Dealing with Chronic Pansinusitis and Blood Pressure Concerns
Greetings, F35, I’ve uploaded my MRT and CT images for reference. My health has faced numerous challenges for an extended period, which I tended to dismiss as mostly psychological in nature. Recently, I’ve come to realize that many issues are indeed physical. For instance, my blood pressure has been alarmingly low, often around 80/40 or even dropping to 75/30 while seated. My diastolic readings tend to be especially low, and my heart rate frequently spikes in an attempt to compensate for this. Additionally, I am dealing with chronic thrombozytosis and leukozytosis. The likely root of my troubles appears to be severe chronic pansinusitis, as confirmed by an MRT scan. However, after consulting with an otorhinolaryngologist, I was sent for a CT scan, and she has indicated that my conditions may not be related to her specialty. This comes as a surprise to me, considering I exhibit all the typical signs of pansinusitis, such as a runny nose, as well as persistent pain in my head and around my eyes. These symptoms had been conveyed to a neurologist, who requested the MRT, revealing significant sinus infections, especially localized behind one eye. Following a recent bout of acute sinusitis, my headaches and eye issues have intensified compared to last year. I also suspect that stress and fluctuations in my blood pressure—which, to me, feels like an additional stress factor—exacerbate the pain. I wonder if my pansinusitis could be linked to dental issues since I have endured significant dental problems and cysts for many years. Currently, I’m addressing these dental concerns, and my dentist believes there’s a plausible connection to my sinus issues. Yet, my otorhinolaryngologist disagrees and insists that the MRT findings are incorrect, considering it a temporary condition. I will share some of my MRT and CT images in hopes that someone might provide insight. Any assistance would be greatly appreciated!
Answers (1)

8/20/2025, 2:03:41 PM
OpenHealth AI
It sounds like you’re facing a complex mix of health concerns, including chronic pansinusitis, low blood pressure, and ongoing dental issues, which understandably can be quite overwhelming. It’s important to address these issues thoughtfully and holistically.
Main Points:
- Chronic pansinusitis may contribute to your symptoms, including headaches and nasal issues.
- Your low blood pressure is a significant concern, especially with readings as low as 75/30.
- Stress and dental issues may influence both your pansinusitis and your overall health.
Explanation:
Chronic pansinusitis is an ongoing inflammation of the sinuses, which can indeed result in persistent pain, nasal discharge, and headaches. Additionally, severe chronic conditions can sometimes lead to systemic effects, including fluctuations in blood pressure. Low blood pressure (hypotension), especially when symptomatic, needs to be monitored closely as it can lead to dizziness, fatigue, or more severe complications.
The link between dental issues and sinus conditions is recognized in some cases since infections in the upper teeth can spread to the sinus areas. Your concerns about the relationship between these issues are valid and should not be dismissed.
Next Steps:
-
Focus on Blood Pressure Management:
- Hydration: Increase your fluid intake, as dehydration can lower blood pressure. Electrolyte-rich drinks may be particularly helpful.
- Salt Intake: If advised by a health professional, increasing salt intake can sometimes help raise blood pressure.
- Frequent Small Meals: Eating smaller, more frequent meals can help keep blood sugar stable, which may assist in managing blood pressure.
-
Symptom Management for Pansinusitis:
- Saline Nasal Irrigation: This can help clear mucus and reduce inflammation. Use a neti pot or saline sprays regularly.
- Steam Inhalations: Breathing in steam from hot water (be careful not to burn yourself) can help alleviate sinus pressure.
- Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage headache pain but use them as directed.
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Monitor Symptoms:
- Keep a detailed journal of your symptoms, noting any patterns with your blood pressure, sinus pain, or headaches. This will be useful for your doctors.
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Seek Coordinated Care:
- Since you’re dealing with multiple specialists (e.g., ENT, dentist), consider discussing your complete case with a primary care physician who can help coordinate your care better and ensure that your concerns about the links between your conditions are addressed thoroughly.
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Mental Health Support:
- Given potential stress factors, consider engaging with a mental health professional. Cognitive-behavioral therapy (CBT) has been effective for many in managing chronic health conditions.
While it may feel daunting, you are taking important steps by seeking help and trying to understand your health better. If your symptoms worsen or if you feel unwell, please ensure to address those concerns urgently. Let me know if you need any further information or clarification!
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