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I suffer from allergies and for the past 2 years have had increasingly worse post nasal drainage on the right side only. It has now turned into constant bad ear pain and pressure along with occasional sinus headaches, nausea and dizziness and also some occasional tingling on the side of my head and face. I am seeing an ENT next week and was curious if anyone has seen an ENT for similar reasons and if so, what did they do for you?

I am concerned that the chronic post nasal drip may have caused eustachian tube dysfunction or worse.

I am bit nervous/anxious about seeing the ENT so any help to let me know what I can expect from my ENT visit (i.e., what tests do they perform, etc.) would be helpful.

Thank you.
It is interesting that you bring this up. My sinus problems started with a feeling of mild dizziness and persistent lightheadedness. That's what made me go see an ENT -it was driving me crazy.

What can happen with bad sinus problems, is that inflammation can essentially block the eustacian tubes, or even cause fluid retention in the inner ear. I thought I had a viral inner ear infection -but it was all sinus related.

Now I'm not a doctor, but if your problem seems to be on one side of the head, there may be a bacterial infection of the sinuses in that area. It is called the "Spenoid Sinus" and it is between the ear and eye. It could also be inflammation due to very severe allergies. See this link

[url]http://www.sinucare.com/content.php?PAGE=SINUSITIS[/url]

Finding the right doctor is very important. In your case, I would suggest a CT scan of the sinuses at the very least. It would be better to get an endoscopy. A CT scan is a simple procedure that takes 15-20 minutes tops, and allows the doctor to view the inside of your sinuses. He will be checking primarily for structural problems (deviated septum), trapped bacteria, or polyps (many people have these, but they sometimes cause blockage problems).

Did your sinus problems start with a cold or the flu?
Is your nasal discharge yellow or green?

These are signs that the problem may be bacterial in nature. I would venture to say that you will be fine, and you most likely have a sinus blockage on one side of your face.

Keep in mind that medicine for chronic sinus problems is not very effective, especially in a chronic case. I've tried numerous drugs, and they don't do much for me. Irrigation helps somewhat, and I find that running helps "clear me out" a bit.

The ENT will order a CT scan of your sinuses, and maybe an X-Ray as well (although they don't show much). He may even elect to do an endoscopy -a procedure where an instrument is inserted up the nose, complete with camera, so he can view your sinuses directly, in real-time. This is the most effective procedure.

Keep us updated.
Thanks for responding chiggins1066-

I have had the PND and the allergies for a long time but the pressure and pain in the ear has gotten worse after 2 back to back colds since Christmas. The first cold was throat related and the second was a bad head cold. I did read that eustachian tube blockage can occur after colds or upper respiratory infections.

The past few days I have noticed increased pain and pressure in my face, eye and even teeth (which seems like sinuses).

I am so miserable with the pressure and pain, Friday is going to seem like forever till I get to see the ENT.
[QUOTE=Chrislynn]I suffer from allergies and for the past 2 years have had increasingly worse post nasal drainage on the right side only. It has now turned into constant bad ear pain and pressure along with occasional sinus headaches, nausea and dizziness and also some occasional tingling on the side of my head and face. I am seeing an ENT next week and was curious if anyone has seen an ENT for similar reasons and if so, what did they do for you?

I am concerned that the chronic post nasal drip may have caused eustachian tube dysfunction or worse.

I am bit nervous/anxious about seeing the ENT so any help to let me know what I can expect from my ENT visit (i.e., what tests do they perform, etc.) would be helpful.

Thank you.[/QUOTE]

Yeah I haven't seen an ENT yet(although I'm seeing a lung doctor that also specializes in sinuses/allergies in 2 weeks)..which is kind of stupid of me I've suffered from ETD for 2 years now..but anyway..yeah doctors don't take it very seriously as a condition, b/c its very common.
PND in itself is not what causes the ETD. ETD is caused by inflammation and possibly some PND in the sinuses that throws off the perfect balance of pressure between the outer ear and the ET.
I didn't even realize I had sinus problems for a really long time..I didn't really think it was a big deal that I always had sinus infections & that my doctor always told me my sinuses were swollen! Then the ear pain came..and that kinda hit me that I had some problems I needed to take care of. I take Flonase(steroid nose spray), which helps a lot..it doesn't help completely but it does take the horrible pain from the pressure away..still leaves me congested but at least out of pain. I also take Clarinex(mainly 4 skin allergies), but that does help my ETD 2.
Your symptoms sound similar to mine..and usually in that case, it's treated as an allergy, allergy testing done, possibly immunotherapy, steroid nose sprays, anti inflammatory meds, antihistamines, stuff like that. They may do hearing tests and balance tests also.
Well I hope the best for you! hope this helped
Well I saw the ENT today. He examined my ears and said they were clear as can be, no infection, no fluid. He then cleaned the wax out of my ears with a vacuum device. He got quite a bit out of the right ear and it did relieve some of the pressure. However, all of the pain and pressure did not go away and I am experiencing some pain along the side of my face and teeth on the right side. So he ordered a CT scan of my sinuses which I will get done next week and then f/u with the ENT the following week.

He also had the audiologist perform a hearing evaluation on me. They checked my hearing, speech and ear pressure. I aced that one! Perfect hearing and perfect pressure.

My turbinates are a little swollen and my throat looks fine. He felt my swollen glands and was not concerned at all about them.

So far, nothing seems to be seriously wrong with me. I hope the dizziness was from the ear wax that he said was sitting on my ear drum.

He did prescribe me Zyrtec (Zyrtec is the only allergy med I have not given a fair try) for my allergies and Astelin nasal spray to help dry up the post nasal drip. He also gave me Flonase too. I am opting for the Astelin at the moment. I need a mean anthistamine to dry up this horrible post nasal drip that I believe is the evil root of all my problems!

He did not want to give me a decongestant because I am thin and small he thought they would make me shaky. Sudafed has kept me awake all night...so that's fine with me. My problem is not that I'm congested, it's that I am draining too much!

I just hope something will help me feel better because I am running out of patience with feeling sick all the time.





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