Filed under: Ethmoid sinusitis
Question:
On 12/6/05 12:31 PM, in article 1133901075.692459.223…@g44g2000cwa.googlegroups.com, – Hide quoted text — Show quoted text -"dougred…@gmail.com" <dougred…@gmail.com> wrote: > Susan wrote: >> I have another question or two. What temperature is the water, what is >> your technique; pressure, head/body position? How often do you clean >> out your irrigator with peroxide? Do you let the first solution to come >> out run into the sink before inserting the tip so you don’t irrigate >> with water that’s been sitting inside the tubing? >> Susan > I am using warm water. Now that I have some distilled water I am > taking filtered water, microwaving it to a boil, mixing in the Breathe > Ease and then adding room temperature distilled to make for a basin of > warm water. > Pressure on the Hydropulse is set to medium, I believe the directions > are for it to come out 1" straight up? > I always run a bit of water out to ensure the water is coming out 1" > straight up so it’s not old water going into my sinuses. > As for peroxide, once per week? I’ve only been doing it for a few days > so far this time and hence only cleaned it out once. If I recall from > the manual it needs to be cleaned with a mild bleach solution > periodically as well. > Doug
With the hydro pulse the stream coming out should be almost one inch high. You can use either 200 cc of 3% Hydrogen Peroxide or bleach, but peroxide seems easier to use and rinse out. Leave the peroxide in fo r3-4 hours, run the nasal tip into the solution and recycle it for a minute.
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On 12/6/05 3:24 PM, in article 3vmkt0F170ka…@individual.net, "Susan" <neverm…@nomail.com> wrote: > I’m waging a losing battle right now with an intransigent infection, and > waiting for my mail order rx for Bactroban ointment to arrive so I can > irrigate with it.
I am not convinced that irrigating with Bactroban is as beneficial as simply inserting it directly into the nose. Stays there longer, more contact with bacteria, usually spreads about.
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Susan wrote: > First of all, congrats! :-)
Thank you, but although I’m hopeful I’m not holding my breath. If I go 3 days with better airflow then I will celebrate. 
> My chronic ethmoid sinusitis hasn’t shown up on an X ray or CT scan > ever. I’ve read that as many as 25% of ethmoid sinusitis isn’t detected > by these images.
That’s good to know. I wish my ENT had told me that 3 years ago. 
> I’m waging a losing battle right now with an intransigent infection, and > waiting for my mail order rx for Bactroban ointment to arrive so I can > irrigate with it. > Keep us up to date on your progress with the cephalexin irrigation?
I will certainly post updates but cephalexin isn’t anywhere near the best choice; I am only using cephalexin because it’s what I have on hand. (It is used to treat acute sinusitis sometimes, but is WAY down the list.) Cleveland Clinic website states that "The antibiotic of choice in acute sinusitis must cover S pneumoniae, H influenzae, and M catarrhalis." For chronic sinusitis they go on to say that the antibiotic must also be able to knock out Staphylococcus species and anaerobes. Cephalexin doesn’t even come close to making the overall cut. Cleveland Clinic lists those antibiotics as amoxicillin-clavulanate, cefpodoxime proxetil, cefuroxime, gatifloxacin, moxifloxacin, and levofloxacin. http://www.clevelandclinicmeded.com/diseasemanagement/allergy/sinusit… I’ll post updates on this and if this doesn’t do the job, I will try to get one of the antibiotics indicated for chronic sinusitis and try irrigating with that. Obviously they are talking about taking them orally but I would rather not take antibiotics systemically unless absolutely necessary. Doug
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dougred…@gmail.com wrote: > I am fairly certain I do NOT have a cold but rather "feels like I have > a cold" is the best way I can describe what I’m feeling from > irrigation. I have irrigated in the past with the same problem, both > doing isotonic and hypertonic. > I decided to give it a go again, this time with Breathe Ease XL where > before I was just using plain salt and baking soda. I am using a > Hydropulse twice per day, hypertonic. Within 24 hours I felt like I > had a nasty cold, and it’s been that way for days now.
What exactly do you mean by "felt like I had a nasty cold"? What are the symptoms you are experiencing? — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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in article 3vob9nF14tqt…@individual.net, Susan at neverm…@nomail.com wrote on 12/7/05 9:52 AM: > I agree. I’ve found that it takes 10 days for oral meds to make much > diff, and even if I take Augmentin XR for 30 days, the day I discontinue > it, the heavy drainage and infection sx return.
So then what do you do?!! I’m getting very frustrated because of a recurring infection causing severe sore throat symptoms, along with the drainage, etc. I’m currently starting on the Augmentin for 10 days and was hoping this would kick it out… :(
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in article 3vop17F17665…@individual.net, Susan at neverm…@nomail.com wrote on 12/7/05 1:47 PM: – Hide quoted text — Show quoted text -> x-no-archive: yes > Jack wrote: >> So then what do you do?!! I’m getting very frustrated because of a >> recurring infection causing severe sore throat symptoms, along with the >> drainage, etc. I’m currently starting on the Augmentin for 10 days and was >> hoping this would kick it out… :( > 10 days?!? All that could do is piss off the germs! > Mayo clinic recommends a minimum of 4 weeks, and up to 12 weeks of > antibiotics. I’ve concluded that it doesn’t matter how many weeks I > take, the infection will recur, so I’ve been settling for managing, but > not curing my infection for now, with irrigation, nasal sprays, > decongestants, drinking water, antihistamines, allergy shots…
Do you have a link or something that points to the Mayo clinic recommendations? I don’t guess my doctor is familiar with that… Thanks!
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in article 3vpa68F16l2j…@individual.net, Susan at neverm…@nomail.com wrote on 12/7/05 6:39 PM: > I didn’t have it, but I googled it up. You’ve heard of google? ;-) > http://www.mayoclinic.com/health/chronic-sinusitis/DS00232/DSECTION=6&
Thanks, Susan – I appreciate it! Yep, I know about google(!) – just thought you might have had the info handy since you referred to it! :) – Jacki
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Steven L. wrote: > What exactly do you mean by "felt like I had a nasty cold"? What are > the symptoms you are experiencing?
In actuality it had nothing to do with irrigation. I actually did get sick and it had nothing to do with irrigation. Just a coincidence.
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Susan wrote: > x-no-archive: yes > I think the best thing to do is irrigate with the drugs rather than take > them orally; so little actually makes it to the sinuses with their > meager blood flow.
Susan, since your infection comes back immediatly upon cessation of antibiotics, I wonder if you could irrigate with them daily with no ill effect? I have no idea how much of the antibiotic makes it’s way into the bloodstream by irrigating vs. taking a capsule, but it’s little to none it would seem a logical thing to try in your case.
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- Hide quoted text — Show quoted text -Susan wrote: > x-no-archive: yes > dougred…@gmail.com wrote: >> Susan, since your infection comes back immediatly upon cessation of >> antibiotics, I wonder if you could irrigate with them daily with no ill >> effect? > I plan to do so with Bactroban once I receive the drug in the mail. Not > indefinitely, though. >> I have no idea how much of the antibiotic makes it’s way into >> the bloodstream by irrigating vs. taking a capsule, but it’s little to >> none it would seem a logical thing to try in your case. > OTOH, mucosal tissue very efficiently moves drugs into the bloodstream, > OTOH, most of the irrigation solution runs into the sink, so I don’t > think much of dose goes into the bloodstream.
The Cleveland Clinic used to prescribe gentamicin irrigation for some of their sinus patients. But recently they’ve abandoned it after some of their patients developed definite systemic side effects. Gentamicin can have dangerous neurological side effects. Apparently enough gentamicin solution was being absorbed thru the nose, or was being swallowed as post nasal drip after irrigation. — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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On 12/10/05 4:29 PM, in article 1134260966.016802.146…@o13g2000cwo.googlegroups.com, "dougred…@gmail.com" <dougred…@gmail.com> wrote: > Susan wrote: >> x-no-archive: yes >> I think the best thing to do is irrigate with the drugs rather than take >> them orally; so little actually makes it to the sinuses with their >> meager blood flow. > Susan, since your infection comes back immediatly upon cessation of > antibiotics, I wonder if you could irrigate with them daily with no ill > effect? I have no idea how much of the antibiotic makes it’s way into > the bloodstream by irrigating vs. taking a capsule, but it’s little to > none it would seem a logical thing to try in your case.
Susan’s situatiom may be different, but what we see is He took the antibiotic as prescribed and felt better. The antibiotic did kill the bad bacteria. But his cilia failed to return to normal function. With the cilia not moving the mucus out of the nose and sinus, a new infection now developed and he became ill again. We used to say the infection returned because he didn’t take the antibiotic long enough, but now we pay attention to the cilia function. Remember, hot tea, chicken soup and pulsatile irrigation .
