#Sinus pain specialist

[premierallergyoftexas]

Struggling with sinus pain, congestion, or recurring sinus infections? At Premier Allergy TX, we specialize in diagnosing and treating sinusitis to bring you lasting relief. Our personalized care plans target the root cause of your sinus issues, helping you breathe easier and feel better. Don’t let sinusitis disrupt your life—schedule your consultation today!

[labradorite-princess]

My fucking mouth hurts!!!!!!!!!

[xx-thedarklord-xx]

My jaw has been bothering me for over a month. Can’t yawn or breathe deeply without pain. Sometimes I can’t eat in the mornings until the Tylenol has kicked in. I’ve been to 3 different dentists, including a fancy specialist that of course wasn’t covered by my insurance. I went to my primary when my ear stared hurting too, went to an ears nose and throat doctor that just hadddd to be a referral and took weeks to get just for that to be a dead end. The pain increased to the point that I wanted to stab my ear to make it quit. I was at my lowest point and decided fuck it, let’s go to an urgent care because god knows I’ve done everything else outside of going to an emergency room. I was told they only had PAs available due to short staffing which had me a little worried, not going to lie.

The very sweet lady that couldn’t have been more than 25 and was severely overworked said with very wide eyes, “I know this is going to sound crazy, but I believe it’s a swollen sinus.”

As someone that has no allergies, not even seasonal ones, and doesn’t even have a stuffy nose, I was pretty skeptical. She said the swollen sinus is putting pressure on my jaw which is in turn putting pressure on my ear and they are all linked.

However, she prescribed me medicine, something none of the other doctors did. And wouldn’t you know it, my jaw is no longer hurting and my ear pain is barely noticeable and it’s only been 24 hours.

The 3 hour urgent care visit was worth it.

[sporesgalaxy]

bad headache news: when my eye doctor found my swollen optic nerve she mentioned that rlly painful headache would be a bad sign. and i'm now having a painful headache

??? headache news: my swollen optic nerve was on the right eye. my left eye is hurting from the headache currently. could indicate its a normal sinus headache??

good headache news: my appointment with a specialist about this optic nerve business is in just 11 hours so whatever but goddamn. hope the aleve kicks in soon

[healthlifeindubai]

Looking for the Best ENT Doctors in Dubai? Here's Your Guide! 👂👃👄

Searching for the best ENT doctors in Dubai can feel overwhelming with so many choices! But don't worry - Dubai's healthcare scene is packed with world-class ear, nose, and throat specialists ready to help you breathe easier and feel better!

Real Success Stories That Inspire! ⭐

Meet Sarah, an international teacher who struggled with chronic sinusitis in Dubai's climate. After finding the right specialist, she's back to teaching without constantly clearing her throat!

Then there's Ahmed, who finally got his sleep apnea under control thanks to expert ENT care. Now he's enjoying full nights of restful sleep and energetic days!

When Should You Visit an ENT? 🏥

Time to book that appointment if you have:

Frequent sinus infections

Hearing problems

Persistent throat pain

Voice changes

Sleep breathing issues

Chronic allergies

What to Look For 🔍

Top ENT clinics in Dubai offer:

Advanced diagnostic equipment

Multiple treatment options

English-speaking staff

Emergency care

Modern facilities

Complete hearing services

Before You Choose ✅

Remember to check:

Clinic location

Insurance coverage

Patient reviews

Appointment availability

Treatment costs

Specialist credentials

Finding the best ENT doctors in Dubai is easier than ever, thanks to the city's commitment to healthcare excellence. Whether you're battling allergies or need specialized care, you're in good hands with Dubai's top ENT specialists! #DubaiHealthcare

[jcsmicasereports]

The Causes of Facial Pain are Numerous by Siniša Franjić in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

One of the most difficult problems in modern medicine is facial pain. Sometimes an experienced doctor does not immediately recognize the symptoms and makes a misdiagnosis. The causes of facial pain are numerous. Therefore, the patient should be examined by physicians of several specializations.

Keywords

Facial Pain, Injuries, TN, TMD, CRS

Introduction

Facial pain occurring in the absence of trauma may be caused by a variety of disorders, many of which may be associated with referred pain, thereby making accurate localization of the source difficult [1]. For this reason, a careful examination of the face, orbits, eyes, oral and nasal cavities, auditory canals, and temporomandibular joints is an essential aspect of the evaluation of these patients.

Pain can result from many different disease processes [2]. The most common causes of facial pain are trauma, sinusitis, and dental disease. The history suggests the diagnosis, which is usually confirmed with the physical findings. With appropriate treatment and resolution of the disease, the pain also abates. Sometimes the cause of the pain is not apparent or the pain does not resolve with the other symptoms.

The trigeminal nerve (cranial nerve V) supplies sensation to the face. The first division (ophthalmic) supplies the forehead, eyebrows, and eyes. The second division (infraorbital) supplies the cheek, nose, and upper lip and gums. The third division (mandibular) supplies the ear, mouth, jaw, tongue, lower lip, and submandibular region. When pain is located in a very specific nerve distribution area, lesions involving that nerve must be considered. Tumors involving the nerve usually cause other symptoms, but pain may be the only complaint, and presence of a tumor at the base of the skull or in the face must be ruled out. When the work-up is negative, the diagnosis may be one of many types of neuralgia, which is a pain originating within the sensory nerve itself. Treatment is medical or, in some cases, surgical.

After immobilization, patients who are unconscious without respiratory effort require intubation to establish a functional airway, and this must be a first priority [3]. Laryngoscopically guided oral intubation is the technique of choice and must be undertaken without movement of the cervical spine; an assistant is essential in this regard and should remain at the patient’s head providing constant, in-line stabilization. Patients with inspiratory effort may be nasotracheally intubated provided that significant maxillofacial, perinasal, or basilar skull injuries are not present; when present or suspected, nasotracheal intubation is relatively contraindicated.

