Sinus Concerns
As a 32-year-old woman, I recently encountered significant discomfort from sinus and facial pressure, along with dizziness resembling motion sickness whenever I moved around. Approximately one month ago, I visited urgent care, where the diagnosis was rhinitis, and they noted a slight bulging in my right ear. Interestingly, I did not experience any congestion, but post-nasal drip was present. After being prescribed naproxen along with the suggestion to use Flonase, I noticed considerable improvement within a week, and my symptoms largely subsided. However, just two weeks later, I sensed a resurgence of my earlier symptoms. To address this, I consulted with my ear, nose, and throat specialist who prescribed Augmentin, suspecting it could be a residual infection. For nearly five days, my condition improved, but unfortunately, the symptoms have re-emerged. Though the pressure is not as intense as it was initially, it has become localized to the area between my eyes, my lower forehead, and my nose. With a trip approaching in just two days, my ENT doctor has recommended a steroid taper and scheduled a follow-up appointment for when I return. Given that I very rarely experience sinus problems, especially the associated dizziness, I find myself a bit anxious wondering about the underlying cause and why it has been difficult to eliminate these symptoms.
Answers (1)
2/8/2026, 8:10:32 PM
OpenHealth AI
It sounds like you’re experiencing ongoing sinus-related discomfort, including pressure and dizziness, even after treatment. Your recent history suggests a combination of rhinitis, possible sinus infection, and residual symptoms that have been challenging to fully resolve, causing understandable anxiety before your upcoming trip. Let’s break down the main concerns and actionable steps you can take.
Key Points
- Symptoms: Recurring sinus pressure, localized discomfort, and dizziness.
- Recent Treatments: Improved with naproxen and Flonase initially, but symptoms returned after stopping Augmentin.
- Next Step: Your ENT has recommended a steroid taper, which can help reduce inflammation and improve symptoms further.
Explanation
- Sinus Issues: Sinus pressure can result from inflammation due to infections or allergies, affecting how you feel, including causing dizziness.
- Post-Nasal Drip: This is the feeling of mucus running down your throat, which can also contribute to irritation and discomfort.
- Dizziness: Often linked to sinus issues due to pressure in the ear and sinuses affecting balance.
Prioritized Next Steps
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Follow the Steroid Regimen: Start the steroid taper as prescribed. This can significantly help reduce inflammation and improve your symptoms quickly, critical before your trip.
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Maintain Flonase Use: Continue using Flonase to manage inflammation in the nasal passages. Consistent use is important for best results.
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Stay Hydrated and Utilize Steam: Drink plenty of fluids to help thin mucus. Inhale steam from a hot shower or bowl of hot water (be careful with the temperature) to relieve sinus pressure.
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Manage Dizziness: Avoid sudden movements and consider sitting or resting if you start feeling lightheaded. This can help mitigate the discomfort during your trip.
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Monitor Symptoms: Keep an eye on your symptoms over the next couple of days. If they worsen or new symptoms appear (like fever or increased pain), this may warrant further attention.
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Plan for Follow-Up: Make sure to discuss your ongoing symptoms during your follow-up appointment with your ENT after your trip. It’s important to inform them how your current management is working.
Reassurance
It's common for sinus problems to be stubborn, and many people experience relapsing symptoms. By adhering to your prescribed treatments and following these self-care steps, you can potentially improve your condition before your trip. Take care of yourself, and remember that managing symptoms effectively can sometimes take a bit of time. Safe travels!
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