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- Hide quoted text — Show quoted text -Susan wrote: > x-no-archive: yes > Steven L. wrote: >> The Cleveland Clinic used to prescribe gentamicin irrigation for some >> of their sinus patients. But recently they’ve abandoned it after some >> of their patients developed definite systemic side effects. >> Gentamicin can have dangerous neurological side effects. Apparently >> enough gentamicin solution was being absorbed thru the nose, or was >> being swallowed as post nasal drip after irrigation. > Or gentamicin is toxic even in minute amounts?
The problem with gentamicin is that its neurotoxicity is irreversible when it occurs. So even though only a few, highly sensitive patients reacted to it while most didn’t, that was enough for the Cleveland Clinic to ban its use. They still don’t know why a few patients are so much more sensitive to it than others. But then, we don’t really know why some patients develop allergic reactions to medications while others don’t either. — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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- Hide quoted text — Show quoted text -Susan wrote: > x-no-archive: yes > Murray Grossan wrote: >> Susan’s situatiom may be different, but what we see is >> He took the antibiotic as prescribed and felt better. The antibiotic did >> kill the bad bacteria. >> But his cilia failed to return to normal function. With the cilia not >> moving >> the mucus out of the nose and sinus, a new infection now developed and he >> became ill again. We used to say the infection returned because he >> didn’t take the antibiotic >> long enough, but now we pay attention to the cilia function. Remember, >> hot >> tea, chicken soup and pulsatile irrigation . > My situation is different, in that I also irrigate, drink lots of > fluids, irrigate some more, take decongestants, use Rhinocort, take > bi-weekly allergy shots, etc… > Maybe my cilia are lazy, maybe my right ethmoid is blocked, maybe > infection is in the bone, I dunno…
Twice now, I have had pockets of infection that didn’t show up on the CT scans and required surgeries to correct each time. Each time I had to find an ENT who would be willing to operate on me based on my symptoms and history only, even though the CT scan was negative. We really need something better than today’s CT scans; maybe a CT scan with vastly improved resolution. Today’s CT scans just don’t have the resolution to detect small pockets of infection that are nevertheless sufficient to make us sick. And they aren’t good at detecting pockets of infection in the bone. Does anyone know if a bone scan would work? — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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Doc if the irrigation stream doesn’t make it up into the sinuses, then how can you clear out mucous in your maxillarys and ethmoids?
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On 12/12/05 9:41 PM, in article 1134452471.336891.300…@g43g2000cwa.googlegroups.com, "Lateralus" <mwgoldi…@cox.net> wrote: > Doc if the irrigation stream doesn’t make it up into the sinuses, then > how can you clear out mucous in your maxillarys and ethmoids?
The stream does enter the sinuses, but it is not as a hose stuck in the sinus cavity. It is called Bernoulli principle and with the Hydro Pulse you have the addition of the pumping action.
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If you felt good before the irrigation, and the irrigation made you feel worse, why irrigate? As they say, "if it ain’t broke, don’t ….. I understand what you’re saying though. After irrigating, having loosened up the phlegm and expanded it with liquid, you can feel more congested than before irrigating. I find it necessary to shake my head in all different directions (over the bathtub, which I clean afterwards) after irrigating. It doesn’t only get out extra fluid, but a lot of phlegm as well. Also, I often have to cough up a lot of phlegm after irrigating, as it drips into the throat. <dougred…@gmail.com> wrote in message
news:1133890760.900773.199380@g14g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> I am fairly certain I do NOT have a cold but rather "feels like I have > a cold" is the best way I can describe what I’m feeling from > irrigation. I have irrigated in the past with the same problem, both > doing isotonic and hypertonic. > I decided to give it a go again, this time with Breathe Ease XL where > before I was just using plain salt and baking soda. I am using a > Hydropulse twice per day, hypertonic. Within 24 hours I felt like I > had a nasty cold, and it’s been that way for days now. > Susan in another threat suggested it may be due to using non-sterile > water so I bought some distilled water and have irrigated with that > twice so far. Today I feel about as bad as I have since I started. > Last time I irrigated, when I stopped, this went away. Has anyone else > experienced this? I’m wondering if I stick with it long enough, this > will go away?
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Is your nasal passage way blocked? It is not advisable to irrigate if your nasal passageway is blocked. This will make you feel worse.
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Also, personally for me- using a hypertonic solution usually dries me out too much and causes a rebound effect.
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Susan wrote: > I have another question or two. What temperature is the water, what is > your technique; pressure, head/body position? How often do you clean > out your irrigator with peroxide? Do you let the first solution to come > out run into the sink before inserting the tip so you don’t irrigate > with water that’s been sitting inside the tubing? > Susan
I am using warm water. Now that I have some distilled water I am taking filtered water, microwaving it to a boil, mixing in the Breathe Ease and then adding room temperature distilled to make for a basin of warm water. Pressure on the Hydropulse is set to medium, I believe the directions are for it to come out 1" straight up? I always run a bit of water out to ensure the water is coming out 1" straight up so it’s not old water going into my sinuses. As for peroxide, once per week? I’ve only been doing it for a few days so far this time and hence only cleaned it out once. If I recall from the manual it needs to be cleaned with a mild bleach solution periodically as well. Doug
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Lynn wrote: > Is your nasal passage way blocked? It is not advisable to irrigate if > your nasal passageway is blocked. This will make you feel worse.
Not nearly blocked enough so that I shouldn’t irrigate, but certainly blocked enough that I can’t breathe through my nose nearly as well as I should be able to.
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Susan wrote: > What’s your body and head position while you irrigate? Are you congested > when you begin, have you blown your nose first, frex? > Susan
I always bend over, with my face over the sink. I am never congested when I begin. I don’t seem to produce a much mucus; in my case swelling and inflammation are likely the problem rather than mucus.
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Susan wrote: > x-no-archive: yes > dougred…@gmail.com wrote: > > I always bend over, with my face over the sink. I am never congested > > when I begin. I don’t seem to produce a much mucus; in my case > > swelling and inflammation are likely the problem rather than mucus. > In that case, I wonder if chilled water might be more helpful, if you > can tolerate it? I use it as warm as I can tolerate because it seems to > assist more with stimulating drainage, etc. But heat ratchets up > inflammation, and maybe in your case, cool water might be more helpful. > Susan
Actually Susan, I may have found the solution. Having become so fed up with not being able to breathe through my nose that I’ve been trying various pharmaceutical spray combinations to no avail and knowing that I’ve tried everything I can think of and combinations of everything I can think of to no avail in the past, I decided to do the one thing I have had in the back of my mind but had been saving as an "all else fails" type of "trial" on myself. I have some Cephalexin in my medicine cabinet which I never needed to use. But I saved it to try in the irrigator. This is not the ideal systemic antibiotic for treating sinusitis I know from reading, but it is sometimes used. I emptied one capsule in with my Breathe Ease powder, filled up the basin, shook it up and irrigated with it. That was 3 hours ago. My nose right now is more clear than it has ever been, even more clear than when I tried Afrin + Claritin + Singulair. I hope that this simply means I’ve been walking around my whole life with chronic sinusitis. But if that is the case why on EARTH would my ENT not have seen it on the CT scan or when he did my turbinectomy / septoplasty? Or the various allergists who have looked up my nose? Of course if it is not bacteria then there is the huge question of why does it appear that Cephalexin has cleared my sinuses after only 3 hours? I’m going to run this twice a day until the Cephalexin is gone unless there is some really HUGE risk I may have missed somewhere.
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I am fairly certain I do NOT have a cold but rather "feels like I have a cold" is the best way I can describe what I’m feeling from irrigation. I have irrigated in the past with the same problem, both doing isotonic and hypertonic. I decided to give it a go again, this time with Breathe Ease XL where before I was just using plain salt and baking soda. I am using a Hydropulse twice per day, hypertonic. Within 24 hours I felt like I had a nasty cold, and it’s been that way for days now. Susan in another threat suggested it may be due to using non-sterile water so I bought some distilled water and have irrigated with that twice so far. Today I feel about as bad as I have since I started. Last time I irrigated, when I stopped, this went away. Has anyone else experienced this? I’m wondering if I stick with it long enough, this will go away?
