Chronic Sinus congestion

I have some questions for folks.  I chronically have problems with my
sinuses being swollen.  This is especially true during allergy
season and during cold season I’m very suseptable to getting
sinusitis.  Now when I’m taking an antihistamine (Seldane) this
is less of a problem but not totally gone.  I’ll get less frequent
headaches from the sinus pressure.  I use a Beconase inhaler.

So my questions are:

1)  Is there a better way to reduce the swelling then using
    the steroid inhaler?

2)  Is the inhaler causing some of the problems?  How about
    long term bad effects?

I started to wonder when I found that my last sinus infection was
cleared up with a salt water wash (painful but effective) to clear
my maxillary sinuses.

Answers can go directly to me if they aren’t of interest to
all.

Douglas S. Rand
Internet:   <dsr…@mitre.org>
Snail:      MITRE, Burlington Road, Bedford, MA
Disclaimer: MITRE might agree with me – then again…
Amateur Radio: KC1KJ

4 Responses to “Chronic Sinus congestion”

  1. admin says:

    In article <116…@linus.mitre.org>, d…@luke.mitre.org (Douglas S. Rand) writes:

    > I have some questions for folks.  I chronically have problems with my
    > sinuses being swollen.  This is especially true during allergy
    > season and during cold season I’m very suseptable to getting
    > sinusitis.  Now when I’m taking an antihistamine (Seldane) this
    > is less of a problem but not totally gone.  I’ll get less frequent
    > headaches from the sinus pressure.  I use a Beconase inhaler.

    After having frequent sinus headaches for several years, I walked across the
    street to the University’s science library and checked some medical practice
    books for articles on sinusitis.  One of them told me something that doesn’t
    seem to be commonly known:  About 50% of sinusitis is related to tooth and gum
    problems, such as gingivitis.  It makes sense — the sinuses are right above
    your upper teeth.  

    I realized that I was walking around with a continual low-grade infection in my
    gums, and this was affecting my sinuses.  Now I pay much more attention to
    keeping food particles out of my gums, and I have much fewer sinus problems.  

    If I forget, and leave part of lunch lodged in the space where my wisdom teeth
    used to be, I’ll often feel sinus pressure come on within a couple of hours.

                                            — Richard

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  2. admin says:

    I am not a physician, but my experience in treating myself may be
    useful to others.  I was suffering from chronic and/or recurrent
    maxillary sinusitis, related to perennial allergic rhinitis.  The
    symptoms of my sinusitis would disappear after a ten-day course
    of antibiotic, but would invariably recur.  Finally, my ENT
    physician suggested surgery as the only alternative to a lifetime
    of living with sinusitis.  Faced with the unpleasant alternative
    of chronic sinusitis or surgery which might or might not be
    effective, I decided to try one last fling at managing my problem
    medically.  Doing some research at the library, I discovered that
    most physicians tend to under-treat sinusitis.  I found a
    cooperative G.P. who was willing to prescribe 50 days of
    antibiotic (I used Minocin, but I’d suggest something cheaper)
    plus Nasalcrom nasal solution.  Voila!  I can’t say I’ve been
    cured, but I’ve had no evidence of sinusitis for the last five
    months.  I continue to take the Nasalcrom.  My suggestions and
    observations:

    1.   Try a vigorous medical approach before resorting to surgery:
    at least 40 days of a broad-spectrum antibiotic, plus whatever
    measures are used to treat the allergic symptoms, the goal being
    to clear the nasal passages so that the sinuses can drain.

    2.   Nasalcrom nasal solution seems to work.  (I’m tempted to try
    a blind study by having someone fill one of my Nasalcrom
    containers with saline to use in one nostril, while using
    Nasalcrom in the other, but I don’t want to risk disturbing the
    status-quo.)  It may take two to four weeks before the effects
    become apparent.  Also, get the 26 ml. spray bottle, which comes
    with a more effective spray mechanism than the 13 ml. bottle.  I
    initially used a small amount of a dilute solution (0.025%) of
    oxymetazoline (Afrin children’s nose drops) to clear my nose
    sufficiently to use the Nasalcrom.

    3.   Nasalcrom can be used concomitantly with Vancenase or
    Beconase.  I would be unwilling to expose my nasal mucosa to
    Vancenase or Beconase over a long period of time, but see no
    reason why Nasalcrom cannot be used indefinitely.

    4.   For me, oral decongestants seem to work about as well as
    placebos.
         george@ozdaltx                     (214)386-765

  3. admin says:

    Interesting.  I had recurrent strep throat, and finally asked my
    doctor to try an extended (30 day) antibiotic treatment as an
    alternative to surgery, as opposed to the ten day shots we had been
    doing.  It seemed to work well for me.


    Nick Simicich – uunet!bywater!scifi!njs – n…@ibm.com – SSI #AOWI 3958

  4. admin says:

    In article <26…@bellcore.bellcore.com> m…@flash.UUCP (Mike L Harvey) writes:

    >    I have read a great deal lately about the supposed trend
    >    towards holistic medicine.  Yet when I ask around, no one
    >    seems to know of any holistic doctors in my area (Northern
    >    New Jersey).  It is very strange.  
    >    I have tried the physician referral service in the phone book,
    >    but they seem mainly concerned with getting you to one of their
    >    doctors associated with the hospital.
    >                                    Mike

     I sympathise with your situation Mike.  Obviously Scientific Medicine
     has a real lock on business in your area, and does well at disfranchising
     alternative medical models.
     We have ~20 ‘others’ here…a more liberal, multi-ethnic state. But try to get
     insurance to cover it. No way! (Again, part of the problem of a Medical
     Industrial CompleX comprised of MDs, Hospitals, Insurance, Drugs, and  
     Hospital equipment companies).

     My suggestion would be to go to a "Natural Foods Store" and ask them. As
     the ones’ here sell Homeopathic medicine.   I trust you fully scanned the
     yellow pages for Naturopaths  under Physicians.

     Perhaps others in a Neighboring state have a listing of Homeopathic MDs
      that you could drive over to. Hopefully they will respond to your
      question and post such.
     If I have another suggestion I’ll get back to you.
     Aloha
     Bill

        b…@uhccux.bitnet
        b…@uhccux.uhcc.hawaii.edu
        21.3 LAT by 157.9 LONG