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Felling dizziness after using steriod nasal spray for blocked left maximallary sinus

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ENT Specialist
Practicing since : 2006
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As previously stated I have a blocked left maximallary sinus and partial on the right, ENT doctor put me of steriod nasal spray and FESS for a couple of months, and steriod table for one week. I am getting dizzy when looking down, so would like a relief from problem. Said I would probably need surgery as my septum is crooked and will need to be chiseled then drainage could occur, please help
Posted Wed, 25 Dec 2013 in Ear, Nose and Throat Problems
 
 
Answered by Dr. Hariom Sharma 1 hour later
Brief Answer: You need a surgery Detailed Answer: Hi Mam, I have gone through your query and medical history. If your septum is crooked and you are suffering from the above mentioned symptoms or disease then definitely you need the surgery. For proper drainage of the maxillary sinus it is necessary to that your septum should be in mid line. Therefore I personally advised to go for the surgery without delay. If you have any doubt, I will be available for your query. Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Felling dizziness after using steriod nasal spray for blocked left maximallary sinus 4 hours later
Can you suggest a relief from the pain and what I can do in the meantime? They have suggested till mid Feb to see me again,to see if the abovementioned works. Do you know any effective suggestions for the at least partial unblockage so that I can stop being so dizzy and can at least work properly? Does the strange sensations around the mouth, cheeks & face from the sinuses? What does the surgery entail, and as I have had recent surgery 3 mths ago is this a problem, I also have a neck problem Thank you
 
 
Answered by Dr. Hariom Sharma 2 hours later
Brief Answer: Systemic decongestant containing pain killer Detailed Answer: Hi Mam, I have gone through your follow up question. Yes you can use---> 1. Neti pot with normal saline for nasal blockage. 2. Steam Inhalation five times a day with karvolplus vapo cap. 3. Systemic decongestant containing pain killer such as Solvincold tablet, you can use this in mean time. Please specify the type of neck problem you have. Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Felling dizziness after using steriod nasal spray for blocked left maximallary sinus 9 hours later
Hi have been getting pain in back of head starting from base of neck to top of head which is very stabbing. Have been getting dizzy with sensations going across face and around eyes when leaning over, is this the sinisus?
 
 
Answered by Dr. Hariom Sharma 6 hours later
Brief Answer: Not due to sinus Detailed Answer: Hi Mam, I have gone through your query. It suggests that these symptoms may be related to the neck disease not the sinus disease according to me. But for better diagnosis and exclusion of the other disease please consult the ENT specialist. Wish you good health
Above answer was peer-reviewed by
 
Follow-up: Felling dizziness after using steriod nasal spray for blocked left maximallary sinus 4 days later
I have been both to a Neurologist and an ENT doctor. The Neurologist said that there is nothing wrong there except maybe Fybrimolgia. The ENT doctor said I will need to have sinuses drained. I am concerned as I have been thru many doctors, and the stressing part is the pain at the back of the head and the sensations going through the front of my face when I look down and being dizzy. I also have sensation going around my eyes. I have had another MRI which shows now difference, so what is wrong with me?
 
 
Answered by Dr. Hariom Sharma 1 hour later
Brief Answer: Please send me your report Detailed Answer: Hi Mam, I have gone through your follow up query. For better diagnosis and better suggestion, please upload your MRI report of cervical spine and CT scan report of your paranasal sinuses. You have a feature to upload the reports by yourself on the right side of this query page. Please utilize it. Regards,
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Follow-up: Felling dizziness after using steriod nasal spray for blocked left maximallary sinus 23 hours later
i I have had a MRI done very recently and it states that the trigeminal nerve, 7th & 8th cranial nerve complexes and the abducens nerve and otherwise normal in the cisternal portions. Conclusion: there is no suggestion of a brain parenchymal abnorality. In particular no focus of gliosis or oedema. On the limited imaging through the posterior ofssa, the trigeminal nerve is normal in the cisternal portion and within Meckel's cave.. 7th & 8th cranial nerve complexes are also normal within their cisternal portions with no inflammation seen within the mastoid air cells. The abducens nerve is also grossly normal in its cisternal portion. Noted however is sinusitis involving the maximallary sinuses, worse in the left and mild in the right maxillary sinus? the source of the facial pain. No suggestion of a mass seen within the curtaneous tissue of the cheek or orbits to implicate infraorbital nerve pathology on the limited imaging of the facial cutaneous region. No intracranial pathology. On cervical spine there are minor disc bulges seen of the cervical spine at the c5/6 and the C7T1 level abutting the tecal sac mildly anteriorly. There however remains capacious central canal. No cord signal abnormality seen to suggest evidence of myelomalacia cord oedema. craniocervical junction is normal. Minor disc desiccation seen throughout all the cervical discs. No annular fissures/tears seen of the cervical discs. Their conclusion: Minor disc desiccation see through the cervical levels. Minor disc bulges seen at the lower cervical levels as described abutting the tecal sac anteriorly at the above described levels. There is however no resultant central canal, lateral recess or foraminal compromise. No cord signal abnormality to suggest myelomalacia or focus of demyelination. No impingement seen of the cervical nerve roots to suggest cervical radiculopathy. The vertebral arteries show normal flow voids. Sorry to give you such a long description but I thought this my help.
 
 
Answered by Dr. Hariom Sharma 11 hours later
Brief Answer: Go with ENT surgeon Detailed Answer: Hi Mam, I have gone through your follow up query (description). . It suggests that you are suffering from the maxillary sinusitis (left >right), there for better to go with ENT surgeon opinion. Wish you good health.
Above answer was peer-reviewed by
 
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