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Question:
Hi,I have sinus problems also. Mine are getting better. Here is a few things that helped my friend that gave up:For 30 days (not 29) No Milk, No wine, Humidity in your house 30-35% Never above 40% never below 20%. Hepafilter insleeping area. Dairy products at a low.No colas (pepsi,coke, ect. 4oz of water over what you drink now, add daily for a week. Dustmite covers on pillows and mattress.I know this seems a lot. But do it for 30 days. And 100% NO OTC NASAL SPRAYS.. Good luck OTC are the worst thing because the make a rebound affect and makeit worse I did iit and my friend also is 100% better,,, Good luck, I know it s hard. also good diet and cleanwater. Its hard todo. But I did not need surgery for 2years now and only have 2 polyps after my2ndct scan
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I do have some pain in my eyes, cheek, forehead. Not too bad though. Its tolerable. I notice fatigue as well. I feel that is more a mental fatiuge than anything battling my sinuses all day is tireing to me some days. At the end of the day I’m worn out alot of the time. At this point my trust in doctors will not allow one to just go ahead and do surgery to see if they can find one. I don’t think I will ever do that again in my life but you never know. I may get desperate some day and get lucky! I have not heard anyone mention colonizing fungi in my case as of yet. I’m not to familar with that myself. I think you may be refering to one of the recent mayo studies? I did try the Mayo nasal wash a few months ago. After using it I developed another infection and it kind of scared me to continue its use. I haven’t tried it since. David Sacramento, CA
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David, Do you have other symptoms with this besides the PND, like fatigue, pain, etc. or are you pretty much able to function normally when you don’t have an actual infection? I was told over and over again that I only had vasomotor rhinits, CT scans "looked" normal, and even endoscopy has looked normal most of the time, but I was barely able to function and totally nonfunctional at one point. I had even gone to Mayo Clinic and an allergy doctor there was the first to do an endoscopy and I had purulent drainage and he suggested chronic sinusitis then (1998), but when I went back to see an ENT there, he just looked at the CT scans and said everything was fine and I didn’t have sinusitis. Then I did have surgery in 1999 somewhere else and I did have chronic ethmoid sinusitis that wasn’t showing on CT scans, but I never got better. It turns out that I now have osteitis of my ethmoid bones, not a good thing and very difficult to diagnose if the radiologist or ENT is not specifically looking at the bony structure. Hopefully, this isn’t your situation. Also, has anyone mentioned to you the idea of colonizing fungi causing the problem with getting the bacterial infections? (see recent discussion under sinusitis). Have you ever tried an amphotericin nasal wash? It can be made by any local compounding pharmacy and with my insurance only costs $5.00 for a month’s supply. Kathy
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Thanks for passing this info along, David. I don’t have PND, just a left sinus that jams shut every night . That causes sleep apnea, fatigue, and the inevitable sinus infections. I wish someone would invent a nasal stent we could shove up our noses at night. Something that would expand and force the sinuses to stay open, yet let them "breath" and cool down the brain, etc. What have we got to lose by trying something? I don’t think our Doctors know how much we suffer with this " oh, its just a stuffy nose " syndrom. It’s slow torture. At least now I know there is no magic bullet.. yet. Maybe we should list the things we have tried so that others can give it a shot? Here is mine: -septoplasty -nasal spray -The steroid sprays with irrigation -raising the head of the bed -losing weight ( doctors LOVE that one.. most of us don’t lose weight and the doctors are thus off the hook. It’s a brush-off ) -using a humidifier ( this does help a bit, I have to say ) -a vibrator under the pillow (that helps when seeking a fast draining of one sinus. trouble is, the other gets congested ) -a battery of decongestant pills -a cold room ( at least it’s better than a hot one..) -ice on the forehead, sinuses, nose etc. Tom Turner – "Dball63" <dbal…@yahoo.com> wrote in message
news:1133297144.105848.233560@g44g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> Just and FYI – I went out to Palo Alto yesterday to see Dr. Winston > Vaughn about my chronic PND and sinus problems. He was very nice and > the clinic is fantastic. He had no help for me though. He has said the > same thing every other ENT has told me. Diagnosis; Vasomotor Rhinitis. > No known cure at this time! So thats it for me. I guess I’m just going > to have to adjust to living like this long term. Hope and pray for new > medicine or new discoveries.
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I too have tried both Astelin and Atrovent. They do help some and I continue to use them but they are not perfect. David Sacramento, CA
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David, How did Dr. Vaughn decide that you have vasomotor rhinitis? What kind of symptoms do you continue to have? I think I remember you posting before, but can’t remember the details. Did he do a CT scan or endoscopy? If so, what did they show? What color is the PND? It seems to me that vasomotor rhinitis is kind of a "waste basket" diagnosis, when the doctor doesn’t know what is wrong. Kathyw
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Yeah, I have posted here before. I agree Vasomotor Rhinitis means that they don’t know what the cause is. I hate that. At this point I’ve been to every specialist I can get to and afford and each of them has had the same opinion. I brought my own ct’s to Dr. Vaughn for him to look at. They were fairly old but they have not changed much over the last few years so I’m sure a new one would probably look about the same. My symptoms continue at this time to be clear, white PND, and runny nose. 3 infections in the last 5 years. All of those cleared with antibiotics. We did do the endoscopy. That was pretty cool! He put these glasses on me and I could see everything he was seeing. Very neat but we didn’t see anything out of the ordinary. That part sucked. For now I may try some more homiopathic treatments but I think at this point western medicine would be a waste of my time and money. David Sacramento, CA
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On 11/29/05 12:45 PM, in article 1133297144.105848.233…@g44g2000cwa.googlegroups.com, "Dball63" <dbal…@yahoo.com> wrote: > Just and FYI – I went out to Palo Alto yesterday to see Dr. Winston > Vaughn about my chronic PND and sinus problems. He was very nice and > the clinic is fantastic. He had no help for me though. He has said the > same thing every other ENT has told me. Diagnosis; Vasomotor Rhinitis. > No known cure at this time! So thats it for me. I guess I’m just going > to have to adjust to living like this long term. Hope and pray for new > medicine or new discoveries.
What about Atrovent nasal spray?
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> On 11/29/05 12:45 PM, in article > 1133297144.105848.233…@g44g2000cwa.googlegroups.com, "Dball63" > <dbal…@yahoo.com> wrote: >> Just and FYI – I went out to Palo Alto yesterday to see Dr. Winston >> Vaughn about my chronic PND and sinus problems. He was very nice and >> the clinic is fantastic. He had no help for me though. He has said >> the same thing every other ENT has told me. Diagnosis; Vasomotor >> Rhinitis. No known cure at this time! So thats it for me. I guess >> I’m just going to have to adjust to living like this long term. Hope >> and pray for new medicine or new discoveries.
In news:BFB2947E.2BD2%hydromed@adelphia.net, Murray Grossan <hydro…@adelphia.net> typed: > What about Atrovent nasal spray?
I’ve tried the Atrovent nasal and it just seemed to thicken the secretions of the PND and make it more difficult to hack the mucus up. Same thing with Astelin nasal spray. Just keeps coming down. …Allen
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Just and FYI – I went out to Palo Alto yesterday to see Dr. Winston Vaughn about my chronic PND and sinus problems. He was very nice and the clinic is fantastic. He had no help for me though. He has said the same thing every other ENT has told me. Diagnosis; Vasomotor Rhinitis. No known cure at this time! So thats it for me. I guess I’m just going to have to adjust to living like this long term. Hope and pray for new medicine or new discoveries.
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Question:
Anyone using dietary measures to control fungal sinusitis?
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>Anyone using dietary measures to control fungal sinusitis?
No sugar.
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On 10 Oct 2002 20:41:20 GMT, gloreb2…@aol.com (GLOREB2HIM) wrote: >>Anyone using dietary measures to control fungal sinusitis?
Sugar in the diet would not really affect sugar in the boodstream (unless you are diabetic). It is empty calories, though.
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dont have stuffy nose or running nose – thus does not seem like chronic sinusitis symptoms. i do get unbearable pressure in the left frontal sinus in the morning .. CT scan that was done some 7 months ago shows opaque left maxilary sinus and fluid level in left frontal sinus. i am confused as to how just looking at the CT, the doctor concluded that it is fungal sinusitis? i did take levaquin for 1 month regularly – but no effect. Does that mean that it is fungal? are there any natural ways of curing fungal sinusitis? or say antifungal in the netipot or hydropulse? what is the best antifungal to put in the netipot solution? how many surgeries end up with complications? how to find the best doctor in your area to do the surgery if it is required? how many independant opinions should one take before making the decision on surgery? thanks for your input so far.
