Why does the Valsalva Maneuver help alleviate my sinus pressure?
I have had 2 sinus surgeries with no improvement in symptoms. I do NOT get congestion, but rather chronic inflammation, blurry vision, facial and nose-bridge pressure, and lethargy/brain fog.
When I hold my mouth shut, pinch my nose, and blow outward (Valsalva Maneuver) the pressure goes away, I can think straight, and my vision improves.
I understand that this is reducing the pressure in my sinus cavities. The question is: Why?
My life is going downhill fast and I'm trying to figure out why I keep having sinus issues. ENT doctors are of no help and attribute it to allergies, even though I tested negative to everything!
What is causing my facial pain (with negative CT) and why does the Valsalva Maneuver work? I am so depressed with this condition because I can't think straight due to the never-ending pressure. It is also worse after I eat. Could this be mucus based?
I should also mention that I am dizzy ALL THE TIME and my ears + inner ear have been checked out and are fine. I know the feeling of sinus pressure/pain/infection and am positive this is it. Would an infection of the ethmoid (behind the eyes) sinus cavities give these symptoms? I do have some fluids behind my eye, but the ENT says it's nothing to worry about and would not cause these symptoms (facial pain, pain behind the eyes, dizziness, etc.)
Hi there, I was wondering if you ever got this figured out? Did you ever try decongestants? Sometimes having poor eutchechian tubes could be te reason for the pressure, when you blow air through your nose like that you are relieving the pressure.
The question is why do you have fluid behind your eyes at all? If you haven't, try seeing an eye doctor about that, get a second opinion.
I was dizzy all the time last year and it had nothing to do with my ears. It was actually my neck and I started seeing a Chiropractor for it. It has helped a lot since then! I also cut gluten out of my diet. I also got bad migraines a lot and after doing those two things, they reduced a lot.
Do you take any allergy medications or nasal steroid sprays? I always get bad allergies every year in the spring and end up with sinus infections. I use Allegra and Flonase to help, but when all else fails, I use the Zpack. It has been a life saver.
Did you see a chiropractor yet, I guess it may be too soon though since you just responded.
It doesn't sound like fun at all and I know how frustrating it feels, you may have a food sensitivity. I had to go gluten free not long ago. Also the pollen lately has been horrible in my area and I've been having a lot of sinus pressure, pain, and dizziness again. It's been a nasty year, my dizziness isn't like it was though. It goes away faster. I just get all congested up and dizzy.
It's different than how I was dizzy before, I was off balance. Allegra has helped. Have you ever used a Neti Pot? Or Saline Nose Spray? I also just learned about lymphatic drainage self massage, if you google it you should be able to find a video. You can actually feel everything draining, it's nice. I also just Kearney about self acupressure for sinus pressure, ear pressure, and dizziness.
Surgery was to open the sinus cavities and reduce the turbinates. The first surgery was excellent, the second seemed like it made things worse, and the third seemed good as well.
I think my problem lies in the second surgeon screwing up something in my cavities.
Whenever I stand up, the pressure is worse.
Whenever I am upside-down I feel normal.
Whenever I eat (even drink water) the pressure comes back, and I'm almost positive it is trapped mucus.
It seems like the second surgery screwed me up royally, possibly for life. It feels like the opening in my ethmoid sinus cavities is so wide that it's collecting all mucus, rather than not letting mucus get trapped.
Back to the drawing board.
P.S. No steroid sprays, decongestants, etc. work. Nothing works. The only thing that has worked so far is about 1 gallon of distilled water mixed with salt packets, and I fire-hose the **** out of my sinuses. Of course, it comes back moments later, and I'm back in the same head pressure hell I was before using it.
I know the thread was quite old, but Im studying the subject of sinusitis at the moment for my oral surgery exam and found the comments regarding your sinus issues.
If you still have the problems, maybe check into this: http://www.ncbi.nlm.nih.gov/pubmed/15064067
Hope ur doing better now though!