Facial pain remains a diagnostic and therapeutic challenge for both clinicians and patients [4]. In clinical practice, patients suffering from facial pain generally undergo multiple repeated consultations with different specialists and receive various treatments, including surgery. Many patients, as well as their primary care physicians, mistakenly attribute their pain as being due to rhinosinusitis when this is not the case. It is important to exclude non-sinus-related causes of facial pain before considering sinus surgery to avoid inappropriate treatment. Unfortunately, a significant proportion of patients have persistent facial pain after endoscopic sinus surgery (ESS) due to erroneous considerations on aetiology of facial pain by physicians. It should be taken into account that neurological and sinus diseases may share overlapping symptoms, but they frequently co-exist as comorbidities. The aim of this review was to clarify the diagnostic criteria of facial pain in order to improve discrimination between sinogenic and non-sinogenic facial pain and provide some clinical and diagnostic criteria that may help clinicians in addressing differential diagnosis.

History

Facial pain is pain localised to the face, and the diagnosis of facial pains has puzzled clinicians for centuries [5]. Some of the confusion is related to the delimitation of the facial structure and how pain is classified. The face is here defined as the part of the head that is limited by the hairline, by the front attachment of the ear and by the lower jaw, both the rear edge and the lower horizontal part of the jaw. The face also includes the oral and nasal cavity, the sinuses, the orbital cavity and the temporomandibular joint. Pain in the facial region can be classified in multiple ways, for example according to underlying pathology (malignant vs. non-malignant), the temporal course (acute vs. chronic), underlying pathophysiology (neuropathic, inflammatory or idiopathic), localisation (superficial vs. deep), the specific structure involved (the sinus joint, skin etc), and underlying etiology (infection, tumour etc). In some instances, the diagnosis of facial pain focuses on the involved structure, for example temporomandibular joint disorder, in other cases it is the underlying pathology (sinusitis), and in others it is the specific character of the pain that will dictate the diagnosis (e.g. trigeminal neuralgia).

A history of carious dentition in association with a gnawing, intolerable pain in the jaw or infraorbital region is seen in patients with gingival or dental abscesses [1]. Pressurelike pain or aching in the area of the frontal sinuses, supraorbital ridge, or infraorbital area in association with fever, nasal congestion, postnasal discharge, or a recent upper respiratory tract infection suggests acute or chronic sinusitis. Redness, swelling, and pain around the eye are suggestive of periorbital cellulitis. The rapid onset of parotid or submandibular area swelling and pain, often occurring in association with meals, is characteristic of obstruction of the salivary duct as a result of stone. Trigeminal neuralgia produces excruciating, lancinating facial pain that occurs in unexpected paroxysms, is initiated by the tactile stimulation of a “trigger point” or simply by chewing or smiling. Temporomandibular joint dysfunction produces pain related to chewing or jaw movement and is most commonly seen in women between the ages of 20 and 40 years; patients may have a history of recent injury to the jaw, recent dental work, or long-standing malocclusion. Facial paralysis associated with facial pain may be noted in patients with malignant parotid tumors. Dislocation of the temporomandibular joint causes sudden local pain and spasm and inability to close the mouth. Acute dystonic reactions to the phenothiazines and antipsychotic medications may closely simulate a number of otherwise perplexing facial and ocular presentations and must be considered. Acute suppurative parotitis usually occurs in the elderly or chronically debilitated patient and causes the rapid onset of fever, chills, and parotid swelling and pain, often involving the entire lateral face.

Injuries

Facial injuries are among the most common emergencies seen in an acute care setting [6]. They range from simple soft tissue lacerations to complex facial fractures with associated significant craniomaxillofacial injuries and soft tissue loss. The management of these injuries generally follows standard surgical management priorities but is rendered more complex by the nature of the numerous areas of overlap in management areas, such as airway, neurologic, ophthalmologic, and dental. Also, the significant psychological nature of injuries affecting the face and the resultant aftermath of scarring can have devastating and long-lasting consequences. Despite the fact that these injuries are exceedingly common, they are cared for by a large group of different specialists and as such have a remarkably heterogeneous presentation and diverse treatment schema. Nonetheless, guiding principles in the care of these injuries will provide the basis for the best possible outcomes. The following questions will guide general management and provide a framework for understanding the principles in the acute care of patients with facial injuries and trauma.

Despite the extremely common presentation of such injuries, there remains little standardization on repairing and then caring for the wounds or lacerations. There is great variation in the repair of lacerations as well as the different materials used to repair them. This is again because of the numerous different specialties involved in the care of the injuries and their desires to provide the best possible outcome with regard to scarring. Pediatricians, emergency department personnel, and surgeons may not all agree on the best modalities for repair. Placement as well as type of dressing are also controversial.

The timing of facial skin laceration closure is the same as that of any open wound. The presence of contaminating factors in the management of wound would generally not allow closure after six hours and would favor delayed closure. However, clinical practice is slightly more variable with facial lacerations because of the uniquely sensitive nature of facial scarring. Although we generally ascribe to experimental data regarding timing of closure, in practice the six-hour rule is often overlooked with an attempt to be vigorous in cleaning the wound. The presence of exceptionally rich blood supply in the face is also deemed of benefit in extending the six-hour rule.

