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Am I Sinusitis patient??
My CT PNS impressions
Aplastic Right frontal sinus
Mild Right maxillary sinusitis
Minimal DNS to the Left side
Major problem:-
I always (24 hours) feel head heaviness(pressure like) since 2 years. I feel more head heaviness after eating cold products and sweets products.
This head heaviness become worse during winter season .I feel something freeze inside my head.
Test done:-
I done Brain MRI, Blood sugar test, BP test, Urine test, Thyroid hormone test, and many more.
But all are normal.
Most Confusing:-
When I did CT PNS , Some doctors said I have Sinusitis but some said not.
My main Cause of this problem is under suspension.
I and my parents are very worried since 2 years
I hope positive response from doctors
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Your described symptoms are consistent with chronic sinusitis. The sensation of “something freezing” inside the head and seasonal aggravation further point to sinus-related dysfunction, possibly due to poor sinus drainage or mucosal inflammation.
With other tests being normal, (brain MRI, thyroid, sugar, BP, etc) a nasal origin like sinusitis becomes a stronger possibility.
Next Steps
Consult an ENT specialist for a diagnostic nasal endoscopy. This in-clinic procedure helps visualize the nasal passages, sinus openings, and any polyps or mucosal swelling.
Based on the findings, you may be prescribed long-term medical management (nasal steroid sprays, antihistamines, saline irrigation, etc.).
In some cases, if symptoms persist or sinus drainage is blocked, Functional Endoscopic Sinus Surgery (FESS) may be considered.
Health Tips
Avoid cold and sweet foods if they worsen your symptoms.
Minimize dust and smoke exposure (wear a mask when cleaning or outdoors).
Maintain good hydration and avoid allergens.
Answered
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Hi, I am Dr. Atul Kumar Nimawat MS ENT.
Your CT PNS shows mild right-sided sinusitis and anatomical variation (aplasia of the right frontal sinus), which may contribute to your chronic head heaviness, especially if aggravated by cold/sweets and winter exposure. While the sinusitis is mild, in sensitive individuals even minor mucosal changes can cause persistent symptoms. The absence of significant findings on MRI and blood work is reassuring. A detailed ENT evaluation including nasal endoscopy may help correlate clinical symptoms with imaging. Medical management (e.g. nasal steroid sprays, steam inhalation, lifestyle changes) can provide relief. If symptoms persist, consider further evaluation with an allergy panel or migraine assessment, as these can mimic sinus-related pressure.
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