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On medicine for fibromyalgia & allergies. Getting nausea with odd taste coming from nose. Infection or something else?

Hello. I am a female, age 40, 5 2 , 140 lbs, & in good health other than fibromyalgia & allergies. I am currently on no Rx medicines other than Chryselle, though I take ibuprofin as needed, chlorpheniramine usually once or twice a day but up to 4 depending on allergy symptoms, a daily multivitamin , a B complex, and Vitamin D daily, & melatonin on occasion for sleep. I do tend to run a low fever at times (99 - 100) although there is not always any kind of infection present & it seems to be something related to fibromyalgia symptoms. I am not & have not been pregnant any time recently, & check-ups have all been fine. My concern is about some lingering symptoms as well as a new one; for some time (at least 6 months now after I realized it was occurring regularly) I have noticed occasional nausea & an odd taste that seems to come from my nose (somewhat metallic, not like blood or mucous, but unpleasant & almost with a bit of bile taste to it). At first I had just checked these off as something due to stress, something I ate, and maybe something odd due to my allergies. After some time I began to notice these recurring more frequently to the point where on their own they had become bothersome, seemed more pronounced when I m at rest but occur at other times as well, and occurred without any obvious link I could attribute to anything else. I have not had any history of stomach problems or ulcers , and don t feel that this is the case now. I have also had headaches, but had been blaming them on needing new glasses or allergy symptoms, but have noticed they have also been occurring even when I have no sinus problems, & have been more intense than just my usual slight ache. I also have what sounds like fluid in my left ear at times, especially during exercise when it makes a very distracting clicking & sucking noise, and I had just written that off as allergy related, although it has become more of a nuisance in the last year. I had been planning on having this all checked out at my next visit. Last weekend however, I bent over to wrap my head in a towel, and when I stood up an orange colored fluid ran out of my nose. I have since then been keeping a tissue handy as my nose does seem to leak unexpectedly now & then, although not as much. It does feel at times as though it has come from above in my sinus somewhere, & other times it has just caught me offguard. With my allergies I have never had this issue. I had a cold recently, & I did visit the doctor last week. No signs of infection were found, but my symptoms were basically brushed off & ignored & not even discussed. I was a bit annoyed at not feeling like my symptoms were taken seriously at all, so I tried to address the issue & I was given an appointment to see a neurologist next week. After looking my symptoms up online, the only thing I find that matches is Cerebrospinal Fluid Leak. I would be more than happy to find out that s not the case, but at the same time I don t want to brush off the symptoms as nothing & treat it like an impossibility. Am I right to be concerned & what should I do or say at a next doctor s visit?
Asked On : Sat, 23 Feb 2013
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General & Family Physician 's  Response
Hi welcome to Health care magic forum.
Thanks for choosing H.C.M.Forum.
You have got fibromyalgia, and getting treatment for it. You are having allergy and getting treated with only antihistamines. When you take only antihistamines you will get the side effects of it as sinusitis, otitismedia, hypertension etc.
The discharge , orange discharge, dad taste all suggest sinusitis, and accumulation of the thickened discharge with occasional oozing of blood . secondarily lead to otitis media. The discharge from the maxillary sinus, and frontal sinus will be directly coming to the oral cavity, and show its color and smell.
The leakage of cerebrospinal fluid will be color less, with out any smell, and watery in consistency. So you can get it tested by your tissue and let it dry. If the tissue is not sticking when it is dried it is not C.S.F.
I advise you to consult an E.N.T.surgeon for diagnosis and treatment. You may need to have a M.R.I. of face for confirmation.
Wishing for a quick and complete recovery.
Best regards.
Answered: Wed, 17 Apr 2013
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