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Suffer with muscular dystrophy affecting respiratory muscles. Have air leaking from eyes. Remedy?

I use a bipap for external ventilation at night as I have a form of Musculor dystrophy that affects resipratory muscles. I have had a bad sinus infection for last month and am on second round of antibiotics . Air is leaking from one of my eyes, which has not happened before. This is very uncomfortable and I cannot sleep, is there anything to stop this issue?
Asked On : Tue, 6 Nov 2012
Answers:  1 Views:  190
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General & Family Physician 's  Response
Hello. I'm sorry you're having problems. The air that is leaking from your eye is undoubtedly emerging from your nasolacrimal duct, which normally drains tears from your eye to the back of your nose. Because your nasal passages are congested, your BPAP device is pushing air through this duct instead of routing it into your airway. There are several approaches that might be useful:
A decongestant/expectorant, such as phenylephrine/guaifenesin, might break up your congestion and improve air flow. (Decongestants can dry your airways, though, so ask your doctor if such medications are appropriate for you.)
You could use a neti pot to irrigate your sinuses before bedtime. This would flush mucus from your nose and sinuses and improve air flow.
Make sure your BPAP humidifier is working properly, and ask your doctor and/or BPAP tech if a temporary change in pressure settings would be helpful.
Hopefully, as your sinus infection clears this problem will resolve. In the meantime, it's important to keep your eye lubricated. A number of products are available for this purpose (e.g., Advanced Eye Relief Nighttime, Lacrilube, etc.). Your doctor can offer some guidance here.
I hope that helps, and I hope you feel better soon!
Answered: Tue, 6 Nov 2012
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