grossan <hydromed@adelphia.net> Quote: "Too bad they didn't study pulsatile irrigation. Because the solution does end in the sinuses, this is now a preferred method of delivering antibiotics. But the primary function of pulsatile irrigation is to restore nasal cilia action. This can be objectified by Saccharin test or other means and can be used to "titrate" the pulsatile irrigation. Once the cilia are normal you don't need further pulsatile irrigation. However some conditions need more than pulsatile irrigation and should include cilia stimulating products." **** I do understand that you claim that pulsatile irrigation enters the sinuses. What part of that didn't I understand. One would need to (reverse flow ) of a draining or clogged sinus duct for liquid to enter. The liquid would certainly enter uninvolved sinuses also. Could you explain how that would be a good thing? Jamffer On 10/28/07 10:53 AM, in article 13i9fkd1thadu3d@corp.supernews.com, > One would need to (reverse flow ) of a draining or clogged sinus duct for > liquid to enter. > The liquid would certainly enter uninvolved sinuses also. > Could you explain how that would be a good thing? > Jamffer Actually there are two actions. One is the Bernoulli effect. As the stream flows past a narrow opening it creates a vacuum which suctions material out of the narrow opening. As the vacuum increses, some of the liquid enters the cavity. The saline replaces the sinus contents. The second action is the pulsation that "pumps' the liquid in. But the downside is that after the fluid is in the sinus, 8 cc or more may come out when you are leaning over to sign your mortgage application. But, again, the primary value of pulsatile irrigation is restoring normal cilia function. Infection toxins impair cilia and if the cilia don't return, then another infection can start after the antibiotic if finished This is why it is so important to push the tea, lemon and honey with every sinus infection. > On 10/28/07 10:53 AM, in article 13i9fkd1thadu3d@corp.supernews.com, > [quoted text clipped - 18 lines] > why it is so important to push the tea, lemon and honey with every sinus > infection. So..It's not a bad thing for contaminated liquid to enter uninfected sinuses? Unlike your past statement that blowing causes mucus to enter uninfected sinuses, and is very bad. The natural flow is almost never in reverse, for a very good reason.(infection should leave the body, not enter healthy sinuses). Jamffer > Actually there are two actions. One is the Bernoulli effect. As the stream > flows past a narrow opening it creates a vacuum which suctions material out [quoted text clipped - 10 lines] > why it is so important to push the tea, lemon and honey with every sinus > infection. Are here any objective data demonstrating that pulsatile irrigation does this, or does it any better than other irrigation methods? Susan >I have had chronic sinusitis for about 3 years now, and it has been > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 7 lines] > > Thanks. For me, thirty years and counting. That's after 4 surgeries, endless courses of--almost continuous--prednisone, various irrigation protocols, myriad antibiotics and two Mayo Clinic consultations. From anyone who doesn't have it, it's "well, at least it's not cancer." There is such a thing as "quality of life" however, and--as you've undoubtedly discovered--chronic sinusitis steals that. > >I have had chronic sinusitis for about 3 years now, and it has been > > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 14 lines] > thing as "quality of life" however, and--as you've undoubtedly > discovered--chronic sinusitis steals that. what galls me is when doctors minimize the condition. the doctor that i was seeing in the spring waved his hand at me & said, "what's the big deal? it's just a sinus infection." granted, i wasn't having a cardiac event at the time of the appointment, but the lack of regard for the quality of life issue really made me angry. ellen >>> I have had chronic sinusitis for about 3 years now, and it has been >>> getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 19 lines] > > ellen It's because they can't cure it and it's not typically life threatening. Adekoba, I don't know if this would be appropriate to your problem but I have found that using Pulmacort respules has helped me a lot. I would consider the benefit in my case dramatic. My problem is diagnosed as eosinophilic nonallergic rhinitis. I had 2 surgeries 1 year apart when this started and was well on my way to a third when I read about this treatment on this web site. Take a look at the other post, if you need more information on this take a look at another post on this site. I just posted a response to CSR "no more polyps - for me at least". I hope this helps, Bob >I have had chronic sinusitis for about 3 years now, and it has been > getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 7 lines] > > Thanks. > Adekoba, > [quoted text clipped - 20 lines] > > > Thanks. i know that the sinus center at the university of michigan has been using the pulmicort respules as a treatment option. ellen >I have had chronic sinusitis for about 3 years now, and it has been >getting progressively worse. I flush my sinuses two times a day with a [quoted text clipped - 7 lines] > >Thanks. It lasts a lifetime for most of us i.e. chronic. . It seems like I have had sinus problems forever --for years Nasalchrom -cut down on the infections for me , now I am going through allergy shots -I have a bunch -none being foods -I am hopeing this will help . > Also, surgery is not an option. why is it not an option? chronic sinusitis can lead to very severe complications none of which should be taken lightly brain abcess is one of them also chronic infections eat bone thinning out the sinus cavity making surgery that more touchy--at least have a surgical evaluation then decide if surgery is not an option hth peter
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