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Chronic sinus problems, fluid collection in the ear, vertigo - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3557 Questions
User :   Hi, i am a 26 year old female, i've been having what i think are chronic sinus problems for the past year. My primary doctor sent me to an ENT specialist this past thursday because i've had left ear pain, originally thought it was ear infection but turned out it was just fluid in the ear. My whole left side of my head was full of pressure, specially the back of my head and around my eyes (forehead), and cheek area.

The ENT guy put me on a steriod methylprednisolone, a nasal spray and a neilmed sinus rinse. I started the steriod yesterday, and the sinus rinse. The first time I tried the sinus rinse i tried it on my right side, but nothing came out the other nostril, instead it felt like it went to the back of my throat, never drained. I then tried my left side and it worked fine, it drained out the other nostril. Now this morning did the rinse again, it drained out both sides but it burned, hurt my nose. After that i had such bad pressure on the right side of my face/head and some pressure in my ear, same kind of pain but worse that i had in my left side last week. Through all this i have felt lightheaded and shaky the past 2 weeks. I'm freaking out majorly, cause i've read how sinus problems can lead to brain infections and aneurysms.
Doctor :   hi
Doctor :  
ok
Doctor :  
please give me sometime to read through what you have typed.
User :   ok, i've also had some neck pain and just a lot of pressure in the back of my head also. Also my head tingles a lot.
Doctor :   ok
Doctor :  
the lightheadedness that you are feeling could be due to the fluid in the ear itself that is giving you vertigo
Doctor :   what is recommended to rule out the brain infection and the aneurysms is to do a brain and sinus MRI which will show if the infection is spreading to brain
User :   yeah that it what the ent said, should i be shaky though too? this is driving me crazy, sorry
Doctor :  
usually chronic infections have such complications
Doctor :  
of infection spread to brain and aneurysms
Doctor :  
continue to follow the instructions given by your ENT doc
Doctor :  
you should see some relief in 2-3 days time
Doctor :  
you can opt for a second opinion from our panel specialists too on your problem
Doctor :  
if you having doubts about the line of treatment folowed by your doctor
Doctor :  
or have queries regarding further treatment
Doctor :  
may I ask your age, gender, location, occupation height and curent weight?
User :   thanks, what about sinus rinse problem, where it burned my nose, is that normal? Does that usually happen the first few times it's used?
Doctor :  
if there is acute inflammation, it can have the burning effect in the beginning, but it is always better to discuss this with the doctor who prescribed it
Doctor :  
and ask for any alternative rinse if the buri=ning is persisting
User :   yes, i am 26, female, live in wisconsin, in customer service, height is 5'3", weight 100lbs
Doctor :  
ok
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
Doctor :   hi
Doctor :  
are you back?
Doctor :  
have you followed what i have said?
User :   yes i think i am back, sorry
Doctor :  
Please log in back if you have medical queries. and avoid navigating away from the chat window to enable uninterrupted discussion
Doctor :   Is there any thing else I can help you with?
User :   so you don't think i should run to the ER or anything tonight, i got myself all freaked out researching my symptoms on the internet
Doctor :   all the symptoms do not necessarily be applied to your case..internet gives a lot of information..
Doctor :  
do not assume things
Doctor :  
relax yourself
Doctor :  
see if pain is coming down with the medications that you are already taking
Doctor :  
if not then consider visiting the ER..or calling up your treating doctor
Doctor :  
to take further steps
User :   thanks, i tend to assume the worst of things, i'm just so sick of feeling so weird
Doctor :  
i can understand what you are going through
Doctor :  
it is just that after a detailed examination along with the symptoms
Doctor :  
can be linked to a diagnosis
Doctor :  
and not just the symptoms
Doctor :  
so do not self assume diagnosis for yourself based only on your symptoms and linking them to the information on internet
Doctor :  
if yu are really very worried
Doctor :  
about the symptoms being on worst side
User :   yes and i always do that, i need to learn not to do that so much
Doctor :  
then discuss the possibility of doing and MRI brain along with the sinuses to rule out or confirm the possibility of brain getting affected
Doctor :   and proper linking of symptoms to the MRI and examination findings
Doctor :   are you with me?
User :   is it normal to feel so disoreinted/fuzzy headed/moody with a sinus problem?
User :   yes i am with u
Doctor :  
have you followed what i have suggested?
User :   yes
Doctor :   yes, if the sinus infection is chronic with acute exacerbation and pus formation inside them, or fluid collection in them or the ears, normal to feel so disoreinted/fuzzy headed/moody with a sinus problem which is commonly termed as 'vertigo'
Doctor :   once the fluid is drained and the sinuses are cleared of the infection, then your disorientation and dizzy symptoms too will go.
User :   thank you so much, you have been very informative, and have eased a few of my fears.
Doctor :   since the problem is chronic, discuss the possibility of permanent cure by doing and operation to clear sinuses
Doctor :   and to drain the fluid collection inside ear
Doctor :  
it will prevent recurrences
Doctor :  
Is there any thing else I can help you with?
User :   yeah i will have to suggest that
Doctor :   if you want, do take the benefit of taking second opinion from our panel specialists
Doctor :  
if you having doubts about the line of treatment or have queries regarding further treatment and operation that i have suggested
Doctor :  
by folowing the link that will appear on the right hand side of your chat window after the chat is over.
Doctor :   Please fill the feedback form say done when done.
User :   thank you again!
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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