TN

Facial pain, for all its rarity, can be a significant cause of morbidity when present [7]. The two types of non-odontological causes of facial pain that appear to be the most likely to be mistaken one for the other are trigeminal neuralgia (TN) and what used to be called atypical facial pain, but that is now called persistent idiopathic facial pain (PIFP). Confusion between causes of facial pain persists despite the fact that the diagnosis of classical TN should be rather straightforward and not present diagnostic difficulties to the trained clinician. (The term classical TN is generally restricted to TN caused by neurovascular compression.) The caveat is that secondary causes of TN need to be considered, and the cause of classical TN needs to be established for reasons that will be discussed later. A common mistake that should not be made is to treat TN medically without establishing the cause. PIFP, on the other hand, is a diagnostic problem that confronts us head on. Clearly stated guidelines are in fact ambiguous. Descriptive terms include dull, poorly defined, non-localized.

Individuals in whom attacks of pain last minutes to hours, or are persistent or chronic, waxing and waning over the course of the day, or in whom pain extends beyond one division of the trigeminal nerve, may still be mistakenly diagnosed as having trigeminal neuralgia. Such individuals may point to one side of the face as the site of their pain or may indicate that pain is bilateral. Their pain may be further atypical in lacking the usual triggers of pain such as brushing teeth or touching a trigger area. Such pain that is atypical for TN is a different kind of facial pain than classical TN. However, even in cases that are not characteristic trigeminal neuralgia, chewing, and even speaking, for example, may be triggers. Chewing and speaking activate orofacial and neck muscles, and are accompanied by small movements at the cervical–cranial junction. Nociceptive sites in these muscles may be activated by chewing or speaking. Patients with atypical facial pain are unlikely to have trigeminal neuralgia, and more likely to have what is now called persistent idiopathic facial pain (PIFP).

The diagnosis of classical TN is made on the basis of a characteristic history of lightning-like sharp, electrical pain that is felt in one division of the trigeminal nerve, leaving a dull after pain that lasts for a variable, usually short, period of time. There is often a trigger, but there does not need to be one. The attacks are typically infrequent at first, but become more frequent with the passage of time, and may increase in frequency to occur hundreds of times a day. Remissions occur, but relapses become more frequent with aging. There is no dullness or loss of feeling reported. Some patients tell atypical stories in which pain crosses divisions of the trigeminal nerve, or paroxysms of pain last longer than lightning attacks of pain. The neurological examination is normal in classical TN. Motor and sensory examination of the face in particular is normal in classical TN, but is useful in identifying secondary trigeminal nerve dysfunction that could lead to a diagnosis of secondary TN or trigeminal neuropathy. The same is true of the blink and other trigeminal reflex tests, as the presence or absence of an abnormal result does not affect the diagnosis of TN, but may indicate a need to examine for causes of secondary TN.

TMD

Painful temporomandibular disorder (TMD) is the most frequent form of chronic orofacial pain, affecting an estimated 11.5 million US adults with annual incidence of 3.5%. As with several other types of chronic, musculoskeletal pain, the symptoms are not sufficiently explained by clinical findings such as injury, inflammation, or other proximate cause [8]. Moreover, studies consistently report that TMD symptoms exhibit significant statistical overlap with other chronic pain conditions, suggesting the existence of common etiologic pathways. Most studies of overlap with orofacial pain have focused on selected pain conditions, classified according to clinical criteria (eg, headaches, cervical spine dysfunction, and fibromyalgia), location of self-reported pain (eg, back, chest, stomach, and head), or the number of comorbid pain conditions. Although there is a long tradition of depicting overlap between pain conditions qualitatively using Venn diagrams, we know of few studies that have quantified the degree of overlap between TMD and pain at multiple locations throughout the body.

Overlap of pain symptoms can occur when there are common etiologic factors contributing to each of the overlapping pain conditions. One example is diabetes that contributes, etiologically, to neuropathy in the feet and retinopathy in the eye, thereby creating overlap, statistically, of diseases at opposite ends of the body. The etiologic factor most widely cited to account for overlap of pain conditions is central sensitization, defined as “amplification of neural signaling within the central nervous system (CNS) that elicits pain hypersensitivity.” The amplification means that otherwise innocuous sensations are perceived as painful (ie, allodynia) and that formerly mildly painful stimuli now evoke severe pain (ie, hyperalgesia). However, somatosensory afferent inputs into the CNS are segmentally organized, making it plausible that sensitization is not uniform throughout the neuraxis.

Regardless of pain location, overlap creates serious problems for patients, adding to the suffering and disability caused by a single pain condition, and potentially complicating diagnosis and treatment for one or all of the overlapping conditions. This has broader implications for patients with multiple chronic illnesses who have poorer health outcomes and generate significantly greater health care costs than patients with a single illness. Thus, the aim of this epidemiological study was to quantify the degree of overlap between facial pain and pain reported elsewhere in the body.

CRS

Unfortunately, little is known of the underlying mechanisms that produce pain associated with CRS (chronic rhinosinusitis), but several mechanisms that may all contribute to some degree to the manifestation of facial pain in CRS have been postulated [9]. It has been hypothesized that occlusion of the osteomeatal complex may lead to gas resorption of the sinuses with painful negative pressures, yet most subjects with CRS have an open osteomeatal complex. Patients’ observations that pain and pressure is postural may reflect painful dilatation of vessels; however, postural pain is also observed in subjects with simply tension type headache. Local inflammatory mediators can excite nerves locally within the sinonasal mucosa directly illiciting pain. For example, maxillary rhinosinusitis can cause dental pain through the stimulation of the trigeminal nerve. In addition, local tissue destruction and inflammatory mediators may influence the central mechanism of pain via immune-to-brain communication through afferent autonomic neuronal transmission, transport across the blood brain barrier through the circumventricular organs and/or direct passage across the blood brain barrier.

