How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. German Your Own Question

Dr. German
Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3772
Experience:  MD
Type Your Health Question Here...
Dr. German is online now
A new question is answered every 9 seconds

Hi, I have a mucoid cyst in my right maxillary gland. I was

Customer Question

Hi, I have a mucoid cyst in my right maxillary gland. I was told it is "large" but should be asymtomatic. I have had severe pain in my right sinus...so much pain that I feel it in my upper teeth on the right side and pressure behind my right eye as well as in my ear. I have pain along the right side of my nose up in my eyebrow area. I also suffer from migraines so I am not sure if this is migraine pain or the cyst. My neurologist believes the pain has to do with the cyst because of the size of it...however I went to an ENT...she said that it's NOT the cyst and gave me flonase...said to use it for a year??...This has not helped at all!! I recently had a sinus infection and while on antibiotics did not have an attack of the severe pain for THREE WEEKS!!! It was amazing!! I am now off the antibiotics...and the pain is back...what should I do...
Submitted: 5 months ago.
Category: Health
Expert:  Dr. German replied 5 months ago.

Welcome and thanks for your question I am Dr. German I would be here to help you and give you all the assistance you need until you are satisfied, according to what you have been describing, what you could be experiencing is a case of chronic sinusitis.

 

 

In your case , if the pain has come back again, it is because the infectious process has not resolved and the bacteria is still there . You should contact the doctor who prescribed you the antibiotics, so he can give you a refill prescription so you can take the antibiotics for a longer period of time to kill the infection.

 

I would suggest you to consult other ENT specialist . In my opinion, probably the cyst or other anatomical problem like the presence of a polyp ( which is a benign mass ) or an internal nasal deviated septum is affecting you and making you more susceptible to develop sinuses inflammation and infections , and that is what is producing all the pain you have been feeling.

 

 

In this case , surgery will be necessary .

 

 

If they do not treat the underlying problem, you will continue experiencing these symptoms once and once again. Your doctor will also need to investigate other possibilities like : blood vessel inflammation or trigeminal nerve irritation.

 

In the meantime, drink plenty of fluids ,apply a warm towel on your face,sleep with your head slightly elevated, eat 2-3 cloves of raw garlic ( which is a natural antibiotic),get an humidifier (this helps to drain the fluids accumulated in the sinuses) and you should also drink a tea that you can prepare with ginger,honey and lemon.

 

 

If you need any additional information I will be happy to continue further and assist you until you are completely satisfied . Good luck to you and have a good day !

 

 

Please leave a positive feedback ( click on excellent or good service ) if you are satisfied with my answer.

Customer: replied 5 months ago.


Thank you for your imput...it is much appreciated. My pcp was the one who put me on the antibiotics and said that I most likely have chronic sinusitis. What I don't understand is...I don't feel "stuffed up" and I can breathe out of my nose. Does this still sound like a sinus infection? Because when I was put on the doxycyclin (sp?) she said it was most likely chronic sinusitis...but again, I wasn't "stuffed up"...and can this really cause extruciating pain? Nothing touches the pain...I tried 3 motrin...nothing...I tried my migraine meds...nothing...I am just so sick and tired of the pain! :-(

Expert:  Dr. German replied 5 months ago.
Yes, even if you do not feel stuffed up and you are able to breathe out,it can still be chronic sinusitis . The symptoms will vary according to what specific sinus( or cavity is being affected).

With chronic sinusitis ( it is vital to determine and find out what underlying factor is involved ,to correct that problem), if there is an anatomic issue like a polyp or cyst that needs to be removed , if there is an autoimmune condition( in which the immune cells mistakenly attack your healthy body's cells producing constant inflammation) or if you are allergic to something and that is producing the sinusitis .

But it is important to treat that factor to have a successful treatment.


If you need any additional information I will be happy to continue further and assist you until you are completely satisfied . Good luck to you and have a good day !


Please leave a positive feedback ( click on excellent or good service ) if you are satisfied with my answer.
Dr. German, Doctor (MD)
Category: Health
Satisfied Customers: 3772
Experience: MD
Dr. German and 4 other Health Specialists are ready to help you
Expert:  Dr. German replied 5 months ago.
Hi Liz,


I'm just following up with you to see how everything is going. Did my answer help?


Let me know,
Dr. German
Customer: replied 5 months ago.


Hi, it did thank you...I am having burning in my right nostral (the painful side) Just frustrating...I put a call into my pcp's office on Monday...still waiting to hear...I think I will follow-up again today with the office.

Expert:  Dr. German replied 5 months ago.
You should get an over the counter decongestant like Sudafed or Actifed and pain medication like acetaminophen or ibuprofen to alleviate your symptoms. If you are not able to see your doctor today , you should go to the emergency , a walk in clinic , there are also public health centers where you can receive attention ( in these centers , you will pay only what you can afford ).

Here is a link so you can find one of these centers :


http://findahealthcenter.hrsa.gov/Search_HCC.aspx


If you need any additional information I will be happy to continue further and assist you until you are completely satisfied . Good luck to you and have a good day !


JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery