[QUOTE]i wonder if i should go off the singulair
It might help with the inflammation so I'd stick with it for a few weeks to see if you think it helps.
[QUOTE]my allergist always said the antihistamines would be too Drying for my sinuses.
I'm very surprised by that. Yes, they can be drying (although the newer ones like Claritin and Zyrtec aren't as drying as some of the older ones), but the release of histamines during an allergic reaction causes an inflammation in the mucus membranes in your nose. That's why some people swell up if they eat something they're allergic to. Antihistamines stop (or minimize) this reaction which helps minimize the inflammation in your sinuses. When you're struggling with allergies, antihistamines work best when taken every day so that the histamine never gets released, the inflammation never starts, and you don't end up being miserable.
[QUOTE]i also wonder if going off my flonase for many months significantly contributed to this sinus inflammation
I suspect that it did (after all, Flonase is primarily an anti-inflammatory).
[QUOTE]i thought my allergy shots, alone, would help me
They take time, and it usually works best to slowly wean yourself off of medication once the shots are working and your symptoms have diminished. Many people still need some medical therapy in addition to the shots.
[QUOTE]as far as the neil meds sinus rinse goes, i Was told i doesnt even get into the sinus cavities, just The nasal cavity
I don't know who told you that but it's absolutely not true (think about the volume of water in that NeilMed bottle compared to the size of your nose, and keep in mind that the entrances to the maxillary and ethmoid sinuses are right inside your nasal cavity, if it's not getting into your sinuses, where is it all going?). If you want to prove to yourself that it does actually get into your sinuses try irrigating with cold water (once!) - you'll be able to feel it getting up into your frontal sinuses and into your maxillary sinuses.
[QUOTE]would the hydropulse irrigation system be any better?
I prefer the NeilMed bottle for the same reason you do - you can use more force to get the liquid into the sinus cavities. The main reason some people give for using the hydropulse system is that the pulsating action more closely matches the natural rhythm of the cilia in your nose, but it's also messier, takes longer and is a little more complicated (and it's expensive). Most of the ENTs that I know are recommending the SinusRinse bottles.
[QUOTE]i didnt think i needed all the other crap in my system.
I completely understand but it's better than more surgery. I'd recommend that you keep taking the Singulair, start back on the Flonase, and try taking a Claritin every day for two weeks to see if you feel better and are less congested. If things improve then you can try stopping one med at a time to see if you can decrease the number of things you're taking, but it sounds like you're pretty miserable right now and I suspect that you'll feel a lot better once you get this under control.