The impact of inflammatory cytokines on the central nervous system have been associated with both pain as well as other health-related factors associated with chronic inflammation and sickness behavior such as disruption of sleep and mood. Interleukin-1[Beta] (IL-1[Beta]) and tumor necrosis factor-[alpha] (TNF-[alpha]) are two key pro-inflammatory cytokines with a pivotal role in the immune-to-brain pathway of communication. They are both upregulated in subjects with CRS and are two potential pro-inflammatory cytokines that have been implicated in fatigue, sleep dysfunction, depression, and pain. Characterizing the differential cytokine profiles of CRS subtypes and identifying associated symptom profiles may be an important step in understanding why some subjects experience greater health-related burden of disease, which is an important predictor of electing surgical intervention over continued medical therapy.

Examination

Carious dentition, gingivitis, and gingival abscesses may be diagnosed by inspection of the oral cavity and face [1]. Percussion tenderness over the involved tooth, swelling and erythema of the involved side of the face, and fever may be noted in patients with deep abscesses. Percussion tenderness to palpation or pain over the frontal or maxillary sinuses with decreased transillumination of these structures suggests sinusitis. Redness, tenderness, and swelling around the eye may suggest periorbital cellulitis. Pain with eye movement or exophthalmos may suggest an orbital cellulitis or abscess. Malocclusion may be noted in patients with temporomandibular joint dysfunction; tenderness on palpation of the temporomandibular joint, often best demonstrated anteriorly in the external auditory canal with the mouth open, is noted as well. Patients with temporomandibular joint dislocation present with anxiety, local pain, and inability to close the mouth. Unusual ocular, lingual, pharyngeal, or neck symptoms should suggest possible acute dystonic reactions. A swollen, tender parotid gland may be seen in patients with acute parotitis, in parotid duct obstruction secondary to stone or stricture, and in patients with malignant parotid tumors; evidence of facial paralysis should be sought in these latter patients. Palpation of the parotid duct along the inner midwall of the cheek will occasionally reveal a nodular structure consistent with a salivary duct stone. In patients with herpes zoster, typical lesions may be noted in a characteristic dermatomal pattern along the first, second, or third division of the trigeminal nerve or in the external auditory canal. It is important to remember that patients with herpes zoster may have severe pain before the development of any cutaneous signs. This diagnosis should always be considered when vague or otherwise undefinable facial pain syndromes are described. Simple erythema may be the first cutaneous manifestation of herpetic illness. Patients with trigeminal neuralgia have an essentially normal examination.

Ventilation

In patients with inspiratory effort but without adequate ventilation, mechanical obstruction of the upper airway should be suspected and must be quickly reversed [3]. The pharynx and upper airway must be immediately examined and any foreign material removed either manually or by suction. Such material may include blood, other secretions, dental fragments, and foreign body or gastric contents, and a rigid suction device or forceps is most effective for its removal. Obstruction of the airway related to massive swelling, hematoma, or gross distortion of the anatomy should be noted as well, because a surgical procedure may then be required to establish an airway. In addition, airway obstruction related to posterior movement of the tongue is extremely common in lethargic or obtunded patients and is again easily reversible. In this setting, insertion of an oral or a nasopharyngeal airway, simple manual chin elevation, or the so-called jaw thrust, singly or in combination, may result in complete opening of the airway and may obviate the need for more aggressive means of upper airway management. Chin elevation and jaw thrust simply involve the manual upward or anterior displacement of the mandible in such a way that airway patency is enhanced. Not uncommonly, insertion of the oral airway or laryngeal mask airway may cause vomiting or gagging in semialert patients; when noted, the oral airway should be  removed and chin elevation, the jaw thrust, or the placement of a nasopharyngeal airway undertaken. If unsuccessful, patients with inadequate oxygenation require rapid sequence oral, or nasotracheal, intubation immediately.

If an airway has not been obtained by one of these techniques, Ambu-bag–assisted ventilation using 100% oxygen should proceed while cricothyrotomy, by needle or incision, is undertaken rapidly. In children younger than 12 years, surgical cricothyrotomy is relatively contraindicated and needle cricothyrotomy (using a 14-gauge needle placed through the cricothyroid membrane), followed by positive pressure insufflation, is indicated. During the procedure, or should the procedure be unsuccessful, Ambu-bag–assisted ventilation with 100% oxygen and an oral or a nasal airway may provide adequate oxygenation.

In addition, rapidly correctable medical disorders that may cause central nervous system and respiratory depression must be immediately considered in all patients and may, in fact, have precipitated the injury by interfering with consciousness. In all patients with abnormalities of mental status, but particularly in those with ventilatory insufficiency requiring emergent intervention, blood should immediately be obtained for glucose and toxic screening, and the physician should then prophylactically treat hypoglycemia with 50 mL of 50% D/W, opiate overdose with naloxone (0.4–2.0 mg), and Wernicke encephalopathy with thiamine (100 mg). All medications should be administered sequentially and rapidly by intravenous injection and any improvement in mental status or respiratory function carefully noted. Should sufficient improvement occur, other more aggressive means of airway management might be unnecessary.

Conclusion

Facial pain can be painful and frightening. Facial pain can be caused by a cold, sinusitis, muscle tension in the jaw or neck, dental problems, nerve irritation or trauma. One of the most common causes is sinusitis, but another common cause is jaw dysfunction which often occurs after trauma and can lead to jaw injury or meniscus irritation. In the case of major trauma, fractures of the jawbone or fractures of the face may also occur.

[sophiaslittleblog]

Continue to pray for me guys. My face still hurts a lot from my sinus issues. I cant wait to see this specialist next week. I’m really in a lot of pain.

