Why do I have persistent sinus discomfort and oral symptoms?

Hello doctor,

I have been dealing with ongoing head discomfort that does not feel like a regular headache. Most of the pain is around my sinuses, which seems to cause many of my symptoms. I often have a lot of sinus congestion, and clearing it gives me some relief, but the problem keeps coming back.

I have also noticed unusual symptoms in my mouth and gums, like small white particles that I often have to spit out. I worry that I might swallow some by accident, which makes me concerned about getting reinfected or having an ongoing problem. Even though I have seen doctors several times, I still do not have a clear diagnosis or treatment plan for these issues.

It has been hard to explain all my symptoms during doctor visits, either because they are not visible at the time or because I feel uncomfortable talking about them. The tests I have had so far have come back negative, which makes it tough to find answers, even though I still have symptoms and can show examples when they happen.

I also had knee replacement surgery at a young age because of serious joint damage with no clear cause. After the surgery, I had problems like infection and slow healing, and I still see unusual material coming from the area. It looks similar to what I notice with my sinus and breathing symptoms. I still do not have a clear answer about why this is happening.

Overall, I feel my concerns have not been fully addressed, and I am looking for advice on where to get a more complete evaluation and care. I would really appreciate help from a medical team that can look into these symptoms carefully and help find a treatment so I can get back to a normal life.

Kindly help.

Thank you.