iCliniq Logo
HomeAnswersOtolaryngology (E.N.T)sinusitis

I have a headache and nasal stuffiness. What could be my problem?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

Answered by Dr. Priyanka Aggarwal

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?

Answered by Dr. Priyanka Aggarwal

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?

Answered by Dr. Priyanka Aggarwal

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.

Answered byDr. Priyanka Aggarwal

Medically reviewed byiCliniq medical review team

Published At October 16, 2017
Reviewed AtJuly 10, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

default Img
Dr. Priyanka Aggarwal

Audiology

Consult this doctor
Listen to related tracks in our music library

Related Questions

What is the treatment for sinusitis?

Can brain tumor cause one-sided headache?

Maxillary Sinusitis - Symptoms, Causes, and Treatment

I get cold frequently with fever and heavy head. Why?

Can sinusitis cause bad breath?

I have asthma and nasal polyps. Is surgery essential for it?

Read answers about:

sinusitisct paranasal sinus

Ask your health query to a doctor online

Otolaryngology (E.N.T)

*guaranteed answer within 4 hours

Trustpilot

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.