sinusitis info

[heapsreal]

Chronic Sinusitis
In Chronic Sinusitis, the symptoms have been present for 12 weeks or is the same infection that he had months ago but never fully recovered from. The point is that in chronic sinusitis, there is some problem that prevents effective treatment of the sinusitis. As we will see below, this could be due to antibiotic resistance, failure of the cilia, or any problem that causes blockage and prevents the sinuses from draining properly (sinuses with passages that are too narrow for whatever reason, sinuses that are swollen for reasons such as dental-related swelling, etc.). Even when the patient is feeling well, you can still see some membrane thickening and blockage of the sinuses. He may have symptoms secondary to the bacteria asthma, cough, fever, fatigue.

The official definition of the Sinus and Allergy Health Partnership states: "Symptoms include nasal obstruction, discolored nasal drainage, loss of smell, or facial pressure or pain should be present for at least 12 weeks. A large number of patients may present with associated diagnoses such as allergy or asthma. Causes include inflammatory conditions of bacteria and fungi. "

The concerns today about chronic sinusitis are the associated illnesses. There are reports of increased urinary tract infections, elevated blood factors that are associated with circulatory conditions too. Asthmatics are especially at risk.

In my practice, the patient who has had a sinus infection about every 2 3 months is a patient who didnt get return of their cilia function and hence developed a "new" infection in two months.

Recent reports indicate that some persons diagnosed with chronic fatigue syndrome may actually have a chronic sinus condition. I regularly see patients such as these diagnosed chronic fatigue or fibromyalgia that have chronic sinusitis and clear when their sinuses are cleared.

Sinusitis is further defined by location:

Maxillary sinusitis feels like a toothache. The maxillary sinus is located below the eye and above the upper teeth. There is pain below the eye and cheekbone; lower eyelid may be swollen, feels better lying down, larger amount of pus than other sinus infections. Drip causes cough which is worse at night.
Ethmoidal sinusitis is infection of the ethmoid sinus, located between your eyes. Symptoms include nasal congestion and discharge, pain between the eyes or at the corner of the eyes at the nose, pressure on lying down, better sitting up with cold compress. Elevated white count and fever. Wearing glasses is uncomfortable.
Frontal sinusitis is more of a headache above the eye than a pain, with less pain while sitting up. The frontal sinus is located above your eyes.
Sphenoidal sinusitis is an infection in the area behind and above the nasal cavity. This is accompanied by vague head pains with fever and elevated white count. Feels like a pressure inside the head, bothers the eyes.
In all these conditions you have nasal congestion, colored discharge, and pain.

Why Do We Get Chronic Sinusitis?
Normally, sinuses are air filled spaces and are free of infection. They have openings that allow cilia to move mucus that may contain bacteria out of the sinuses. When the openings and the cilia are working you avoid sinusitis. When the openings are closed off, or the cilia your bodies' disease fighting system is overwhelmed, then infection may develop in one of the four pairs of sinuses.

http://www.ent-consult.com/sinusitis.html

 

[Enid]

Thanks heapsreal - very interesting indeed. My own problems wax and wane (relatively) and no doubt recurring infection as high dose amoxcillan (for teeth extraction) eased for a while. I tend to think of a resevoir of infection somewhere.

 

[Waverunner]

Thanks heapsreal - very interesting indeed. My own problems wax and wane (relatively) and no doubt recurring infection as high dose amoxcillan (for teeth extraction) eased for a while. I tend to think of a resevoir of infection somewhere.

It seems like the body keeps infecting itself over and over again through post nasal drip and an inability of the immune system to get rid or clear out the infection.

 

[taniaaust1]

A Newcastle (Australia) study has shown that many of those with ME/CFS who appear to have sinusititis have an issue with toxic staph varieties in our nasal cavitities. So one can consider getting a nasal swab to see if you have staph there and get that treated by the right antibiotics for it if you do. (labs can test it to see what kind to use.. the kind I had was resistant to most antibiotics).

 

[heapsreal]

A Newcastle (Australia) study has shown that many of those with ME/CFS who appear to have sinusititis have an issue with toxic staph varieties in our nasal cavitities. So one can consider getting a nasal swab to see if you have staph there and get that treated by the right antibiotics for it if you do. (labs can test it to see what kind to use.. the kind I had was resistant to most antibiotics).

Hi Tania,

Is that the study that dr whiting has written about and think he mentions that these bacterial infections are swallowed through post nasal drip and can cause gut problems, or something along those lines.

2. Staphylococci



The coagulase negative staphylococci that Newcastle University has been researching for the last number of years seem to find the human nasal passages to be an ideal location for persisting colonisation. This is in keeping with other staphylococcal species, including the notorious Golden Staph. Having said this, it is of interest how commonly it is for CFS patients to give a history of chronic sinus infection, nasal congestion, or hay fever, as well as (and perhaps most importantly) secondary post-nasal drip of varying degrees. Furthermore, much more than the average severity of such symptoms is reported by approximately 90% of the patients that I have thus far interviewed. Cultures of the nose for these specific staphylococcal strains is performed easily by swabbing the nasal passages. The majority of such strains that are isolated by QML and S & N have turned out to be toxin-producing strains. The latter status is ascertained by the transfer of the relevant specimens to Newcastle University where further specialised testing is performed. This particular additional testing is time consuming, and the cost for doing it is not yet covered by Medicare. Hence, a charge of $50 by the laboratory is required to have this test performed.



It seems the problem with this nasal carrier state is that if a virus or some other germ induces the nose to produce more mucus, or if there is a relapse of patients' pre-existing hayfever or sinus condition, that these staphylococci can then flourish all the more, and hence will produce much more toxin. Once this toxin is swallowed it may well have neurotoxic effects on the bowel's nervous system. Also, if it is absorbed into the body, it may also have toxic effects elsewhere. Thus, irritable bowel syndrome and even CFS itself may well be related to infection of the nose by these particular staphylococci as much of the research at Newcastle University strongly suggests. The purpose of the toxin produced by these organisms is as a defence mechanism against other bacteria, and thus is a means of ensuring that the staphylococci remain firmly entrenched in their particular niche in the nose. Evolution has it that these toxins help to eliminate other 'good bacteria' that compete with these pathogenic organisms for those sites in the nasal surface that both organisms have a preference and compete for. It just so happens (as an unfortunate byproduct really) that this toxin also adversely affects the human host.
http://www.ei-resource.org/articles...marises-some-of-the-latest-research-into-cfs/

 

[ukxmrv]

My NHS swabs have shown nothing. It's very hard to get this done in the UK. My reactions to AB's can include an allergic shock so this is a topic I've been looking at for a long time.

Luckily for me the machine I use to push water around the sinus area keep the worst of the symptoms under control.