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On 3 Jun 2005 09:45:06 -0700, hexag…@yahoo.com wrote: >dont have stuffy nose or running nose – thus does not seem like chronic >sinusitis symptoms. i do get unbearable pressure in the left frontal >sinus in the morning .. CT scan that was done some 7 months ago shows >opaque left maxilary sinus and fluid level in left frontal sinus. i am >confused as to how just looking at the CT, the doctor concluded that >it is fungal sinusitis? i did take levaquin for 1 month regularly – >but no effect. Does that mean that it is fungal?
I woudl definitely get a second opinion from a specialist at a major University Medical Center. Let’s not forget thta dr. Grossan just posted that: "Unfortunately the same term Fungal sinusitis is used for: A: Very bad fungal infection that invades the sinuses B: A chronic sinus infection that is believed to be due to eosinophillic reactoin to normal fungi C: A fungus present in the sinus due to too many antibiotics that clear away normal mechanisms D: When the doctor doesn’t know what the hell it is, or the culture happens to grow a fungus that may have nothing to do with anything." You might be in category D. – Hide quoted text — Show quoted text ->are there any natural ways of curing fungal sinusitis? or say >antifungal in the netipot or hydropulse? what is the best antifungal to >put in the netipot solution? >how many surgeries end up with complications? how to find the best >doctor in your area to do the surgery if it is required? how many >independant opinions should one take before making the decision on >surgery? >thanks for your input so far.
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I was given an antifungal sinus rinse for my fungal sinusitis…it was saline and the antifungal drug called Amphoteracin (sp?)…maybe you could ask your doctor about that.
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My Hubby had surgery for fungal sinusitis few years ago. He could not breathe at all through his nose. His MD sent him to a specialist to be evaluated and surgery was done. After care is he has to use Rhinacort daily. shirley
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hexag…@yahoo.com wrote: > is it true that the only solution for fungal sinusitis is surgery?
No. But I don’t know if you have actual fungal balls growing in your sinuses, or if you have this newfangled "allergic fungal sinusitis"–each requires a different treatment. Go here: http://www.sinuses.com/fungal.htm — Steven D. Litvintchouk Email: sdlit…@earthlinkNOSPAM.net Remove the NOSPAM before replying to me.
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On 6/2/05 7:30 PM, in article 1hPne.1388$W77….@newsread3.news.pas.earthlink.net, "Steven L." <sdlit…@earthlinkNOSPAM.net> wrote: > hexag…@yahoo.com wrote: >> is it true that the only solution for fungal sinusitis is surgery? > No. But I don’t know if you have actual fungal balls growing in your > sinuses, or if you have this newfangled "allergic fungal > sinusitis"–each requires a different treatment. > Go here: > http://www.sinuses.com/fungal.htm
Steve is right as usual. Unfortunately the same term Fungal sinusitis is used for: A: Very bad fungal infection that invades the sinuses B: A chronic sinus infection that is believed to be due to eosinophillic reactoin to normal fungi C: A fungus present in the sinus due to too many antibiotics that clear away normal mechanisms D: When the doctor doesn’t know what the hell it is, or the culture happens to grow a fungus that may have nothing to do with anything. Remember, if you culture 10 normal persons walking down the street, you can get a fungal culture.
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Hydrogen Peroxide is supposed to be effective against fungal infections. Personally, I’ve used a mixture of diluted 3% hydrogen peroxide, baking soda and kosher salt in my sinuses to treat my former sinus infection problems. Here is the link to where I’ve documented how I do it, and what I’ve learned and experienced: http://home.bellsouth.net/p/PWP-upsidedown <hexag…@yahoo.com> wrote in message
news:1117722409.821764.125530@g47g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> is it true that the only solution for fungal sinusitis is surgery? My > doc has suggested surgery after reviewing my CT scan. White spots in CT > scan seem to suggest fungal sinusitis. Has any medications worked for > fungal sinusitis? Can neti pot help? can hydropulse help? I know there > are some anti-fungals – Do you eat them or use them for irrigation? For > irrigation is neti pot better or hydropulse better?
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On Thu, 02 Jun 2005 16:03:37 GMT, "Peggy Rooney" <pegg…@telus.net> wrote: >as far as I know, there is no cure for afs. the docs can make it more >tolerable. But that is about it
Dr. David Kennedy at U.Penn has a technique of removing infected ethmoid bone. I do not know specifically if this looks promising with respect to allergic fungal sunisitis, but you might want to investigate whether it does. I know that some of his papers have mentioned the spread of fungal sinusitis through bone. It seems to me that his approach of opening up the sinuses in that manner may offer good prospects for such cases.
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as far as I know, there is no cure for afs. the docs can make it more tolerable. But that is about it <hexag…@yahoo.com> wrote in message
news:1117722409.821764.125530@g47g2000cwa.googlegroups.com… – Hide quoted text — Show quoted text -> is it true that the only solution for fungal sinusitis is surgery? My > doc has suggested surgery after reviewing my CT scan. White spots in CT > scan seem to suggest fungal sinusitis. Has any medications worked for > fungal sinusitis? Can neti pot help? can hydropulse help? I know there > are some anti-fungals – Do you eat them or use them for irrigation? For > irrigation is neti pot better or hydropulse better?
Response:
is it true that the only solution for fungal sinusitis is surgery? My doc has suggested surgery after reviewing my CT scan. White spots in CT scan seem to suggest fungal sinusitis. Has any medications worked for fungal sinusitis? Can neti pot help? can hydropulse help? I know there are some anti-fungals – Do you eat them or use them for irrigation? For irrigation is neti pot better or hydropulse better?
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Question:
Hello ,, when will you consider for surgery ? case1 … you have nussle polyps and medicines/nussle supray’s not able to shrink them hense you are tired from mouth breathing cas2…. you have polyps which shrink using of medicines/nussle sprays … but to avoid chances that they can fill sinuses will you choose surgery. case3 …. they bother you occationally . but to avoid chances that they can fill your sinuses will you go for surgery ? " is surgery is the only option for peoples whose polyps are deep in sinuses " ?
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On 26 May 2005 09:07:38 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >Hello ,, >when will you consider for surgery ? >case1 … you have nussle polyps and medicines/nussle supray’s not able >to shrink them hense you are tired from mouth breathing
Yes, >cas2…. you have polyps which shrink using of medicines/nussle sprays >… but to avoid chances that they can fill sinuses will you choose >surgery.
Get a CT scan before deciding. >case3 …. they bother you occationally . but to avoid chances that >they can fill your sinuses will you go for surgery ?
Nit enough information yet to decide. Get a CT scan and interpretation first. Why guess?
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On 5/26/05 9:07 AM, in article 1117123658.219467.296…@f14g2000cwb.googlegroups.com, "Ankur" <ankuraror…@yahoo.co.in> wrote: > is surgery is the only option for peoples whose polyps are deep in > sinuses
Whether the polyps are in the nose proper or in the sinuses, the treatment is exactly the same.
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and what about surgery ? can the surgery be done via endoscopic methods . ( by nostril entering pipes in nose which sucks polyps ? …. what is the time that polyps take to grow … i mean lets assume if i decide to wait 1 month to check best surgern of my country can it grow and go into my sinuses … ? i mean what is the rate of growth of polyps .do they take months to grow or hours or years ? … can nussle polyps cause facial pressure or sometimes pain in head or face or medicines that we r using … or above sympthoms are associated with sinus polyps … if someone have polyps in sinus can he shrink his nussle polyps by using sprays ..
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On 29 May 2005 07:40:55 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >and what about surgery ? can the surgery be done via endoscopic >methods . ( by nostril entering pipes in nose which sucks polyps ? ….
Endoscopic surgery is now the only method that is widely used. >what is the time that polyps take to grow … i mean lets assume if i >decide to wait 1 month to check best surgern of my country can it >grow and go into my sinuses … ? i mean what is the rate of growth of >polyps .do they take months to grow or hours or years ? …
Certainly not hours. Thay are more a chronic condition. I think that soemone tried to scare you. By the way, they often come back again unless you control them with medication. – Hide quoted text — Show quoted text -> can nussle polyps cause facial pressure or sometimes pain in head or >face or medicines that we r using … or above sympthoms are >associated with sinus polyps … >if someone have polyps in sinus can he shrink his nussle polyps by >using sprays ..
