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  • Sinus problems / Nasonex???

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    Old 09-12-2008, 12:24 AM   #1
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    Unhappy Sinus problems / Nasonex???

    Hi all,
    Just wondered what any of you thought about this...
    Earlier in the year I had what seemed to be a viral infection of the nose and throat. This gave me a terrible cough that lingered for some time. I also started getting dizziness and problems with my eye on one side (like the right eye wasn't working like it used to, or felt smaller in some strange way). I saw the doc, and he diagnosed post nasal drip and put me on Nasonex. I was quite worried about it, so the doctor arranged a CT scan of my head for my own peace of mind. This came back normal.

    The cough is much better, but my nose gets intermittently blocked on one side, and I get a strange fullness feeling across my cheek bone and down the side of my face. My ear on that side feels full as well. More recently, my upper teeth are throbbing at points in the day, strangely when my nose seems clear (I'm going to see the dentist about this just in case).

    I am still worried that there's something nasty going on, so I guess my questions are:

    * Would a CT scan of the head show up sinus issues, or would you specifically need a scan of that area?

    * Could the Nasonex be contributing to some of the strange effects (i.e. is it just the effect of the steroid working?)

    After the scan came back the doctor said to carry on with the treatment for another two weeks, but I've had this for months now, and seems to be getting slowly worse. I can't put it out of my mind that there's something horrible there thats spreading. The inside of my nose is very raw on one side, and theres blood when I flush my nose out with an irrigator.

    Does anyone have any thoughts on this?

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    Old 09-12-2008, 04:28 AM   #2
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    Re: Sinus problems / Nasonex???

    I saw the doc, and he diagnosed post nasal drip
    First of all, a little rant here, this kind of diagnosis drives me crazy when I read it. Post Nasal Drip is a symptom, not a disease or illness. Typically it is caused by an infection of some kind (in which case it goes away after a while), allergies, chronic sinusitis (which usually has other underlying causes) or acid reflux. Just treating the PND doesn't even begin to attack the underlying cause of your symptoms.

    - As for your questions, a CT scan of the head shows all of your sinuses so it should give your doctor a definitive look at what's going on.

    - The Nasonex could be irritating the inside of your nose - people react to medications differently and Nasonex can be irritating.

    Because you're already irrigating you might consider trying an oral decongestant like 12-hour Sudafed to see if that helps. Keep up the irrigation, and consider seeing an ENT (take your CT scan with you) to get a second opinion.

    Old 09-12-2008, 10:07 AM   #3
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    Re: Sinus problems / Nasonex???

    Thanks very much for this...I felt the same way about the post nasal drip...I immediately thought, well what's causing that!!!

    I have ordered my own copy of the CT scan results, and am considering seeing an ENT privately, although I still have to be referred. The health service here is painfully slow (especially when your an anxious person like me, who wants some immediate resolution!).

    Doc has suggested trying some antihistamines as well for a week, before going back to see them.

    It's at least a comfort that there's not something showing up on the scan (which would have been independantly reviewed before going to the doc).

    The problems is that whilst our GPs have very good broad knowledge, they are rarely specialists, and as you suggest, a visit to an ENT would be more reassuring, so I'll push for this.

    Thanks again for your practical suggestions, and for taking the time to reply. Hope you have a good weekend!

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