I am a 28 year old female who has had severe headaches for the past 3years. They have gotten MUCH WORSE in the past couple of months. I also have a lot of mucus and post nasal drip. I feel as if I am constantly choking on my own mucus. I have asthma as well. I wake up every morning with HORRID headaches, my right eye aches and feels like there is constant pressure behind it. I will also have pain in my upper jaw/teeth area. The headaches and the choking on mucus are by far the worse symptoms. I have been diagnosed with chronic sinusitis, as I usually have 8-10 episodes a year. ( I am on 7 as of now) I usually have to go through 2 rounds of antibiotics and some steroids before any infection clears. I had an MRI done last week to follow a pituitary adenoma (which is stable and causing no problems). I take 1200mg of Guaifenesin daily to help thin out the mucus. I also take advair, rhinocort, zyrtec and motrin 800mg to help with the headaches. I have 2 very large mucus retention cyst in my right maxillary sinus. They each measure over 4cm. They believe there may also be a polyp. My septum is now deviated from the cyst. I also have a thickening of the lining of the mucuosa. I am going in to see my PCP tomorrow and want to ask for a referral to see an ENT. My questions are these:
1. Do you think this warrants a visit to an ENT?
2. Is there ANYTHING else I can do to help with the horrible symptoms?
3. Will I be a possible surgery candidate?
4. If I am a surgery candidate and have it done, will my headaches go away?
You sound miserable. Your problem absolutely warrants a visit to an ENT. Surgical removal of the large mucoceles could help. This might or might not relieve your headaches, but if the sinus symptoms are relieved and the headaches persist, you should seek consultation at a headache clinic at a university medical center. The mucus may be an indication of chronic infection or allergic fungal sinusitis. A good ENT would consider these and order cultures and other tests to identify the infectious organism.
This problem is beyond the expertise of your PCP. You may want to seek consultation at a well known diagnostic institution, such as Mayo Clinic, Johns Hopkins in Baltimore, Maryland or Massachusetts General Ear, Nose and Throat Hospital in Boston, Massachusetts even if you have to travel some distance to do it.
Just thought I would update this. My PCP did send me to an ENT and I actually got in today (due to a cancellation..how lucky am I?!) He did a nasal endoscopy (?), which wasn't much fun. Not terrible, just not fun. He found a polyp blocking my passage into my maxiallary sinus. I now have to have a CT to get a better look at the sinus. He said changing my meds isn't going to help because I am on everything he would put me on. I guess I will find out more in the next couple of weeks. I just want the headaches gone...
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.