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Medical Forum / Diseases and Disorders / Sinusitis / February 2008

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postnasal drip and stomach upset

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marlacomm@hotmail.com - 01 Feb 2008 14:46 GMT
Did any of you ever hear of getting upset stomachs and loose stools
from swallowing large amounts of infected and inflammatory post-nasal
drip mucus?
-Marla Comm
Susan - 01 Feb 2008 14:57 GMT
> Did any of you ever hear of getting upset stomachs and loose stools
> from swallowing large amounts of infected and inflammatory post-nasal
> drip mucus?
> -Marla Comm

Yes, definitely.

You can also get nausea and loose stools from the adrenal suppression by
a lengthy infection that goes unchecked, if susceptible.

Susan
Steven L. - 01 Feb 2008 16:03 GMT
> Did any of you ever hear of getting upset stomachs and loose stools
> from swallowing large amounts of infected and inflammatory post-nasal
> drip mucus?

Yep:

"Symptoms of acute sinusitis are often confused with an upper
respiratory infection and are often manifested as a continuation of
upper respiratory symptoms. They can also include purulent or
non-purulent nasal drainage (either rhinorrhea or post nasal drip),
nasal blockage, the sensation of swelling in the nose or sinuses, ear
symptoms, dizziness, difficulty concentrating, pain in the teeth,
halitosis,pain on leaning over, fever, headache, cough, malaise,
pharyngitis, etc. Gastrointestinal and even psychiatric symptoms are not
unusual due to swallowing mucus."

http://www.sinuses.com/md.htm

Signature

Steven L.
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

Jenise - 01 Feb 2008 21:12 GMT
On Feb 1, 8:46 am, marlac...@hotmail.com wrote:
> Did any of you ever hear of getting upset stomachs and loose stools
> from swallowing large amounts of infected and inflammatory post-nasal
> drip mucus?
> -Marla Comm

Yes, most definately!
After my 1rst sinus surgery I got a horrible, nasty infection and
developed an abcess.  I was soooo sick.
I lost 15lbs in 2 wks as I was so nauseated from the nasty drainage.
I did throw up several times and also had dry heaves.
Jenise
Sergei91 - 02 Feb 2008 03:29 GMT
> On Feb 1, 8:46 am, marlac...@hotmail.com wrote:
>
[quoted text clipped - 9 lines]
> I did throw up several times and also had dry heaves.
> Jenise

Marlac,
YES YES & YES!
Finally someone asks this question!  I was just asking this same thing
to someone who works in the sinusitis field (not a Doc)and talks to
patients daily to see if he had ever heard of this with all of the
sinus sufferers he talks with.  (Not really, was the answer but he
felt that for there defiantly could be a relationship) I thought I was
crazy for even thinking that there was a relationship but I have the
same symptoms, just add excessive gas to your list (to the joy of my
wife, who puts up with it)
I'm so relieved to know that I'm not teh only one with the nausea and
bowel problems.
Sergei91
Bob - 02 Feb 2008 21:29 GMT
> Did any of you ever hear of getting upset stomachs and loose stools
> from swallowing large amounts of infected and inflammatory post-nasal
> drip mucus?
> -Marla Comm

It have eosinophilic non allergic rhinitis
Rinse my sinuses twice each day with prescription drug
About twice each week I use a steriod rinse to stop pollups from forming
I live on Sudafed
About 4 hours ignoring my sinuses will make me quite sick to my stomach
and shortly after that  comes the rest of the problems.
Sometimes the changing weather or my schedule seems to be all it takes.

The effect is absolutely real I am sorry to say.
Michael - 04 Feb 2008 13:41 GMT
> <marlac...@hotmail.com> wrote in message
>
[quoted text clipped - 4 lines]
> > drip mucus?
> > -Marla Comm

Rhinosinusitis derived Staphylococcal enterotoxin B possibly
associates with pathogenesis of ulcerative colitis.
Yang PC, Liu T, Wang BQ, Zhang TY, An ZY, Zheng PY, Tian DF.

Department of Pathology and Molecular Medicine, McMaster University,
Hamilton, ON, Canada. yangp@mcmaster.ca

BACKGROUND: During clinical practice, we noticed that some patients
with both ulcerative colitis (UC) and chronic rhinosinusitis (CRS)
showed amelioration of UC after treatment of CRS. This study was
designed to identify a possible association between CRS and UC.
METHODS: Thirty-two patients with both CRS and UC received treatment
with functional endoscopic sinus surgery (FESS) for CRS. Clinical
symptom scores for CRS and UC, as well as serum levels of anti-
Staphylococcal enterotoxin B (SEB) were evaluated at week 0 and week
12. Sinus wash fluid SEB content was measured with enzyme-linked
immunosorbent assay (ELISA). The surgically removed tissues were
cultured to identify growth of Staphylococcus. aureus (S. aureus).
Immunohistochemistry was employed to identify anti-SEB positive cells
in the colonic mucosa. Colonic biopsies were obtained and incubated
with SEB. Mast cell activation in the colonic mucosa in response to
incubation with SEB was observed with electron microscopy and
immunoassay. RESULTS: The clinical symptom scores of CRS and UC severe
scores (UCSS) were significantly reduced in the UC-CRS patients after
FESS. The number of cultured S. aureus colonies from the surgically
removed sinus mucosa significantly correlated with the decrease in
UCSS. High levels of SEB were detected in the sinus wash fluids of the
patients with UC-CRS. Histamine and tryptase release was significantly
higher in the culture supernate in the patients with UC-CRS than the
patients with UC-only and normal controls. Anti-SEB positive cells
were located in the colonic mucosa. CONCLUSION: The pathogenesis of UC
in some patients may be associated with their pre-existing CRS by a
mechanism of swallowing sinusitis-derived SEB. We speculate that SEB
initiates inappropriate immune reactions and inflammation in the
colonic mucosa that further progresses to UC.

PMID: 16144553 [PubMed - indexed for MEDLINE]
Michael - 04 Feb 2008 15:17 GMT
> > <marlac...@hotmail.com> wrote in message
>
[quoted text clipped - 4 lines]
> > > drip mucus?
> > > -Marla Comm

"Staphylococcal Enterotoxins

The SEs, SEA through SEI except SEF, are produced by various coagulase-
producing staphylococci. Although known for many years as the cause of
SFP, they have only recently been shown to be superantigenic, and in
particular SEB and SEC have been implicated in nonmenstrual TSS. All
SEs thus far characterized have the immunomodulatory properties of
superantigens, and several have been demonstrated to be lethal in the
rabbit model of TSS. Molecular studies of the SEs have shown that
superantigenicity and the capacity for causing SFP are determined by
separate parts of the protein (2, 67). Several reviews of SEs are
available, and other sections of this review provide background on
toxin genetics and TSS pathogenesis.

All toxins thus far identified share a number of important properties
(10, 12, 24, 26), including (i) an ability to cause emesis and
gastroenteritis in a primate model, (ii) superantigenicity, (iii)
intermediate resistance to heat and pepsin digestion, and (iv)
tertiary structural similarity (where known) including an
intramolecular disulfide bond. "

Note point (iii) intermediate resistance to ... pepsin digestion,

from:-
Exotoxins of Staphylococcus aureus
Martin M. Dinges, Paul M. Orwin, and Patrick M. Schlievert*
Department of Microbiology, University of Minnesota School of
Medicine, Minneapolis, Minnesota 55455
Clin Microbiol Rev. 2000 January; 13(1): 16-34.
Copyright (c) 2000, American Society for Microbiology
Full text at:-
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=10627489
 
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