From an award-winning medical writer and a board-certified otolaryngologist comes the definitive guide for sinus sufferers, revised and updated with additional medical treatments.
If you're one of the thirty-eight million who endure from sinus problems, you know the debilitating effects this condition can bring—from pounding headaches, runny nose, and chronic fatigue to asthma, halitosis, even serious lung disease and meningitis. The good news is that sinus disease can be dramatically alleviated and permanently reversed. Now, after years of research, interviews, and personal and professional experience, Debra Fulghum Bruce and Murray Grossan, M.D., share cures from the top healthcare specialists and patients . . . cures that really work.
In clear, authoritative language, The Sinus Cure explains how you can easily design a highly effective 7-step sinus healing program to help you get a long-lasting grip on your own particular symptoms. Inside you'll discover:
• Alternative and complementary healing options—homeopathy, herbs, t'ai chi, yoga, and other ancient and New Age strategies
• The foods that trigger sinusitis—and the ones that soothe it
• Nutritional and natural supplements that reduce swelling and inflammation
• Proven methods for clearing the air you breathe of dust mites, mold, damp, and other allergens
• Effective sinus hygiene, including the wonder of nasal irrigators
• Exercises that can act as a decongestant
• Helpful (and not-so-helpful) prescription or over-the-counter medications
• The startling truth about sinus surgery
• How to combine the most effective medical and natural treatments to end your sinus symptoms
Although further medical research is needed to completely eradicate sinusitis, the treatments and medications described here, most without any side effects, will greatly reduce or end your sinus problems. So breathe easy. Relief is here!
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Debra Fulghum Bruce, PhD, is a medical writer, a health literacy expert, and the award-winning author of more than 90 books on health and wellness, including The Sinus Cure, The Fibromyalgia Handbook, and Making a Baby. She has written feature articles for magazines, such as Prevention, Reader’s Digest, Woman’s Day, and Parents.
Murray Grossan, MD, board certified in Otolaryngology and Head and Neck Surgery, is the inventor of the Pulsatile Irrigator, a safe, simple, and drug-free method to keep sinuses clear of mucus and bacteria. He and Debra Fulghum Bruce, PhD, are the coauthors of The Sinus Cure. Dr. Grossan lives in California.
Part One
ALL ABOUT SINUSITIS
Chapter 1
ONLY YOUR NOSE KNOWS
Nonstop and never-ending. I've even had two sinus surgeries, yet nothing has worked to end my suffering. I feel miserable about 90 percent of the time, whether from a sore throat, postnasal drip, or congestion. The days I have no congestion, my head usually hurts. I can't win.
—Beth, age forty-one
I live in the hot and humid South, which makes my sinuses feel swollen all the time. I also have pollen allergies. While I take prescription antihistamines to deal with the allergies, my sinuses stay inflamed and congested. When I complain because of headaches or earache from sinus fluid, my family says, "It's all in your head!" And they're right. It is in my head. If I didn't have sinusitis, I'd be healthy.
—Bob, age thirty-four
It's not unusual for those around you to think your sinus symptoms are in your head. After all, chances are that you look perfectly healthy. Outwardly no one around you can see the misery you feel. But you know differently. You know how sinus misery—the ongoing pain, swelling, congestion, and postnasal drip—keeps you from fully enjoying life.
No one needs to tell you what a struggle it is to deal with lack of sleep at night and the resulting inability to concentrate during the day. You also know how the medicines taken to control these symptoms leave you nervous, fatigued, spaced-out, or just downright crabby.
Forty-nine-year-old Judith lived with the persistent suffering of sinusitis most of her life, along with the resultant irritability from lack of good sleep. She had tried all the medications—from over-the-counter decongestants and antihistamines to the newer nondrowsy prescription antihistamines to nose drops, nasal sprays, antibiotics, and even steroid nasal inhalers. Nevertheless, none really worked to end her sinus problems.
"While they mask the symptoms for a few days, all it takes is a change of weather or a blast of someone's cigarette smoke at my office to send me into a sinus tizzy," Judith said. "Then it may take weeks to get rid of the resulting infection."
WHAT IS SINUSITUS?
Sinusitis is inflammation of the facial cavities around your nose—those above the eyes (frontal), behind the nose (sphenoids), on either side of the top of the nose (ethmoid), and beneath the eyes in the cheek area (maxillary). They produce mucus, which drains through the ostia (small openings) in your nose. If the sinus cavities get clogged with mucus and the openings are blocked, infection and pain can result.