[oediex]

In the last decade, I've heard a myriad of opinions about depression, usually from those who have never experienced it themselves. It's just seasonal. Just get out more. Maybe you just need a routine. Perhaps I should sacrifice one of my therapy sessions so they can talk to my therapist instead of me. Just once. Would that be enough?

For the last five years, I've heard that I sniffle often, that maybe I should blow my nose, a sinus flush might help. Maybe I need to book an appointment for these people with my ENT specialist. She can explain to them the ins and outs of non-allergic rhinitis. They then might finally understand that however much it annoys them, it annoys me doubly so.

Seven months after having back surgery, my cousin suggests maybe my chronic lower back pain can be solved with arch support. He has one leg a little shorter than the other, that might be it? Others think it's weird - over and over again, without fail - that even after surgery, I still suffer pain. I guess they should have been present when my neurosurgeon patiently explained to expect this. Hearing it from me is clearly not enough.

I have never been susceptible to social stigma. The taboo of mental illness has no effect on me. I am open and honest about how I struggle with my health.

What will ultimately push me into silence is people's insistence on solving my problems in ways that for some mysterious reason multiple health professionals failed to suggest.

[annunnaki7]

ARE DISSABLED PEOPLE LAZY? COULD REALLY DO BETTER IF THEY TRIED HARDER? This is an example of an average bad week, like 6/10 bad on mental health and 5/10 on the physical level. Oh yea it gets so much worst! Read this and tell me how I could have improved.  

MAY 2023 

Sat 29.04.23 

-Asthma bad all night. I coughed myself awake so often I didn't get any deep sleep. 

-Fibromyalgia not happy about this, and is flaring up on its way to STOPPING FLARING up instead! 🤬 Joy! So now going to pee has extra general pain added to it. 

- Allergies & Sinus bad. My nose runs non stop. Used 1/2 roll of toilet paper blowing my nose just today. And no, I don't like waisting things. Throwing meds at it. 

-Managed to work with my carer, sorting paperwork. I can't help with much else anymore. I don't have the hand strength to cut a carrot. That's annoying as taking away from my autonomy. 

Sun 30.04.23

- Allergies & Sinus still bad with non stop daily headaches, with migraine sometimes.

-Fibromyralgia flare. Pain feels like I feel down badement cement stairs or  when I had major surgery on day 3 with 5 days hospital stay. I'm in too much pain to eat. Exhaustion worst than Covid & Pneumonia! 

-Asthma bad. I have to rest for 1 minute every 10-15 meters I walk. Going to the loo takes 5 breaks.

- Urinary incontinence dissability related not happy about so many breaks to get TO the loo. I need buy more trousers! (I used 3 in one day twice this week)

- I'm in so much exhaustion & pain I can't even face watching TV. Strong painkillers increased. I'm not happy. I was hoping to decrease them this week! 

Mon 01.05.23 

-Migraine. 

-Sinus inflamed for past 4 weeks. Related to but not only cause of migraine. I'm a migraine sufferer.

-Fibromyalgia medium flare. Hands hurt as well as eveywere else. A plate is heavy to lift. I can't stab potatoes to zap them in microwave by myself. 

-Hayfever slightly improving.

-If I didn't have a carer coming to help me with a wash, I don't know how I would cope.She helped more today. She's so nice. People don't appreciate them enough.

-Concerned how I'll make hospital appointment of Thursday. And got builders in tomorrow. 

Tuesday 02.05.23

-Migraine at night. 

-All body pain bad. Been worst before though. 

-Builders poped in to say they'll be back tomorrow. And no neither owner nor estate agents told them about all the work needing doing. 

- This is in fact my comparativly, the "best day" to date. I can't sit in a chair re pain. And I have a high pain threshold. Had major surgery and got up by myself the next day when everyone else did on the 3rd day with help. Nurses said it was shocking to see me trot - carefully -  about.

- Hospital appointment of tomorrow changed for latter on. It's not a vital one. 

-District Nurse popped in to assess if I need to worry re swealing in legs. I'll have to go to the specialist clinic after all. 

-Blood Pressure still high & Pulse going nuts. Say hi to all types of allergies as a possible cause! I take the strongest anti histamin, plus 6 over the counter allergy tablets daily. Yep, the specialist doctors advised that. It stop skin for literally falling off and other horror stories! 

Wed 03.05.23 

-Vomited blood all night (5hrs of hurling on off) from ulcer, blood clots included! Yuck! 3rd time in 1 month.

-Day Migraine following as haven't been able to drink much 

-Im past normal exhausted as part of Fibromyalgia. It feels like I did a 14hr shift and haven't slep the next 2 nights. (Yes, I've done that in the past. Joy of nursing & midwifery whilst having dissabilities)

- Spoke to GP, meds increased. I don't want another endoscopy. Don't see what else it will tell us. It's costly to the NHS, I'm going to be in so much pain for at least 2 weeks after due to dissability, not the test. Urinary incontinence will be a pain. I'm not even for resuscitation (DNR) anyways. 

-Not hungry. Disordered eating means it will kick in if I can't eat at all today. Gods even cake don't sound appealing!

- Builders back. Same thing, back tomorrow instead. But now they got the list of job. 

-District Nurse decided I need compression stockings! My severe eczema might not like the extra heat in summer! & Scratchy material.

-Migraine afternoon - nightime.

-Did eat eventually. Yea me! 

Thursday 04.05.23

-Food helped with migraine & dissorted eating. 

- Pain and extreme exhaustion same. I can't hold a plate of food.

