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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Chronic Sinusitis, Have Facial Pressure, Head Pressure, Headaches And Tight And Blocked Ears. What To Do ?

Hi there I have been to an ENT specialist as my GP advised me to because she believed that I had Chronic Sinusitis . I had facial pressure as well as head pressure, headaches and tight ears. The ENT specialist checked me and said that my sinuses are extremely clear and that it definitely was not sinusitis. He did say that I am biting down on my jaw at night due to stress as well as I have a huge tension knot in my upper neck which causes headaches around my temples when I lay on them. But my ears are still feeling blocked like when you driving over a pass and then I yawn or swallow and it unblocks again but my ears feel wet as well and if I place my finger in my ear, fluid is on my finger. Please help. I m flying tomorrow.
Wed, 7 Aug 2013
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ENT Specialist,  's  Response
Hello

Thanks for writing to H.C.M.

I have through your query regarding facial pain & pressure along with headache and blockade in ear and fluid leakage from ear.

As per your symptoms it appears to be eustachian tube blockade with secretory otitis media. As your ENT doctor says that your sinuses are ok means there may be infection in your pharynx.

You may need these investigations-

(a) Pure tone audiometery.

(b) Impedance audiometry.

(c) Culture and sensitivity of ear discharge.

By inferences of above investigations and there clinical co-relation with examination findings one may reach to correct diagnosis which may be accordingly manage.

Regards.
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Diagnosed Chronic Sinusitis, Have Facial Pressure, Head Pressure, Headaches And Tight And Blocked Ears. What To Do ?

Hello Thanks for writing to H.C.M. I have through your query regarding facial pain & pressure along with headache and blockade in ear and fluid leakage from ear. As per your symptoms it appears to be eustachian tube blockade with secretory otitis media. As your ENT doctor says that your sinuses are ok means there may be infection in your pharynx. You may need these investigations- (a) Pure tone audiometery. (b) Impedance audiometry. (c) Culture and sensitivity of ear discharge. By inferences of above investigations and there clinical co-relation with examination findings one may reach to correct diagnosis which may be accordingly manage. Regards.