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I have found that i have polyps about 40 days ago … i am 21 year old male from india …. though i have history of common cold ( usually cold in cold season) … i found something ( a piece of flesh come out from my nose … i may have polyps from years but i was not aware of the face reason the polyps just blocked my left nose hense never gave me problem in breathing …. but again one day i feel blocked and appeared that i cant take breath from my nose ( both nosetails ) …actually that day was very rainy … i thought something happened to me ….next day immidiately i contacted an ENT … he first shown me pictures of peoples with polyps kinda peoples with very big red eyes … or a guy with face like it was completely burnt … he said basically polyps can go to eyes ( probably he means sinus available in eyes ) ….. he said never take polyps lightly … he told me 80% of polyps can be cured with medicines… they he asked me to come next day he said he will go for endoscopy … and he put something light instruments in my nose and told my family that my polyps are going towards my eyes so i must go for surgery ,…. he said if i choose surgery now it will cost me about 150 USD but if polyps hit my eyes it will cost about 1000 USD….. so when i asked how much time i have i mean how much time i can wait for surgery … he said he cant comment on it … he said polyps may take 1 week or 100 weeks to reach to my eyes so he cant tell me but he said y r u taking risk just go for surgery directly …….. thats alll ,,, till then from 20 days i am constantly thinking about my polyps …. in meanwhile when i contacted lot of homeopathic doctors they told me doctors usually scare to peoples because y would someone go for surgery if they will not scare ……………till then i m using homeopathic medicines but still i have lost my peace of mind thats y i have decided that probably i need to consult best doctors in big cities regarding it and go for surgery directly if they recommend it .,. so from 21 days i have constant headace by constant thinking about polyps …….. i guess it made my life hell ….. but now i will consult some good doctors and get regular medical treatment ( surgery or medications whatever doctors recommend ) … ……… however homeopathic medicines have given me relief i dont know it may be temprory too … may be i am overreacting but m feeling very loose hearted and my life was never so bad as its now i dont know y what…………. also now i have fear that polyps may be in sinuses too because i never go for CTSCAN…….. btw you recommended me CTSCAN … how they will do ctscan … i mean they will put my head in machine or my whole body in machine …. and how much time it will take to CTSCAN ….. also what is surgery ? i mean in sinus surgery will they do it by entering something in my nose ( some rubber things etc ) .. does sinus/polyps both surgeries are done by entering something in my nose ….. or these are open surgeries … ??? how much pain it causes / how much time it takes etc …. how much blood comes from nose ? etc …
Response:
On 29 May 2005 08:57:00 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: – Hide quoted text — Show quoted text ->I have found that i have polyps about 40 days ago … i am 21 year old >male from india …. though i have history of common cold ( usually >cold in cold season) … i found something ( a piece of flesh come >out from my nose … i may have polyps from years but i was not aware >of the face reason the polyps just blocked my left nose hense never >gave me problem in breathing …. but again one day i feel blocked and >appeared that i cant take breath from my nose ( both nosetails ) >…actually that day was very rainy … i thought something happened to >me ….next day immidiately i contacted an ENT … he first shown me >pictures of peoples with polyps kinda peoples with very big red eyes >… or a guy with face like it was completely burnt … he said >basically polyps can go to eyes ( probably he means sinus available in >eyes ) ….. he said never take polyps lightly … he told me 80% of >polyps can be cured with medicines… they he asked me to come next day > he said he will go for endoscopy … and he put something light >instruments in my nose and told my family that my polyps are going >towards my eyes so i must go for surgery .
He can’t get into the ethmoid sinuses around the eyes with an endoscope. He can only get into the nose. I can’t see how he could conclude anything about the polyps affecting the ethmoid sinuses without a CT scan but I could be missing something, in which case others should follow up. Would he do surgery without a CT scan? That would be very unusal here…… If he is just going to remove the polyps in the nose using the endoscope and nothing else, and has lots of experience, you could let him do it. That is relatively straightforward surgery and low risk, *provided* he is a licensed accredited specialist in Ear Nose and Throat (check!) and has lots of experience. Really that is no big deal. >,…. he said if i choose >surgery now it will cost me about 150 USD but if polyps hit my eyes it >will cost about 1000 USD….. so when i asked how much time i have i >mean how much time i can wait for surgery … he said he cant comment >on it … he said polyps may take 1 week or 100 weeks to reach to my >eyes so he cant tell me but he said y r u taking risk just go for >surgery directly …….. thats alll ,,, till then from 20 days i am >constantly thinking about my polyps …. in meanwhile when i contacted >lot of homeopathic doctors they told me doctors usually scare to >peoples because y would someone go for surgery if they will not scare >……………till then i m using homeopathic medicines but still i >have lost my peace of mind thats y i have decided that probably i need >to consult best doctors in big cities regarding it and go for surgery >directly if they recommend it .
An experienced sinus surgeon in a major University Meical Center could be a good option. That said, I would rather have an experienced local surgeon than an inexperienced one in a big city. That is, even in a big city you still need to be sure that the surgeon is very experienced. Also, if they are not used to doing endoscopic surgery, do not ask them to do it that way. It is harder to do at first. >,. so from 21 days i have constant >headace by constant thinking about polyps …….. i guess it made my >life hell ….. but now i will consult some good doctors and get >regular medical treatment ( surgery or medications whatever doctors >recommend ) … ……… however homeopathic medicines have given me >relief i dont know it may be temprory too … may be i am overreacting >but m feeling very loose hearted and my life was never so bad as its >now i dont know y what…………. also now i have fear that polyps >may be in sinuses too because i never go for CTSCAN…….. > btw you recommended me CTSCAN … how they will do ctscan … i mean >they will put my head in machine
Just the head – it is just a stepped series of Xrays from different angles so that they can see the conditions inside your sinuses. >or my whole body in machine …. and >how much time it will take to CTSCAN
10 minutes. It is nothing. > ….. also what is surgery ? >i mean in sinus surgery will they do it by entering something in my >nose ( some rubber things etc ) ..
Yes that is the way endoscopic surgery is done. > does sinus/polyps both surgeries >are done by entering something in my nose
Yes these days. > ….. or these are open >surgeries
They used to go in through the palate or under the lip, but only a very few surgeons still do that routinely in the U.S. No matter how you do it, it is still very minor surgery….. >… ??? how much pain it causes / how much time it takes etc
Up to a ffew hours. If it is nasal polyps only, I imagine it would be less. >…. how much blood comes from nose ? etc …
Quite a bit. It may be done under general anesthetic. Really I would suggest that you ask some local sources there as we are not familiar here with practices in India.
Response:
i have consulted 3 ENT surgerns all of them told me i need to go for surgery to avoid any chances that these polyps go into sinuses …. so can they determine that my polyps are not in my sinuses just by looking at my face ….. they asked me to go for CTSCAN before surgery …. but from there experience can these guys tell that polyps r not in sinuses
Response:
On 29 May 2005 11:46:57 -0700, "Ankur" <ankuraror…@yahoo.co.in> wrote: >i have consulted 3 ENT surgerns all of them told me i need to go for >surgery to avoid any chances that these polyps go into sinuses
They may mean to avoid the chance that they *block* the drainage from the ethmoid sinuses and thereby cause sinusitis in the ethmoid sinuses. > …. so >can they determine that my polyps are not in my sinuses just by >looking at my face
I do not know. They can always guess. > ….. they asked me to go for CTSCAN before surgery >…. but from there experience can these guys tell that polyps r not in >sinuses
Why don’t you get the CT scan first, then borrow it and show it to all 3 doctors? That way you will have a much better basis to decide…..
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Question:
Is this a symptom of sinusitis? The upper bridge of my nose is very sensitive to the touch.
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On 28 Sep 2004 07:44:38 -0700, rrach…@aol.com (Randy) wrote: >Is this a symptom of sinusitis? The upper bridge of my nose is very >sensitive to the touch.
Quite probably so – that would be the ethmoid sinuses.
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..I can relate. …Right between the eyes. Those damn ethmoids. ..Jon
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one thing that can cause this is a cellulitis. This can be very dangerous and should NOT be treated with hot compresses, but requires immediate antibiotic. Other things can cause this of course. Murray Grossan, M.D. http://www.ent-consult.com
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Question:
I have been a chronic sinusitis sufferer since I was 7. I am now 21. In that time I have had 6 surgeries. I am about to go in for my 7th surgery in another month. I suppose I have gotten used to it now. But I wonder if there is anyone out there like me who has had multiple surgeries. If you are one of those people please respond cause I feel very alone in all this. Thanks.
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"Julie" <volcanocha…@yahoo.com> wrote in message
news:5a65f9c9.0402181934.4c7dff8f@posting.google.com… > I have been a chronic sinusitis sufferer since I was 7. I am now 21. > In that time I have had 6 surgeries. I am about to go in for my 7th > surgery in another month. I suppose I have gotten used to it now. But > I wonder if there is anyone out there like me who has had multiple > surgeries. If you are one of those people please respond cause I feel > very alone in all this. Thanks.
