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Respiratory Disorders  (Expert Forum)
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Getting a little tired of this!
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This forum is for questions and support regarding lung and respiratory issues such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis

Getting a little tired of this!

by Jaydub, Apr 29, 2003 12:00AM
Maybe someone out there can help me out with this.  Since January I have had something weird going on with my sinuses.  Everyday I wake up with intense sinus pressure around my nose, forehead, temples and the top of my head.  Sometimes it feels as if my skull is ging to split dow the middle!  I went to several doctors and emergency rooms only to be given Zrytec, Allegra and Nasacort. None of which help me because I have no allergies.  I had an MRI and X-rays done that revealed nasal polyps, but I get to the ENT doctor and am told that I don't have them and was given another bottle of pills.  I demanded an endoscopy which I scheduled for tomorrow.  Who knows whether or not nasal polyps can cause such bad pressure in one's head or not?

by National Jewish, May 01, 2003 12:00AM
Nasal polyps are fleshy growths of the lining of the nose and sinuses.  Their roots are found in the upper part of the nose and in the ethmoid and maxillary sinuses.  On a sinus x-ray they may look like clouding of the ethmoid and maxillary sinuses.  A developing polyp is teardrop-shaped.  A mature polyp looks like a peeled seedless grape.  They can get large enough to block the opening of the sinuses and the nasal passage.  You could certainly be feeling this as intense sinus pressure.  Some people have problems with a stuffy nose, sinus infections, or loss of their senses of taste and smell.



Surgery to remove the nasal polyps may be suggested.  However, the chance of nasal polyps growing back is extremely high.  Routine use of a nasal inhaled steroid, like the Nasacort® (triamcinolone acetonide) that you were given, may shrink nasal polyps.  If they are small this may be all the treatment that is needed to relieve your symptoms.  If they are large, this treatment may shrink them enough that surgery is more likely to remove the entire root of the polyp so that it doesn’t grow back.  Following surgery, indefinite routine use of nasal inhaled steroids may keep nasal polyps from growing back.
Member Comments (5)

by CINDY4, Apr 30, 2003 12:00AM
I think just sinus infection alone could cause such pressure, with or without the polyps.  Did the MRI show any indication of infection?  IF so i would ask to be on an extended course of antibiotics.  As far as the polyps go I have never dealt with them,   for me it is usually the infection that causes the kind of pressure you describe.

by ozark, Apr 30, 2003 12:00AM
you may have muscle tension in your neck....the muscles in your neck get tight and put pressure up in the center of your head...sometimes it feels crushing....and if it happens in the morning it probably is the way your sleeping and your neck could be in an awkward position.....good luck

by JCB No.3, Jul 14, 2003 12:00AM
I had an operation three years ago for Polyps. After the operation my consultant prescribed me "Nasacort" nasal spray to delay the return of the polyps. My local surgery has now informed me that they have "rationalised" the medicines they prescribe and have changed my prescription to a generic version of Beconase. My concerned is that although these products belong to a similar genre they do not contain the same active ingredient and are therefore not the same.  My concern also stems from the fact that I have seen Beconase refered to for allegies/hayfever etc but for the treatment of Polyps the name Nasacort or its generic name is usually refered to. Is Beconase as good as Nascort and is it appropriate treatment for the prevention of Polyps or should I be complaining to my surgery and demanding to remain on Nasacort?

by JCB No.3, Jul 14, 2003 12:00AM
I had an operation three years ago for Polyps. After the operation my consultant prescribed me "Nasacort" nasal spray to delay the return of the polyps. My local surgery has now informed me that they have "rationalised" the medicines they prescribe and have changed my prescription to a generic version of Beconase. My concerned is that although these products belong to a similar genre they do not contain the same active ingredient and are therefore not the same.  My concern also stems from the fact that I have seen Beconase refered to for allegies/hayfever etc but for the treatment of Polyps the name Nasacort or its generic name is usually refered to. Is Beconase as good as Nascort and is it appropriate treatment for the prevention of Polyps or should I be complaining to my surgery and demanding to remain on Nasacort?
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