- Severe anxiety started in afternoon after flat owner demanding I get the garden clean that night. Message was passed to me by builder at around 4.40pm. to be done by tomorrow morning. Oh yea, I'm dissabled with poor balance, walks some 15-20 meter with 2 stick, uses wheelchair otherwise. And it would get dark even if I miraculously find someone for, ... work that's not urgent! And oh yes, there's no place to eat at the kitchen table due to building work. Like that's not a priority after builders leave rather than garden. Also. Thunder and rain so bad, I though thunder had struck nearby. 

-Complex Post Traumatic Stress Disorder (C-PTSD) few times last night (originates from past child abuse) but attacks due to the way the flat owner and estates agent treats me.

Friday 05.05.23

-Irritable Bowel Syndrome (IBS) exacerbated since around 2am started with the stress.

- Headaches back

- Severe anxiety rising progressively

- C-PTSD flash back early morning. Good thing I know how to manage it.

- I ate with carer, yea! Well she made me eat. 

Saturday 06.05.23

-Anxiety still high

-C-PTSD same high during day, not typical of abuse. Definitely flat owner & Estates Agent related.

Sunday 07.05.23

- Actively managing the mental health side of things. 

- Bad Heaches day time 

- Friend brought me yummy KFC. Could only eat a tiny bit. Oh great, that's Dissordered Eating not happy with all the stress!

- Migrainy headach lasted 2-3 hrs. Resolved with management.

-Asthma attack in evening for over 2hrs. Was so rough couldn't do lung capacity measurement until finally calmed down. 

- I won't be able to finish my KFC now. I'm pissed off. I'm so tired of juggling several deseases. It wouldn't be so bad of people acted like human being. 

So. Do you still think I'm leisurely lying around having a relaxing time as a dissabled person?

Did you realise that it takes managing one thing after another everyday? 

So everyone can do better of they "really wanted"? I really wanted to not loose my mortgage and dog. It's my dog I missed the most, not even one of my things. From a Midwife I became homeless. From working 16hrs or work followed by Union Rep work (IE talking to staff, not official meetings before you quote the law) I'm now not able to eat independently at times, or wash alone now. I'm still acting?  Have a good, lazy life? You want to swap? 

[scientologisabethmoss]

would absolutely, wholeheartedly recommend going to see a specialty doctor to get a longstanding but ultimately livable concern checked out. take the time, make the effort, to call up the doctor and make the appointment. i know we can put up with a lot of chronic discomfort, especially if it doesn’t seem life-or-death, but you don’t know what treatment options there are until you actually see a specialist. you don’t always have to live in mild to moderate discomfort!

i’ve put off going to see an ENT for years, but i finally made an appointment last december after a particularly bad cold and excruciating ear pain. for the last few years, i’ve felt like i’ve had to blow my nose at least ten times a day, which wasn’t my norm for most of my life. also, being a singer, i just wanted to make sure that my larnx looked okay.

and now, after having had the appointment this afternoon, i feel validation and relief! a problem was identified, we’ve made a treatment plan, and i’ll be back in three months for a follow-up. i was also referred to a different ENT who works more specifically with vocal issues rather than sinus issues in case i want to pursue that even more.

please, please, PLEASE! i know it can be so tempting to put off seeing to your health for a whole lot of reasons, but let this be a sign to finally make that doctor’s appointment.

[medfirst-entdelhi]

Dealing with Sinus Problems: When to Consider Endoscopic Surgery

Endoscopic sinus surgery is a medical procedure performed to address a range of symptoms associated with sinus issues. These symptoms can significantly impact a person's quality of life and may necessitate surgical intervention. Here are some common symptoms that may lead to the consideration of endoscopic sinus surgery:

Nasal Obstruction: Persistent nasal congestion or blockage can be a frustrating and uncomfortable symptom. It can interfere with breathing through the nose and affect one's ability to smell and taste properly.

Frequent Bleeding Episodes: Recurrent nosebleeds can be both distressing and physically uncomfortable. They may be indicative of underlying sinus problems that require attention.

Sinus Pressure: Sinus pressure or facial pain can be a constant source of discomfort. This sensation of pressure often originates from the blocked or inflamed sinus passages.

Pain in the Nose or Eyes: Pain in the nose or around the eyes can be a sign of sinus inflammation or infection. It can range from mild discomfort to severe pain.

Loud Snoring During Sleep: Chronic snoring, especially if it disrupts sleep patterns, may be associated with sinus issues. Addressing these issues can potentially improve sleep quality for both the affected person and their bed partner.

Difficulty Breathing During Sleep: Breathing difficulties during sleep can be concerning and may indicate obstructive sinus problems that affect nighttime breathing patterns.

Runny Nose & Itchy Eyes: Chronic rhinorrhea (a runny nose) and itchy eyes are often linked to allergic reactions or ongoing sinus inflammation, which can be treated with surgical intervention in some cases.

Injury to the Nose: Trauma or injury to the nose can lead to structural issues that affect sinus function and may require surgical correction.

If you are experiencing any of these symptoms on a chronic or recurring basis, it is advisable to consult with a healthcare provider or an ear, nose, and throat (ENT) specialist. They can evaluate your condition, conduct diagnostic tests if necessary, and determine whether endoscopic sinus surgery is an appropriate treatment option to alleviate your symptoms and improve your overall well-being.

[goudaent]

Ear Pain Causes - ENT Specialist in Hyderabad

Ear pain can affect individuals of all ages, and its causes can vary. In some cases, it may be attributed to an infection or an underlying condition. Enduring earaches can be extremely distressing, necessitating the identification of the primary cause for effective treatment.

