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I'm having recurrent sinus pain mostly above the eyes.

Similar to tension heafaches. Sometimes...
I'm having recurrent sinus pain mostly above the eyes. Similar to tension heafaches. Sometimes the pain is in the eyes, nose and cheeks. I've previously had some allergy issues but not really bad. My nasal mucous is very dry and sticky. Almost gel like. My nasal passages seem very dry. The pain will actually be minimal in the morning but increases during the day. I've tried saline spray and neti pots. The pain can go away for a few days and then return. My only serious health issue was Graves Disease which was treated successfully ten years ago. I also notice the pain is stress related. I do have a very stressful job. Any advice would be appreciated. Thank you.
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Answered in 4 minutes by:
10/20/2017
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (non-eye specialty)
Category: Eye
Satisfied Customers: 36,177
Experience: MBBS MS
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You may get allergy tests, MRI of sinuses and nasal swab. This will help in identifying allergies and concomitant chronic infection.

Following would be the treatment protocol;

1) Nasal steroid; decrease inflammation and open up obstruction.

2) Oral decongestants such as pseudoephedrine are often helpful.

3) Topical decongestant for short duration.

4) Antihistamines; use only if allergic.

5) Steam vaporizer

6) Eucalyptus oil may help

7) Nasal saline irrigation

8) Vitamin C

9) Antibiotics; if nasal culture is positive and there are signs in CT scan.

For treating it naturally; steam inhalation, nasal saline water (salt water) irrigation (can be done by Neti-pot), Vitamin C, Eucalyptus oil inhalation can be done. Following can increase the body immunity so help in overcoming the sinus infection;

1) Omega 3; Fish oil capsule and flaxseed oil capsule.

2) Ginkgo Biloba

3) Zinc 30 mg.

You may also be looked for GERD, which has increasingly been implicated in causing or exacerbating chronic sinusitis. The exact relationships and mechanisms are presently a matter of speculation, though.

Consulting an ENT (ear, nose throat) specialist would be prudent.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 1 month ago
One additional thing. I realized I may have been exacerbating or creating this problem by using on otc sleep aid. I had no idea it was an antihistamine. It was benedryl sold as a sleep aid. I took it for a long time. Years every night. I stopped taking it about 10 days ago. Could this have caused my very dry sinuses?

Yes, this can contribute to overall problem.

Chronic medical issues are usually associated with multiple phenomenon together so pure allergic or infective chronic sinusitis are uncommon. Multiple factors which involve, acid reflux, medications, psychological phenomenon, hormonal, neural, allergic, infective etc all play role in manifestations and outcome.

Thus deep breathing exercises, yoga, even acupuncture had helped people.

It is privilege assisting you.

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (non-eye specialty)
Category: Eye
Satisfied Customers: 36,177
Experience: MBBS MS
Verified
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