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Chronic Sinusitis: Treatment, Symptoms, and Causes

Almost all individuals have experienced reflux (GER), but the disease (GERD) occurs when reflux happens often over a long period of time. When stomach acid touches the sensitive tissue lining the esophagus and throat, it causes a reaction similar to squirting lemon juice in your eye. This is why GERD is often characterized by the burning sensation known as heartburn. Sinusitus – There is controversy about whether GERD can contribute to chronic sinusitis, although most of the data suggests that there is no relationship. It is more likely that sinusitis and GERD are confused with each other, rather than that GERD causes the sinusitis.

One probe was placed approximately 3 cm above the lower esophageal sphincter and the other was placed in the nasopharynx. Chest and lateral neck x-ray films were obtained to confirm proper probe position, and probes were adjusted if necessary. Patients spent the night at home or in a hotel adjacent to the hospital and returned the following morning for probe removal.

Immune disorders, including the inability to manufacture antibodies properly, are occasionally a cause of chronic sinusitis. Diagnosis requires taking a complete medical history, blood work, and, sometimes, checking the patient’s ability to make antibodies after being vaccinated. Treatment may include intravenous gamma globulin antibody therapy. In some cases, reflux can be silent, with no heartburn or other symptoms until a problem arises.

Progressive Clinical Symptoms

Surgical intervention to restore the LES may be recommended for those who suffer from recurrent or chronic sinusitis and have documented GERD or LPR. Of course, anyone suffering from sinus pain or disease should discuss their difficulties with an allergist to determine if any environmental or food allergies might be the cause. Previously, UNMC’s John K. DiBaise, M.D., and colleagues found that a significant portion of people with hard-to-treat chronic sinusitis also have symptoms of acid reflux, formally known as gastroesophageal reflux disease (GERD). Symptoms of GERD, which occurs when acid from the stomach backs up into the esophagus, include heartburn and chest pain.

In 1987, Walter Bo, a medical school colleague, was my patient. As a result of nighttime reflux, he had terrible morning hoarseness.

acid reflux and chronic sinus infections

Many who experience reflux also experience heavy postnasal drip and sometimes a choking sensation. Dietary and lifestyle changes can reduce reflux and, therefore, improve some sinus problems.

Environmental allergy can be a major factor contributing to chronic sinusitis. While many people experience seasonal symptoms, such as sneezing, itching and runny eyes, others may have more subtle year-round symptoms making diagnosis more difficult. Accurate allergy diagnosis requires a thorough medical history review as well as blood work and often skin reaction testing.

The lump never disappeared and I started feeling really congested. Once again I visited the doctors and he sported I had nasal polyps and a slightly deviated septum.

He says I’m prone to suffering from Sinitus and this can reoccur. He prescribed some nasal spray and sent me off. For control of the chronic sinusitis, in addition to the intranasal corticosteroids, the patient should be irrigating the sinuses at least twice daily with a saline preparation. The easiest to use is a preparation called Sinus Rinse with premixed saline packets — 8 oz used 2-4 times daily should help keep the sinuses clear.

These findings can be induced by other conditions, such as postnasal drip, allergies, asthma, voice abuse, and even by repetitive behaviors such as throat clearing. What do we see in terms of mucosal damage? An otolaryngologist would describe a variety of classic findings from laryngopharyngeal reflux. In prospective randomized controlled trials, some findings were more likely to be evidence of GERD, such as the changes in the arytenoid and the interarytenoid area, with granularity/granuloma and a cobblestone appearance of the interarytenoid area in the larynx.

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