The following are the most frequent causes of ear pain:

Earwax Buildup: While earwax is a natural occurrence, it can sometimes cause complications. Normally, your ear naturally eliminates earwax, but occasionally it can accumulate and solidify. This can result in a blocked ear canal known as impacted wax, which can be painful. Symptoms of impacted wax include itchiness and swelling in the ear. If left untreated, it may lead to an infection, intensifying the discomfort. for more details please visit https://www.goudaent.in/ear-wax-kukatpally-hyderabad.html

Air Pressure Changes: Although embarking on a vacation may sound delightful, air travel can cause ear pain. The rapid fluctuation in air pressure during takeoff can cause your ears to "pop." This phenomenon occurs because the eustachian tube cannot swiftly equalize the air pressure in the ears. Consequently, it can cause a painful sensation and temporary hearing difficulties.

Swimmer's Ear: Swimmer's ear occurs when water becomes trapped in the ear canal. The trapped moisture creates an environment for the growth of bacteria, resulting in an itchy and swollen ear. Symptoms of a swimmer's ear include pain and the possibility of pus discharge from the ear. for more details please visit https://www.goudaent.in/swimmers-ear-treatment-kukatpally-hyderabad.html

Middle Ear Infection: Middle ear infection, also known as otitis media, is a common cause of ear pain. This condition typically follows a cold or sinus infection, causing a blockage in the tubes of the middle ear. The accumulation of fluid can lead to an infection and the growth of bacteria, resulting in pain and discomfort.

Toothaches: Interestingly, ear pain can sometimes be attributed to tooth problems rather than an ear infection. If you have an infected or decayed tooth, the pain may radiate from the jaw to the ear due to the proximity of the temporomandibular joint (jaw joint) to the ear.

It is crucial to identify the underlying cause of ear pain to determine the appropriate course of treatment.

goudaent.in is a famous ENT Hospital in Hyderabad and Kukatpally, Moosapet, Miyapur, Madhapur, Ameerpet, SR Nagar, Balanagar, Sanath Nagar, and KPHB. We have advanced equipment and an experienced ENT Surgeon at our clinic.

[eye-lantern]

A few years ago my sinus imploded. I was on a plane and the irritation of the dry AC created a small mucus blocage restricting air passage. Air passage that was needed for recompression when the plane started landing. So the air shrunk and tore a lot of the lining of the sinus by making this small vacuum.

I landed silently crying, barely aware of the tear but thinking my head was going to bust open. It became a bit more tolerable over the hour drive home, but still way too painful to go to sleep. Fast forward four hours of looking at the ceiling hoping it would stop, and I heard a loud POP. Blood everywhere, the clot had given up and my sinus was spraying a jet of compressed blood across the bed.

The pressure went down by a considerable margin, and so did the pain. It bled for 10 good minutes before slowing down to a trickle. I could finally sleep.

The next day, hopital. Just to check if everything was healing right and nothing got fucked up too bad. After hours of waiting, I get a scan. The tech come out with the print, and just says "can't see anything, too much blood". Not exactly what I wanted to hear. Especially since the pain was coming back up in waves.

I get sent to another machine for another scan: "I'm sorry I'm going to send you back to the waiting room, the scan is not detecting the lining right, there's too much blood". My head is back to splitting open.

The doctor sends me to an out of hospital face and throat specialist, who jams a small camera on a flexible tube up my nose and into the sinus (PAINFUL BUT OH GOD THE TICKLING SENSATION WAS WAY WORSE), gets it out, starts writing something. I ask him what happened exactly in there. He just says. Can't tell you. Too. Much. Blood.

The only thing that saved his life was that right after those words he gave me a small cotton ball sprayed with blue liquid to jam up my nose that opened up my sinus all the way, and removed 80% of the pain I was feeling up till then.

A few days later, I come back to see him. Just to be certain that there was no infection. No more blood in there. All is well, and I am now forbidden from flying if I don't spray cortisone in my nose before takeoff and landing.

Doctor: What do you see in this X-ray?

Students: *collective gasp*

Doctor: Please don’t do that in front of patients.

[greateratlantapainandspine]

Understanding Headaches: How a Specialist Can Help You Find Relief

Headaches are a common health issue that can disrupt your daily life. If you’re in Duluth, GA, searching for a "Headache Specialist Near Me," understanding how specialists can help is a critical step toward relief.

Chronic headaches can interfere with work, family life, and personal well-being. Headache specialists offer targeted care to diagnose, manage, and alleviate your symptoms effectively.

Common Types of Headaches

Tension Headaches: Caused by stress or muscle tension, these feel like a tight band around your head.

Migraines: Severe pain often accompanied by nausea, light sensitivity, or visual disturbances.

Cluster Headaches: Intense pain on one side of the head, often near the eye, occurring in cycles.

Sinus Headaches: Linked to sinus infections or allergies, with symptoms like nasal congestion.

Rebound Headaches: Triggered by overuse of pain relief medications, creating a cycle of dependency.

Why See a Headache Specialist?

If over-the-counter medications aren’t helping, a headache specialist can provide a comprehensive evaluation and develop a personalized treatment plan. Specialists use advanced diagnostic tools and offer tailored solutions, such as medication management, lifestyle modifications, and interventional treatments like nerve blocks or Botox injections.

Benefits of Early Intervention

Consulting a specialist early can:

Reduce headache frequency and severity.

Prevent complications like medication overuse headaches.

Improve overall quality of life by addressing underlying causes.

When to Seek Professional Help

Consider seeing a specialist if:

Headaches occur frequently (more than 15 days a month).

Symptoms interfere with daily activities.

Over-the-counter medications don’t provide relief.

Why Choose Our Clinic in Duluth, GA?

At Greater Atlanta Pain & Spine, we provide:

Accurate Diagnoses: Advanced imaging tools to uncover the root cause of your headaches.

Comprehensive Care: A multidisciplinary approach combining medical and lifestyle treatments.

