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Extreme Sinus Pressure and imbalance

A couple of month ago I began experiencing sinus pressure build up and awoke in the middle of the night to the room spinning. I went to an ENT where he diagnosed BPPV (Vertigo) and performed a procedure which seemed to eliviate the problem.  

However, over the last couple of months I have been enduring bouts of intense sinus pressure accompanied by mild to moderate of case of equilibrium imbalance (but nothing to the point of the vertigo episode). As pressure increases so does my imbalance in my equilibrium.

I touch the top of my head and feel the frontal sinus passages wanting to explode. I went to an ENT who ran sinus CT Scan which came up mostly negative aside slight mucus build up. A touch to the forontal passages and my ears want to explode. Aside from daily doses of Nasonex, which don't appear to be working is there

I went to another general doctor who ran blood test, carotid doppler test, ekg  head CT scan of the head which all came back negative.  There doesn't appear to be an sever sinus infection but could sinus pressure build up arise from some type of on-going irritation in the environment?Aside from daily doses of Nasonex, which don't appear to be working!  Could the vertigo diagnosis go in hand with the sinus pressure build up??? Looking for relief.
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Avatar universal
Update:

After 2008 after seing Neurologist, ENT's and general pratitioners  my symptoms worsened to the point I was barely functioning.  My imbalance and vertigo got worse and sinuses felt like they were going to explode,  I was barely living and wanted my life back.  I couldn't walk a straight line if I wanted to.  The headaches got worse to the point where it affected my normal daily routine including working out (I was a gyn rat).  All I wanted was my life back.

After my last post in April, 2007 it took almost another year to diagnostics. All CT Scans, blood work, MRI, carotid doppler, heart monitoring, hearing tests etc.. I  finally saw a otoneurologist/neurotologist in San Antonio, Texas beforeI was finally diagnosed with Meinere's Disease.

To make a long story short my otoneurologist was a life saver.  After more additional test this man gave me my life back to a great degree.  I've been on diuretics and excercises which seems work and help me manage my imbalance and heaches.  My vertigo attacks are almost totally gone and are to a much lesser degree.  I know this disease is progressive in most cases but I really belief it is a matter of postive attitude.  Since I never took meclizine for an extended period of time, my doctor states that may have assisted by balance systme to compensate for the detrioration in my right ear.  

Although there are days when my headaches, pressure and balance are out of kilter, it seems to be only when I'm stress or there is a drastic change in temp. barameter pressure and.  There is hope but you need to get to the right doctor who has experience in this type of disease.  Thanks for everyone's input.
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Avatar universal
Well, I read all these and see things in common with you all.  I wake up with vertigo.  I have pressure in my right sinus with no drainage.  I have anxiety.  I went to the ear, nose and throat doctor who said it may be Benign positional vertigo but when they did the testing and I went back later they changed their minds because they didn't see it in my eyes the day after I said I had more vertigo.  My allergist said it wouldn't be from allergies.  The neurologist said my MRI was normal.  The chiropractor did adjustments that didn't help and said he noticed most of his patients with vertigo also had allergy trouble.  My regular doctor gives me antibiotics and meclizine.  The spinal doctor wanted to give me a shot in the neck but I did not want to try that.  I don't want to go under anesthesia because I'm worried I'll have vertigo and not be able to wake up.  It's so frustrating and depressing.
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Avatar universal
I have dealt with BPPV and sinus pressure for 26 years - it is a pain in the you know where.  Been to a million doctors.  I know that my problem is not only severe allergies, but I also suffer from anxiety.  I obsess about this, and it truly makes it a lot worse.  If I slow down, take some deep breaths, it gets better.  It is sad to read so many stories of the misery people endure.  I, too, feel that  misery.  I keep telling myself "so many people are dying of things and this will not kill me - but the anxiety can."  It makes me relax.  I think vertigo problems can be a result of extreme tension in your jaws and neck.  I think we all need to relax.  Meclizine has been of great help to me as well.  Xanax, too.  Hate to take drugs, but we can't always control our bodies as we would like.  Exercise is of great help - I am a runner, and when I miss a day of physical activity, my symptoms are worse.  Sometimes the symptoms go away for months and years, but when they come back, I try to prepare myself and stay very active.
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Avatar universal
I have been dealing with extreme dizziness for going on 6 weeks now. I notice that when the pressure builds up in my face, the dizziness gets worse. I don't have any sinus drainage, my ears dont hurt, or any typical allergy feelings. It's just extreme pressure in my forehead and nose area. kind of like the sinus area. sometimes it feels like my whole head is going to explode. my doctor gave me meclizine but i dont want to take it cause i'm on heart meds, insulin, and bp meds so i've just been suffering thru it. sometimes its so bad, i cant even drive or funtion. does anyone have any sugguestions as to what i have and a home cure to help with the dizziness and pressure.

thanks,

maggie
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541234 tn?1266675097
Ok i recommend you go see a chiropractor , it can't hurt and you might feel human again if you have swelling from allergies, i always find the chiro makes my nose run after an adjustment of my neck Ahh i can breath without a headache now they can use an activator which is pressure point type adjustment or they can do a massage or hand manipulation i like all of it so i just had an allergic reaction to a sterioid for my shoulder injury and i got sicker then a frog in a blender standing at the RX counter i was a walking wet noodle i had to keep my eye closed to stop the spinning i got my barrings enough to go to the ER they put me on meclzine for vertigo that messes me up FOR 12 hrs an i took it at 7pm 25 mg so that little pill is too much for me well i went back to the CHIRO and said fix my neck this was nuts , so we all have terrible posture  now sitting at desks and PC and lifting and bending work sneezing and coughing  we throw our necks out of alignment and e nd up with sinus congestion and more happy to share more EAT horseradish  cheese i swear it keeps my pressure stablized , enviromental allergiees food allergies and animal allergies i cn't win i'm on rhinocort nose spray if that helps you?
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Avatar universal
I was recently diagnosed with Meniere's disease, which is most commonly characterized by extreme bouts of dizziness. Luckily, I've only experienced mild dizziness and not that frequently. My problem is I have constant pressure in my head, face and ears. Right now I am fighting off an ear infection. The pressure is so enourmous at times that I'm afraid my eardrum will burst. I've been given an antibiotic and a an antihistamine. They seemed to be working well but then all of the sudden the pain came on worse than ever. The area on my face beside my ear and under my ear has become very tender, swollen and hard. Oh, and my ears have popped for years, every time I swallow but now it's really bad. They've always rang and now the ringing's worse. Anyway, my question is is anyone familiar with Meniere's and if so does my pain and pressure problem sound like a symptom? Thanks so much!
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