MercTech -> RE: A sense of shifting pressure in my sinuses when congested an rolling over. (10/27/2010 6:43:25 PM)
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I know those symptoms well. What I have learned... Do not use decongestants like Pseudafed or anything containing Pseudophenadrine HCL. That dries up the nasal passages and causes the tiny openings to the sinuses to get irritated too easy and inflame and seal up gunk in the sinuses. A good Otolarangologist (Used to be called an ENT for Ear, Nose, and Throat specialist) will tell you about this. Also, Pseudophenedrine will sent the blood pressure skyrocketing which will cause any swelling to get worse.. i.e. irritated sinus passages. A Neti pot, or the cheap solution is to get a rubber bulb from one of the ear cleaning kits. Flush 0.7% warm saline for best effect (1/4 teaspoon non iodized salt to the pint of water). Humibid and Muscinex are now over the counter expectorants. Both are tablet delivery methods for Guiffasien, an expectorant. An expectorant simply thins the mucus and makes it easier to get it out. If you can swing it, get a sleep study. Chronic sinus blockage can cause the airway to block when sleeping and give you apnea. Long term apnea causes the blood pressure to go sky high, you are tired and lethargic all the time, and tend to gain weight at the drop of a hat. A CPAP does wonders for letting you get a good night's sleep even when the sinuses are sloshing. If you can, find a doctor that won't try to get you to tough it out when you really need some antibiotics to get rid of the fermenting goo in the sinuses. I'm talking about what works for me here. My service with Uncle Sugar's Canoe Club left me with some serious chemical burns up the snoot. I get a couple of infections in the left maxillary sinus each year and get clogged sinuses and ears at the drop of a dusty wind. When the maxillary sinus gets inflamed, the opening is close enough to the eustacian tube that it closes off and the middle ear gets fluid in it. Result, a sloshing sound every time you roll over in bed. Does this sound familar? In 1988, I had a Navy Medical Officer that kept shoving pseudafed and tylenol at me and sending me back to work. The result was that it moved from sinus infection to life threatening meningitis. What I learned from that is that spinal fluid comes up the spine bathing the nerves then into the brain and drains into the sinus cavities then, if working right, down the throat. When you have a sinus infection, or just clogged sinuses, the fluid in the sinuses can back up into the brain and spine. Bottom line... do someting to drain things without causing further irritation. A humidifier to keep the nasal passages moist when sleeping can help. Flushing the nasal passages can help. Get medication for any infection so things don't migrate to worse conditions. Now, there is an old home remedy to help open the sinuses that sounds silly but actually promotes drainage. Stand, put your head down between your knees, and brush your hair from the back of the head to the front. I know it sounds silly but it can get things draining. The things you can learn from a grandmother that grew up with an 1800s doctor for a father. Ok, I'm not a medic, I'm in health physics. Go to a medical professional. But I'm sharing what works for me with a condition that fits your description of what is going on with you. Stefan
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