Allergic Rhinitis

[Alich1988]

I had a skin problem which was not diagnosed for five years in my country and later treated and diagnosed as dissecting cellulitis of scalp.After two to three years I statred to feel breathless and strech in nose.I went to ENT who prescribed antibiotics.After having no effect he advised an exray which showed anterior group of paranasal sinus is clear and swollen turbinates.Again got treated with anti biotics,anti inflammatory and others.After having no effect doctor performed a turbinate reduction surgery to correct turbinates.There was no improvement after surgery.The xray after surgey showed anterior group of paranasal sinus is clear.Again got treat changed doctors after 6 to 7 months again an xray was performed which showed Anterior group of paranasal sinus is clear and swollen turbinates.My Ct Scan and Mri reports say that swollen turbinate and paranasal sinus is clear.Allergy test show +3 for house dust mites.I feel stretch in nose which changes into pain.I feel breathless but actualy there is no problem phsyically.I am unable to drive as I feel breathless,uneasy,restless and tensed.I have no social life.ENT say thay your paranasal sinus are clear and turbinates are swollen due to allergy but not that much to block your air passage.24/7 when I am awake I think of breathing.Ent have advised me to a psychiatrist because they say that everything is find there should be no strech or pain and even breathlessnes.The psychiatrist has advised my Zoloft.Has anyone ever had this kind of situation?

[Alich1988]

ct scan which results are as follow:

Minimal mucoperiosteal thickening in bilateral maxilliary, bilateral ethmoid and bilateral sphenoid sinuses; due to minimal siusitis

No evidence of sinonasal drainage pathway compromise.

No focal soft tissue mass or fluid level

No bony wall expansion or destruction

Congest/Swelling at bilateral inferior and bilateral middle turbinates

The nasal septum is deviated and convexity to right

No defininte focal mass or polyposis at nasal cavity

Normal orbits, baske of skull, mastoid air cells, and nasopharnyx

Normal viabrant bilateral Agger nasi cells, left concha bullosa and left haller cell

I had a allergy test done from Samitivej Sirinakarin Hospital,Bangkok Thailand before which came out

HEENT congested nasal turbinate 70 - 80%, tonsil 1+, TM intact,

Heart and Lung: within normal limit,

Abdomen: no hepato-splenomegaly,

Skin: no rash

Skin prick test aeroallergen : positive 3+ to House Dust mite

Samitivej hospital diagnosed it as Allergic Rhinitis and Bangkok hospital has diagnosed it as Allergic Rhinitis.The doctor say that my septum is deviated but not that much to cause a nasal blockage and neither it has caused any obstruction in nose.They advise me that I would have to take only nasal spray such as Avamys and Nasones for a long time.

[David Tinkelman, M.D.]

It is clear that this is a significant problem for you that has been affecting your life.  If the nose and sinuses are clear, it is not a mechanical obstruction that is causing the breathlessness that you are experiencing.  It is unlikely that an allergy to dust mite would create the degree of symptoms that you are experiencing, to the degree in which these symptoms are debilitating.
I would agree that discussing this with a psychiatrist is a good idea as the next step in trying to get a better control of these symptoms.