Hi, I have a similar issue. My ENT diagnosed me Meniere's Disease. He put me on a low sodium diet and gave me script for perscription blood pressure meds( a diuretic). I don't have high blood pressure. But it saved my life. I was to point so dizzy couldn't walk or stand and my words would slur only sometimes. I have a constant pressure in my ears. I have been on this diet for a few years and I have been great. If I start to feel dizzy or pressure I take a diuretic. Maybe you have something similar. You can try it out before going to dr. Just monitor sodium and keep low for several days and you can even find an over counter diuretic to try. Try it and see if this helps. My dr recommends under 1500 mg of sodium a day
I hope you find answers soon
i am experiencing the same symptoms. i have seen a neurologist who has diagnosed me with tension headache. i have had a headache for a month, constant. i am also having a MRI done. i did have a CT scan of my sinuses- clear. i hear ya, it's very frustrating and debilitating. stick with chiropractor AND acupuncture. i know medical treatments are not cheap but your health is the #1 priority so stick to it! chiropractor and acupuncture at least twice a week. GO! also, my allergist says it is contributed to allergies, even if i'm not sneezy, itchy eyes, typical allergy symptoms, so i am starting on allergy shots. but my allergy test did come back positive for high allergies to trees and grass. you said your test was completely negative..hmm.. it can't hurt to take a Zyrtec or Allegra daily, see if that helps. Don't take sinus meds because that can make you more groggy and anxious. Do the Neti Pot daily and flush your nose. Try holistic meds, you can find them at Whole Foods (they are little white pellets.)
I have been reading these posts & I have to tell you my experience & what this possibly may be. I had sinus issues & pain for years. One year I was put on antibiotics 4 times & my "sinus infection" just would not go away. Luckily, I was referred to an ENT that knew EXACTLY what was wrong. She said you do not have a sinus problem. This is all coming from your stomach. Turns out, she was 100% right. I had no idea, no reflux that I could feel..nothing but this ongoing sinus pain & pressure & congestion. Well, I was diagnosed with LPR, laryngopharangeal reflux. That's when reflux is so bad it comes up in the throat, & it causes the sinuses to react. NO amount of antibiotics will cure this. There are several tests to confirm the LPR. The most common tests for LPR are the 24 hour pH monitoring with
manometry. I had it done & sure enough...it showed acid coming up into my throat 26 times a day..& I did NOT FEEL A THING! The flap between my esophagus & stomach...that's supposed to shut after your food goes down..was staying open 24/7 allowing bad reflux..& again..I did NOT feel a thing. This is called a silent killer because the reflux can burn the esophagus..& by the time you actually feel it..you're at a much higher risk of esophageal cancer. I had surgery..it's called Nissen Fundoplication...& I am 100% cured. The surgery was 8 years ago...& not one sinus problem since. I would've never thought it...but thank God I was sent to that one ENT who knew within 5 minutes exactly what my problem was. If you have ongoing sinus problems that aren't getting better, please check this out. If the first ENT you go to doesn't know what you're talking about...see another one. If you google LPR, some sites don't mention sinus problems as a symptom...but trust me..they are!! The stomach & it's contents coming back up trigger a reaction in the sinuses...that looks & feels just like a sinus infection. If this info helps just one person, then that will be worth posting it!! Good luck & God Bless!!
I'm so pissed, I wrote this whole reply and of course it didn't post....
I'm doing so miserable I'm on the verge of suicide. I have been in and out of psych hospitals over the past 2 years because I have completely lost my mind. I'm so frustrated all the time due to the constant headaches, pressure, and blurry vision that I cannot work or concentrate on anything.
I had another Sinus Surgery in an attempt to correct the problem, and yet again I have become worse. I don't know what to do anymore.
My family has not been supportive at all. In fact, they abandoned me in my time of need. How the **** does that happen? My chronic fatigue and brain fog, I found out, are caused by poor sleep due to this sinus/headache problem. I cannot get comfortable enough to sleep peacefully at night, and so am basically bed ridden most of my life.
The only thing I haven't tried yet is LPR, so I hope that works. I have extremely bad digestion as it is (ever since gallbaldder removal surgery, biggest mistake of my life), and ant acids haven't helped in the past, but why not try it now as I have nothing to lose.
If anyone has any more information that would be wonderful. Thank you to those who have responded. I completely forgot about this post, and was searching google for brain fog and sinus pressure, and came across this post. I had forgotten I had written it.
FYI, never let doctors cut into you. You will never be the same. I trusted the wrong people and now I'm ******. I'm so ******* pissed off that I let them put their hands on me, those dirty ******* scumbags.
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