I’ve had four, but never have gotten "used to it" by any measure. At least I have an unsurpassed ENT, so I know that I am in good hands when I have to have the surgery. Techniques are always improving, especially in image-guided approaches. I hope that you have that option available as well as a surgeon with whom you are comfortable. Good luck–this time could be the charm that gets you some long-term relief (you have to look at it that way).
Response:
On Thu, 19 Feb 2004 05:29:08 GMT, "ARoberts" <a-rober…@comcast.net> wrote: >I’ve had four, but never have gotten "used to it" by any measure. At least >I have an unsurpassed ENT, so I know that I am in good hands when I have to >have the surgery. Techniques are always improving, especially in >image-guided approaches. I hope that you have that option available as well >as a surgeon with whom you are comfortable.
Image guidance actually makes little difference to the result – it just reduces the risk of the surgeon’s getting lost in there (which is not suppseod to happen anyway but very rarely can….).
Response:
"Don Brady" <dbr…@pobox.com> wrote in message
news:tkk830pkia4fhcmjundbakicjf9epckn2d@4ax.com… – Hide quoted text — Show quoted text -> On Thu, 19 Feb 2004 05:29:08 GMT, "ARoberts" <a-rober…@comcast.net> wrote: > >I’ve had four, but never have gotten "used to it" by any measure. At least > >I have an unsurpassed ENT, so I know that I am in good hands when I have to > >have the surgery. Techniques are always improving, especially in > >image-guided approaches. I hope that you have that option available as well > >as a surgeon with whom you are comfortable. > Image guidance actually makes little difference to the result – it just reduces > the risk of the surgeon’s getting lost in there (which is not suppseod to > happen anyway but very rarely can….).
Um, getting "lost" around the optic nerve or causing a CSF leak (though that can be patched pretty easily) can make a difference in the result. Why would you think that being able to better visualize the field would not yield a higher probability of positive outcomes? In the case of patients with previous revision, the anatomical landmarks can be significantly altered, and being able to successfully navigate those structures can minimize bleeding and allow more judicious excision. This can allow faster healing and less discomfort for the patient. Of course, the final determinant is the skill and experience of the surgeon, but this can be a powerful tool.
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All Ent Dr’s are good at in my experience is surgery. The question to ask is why are you having all theses surgeries? My Top sinuses have been completely removed because they were nothing but scar tissue. The cause is from a bacteria called srep pyogene which produces toxins capable of destroying a sinus. Inflamation can be due to an infection! Most ENT’s will call it normal swelling. There are other bacteria which can cause severe sinus problems. Lyme for one which I tested positive for. Good Infection Disease Dr’s may help but there are few out there. I recently called a ID Dr who said he did not do Lyme. Thats pathetic! Like a math teacher not doing division. Good luck. On 18 Feb 2004 19:34:38 -0800, volcanocha…@yahoo.com (Julie) wrote: – Hide quoted text — Show quoted text ->I have been a chronic sinusitis sufferer since I was 7. I am now 21. >In that time I have had 6 surgeries. I am about to go in for my 7th >surgery in another month. I suppose I have gotten used to it now. But >I wonder if there is anyone out there like me who has had multiple >surgeries. If you are one of those people please respond cause I feel >very alone in all this. Thanks.
Response:
ARoberts wrote: > "Julie" <volcanocha…@yahoo.com> wrote in message > news:5a65f9c9.0402181934.4c7dff8f@posting.google.com… >>I have been a chronic sinusitis sufferer since I was 7. I am now 21. >>In that time I have had 6 surgeries. I am about to go in for my 7th >>surgery in another month. I suppose I have gotten used to it now. But >>I wonder if there is anyone out there like me who has had multiple >>surgeries. If you are one of those people please respond cause I feel >>very alone in all this. Thanks. > I’ve had four, but never have gotten "used to it" by any measure.
Julie and ARoberts, I’m curious: How do you know when it’s time for your next surgery? Is it based on symptoms, or what a routine CT scan shows? I’m thinking of asking for a 2nd surgery since the 1st surgery left one pair of ethmoids untouched and ever since I’ve had what appear to be ethmoid symptoms. — Steven L.
Response:
On Thu, 19 Feb 2004 07:14:12 GMT, "ARoberts" <a-rober…@comcast.net> wrote: >getting "lost" around the optic nerve or causing a CSF leak (though that >can be patched pretty easily) can make a difference in the result. Why >would you think that being able to better visualize the field would not >yield a higher probability of positive outcomes? In the case of patients >with previous revision, the anatomical landmarks can be significantly >altered, and being able to successfully navigate those structures can >minimize bleeding and allow more judicious excision. This can allow faster >healing and less discomfort for the patient. Of course, the final >determinant is the skill and experience of the surgeon, but this can be a >powerful tool.
"Can be" is quite accurate. As you say, if you are having revision surgery done, it is an easier call to use it. But I was told by a prominent surgeon that the technology currently has an accuracy that is only within 3 mm. Sometimes, he said, that is not accurate enough! It definitely has its place, but people just get carried away and think it it is a panacea and that it should be used for "all" sinus surgery.
Response:
Well for me it was the constant sinus infections and the cold’s. Everyone catches a few things from time to time. But when the pattern starts to change and I start getting sick every other week which is what its like now for me I began to ask myself what is going on here. Then if you are unfortunate enough to get any horrible sinus pain associated with it, including the intervals you are well you know you are headed for trouble. But everyone has their own symtoms. You should discuss things with your doctor. In fact, it might be a good idea to keep a journal and write in it how you feel each day keeping note of the syptoms you get. I could help your doctor out a lot. Hope that helps. – Hide quoted text — Show quoted text -Steven Litvintchouk <sdlit…@earthlinkNOSPAM.net> wrote in message <news:r_4Zb.11026$W74.581@newsread1.news.atl.earthlink.net>… > ARoberts wrote: > > "Julie" <volcanocha…@yahoo.com> wrote in message > > news:5a65f9c9.0402181934.4c7dff8f@posting.google.com… > >>I have been a chronic sinusitis sufferer since I was 7. I am now 21. > >>In that time I have had 6 surgeries. I am about to go in for my 7th > >>surgery in another month. I suppose I have gotten used to it now. But > >>I wonder if there is anyone out there like me who has had multiple > >>surgeries. If you are one of those people please respond cause I feel > >>very alone in all this. Thanks. > > I’ve had four, but never have gotten "used to it" by any measure. > Julie and ARoberts, > I’m curious: How do you know when it’s time for your next surgery? Is > it based on symptoms, or what a routine CT scan shows? > I’m thinking of asking for a 2nd surgery since the 1st surgery left one > pair of ethmoids untouched and ever since I’ve had what appear to be > ethmoid symptoms. > — Steven L.
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Question:
I was wondering if double strength Bactrim is a good antibiotic for chronic sinusitis? I have tenderness on the bony portion of my eye socket above my eyes and an MRI showed a thickening of my ethmoid mucosa consistent with sinusitis. I’ve had this a long time and I have vision problems and head fog. I do not have a fever just the tenderness on my eye brow ridge. I am allergic to the penicillin’s. I have a 14 day 800/160 of Bactrim. Can the ethmoid sinuses effect my visual perception and cognitive function? I have the attention span of a knat….Thanks…Willard
Response:
Bactrim/Septrim is usually used for urinary/prostate infections.Augmen tin Forte has been best for my sinuses(3 courses though)!!But since using the Grossan water pic I haven’t had an infection in a year!! — Kindest personal regards:- RAY THE TRAVELLIN’ MAN Let’s Keep Music Liiiiiiiiiiiiiiiiiive!!!! "Willard" <brack…@core.com> wrote in message
news:vrvpp77lpd3s44@corp.supernews.com… I was wondering if double strength Bactrim is a good antibiotic for chronic sinusitis? I have tenderness on the bony portion of my eye socket above my eyes and an MRI showed a thickening of my ethmoid mucosa consistent with sinusitis. I’ve had this a long time and I have vision problems and head fog. I do not have a fever just the tenderness on my eye brow ridge. I am allergic to the penicillin’s. I have a 14 day 800/160 of Bactrim. Can the ethmoid sinuses effect my visual perception and cognitive function? I have the attention span of a knat….Thanks…Willard
Response:
Willard wrote: > I was wondering if double strength Bactrim is a good antibiotic for chronic > sinusitis?
I don’t think so. Bactrim is a first-line antibiotic typically used for an acute sinus infection. For chronic sinusitis, a better choice might be Levaquin. And if you truly have chronic sinusitis, then it’s likely you will need to be on the antibiotic for much longer than 2 weeks. > I have tenderness on the bony portion of my eye socket above my > eyes and an MRI showed a thickening of my ethmoid mucosa consistent with > sinusitis. > I’ve had this a long time and I have vision problems and head fog.
