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Medical Forum / Diseases and Disorders / Sinusitis / October 2004

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Cilia

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LGV - 30 Sep 2004 16:05 GMT
Question on cilia:  I've been using the HydroPulse for many months.  The
plain-salt saline in my sinuses does not seem to come out on its own as
described by everyone, or perhaps it comes out much much slower than
anyone else.  I.e., it doesn't start draining down the back of my throat
in 20-40 minutes, but rather pours out my nose only when I tilt my head.
The longest I've waited is about 2 hours before draining my sinuses over
the sink.  What might be going on here?

Background:  I'm 33, never smoked.  Ten years ago I had a skull x-ray done
for an unrelated reason, and the tech commented that I was bound to have
sinus trouble.  A year ago I had my first sinus infection that lasted 2
months, and two months later I had a 3-month-long sinus infection.  At the
start of that second infection, I saw an ENT/surgeon and worked our way
through various antibiotics as well as prednisone and nasal sprays.  I
also saw an allergist at that time and discovered that I was very allergic
to everything and I never knew it (pollen, trees, mites, pets, etc.).  My
CT showed (twice) lots of fluid accumulation in my maxillary sinuses and
others, a deviated septum, very small ostia, and my ENT was always amazed
at my swollen turbinates.  The allergist told me that the allergies had
gone on so long that the medications she was giving me (zyrtec/allegra,
singulair, rhinocort) were unlikely to help.  Indeed, at the end of that
three months I had tried all of those medications and there had been no
relief and went ahead with the "conservative" surgery (turbinate reduction
by somnoplasty, septoplasty, and slight opening of the ostia).  My sinus
infection went away and I've had no sinus issues since;  furthermore for
the first time when I irrigated my sinuses they actually filled with fluid
and later drained, which they had never done before!  I have started
allergy shots now that it's fall.  My only outstanding concern (other than
the cilia question above) is that my nose still feels tight &
uncomfortable & a bit painful, perhaps partially from the septum
realignment and partially from my turbinates re-swelling against tightened
tissue even though I never felt the turbinates before;  it's been 4 months
since the surgery so I'm hoping that's still within the timeframe that it
could go away.

Lyle
iJah - 30 Sep 2004 18:23 GMT
>Question on cilia:  I've been using the HydroPulse for many months.  The
>plain-salt saline in my sinuses does not seem to come out on its own as
[quoted text clipped - 3 lines]
>The longest I've waited is about 2 hours before draining my sinuses over
>the sink.  What might be going on here?

I don't think this is uncommon at all. I haven't had severe
infections, but just very dry nasal passages, swollen turbinates and
no doubt my cilia was/is 'paralyzed' to some extent. So, I irrigate to
help with those conditions.

But, ever since I started doing that about six months ago, I always
have experienced just what you do. The fluid pretty much stays in my
sinus cavities until i tilt my head completely sideways and do a
little 'whale-blow' to clear it out. You need to blow softly you know
- never blow with strong force.

>Background:  I'm 33, never smoked.  Ten years ago I had a skull x-ray done
>for an unrelated reason, and the tech commented that I was bound to have
[quoted text clipped - 24 lines]
>
>Lyle

I'm very, very curious about the somnoplasty surgery. It sounds like
it was helpful in your case. Did it do much to improve the air-flow,
make it easier for you to breathe thru your nose?

Also, *why* do you suppose you have such a severe problem with
inflammation of your turbinates? is it all allergy related?

I think my biggest and maybe/hopefully only problem is chronically
swollen turbinates - that's a big enough problem to deal with in and
of itself. I still haven't figured out why, at at 47 this had
seemingly very rapidly gotten so severe and chronic. I mean, I had
some problems with inflammation in the past five years, but a shot or
two of Rhinochort and that was all it took to get me functional again.
Now, nothing seems to help. My nasal passages are almost completely
swollen shut especially during late evening when it's time to try and
sleep and even worse upon awakening if i do manage to get some sleep.
This is the real hell. it's so hard to relax and get to sleep when you
can't breathe right and then when you wake up it's like severe panic
time when you become aware that your nasal passages are completely
swollen shut. I spend the first hour or two of every morning just
doing everything I can to get a decent trickle of air-flow thru one or
both nostrils and once I manage to, it seems so unstable. Just laying
down, changing position, eating, anything can upset the balance and
send me back into full blown hell of complete blockage of both
nostrils again. God, this is the definition of misery. Sorry for the
bitch/rant again, I can't help myself ;-)

iJah
Shirley Thebaglady - 01 Oct 2004 11:27 GMT
I sleep on a wedge pillow and it helps with breathing at night.

Pillows are not enough to raise your head.

shirley
LGV - 01 Oct 2004 16:23 GMT
At this point I'm thinking that the turbinate reduction was not an
appropriate procedure for me.  The somnoplasty went smoothly, no problems,
no side effects.  It's just that I never had turbinate problems before,
had never even noticed them, and had not thought I had difficulty
breathing through my nose.  The surgeon convinced me that my turbinates
were severely swollen and as long as we were fixing the other issues he
could help me out there, the promise being that I'd probably breathe a lot
easier at night.  Between my allergist saying the antihistamines would be
no help (and they weren't) and the prednisone having no effect and the
surgeon (and other sources) indicating that long-standing inflammation is
a self-reinforcing condition, I figured it was worth the risk to hopefully
breathe better than I realized was possible.

In hindsight I'd say my turbinates are swollen because I have severe
allergies, worse than I understood.  I don't have typical allergy symptoms
(no sneezing, etc.) which is why I never knew I was allergic.  But now
that there's less turbinate tissue, I think what I feel is my turbinates
trying to swell.  If I were doing this over, and assuming I could have
gotten that last major sinus infection under control, I'd have skipped the
surgery and concentrate on allergy shots, hoping that that would make the
difference.  Not sure that's going to work, either.
ENTconsult - 03 Oct 2004 20:56 GMT
we regularlly have patients referred to us from allergists for turbinate
reduction when they find that medication won't do it.
Murray Grossan, M.D.
http://www.ent-consult.com
Pamdomania - 03 Oct 2004 21:20 GMT
>we regularlly have patients referred to us from allergists for turbinate
>reduction when they find that medication won't do it.
>Murray Grossan, M.D.
>http://www.ent-consult.com

Hello,
Sick bunch of b-stards!!!!
+ + + + + + + + + + + + + + + + + + + +
http://www.biblebelievers.org.au/benjamin.htm
MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
ENTconsult - 01 Oct 2004 16:08 GMT
Conservative therapy here might consist of opening your sinus cavities and
shrinking your turbinates.
Sometimes the turbinates are so swollen that they can no longer shrink back to
normal and only reductin can help.
Murray Grossan, M.D.
http://www.ent-consult.com
 
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