Upper sinus pain behind the eyes.

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Hi all! Long time sinus suffer here. So over the past several years I have been having a problem mostly with my right side of my sinuses that seems to get worse at night or if I am in a cold environment like in AC or nighttime temps drop below 65f. I also can feel and hear my right sinus "dripping" inside my head when I am seated like when at my desk in front of my computer. I just had a CT scan done and below in quotes I have attached the results. They basically are telling me I have to go see a pain management specialist as I had my nasal concahae removed a long time ago before the medical community realized that maybe they should not be removed and now no longer perform that operation. This pain I experience can happen during the day but more often is at night. Also, some food additives also seem to aggravate the issue like tartrazine (artificial color yellow) and red food coloring and maybe even mustard flour. Very hard to pinpoint the exact foods that may or may not be aggravating the problem as it could just be the cold air that is causing the pain. Since I do seem to have postnasal drip coming from the right side I do know that something is not right with that side of my sinus and that is where most of my pain comes from, so I think I need to start with trying to get that side and the drip along with the pressure and pain that it is causing fixed first. Here are the results of the CT Scan and hopefully an expert checks in on these posts and can chime in with any thoughts on what I might be able to do to help with this pain that is effecting my sleep quality.

"History: Sinusitis.

Technique: Thin section unenhanced CT scan of the paranasal sinuses was

performed followed by sagittal and coronal reformations. Images were reviewed in

bone and soft tissue algorithm.

Comparison: None.

Findings:

Frontal sinuses: Bilateral agar nasi air cells. There is mucosal thickening

along the right frontal sinus outflow.

Ethmoid air cells: Scattered bilateral mucosal thickening and opacification with

better ventilation posteriorly.

Maxillary sinuses: Prior bilateral antrostomy. There are circumferential

polypoid mucosal thickening, which is more prominent on the left with a large

polyp at the infraorbital recess. Bilateral posterior ostia patent.

Sphenoid sinus: Shallow mucosal thickening at the anterior aspect of the left

sphenoid sinus near the ostium.

Mastoid air cells: Clear.

Nasal septum: Leftward deviation of the posterior nasal septum. Osseous spur at

the left aspect of the nasal septum contacts and deviates the left middle

turbinate.

Orbital floors, planum sphenoidale, hard palate: No pathologic bony dehiscence.

Optic strut, anterior clinoid processes: Normal.

Orbits: Orbits and their contents are normal.

IMPRESSION:

Impression:

Prior bilateral antrostomy. Presumed inflammatory changes of the paranasal sinus

described, most prominent at the right frontal and left maxillary sinuses."

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  • Posted

    "Frontal sinuses: Bilateral agar nasi air cells. There is mucosal thickening

    along the right frontal sinus outflow."

    Could this maybe one of the main issues with my dripping I am hearing and feeling in my head and causing pressure and pain at night while sleeping?

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  • Posted

    Also one thing to note, If I wear a bandaid (one of the small circle style) over my right nostril at night the pain is much less or even nonexistant. Sometimes if I forget to put one on and I get woken up with the pain in my right sinus I will put one over my right nostril and the pain will go away after about an hour and I can get back to sleep.

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  • Edited

    You said early "Impression: Prior bilateral antrostomy. Presumed inflammatory changes of the paranasal sinus described, most prominent at the right frontal and left maxillary sinuses......History: Sinusitis. There is mucosal thickening along the right frontal sinus outflow." Take the antibiotics to see the results if you do not want to use salt water flush nasal. Go to a different ENT doctor for a second opinion.

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    • Posted

      Ok I will try some antibiotics.

      "The recommended choices are amoxicillin or amoxicillin/potassium clavulanate (Augmentin) for 5 to 10 days. Doxycycline is a good alternative for people with penicillin allergy, followed by levofloxacin or moxifloxacin."

      I take it amoxicillin is the best to take?

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