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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.
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.
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
Orbital floors, planum sphenoidale, hard palate: No pathologic bony dehiscence.
Optic strut, anterior clinoid processes: Normal.
Orbits: Orbits and their contents are normal.
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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