A culture of the drainage may also be helpful if a resistant bacteria is suspected. Another valuable tool is using a microscope to examine the ear.
Environmental allergy can be a major factor contributing to chronic sinusitis. While many people experience seasonal symptoms, such as sneezing, itching and runny eyes, others may have more subtle year-round symptoms making diagnosis more difficult. Accurate allergy diagnosis requires a thorough medical history review as well as blood work and often skin reaction testing.
Additionally, an oral decongestant and antihistamine may be helpful. Strategies in sinus surgery have therefore turned to optimizing the natural openings while preserving the tissue lining whenever possible. Currently, this is the accepted method of sinus surgery and involves using cameras in the nose to expand the natural drainage paths, wash out secretion, and removing infected material only. In some instances, ENT surgeons can pass a small balloon into the sinus openings and inflate the balloon to expand the pathways-much like a heart doctor can open a blockage in a heart vessel. The vast majority of sinus surgery is done on an outpatient basis, and involves 2-3 visits to the doctor so he or she can check and clean the areas involved.
An allergist can conduct tests to figure out what youâ€™re allergic to. They can then give you regular allergy shots to gradually allow your body to become immune to those allergens. Allergy shots may not take effect until several years after beginning the treatment, but they can help relieve allergy symptoms drastically in the long term. The main difference between GERD and LPR is the location of the reflux. When stomach contents reach the esophagus, a patient has GERD.
How Shortness of Breath May Relate to Acid Reflux
If home treatments do not work, see a doctor, even if symptoms are minor. When sinus drainage becomes uncomfortable, and this lasts longer than a week, a person may have an infection or another issue that requires medical treatment. Sinus drainage is a natural process, so a person cannot prevent it.
Try the tips below based upon the cause of your symptoms. It is the sensation of having a “drip” in the back of the throat, which can also be accompanied by feeling the need to clear your throat. You likely will also suffer from a chronic cough. Nineteen (63%) of 30 patients demonstrated esophageal reflux, which is well above the expected prevalence of GER in the healthy general population.
Can acid reflux cause chronic sinus infections?
The following treatments are available for post-nasal drip caused by an infection. It’s important to also see a doctor to rule out the need for antibiotics. Post-nasal drip can also be caused by infections, including the common cold, RSV, influenza, or sinusitis. When treating post-nasal drip at home you may need to vary your treatment slightly depending on whether the secretions are thick or thin.
Successful treatment depends on identifying the precise offending allergens so they can be avoided and, when necessary, medical treatment such as antihistamines, nasal sprays, and desensitizing allergy shots. Cigarette smoke is a toxic substance that increases the production of stomach acid, possibly resulting in acid reflux.
Surgical intervention to restore the LES may be recommended for those who suffer from recurrent or chronic sinusitis and have documented GERD or LPR. Of course, anyone suffering from sinus pain or disease should discuss their difficulties with an allergist to determine if any environmental or food allergies might be the cause. Previously, UNMC’s John K. DiBaise, M.D., and colleagues found that a significant portion of people with hard-to-treat chronic sinusitis also have symptoms of acid reflux, formally known as gastroesophageal reflux disease (GERD). Symptoms of GERD, which occurs when acid from the stomach backs up into the esophagus, include heartburn and chest pain.
He says Iâ€™m prone to suffering from Sinitus and this can reoccur. He prescribed some nasal spray and sent me off. For control of the chronic sinusitis, in addition to the intranasal corticosteroids, the patient should be irrigating the sinuses at least twice daily with a saline preparation. The easiest to use is a preparation called Sinus Rinse with premixed saline packets — 8 oz used 2-4 times daily should help keep the sinuses clear.
Elevating the head of the bed is helpful in reducing nighttime symptoms of acid reflux, such as coughing and choking. Patients are also advised not to eat within three hours prior to bedtime to further reduce the causes of acid reflux. The connection between GERD and rhinosinusitis, or CRS, is better established in children than adults. In a groundbreaking study published in the September 1999 issue of “Otolaryngology — Head and Neck Surgery,” 89 percent of children with chronic sinusitis who were treated for GERD with acid suppressive therapy were able to avoid sinus surgery.