Hello XXXXXXX

Thanks for posting your query.

After noting your history it seems most likely a sinus problem because of the following factors.

The area of pain, the presence of mucus or cough and some relief on gargles and steam.
Also the fact that you have undergone CT scan, X-rays and endoscopy and sinusitis is confirmed by ENT specialists.

The area under both eyes .i.e. Inside the cheek bone is the maxillary sinuses they are gaps in bones which if infected or inflamed are filled with mucus and fluid and this problem is called sinusitis which can cause discharge from nose or throat infection or headache and occasionally fever, swelling etc.

Though you have only pain as major symptom, if CT scan of sinuses and xrays and endoscopy suggest sinusitis then no further tests are required and I think you should visit your ENT specialist for a XXXXXXX discussion if you wish to avoid surgery.

Conservative management includes medicines like antibiotics, decongestants, steroid nasal sprays etc but sometimes depending on the case surgery is the best treatment.

So if your doctor has advised you surgery, it must be for your benefit and better relief.

Still if you are very scared of surgery, do discuss your fears with your doctor and he can suggest medical treatment for some more time or if absolutely necessary give you option of endoscopic surgery of sinuses also called FESS, i.e. functional endoscopic sinus surgery.

According to me you should abide by your doctors advise, if he feels surgery is the better option then you should go ahead with it. There is no fixed time limit for wait and watch or common rule as each patient has different symptom and severity.

Please do not panic. Its a common problem and many times minor surgery can give you faster relief.

Hope I have answered your query. Do write back if you have further questions or doubts.

Please accept my answer if you do not have any more questions.

Wishing you a speedy recovery.

Regards

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Hello XXXXXXX

Thanks for writing back.

I am sorry, I am unable to see any reports here.

You have a feature to upload the reports / image by yourself at the right side of the query page, please utilize that so that I can answer your queries better.

You may also send the reports to YYYY@YYYY with subject as Attention to Dr. Hema Yadav.

Hope I get your response soon.

Regards,

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