Dr. Priyanka Aggarwal
Audiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have a headache, swallowing tightness and an odd feeling when putting the finger on the back of my tongue (not soreness), left shoulder blade ache, and nasal stuffiness. I cannot find out what the problem is. I have seen a gastro doctor, who has done two endoscopies. The second time with a biopsy. The findings were normal. I saw an ENT physician, who noticed a swelling in my nasal passage and some swelling at the back of my throat. There was nothing he deemed sinister though. I had two MRI of the brain, which was also normal. Please, advice on whom to see and the potential causes. It would be much appreciated as this problem has been going on for a year.
Hi,
Welcome to icliniq.com.
Please get an X-ray of the paranasal sinuses done and send me the picture. Are you taking any medicines?
Patient's Query
Thank you doctor,
I am on Flixonase nasal steroids for over a month and I have noticed some improvement in my nasal stuffiness. As soon as I stopped taking them, the stuffiness has returned. It does not really seem to be getting to the root of the problem. Please see the attached image. It has something highlighted in my maxillary sinus. Do you think I need further investigation?
Hi,
Welcome back to icliniq.com.
I have seen the picture (attachment removed to protect patient identity). You have bilateral maxillary sinusitis with the right side more affected than the left and nasal mucosal hypertrophy. You should get a septoplasty with a sinus surgery done. Get a CT scan of the paranasal sinuses done to see the condition of the other sinuses. Continue the nasal spray. It will help you with your symptoms.
Patient's Query
Hi doctor,
Thank you for your response. I was informed that the maxillary sinus cyst was nothing to worry about and it would heal on its own. Do you disagree? Do I require further investigations?
Hi,
Welcome back to icliniq.com.
Your X-ray shows a maxillary sinus polyp. As per your symptoms, it must be operated. An endoscopic sinus surgery is a safe procedure to undergo. You should get a CT scan done to confirm the diagnosis.
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Audiology
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