I would not suggest surgery unless CT scans of your sinuses indicate that it's absolutely necessary. I had surgery a little over two years ago, and I still suffer the same symptoms as before - much the same as you describe. What I'm told now is that although my ENT did do a good job in doing what he set out to do in my sinus surgery, the fact is that I have such severe allergies (I'm allergic to everything they do skin testing for - 30 in all) that my sinuses are just chronically infected...it's like an endless cycle. My primary care doc suggested I seek out doctors involved in experimental research since I've done allergy shots, had surgery, and take tons of medicine, but nothing works. So that's what I'm doing now... seeing doctors known for their research in severe allergies and chronic sinusitis.
One thing I'd suggest is to have your allergist test your immunoglobulin E level. I just had mine tested for the first time, and it was four times the normal number (this is the antibody that stimulates the allergic response in your body). If this level is elevated, you definitely are "allergic". If not, then something else may be causing your symptoms (you can have nonallergic causes for chronic sinusitis, for example). You didn't mention how many allergies you have, but if you have as many as I do, then that may be why you're not responding to the typical remedies. There's a new Anti immunoglobulin E infusion up before the FDA (according to my allergist)... Supposedly it will bring down the levels I spoke of before, easing the allergy symptoms we all feel. One can only hope!
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