Can anyone tell me if an ent dr can see any sinus infection just by using the camera up the nose.
I went to see an ENT yesterday, he was very rough and examined my nose with a camera, Oct last year I had a blood test and it said that my ESR rate was 25 (lab range 15 - 20). He said that my nose didn't have any sinus, but could be a narrowing of the passages, and that the ESR blood test that I had last year, was a sign there was an infection.
He told me basically to put up with all the problems I'm having as there isn't any sinus. So I'm wondering is just having the camera a good indication. He didn't even look in my ears or my throat and he certainly didn't numb my nose before "ramming" the camera up my nose.
my symptoms have been with me for nearly 3 years now.
What i'm experiencing now, is a numbish, swollen feeling one side of my nose (right side) which goes up into my eyebrow. Eyebrow feels stiff to move, and vision is very blurred in that eye, feels very uncomfortable. My nose does not run, feels dry and when mucus does come its very thick white. My ears always feel full. Have had headaches where it feels as if my brain is touching my skull. I feel worn out constantly. I have had lots of pain in the eye and around the eye area over the past 3 years. I just can't seem to get an answer to what could the problem be and IF I am going to have this for the rest of my life. When I wake up, I have a weighty feeling over my right eye, and a tight feeling up my nose,
An endoscopy (camera up the nose) will reveal any infection in the ethmoid sinus (around the nose), which is a typical location for problems. It can also see many maxillary infections (under the cheek bones). I've seen figures that list the procedure as about 90% accurate.
To be ABSOLUTELY sure there is no infection deep in the maxillary, frontal, or spenoid sinus cavities, a CT Scan is required. If surgery is required, the doctor will have to have a scan.
Your problems do NOT sound like a chronic sinus infection. They sound similar to what plagues me -chronic allergic soft tissue inflammation in the ethmoid sinus. An infection will involve pain all over the face, dizziness, and usually discolored discharge from the nose, and sometimes fever.
You can try sinus irrigation, but I also recommend Chlor-Tremiton, a powerful antihistamine that helps me tremendously. Other medications don't do anything for me, and steroid nasal sprays give me bloody noses. Walgreens has a generic form of Chlor-Tremiton called "Walinate" that is VERY cheap.
Another option is immunotherapy, but it is expensive and takes a long time to work. I lost patience with it.
I agree with Chiggins, that it sound likes you have more of allergy inflammation than infection inflammation.
However, you should still get a CT scan of your sinuses. The camera doesn't see all the sinuses unless your being operated on. Even this ENT mentioned a narrowing of your passages, which means all that allergy gunk is not getting out, and is causing you symptoms.
I kinda went through the same thing. I was told I didn't have any serious sinus infection on the CT scan. But luckily I had a swollen turbinate that the ENT said required reducing. My allergist and I convinced him to enlarge my maxilary sinus opening while he was operating anyway. He admitted afterwards, he removed a lot of gunk, but said it was mostly allergy. But my sinus symptoms are so much more managable now because everything drains better when my allergies do act up.
If you find out you have allergies, medications can help your symptoms a lot. And I personally have found allergy shots very effective.
ENTs seem most concerned with sinus infections and structural problems. If you find you get nowhere with ENT's, I would go see an allergist.
Last edited by sneezydiva; 09-07-2005 at 03:31 PM.