When conditions are "healthy," it means that the mucus in your sinuses is pushed out of the nose by cilia. (Cilia are tiny hairs that beat or wave rhythmically to carry anything on their surface in the direction of their motion out of the respiratory tract.) This mucus provides a highway for the good white cells produced by your body to reach any invading bad bacteria. It also cleans the air you breathe, moistens your sinuses, then slides down the back of your throat to your stomach, where acid destroys the mucus and trapped bacteria.
Fig. 1.1. The Sinuses
1. The frontal sinuses lie above your nose and just above your eyes behind your forehead.
2. The maxillary sinuses are cavities located inside each cheekbone. They are the largest of the sinuses.
3. The ethmoids are filled with tiny air pockets and are between your eyes.
4. The sphenoids lie deep in your skull, behind the ethmoids.
When conditions are not healthy, you get sinusitis. This happens when your cilia slow down or stop working properly. Or sinusitis can occur when there is an anatomical blockage, and the stagnant mucus becomes infected.
How Prevalent Is Sinusitis?
Chronic sinusitis is the most prevalent "adult disease" in the United States, with more than 38 million sufferers. Noxious smoke and deleterious fumes and chemicals work to bring on sinusitis. With an increase in population along with this increase in pollution and drug-resistant bacteria, the number of people who suffer with sinus problems continues to skyrocket.
Symptoms of Sinusitis
From coughing all night because of the continuous, thick postnasal drip running down the back of your throat to a throbbing earache because of trapped fluid to the excruciating pain of pounding headaches to chronic hoarseness from clearing your throat repeatedly, sinus discomfort is all too familiar to millions.
Besides suffering from headache pain and pressure, postnasal drip, and congestion, people experience other problems with sinus disease. You may have achiness and fatigue, fever, ear pain, or a throat so swollen that eating or breathing is difficult. Or your teeth may hurt, making you think you have dental problems. Thirty-seven-year-old Raymond went to two different dentists seeking relief for throbbing upper molars. "About three of my molars started hurting after I got over a horrible head cold," he said. "At first it was a dull ache, but after a few days, my whole jaw was throbbing, my head was pounding, and I had a fever."
After agreeing that his teeth were perfectly healthy, the second dentist referred him to an ear, nose, and throat doctor (ENT). The ENT diagnosed Raymond with an acute sinus infection and started him on antibiotics and a decongestant.
Fortunately for Raymond, the dentist referred him to the specialist, and he got an accurate diagnosis and treatment; within a week his pain had subsided. Sadly, in some situations, people go for months thinking they have a "bad tooth" or "tension or migraine" headaches, when, in fact, they are suffering from sinusitis. It can also happen the other way around: an infected upper tooth can sometimes lead to a sinus infection.
The Sinusitis/Asthma Link
Not only can your sinuses affect tissue in your teeth, face, and jaw, causing excruciating pain, but they can also trigger an all-out asthma attack. Did you know that more than 50 percent of all asthmatics also suffer from chronic sinusitis at some point, which can make asthma symptoms flare up and worsen?
Chronic sinusitis—that is, sinusitis that goes untreated for weeks or months—can sometimes damage the nasal membranes or structure, requiring corrective surgery to regain function. Left untreated, sinusitis may lead to meningitis, an infection of the brain that can cause brain damage. In some rare cases, a blood clot forms in veins around the sinuses (cavernous sinus thrombosis), which can affect the brain like a stroke.
If you have any signs or symptoms of sinusitis, talk with your doctor to be sure no other problems are present. Sinus disease is serious and should certainly not be taken lightly.
The Untold Cost
Not only does sinusitis cause you great physical suffering, but it is an expensive and chronic illness, resulting in more than 16 million visits to doctors' offices annually for treatment. Remember Raymond? He had not met his insurance deductible, so his diagnosis of sinusitis cost more than $500 out-of-pocket (for dentists, the ENT, and the medication). Add to this unexpected cost the three days of work with pay that he lost. Combined with expensive treatments, the cost of personal suffering is great not only for patients but also for their families, friends, employers, and coworkers.
Another cost of sinusitis is the stress it causes—for example, all the anxiety and worry about "Will I ever feel better?" Over a period of time, this and other stressors arising from persistent sinus infections can result in depression and other emotional reactions that further limit your ability to deal effectively with life. Many sinus sufferers cannot exercise outdoors because of pollen...
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