What kind of "vision problems," specifically? What are your symptoms? In rare cases, chronic sinus infections can actually spread into your brain. — Steven Litvintchouk
Response:
Wouldn’t an infection that spread to my brain be visible on the MRI?…My vision problem is difficult to describe…..I feel as though I’m cross eyed without double vision. I see things but feel detached and disorientated. I have pressure in my forehead but no headache…..Willard "Steven Litvintchouk" <sdlit…@earthlinkNOSPAM.net> wrote in message
news:3FC1F2F4.6030609@earthlinkNOSPAM.net… – Hide quoted text — Show quoted text -> Willard wrote: > > I was wondering if double strength Bactrim is a good antibiotic for chronic > > sinusitis? > I don’t think so. Bactrim is a first-line antibiotic typically used for > an acute sinus infection. > For chronic sinusitis, a better choice might be Levaquin. And if you > truly have chronic sinusitis, then it’s likely you will need to be on > the antibiotic for much longer than 2 weeks. > > I have tenderness on the bony portion of my eye socket above my > > eyes and an MRI showed a thickening of my ethmoid mucosa consistent with > > sinusitis. > > I’ve had this a long time and I have vision problems and head fog. > What kind of "vision problems," specifically? What are your symptoms? > In rare cases, chronic sinus infections can actually spread into your brain. > — Steven Litvintchouk
Response:
Willard wrote: > Wouldn’t an infection that spread to my brain be visible on the MRI?…My > vision problem is difficult to describe…..I feel as though I’m cross eyed > without double vision. I see things but feel detached and disorientated. I > have pressure in my forehead but no headache…..Willard
OK, that’s a different story. All the symptoms you describe above could be caused by sinusitis. I don’t think that actual visual disturbances can be caused by sinusitis. — Steven Litvintchouk
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Question:
Thank you Don for your reply. I had an MRI scan done and it showed a thickening of the ethmoid mucosa consistent with sinusitis. It did say they were infected though. I have allergies and wonder what I can do to treat the inflammation. Would ice be a good idea? It does feel good to put a cold pack over my eyes…thanks…Willard "Don Brady" <dbr…@pobox.com> wrote in message
news:uoltrvst65psv4m1jigba2o2oak0fp89la@4ax.com… – Hide quoted text — Show quoted text -> On Fri, 21 Nov 2003 16:27:59 -0600, "Willard" <brack…@core.com> wrote: > >Hello Group, > > I have pain when I press the bony ridge area above my eyes. It’s just > >below my eyebrows on the ridge of my eye socket. The pain starts when I > >press in about a quarter inch on both sides and is tender for about another > >3/4 of an inch. > > Does this sound like sinuses? The pain can be described as though you were > >pressing on a new growing zit. that’s the best I can use to describe it. Any > >suggestions? Thanks….Willard > That’s where some of your ethmoid sinuses are so yes it is possible it could be > sinusitis. > It could also be other things though………
Response:
On Sat, 22 Nov 2003 14:50:11 -0600, "Willard" <brack…@core.com> wrote: >Thank you Don for your reply. I had an MRI scan done and it showed a >thickening of the ethmoid mucosa consistent with sinusitis. It did say they >were infected though. I have allergies and wonder what I can do to treat the >inflammation.
It is probably the sinsusitis – that can give pain in that area.. Since it has gotten to the stage of being painful, I think you will need a careful diagnosis by a sinus specialist to know the best course. Do not assume that the doctor you are seeing now is adequate on his or her own. I would get some second opinions. Preferably include soem from a specialist at a University medicate center. You should try some steroid sprays for at least a couple of months, if you have not done so. They do not penetrate into the ethmoid sinsues, but *sometimes* they can open up the nose enough to get better air flow intot he sinuses so that they can heal. This may take time though. Of coure there is always surgery down the road as an option but some participants here have had poor outcomes from surgery, and there are also various variations of surgery so you need to pick the right surgeon and form your own opinions too. > Would ice be a good idea? It does feel good to put a cold pack >over my eyes…thanks…Willard
I doubt there is any harm in it if it helps.
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Thanks again Don, I will try the steroid spray and try to find a good ENT. BTW: I meant to say that the MRI did NOT say they were infected but just that it showed mucosal thickening consistent with sinusitis. I can breath well through my nose but I have a deviated septum with left turbinate hypertrophy. I am also going to irrigate once a day….Thanks Don…Willard "Don Brady" <dbr…@pobox.com> wrote in message
news:75tvrvo2ojmknnrf4ka48jc9572qeugeki@4ax.com… – Hide quoted text — Show quoted text -> On Sat, 22 Nov 2003 14:50:11 -0600, "Willard" <brack…@core.com> wrote: > >Thank you Don for your reply. I had an MRI scan done and it showed a > >thickening of the ethmoid mucosa consistent with sinusitis. It did say they > >were infected though. I have allergies and wonder what I can do to treat the > >inflammation. > It is probably the sinsusitis – that can give pain in that area.. Since it > has gotten to the stage of being painful, I think you will need a careful > diagnosis by a sinus specialist to know the best course. Do not assume that > the doctor you are seeing now is adequate on his or her own. I would get some > second opinions. Preferably include soem from a specialist at a University > medicate center. > You should try some steroid sprays for at least a couple of months, if you > have not done so. They do not penetrate into the ethmoid sinsues, but > *sometimes* they can open up the nose enough to get better air flow intot he > sinuses so that they can heal. This may take time though. > Of coure there is always surgery down the road as an option but some > participants here have had poor outcomes from surgery, and there are also > various variations of surgery so you need to pick the right surgeon and form > your own opinions too. > > Would ice be a good idea? It does feel good to put a cold pack > >over my eyes…thanks…Willard > I doubt there is any harm in it if it helps.
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On Sat, 22 Nov 2003 22:13:02 -0600, "Willard" <brack…@core.com> wrote: >Thanks again Don, I will try the steroid spray and try to find a good ENT. >BTW: I meant to say that the MRI did NOT say they were infected
I realized you meant that. The report would not be likely to actually say they are infected. >but just >that it showed mucosal thickening consistent with sinusitis.
Right.
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Duh Just wondering how I would know I have an infection? I don’t have a headache or fever or cold symptoms but I’ve had chronic sinusitis for as long as I remember…..Bill "Don Brady" <dbr…@pobox.com> wrote in message
news:tcg0sv462753vaj3kd9h56m65q0pa1tk4f@4ax.com… – Hide quoted text — Show quoted text -> On Sat, 22 Nov 2003 22:13:02 -0600, "Willard" <brack…@core.com> wrote: > >Thanks again Don, I will try the steroid spray and try to find a good ENT. > >BTW: I meant to say that the MRI did NOT say they were infected > I realized you meant that. The report would not be likely to actually say > they are infected. > >but just > >that it showed mucosal thickening consistent with sinusitis. > Right.
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The MRI is not a good way to diagnose sinus disease. It is ultra sensitive and a drop of mucus shows up as disease. The CT scan is best for a sinus diagnosis. We get many patients referred becasue the MRI showed sinus disease who never had any problems and we simply ignore these findings. Sometimes we do an additional CT just to prove there is no disease. If the patient really does have sinus disease and the MRI shows it, you then have to get a CT to make an accurate diagnosis in many situations. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com http://www.tinnnitusrelief.net http://www.hydromedonline.com/presentingthehydropulse/
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On Sun, 23 Nov 2003 11:31:14 -0600, "Willard" <brack…@core.com> wrote: > Just wondering how I would know I have an infection? I don’t have a >headache or fever or cold symptoms but I’ve had chronic sinusitis for as >long as I remember.