Experienced Team: Specialists with extensive experience in managing complex headache conditions.

Tips for Managing Headaches at Home

Track Triggers: Keep a diary of headache patterns and potential triggers.

Stay Hydrated: Drink plenty of water to avoid dehydration-related headaches.

Manage Stress: Practice relaxation techniques like yoga or meditation.

Prioritize Sleep: Aim for 7-8 hours of quality sleep nightly.

Exercise Regularly: Moderate activity can help reduce stress and improve circulation.

Avoid Triggers: Identify and steer clear of foods or activities that provoke headaches.

Start Your Journey to Relief

Don’t let headaches control your life. If you’re looking for a "Headache Specialist Near Me" in Duluth, GA, we’re here to help.

Schedule Your Appointment Today

Visit us at Greater Atlanta Pain & Spine to schedule a consultation. Begin your journey to a headache-free life now.

[drmsskeerthi]

Common Winter Illnesses for Cancer Patients to Avoid

Winter can be challenging, especially for cancer patients. The cold season brings a large group of illnesses that can influence even the best individuals. For cancer patients, who often have a weakened immune system because of their treatment, avoiding these winter illnesses becomes even more critical. Dr. M.S.S. Keerthi, a renowned Surgical Oncologist in Hyderabad, emphasizes the importance of staying wary during this season to maintain overall health and well-being.

Why Cancer Patients Are More Vulnerable in Winter?

Cancer patients, especially those undergoing chemotherapy, radiation, or immunotherapy, may have a compromised immune system. This means their body’s ability to fight off infections is lower. Common winter illnesses, such as colds, flu, and respiratory infections, can grow  into severe complications. Dr. M.S.S. Keerthi, recognized as the Best Cancer Specialist in Hyderabad, recommends taking additional precautions to avoid these illnesses during the colder months.

5 Common Winter Illnesses for Cancer Patients to Avoid:

1. Common Cold:

The common cold is caused by viruses and can spread rapidly during winter. While it might appear to be harmless, for cancer patients, it can lead to more severe respiratory issues.

 Prevention Tip: Avoid crowded places, wash hands frequently, and wear a mask.

2. Flu (Influenza):

The flu can be serious for cancer patients and may lead to complications such as pneumonia. Symptoms include fever, chills, cough, and fatigue.

Prevention Tip: Get the annual flu vaccine after consulting Dr. M.S.S. Keerthi or your healthcare provider.

3. Pneumonia:

Pneumonia is a serious lung infection that can be dangerous for cancer patients.  It frequently begins as a mild cough and progresses to high fever, difficulty breathing, and chest pain.

Prevention Tip: Stay warm, avoid exposure to cold air, and consult your doctor immediately if you notice symptoms.

4. Bronchitis:

Bronchitis causes inflammation in the airways and is common during winter. For cancer patients, this can lead to severe breathing difficulties.

Prevention Tip: Avoid smoking and exposure to pollutants, and use a humidifier to keep the air moist.

5. Sinus Infections:

Sinus infections are normal during winter and can cause pain, blockage, and migraines. These symptoms can further strain a cancer patient’s already fragile health.

Prevention Tip: Stay hydrated and avoid exposure to allergens.

7 Tips to Avoid Winter Illnesses for Cancer Patients:

Dr. M.S.S. Keerthi, a leading Cancer Specialist in Hyderabad, offers these practical tips for cancer patients to stay safe during winter:

Maintain Good Hygiene: Regular hand washing can prevent the spread of germs. Always use hand sanitizers when outside.

Dress Warmly: Keep yourself warm with layers of clothing, especially when stepping outdoors.

Boost Immunity: Include immunity-boosting foods like citrus fruits, ginger, and garlic in your diet. Consult your doctor before taking any supplements.

Stay Hydrated: Drink plenty of water and warm fluids to keep your throat and nasal passages moist.

Avoid Crowded Places: Public places can be breeding grounds for viruses. Avoid them whenever possible.

Regular Check-Ups: Visit Dr. M.S.S. Keerthi for regular check-ups and advice tailored to your health needs.

Get Vaccinated: Vaccines, like the flu shot, can protect against seasonal illnesses. Always consult your oncologist before getting vaccinated.

How Dr. M.S.S. Keerthi Helps Cancer Patients During Winter?

Dr. M.S.S. Keerthi, known for her expertise in Cancer Treatment in Hyderabad, provides personalized care to her patients. She ensures that they are equipped with the right strategies to avoid winter illnesses. Her approach includes:

Monitoring patients’ immune health

Offering tailored advice on diet and lifestyle

Providing guidance on vaccines and medications

Dr. M.S.S. Keerthi’s compassionate care and advanced treatment methods make her the Best Cancer Specialist in Hyderabad. Whether it’s preventive care or cancer treatment, her patients always receive the best support.

The Importance of Early Detection and Prevention:

Preventing winter illnesses is crucial for cancer patients. However, regular health check-ups and early detection of complications are equally important. Dr. M.S.S. Keerthi stresses the importance of timely clinical intervention to deal with any indications of illness before they become severe. Early detection not only improves recovery chances but also enhances the overall quality of life for cancer patients.

Conclusion:

Winter illnesses can present serious risks to cancer patients, but with the right precautions, they can be avoided. Dr. M.S.S. Keerthi, a trusted Surgical oncologist in Secunderabad, provides expert care and guidance to ensure her patients stay healthy during the colder months. Her commitment to patient prosperity has acquired her the status of the Best Cancer Specialist in Hyderabad.

This winter, focus on your wellbeing. Follow the tips, stay warm, and consult Dr. M.S.S. Keerthi for any health concerns. Early prevention and expert care can make all the difference in your journey toward recovery.