Sinusitis is defined as infection or inflammation./thinkening of the sinuses. Is that the defintion you are using or some other? Yellow or green drainage would indicate an infection. But chronic sinusitis can go on for years without necessarily having infections…
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Thank you Dr Grossan. Would you then suggest that I get a CT? I do not feel like I have infection but I do feel this tenderness in the ridge under my eye brows. …Willard "ENTconsult" <entcons…@aol.comnospam> wrote in message
news:20031123155531.12215.00000563@mb-m25.aol.com… – Hide quoted text — Show quoted text -> The MRI is not a good way to diagnose sinus disease. It is ultra sensitive and > a drop of mucus shows up as disease. > The CT scan is best for a sinus diagnosis. > We get many patients referred becasue the MRI showed sinus disease who never > had any problems and we simply ignore these findings. Sometimes we do an > additional CT just to prove there is no disease. > If the patient really does have sinus disease and the MRI shows it, you then > have to get a CT to make an accurate diagnosis in many situations. > Murray Grossan, M.D. > http://www.ent-consult.com > http://www.hydromedonline.com > http://www.tinnnitusrelief.net > http://www.hydromedonline.com/presentingthehydropulse/
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Willard wrote: > Thank you Don for your reply. I had an MRI scan done and it showed a > thickening of the ethmoid mucosa consistent with sinusitis. It did say they > were infected though. I have allergies and wonder what I can do to treat the > inflammation. Would ice be a good idea? It does feel good to put a cold pack > over my eyes…thanks…Willard
Actually, moist heat may be better than cold temperature. Here’s why: Your diagnosis is infected sinuses. Therefore it’s likely that your sinuses are full of thick, infected mucus, and the inflammation is causing the openings to swell shut, hindering drainage. Moist heat (especially inhaling warm steam) can help liquefy the secretions and help them drain. Try taking a hot shower, let the hot water hit your face directly, and then stand back and inhale some of the steam. — Steven Litvintchouk
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Hello Group, I have pain when I press the bony ridge area above my eyes. It’s just below my eyebrows on the ridge of my eye socket. The pain starts when I press in about a quarter inch on both sides and is tender for about another 3/4 of an inch. Does this sound like sinuses? The pain can be described as though you were pressing on a new growing zit. that’s the best I can use to describe it. Any suggestions? Thanks….Willard
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On Fri, 21 Nov 2003 16:27:59 -0600, "Willard" <brack…@core.com> wrote: >Hello Group, > I have pain when I press the bony ridge area above my eyes. It’s just >below my eyebrows on the ridge of my eye socket. The pain starts when I >press in about a quarter inch on both sides and is tender for about another >3/4 of an inch. > Does this sound like sinuses? The pain can be described as though you were >pressing on a new growing zit. that’s the best I can use to describe it. Any >suggestions? Thanks….Willard
That’s where some of your ethmoid sinuses are so yes it is possible it could be sinusitis. It could also be other things though………
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Question:
Hello… Today I made numerous dives to the main drain in my swimming pool. …I’m having a leaking problem ;-( The pool is only 7 feet deep, but I noticed after the first 4 dives, (I only stay down 15 sec.) I started getting pain in the lower half area of my forehead when I neared the bottom. It would become very minor on surfacing, but on my sixth dive down, the pain became quite severe that I could only remain a few seconds. I use a nose plug, so the only way that the pain cold develop was from the exterior water pressure. It’s now been over an hour since I dove down, yet it still aches if I push on my eyebrow area. Is this common for divers, or is it indicitive of further infection? .Has any one else experienced these conditions? …Thanks…..Jon
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Sounds like the frontal sinuses didn’t get air in as you descended. Suggests a possible blockage. Doesn’t mean you have sinusitis. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/
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Sounds like the same problem i was/am having when landing with an airplane. I live in The Netherlands, but am going to LA and San Francisco again next week. I hope everything goes ok, i know already that i will sweat during the last 30 minutes of the flight, when we go down again. I sure hope that i do not get those pains again in my forehead/eyebrow area…..Last time i thought i was going unconsious….. Andries "ENTconsult" <entcons…@aol.comnospam> schreef in bericht news:20030902221256.19898.00000529@mb-m28.aol.com… – Hide quoted text — Show quoted text -> Sounds like the frontal sinuses didn’t get air in as you descended. Suggests a > possible blockage. Doesn’t mean you have sinusitis. > Murray Grossan, M.D. > http://www.ent-consult.com > http://www.hydromedonline.com/presentingthehydropulse/
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Hi Doc. …I am plagued by sinusitis in my ethmoids, plus a touch in the bottom of my left frontal. …Is it possible that the ethmoid infection can prevent air from getting into the frontals? Since irrigating, I have had few noticeable problems with my frontals. IE: Headaches …Jon
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ask your doctor about using a Benzedrex inhaller for this problem of sinus blockage when you fly. The vapor is good about opening the sinus openings. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/
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The sinus ifection is not limited to one spot, and the inflammation can block the frontal sinuses. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/
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Question:
Hi Byron…. I, too, get that thick clear material, that I usually cough up. …Jon
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Are you drinking enuf water and hydrating your sinuses? Mucolyptics can thin the mucous, but too much bothered by digestion. How about the saline irrigation? "Byron Hinson" by…@activewin.com wrote: >Another question – I sometimes get really really thick glue like clear mucus >in my throat, kind of like wallpaper paste…can this be sinus related? >– >Byron Hinson >Designer Dream: http://www.designerdream.co.uk
Sue M.
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The very thick mucus in the back of the throat often indicates that the mucus is stagnant and not moving. See the FAQ’s here re irrigation. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net http://www.emedicine.com/ent/topic516.htm
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"Don Brady" <dbr…@pobox.com> wrote in message
news:jufl4vc5mfovb12tplb0lql7077g57k3gv@4ax.com… – Hide quoted text — Show quoted text -> On Wed, 12 Feb 2003 19:54:34 -0000, "Byron Hinson" <by…@activewin.com> wrote: > >Over the last few days I have been starting to feel quite run down (run down > >to the point of having to pack up work and sleep for a while yesterday)…my > >nose feels really blocked just above where the eyes meet. > In that area, yes, hat would be the frontal or ethmoid sinuses. That is quite > a common area for sinus sympyoms. > >The thing is, although I feel blocked up and have a slight headache > >basically on the top of my head (feels kind of like a warm headache? not > >sure if this happens to any other sinus sufferers?) I was just wondering, do > >I have to be producing snot if I have a bad sinus bout? > No it may be blocked. > >I am asking because I am someone who can get worked up over the slightest > >hint of feeling unwell…right now I have aching muscles and joint pain > >which I have had before with sinusitis but again I never hear people mention > >it with their symptoms. > >So is it likely to be sinusitis? > I think so. Please try to see an ENT.
Another question – I sometimes get really really thick glue like clear mucus in my throat, kind of like wallpaper paste…can this be sinus related? — Byron Hinson Designer Dream: http://www.designerdream.co.uk
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On Thu, 13 Feb 2003 17:39:40 -0000, "Byron Hinson" <by…@activewin.com> wrote: >Another question – I sometimes get really really thick glue like clear mucus >in my throat, kind of like wallpaper paste…can this be sinus related?
Absolutely – it probably is from thickened sinuses linings.
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Over the last few days I have been starting to feel quite run down (run down to the point of having to pack up work and sleep for a while yesterday)…my nose feels really blocked just above where the eyes meet. The thing is, although I feel blocked up and have a slight headache basically on the top of my head (feels kind of like a warm headache? not sure if this happens to any other sinus sufferers?) I was just wondering, do I have to be producing snot if I have a bad sinus bout? I am asking because I am someone who can get worked up over the slightest hint of feeling unwell…right now I have aching muscles and joint pain which I have had before with sinusitis but again I never hear people mention it with their symptoms. So is it likely to be sinusitis? if so I’ll gladly shut up moaning! — Byron Hinson ActiveWin: Windows News Site: http://www.activewin.com Designer Dream: http://www.designerdream.co.uk
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Hi Byron.. For years I was blaming aspects of my health problems to everything except the real culprit….. My sinuses. I was never one to suffer from the post nasal drips, nor blowing out copious amounts of coloured mucus. My big indicators was an ongoing headache, chills, fatigue, and everyone asking me if I had a cold — which I haven’t had for 6 years. It wasn’t until I started irrigating that I realized what was really behind all my problems. I’m no Doctor, but your symptoms sure sound like a sinus problem to me. ..I would suggest a Cat scan. …Jon
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On Wed, 12 Feb 2003 19:54:34 -0000, "Byron Hinson" <by…@activewin.com> wrote: >Over the last few days I have been starting to feel quite run down (run down >to the point of having to pack up work and sleep for a while yesterday)…my >nose feels really blocked just above where the eyes meet.
In that area, yes, hat would be the frontal or ethmoid sinuses. That is quite a common area for sinus sympyoms. >The thing is, although I feel blocked up and have a slight headache >basically on the top of my head (feels kind of like a warm headache? not >sure if this happens to any other sinus sufferers?) I was just wondering, do >I have to be producing snot if I have a bad sinus bout?
No it may be blocked. >I am asking because I am someone who can get worked up over the slightest >hint of feeling unwell…right now I have aching muscles and joint pain >which I have had before with sinusitis but again I never hear people mention >it with their symptoms. >So is it likely to be sinusitis?
I think so. Please try to see an ENT.
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