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Pns x-ray included. Is it sinus issue?
I am in USA now. I have sinus infection,ear pain, swelling in the had under ear for past 3 weeks. Went to the doctor and they said it's sinus infection and put me on antibiotics. I always get sinus infection or strep or common cold once in 2 or 3 months. After 2 weeks of antibiotics, I still have the same ear pain, swelling and jaw pain. Went to ENT today. He did Endo for nose, sinus and said no infection. Ear also normal. But he is not sure why I have swelling and ear pain. Told me to get x-ray,CT scan to see if I have infection. Is CT scan really necessary even if the sinus infection didn't show up in Endo? I took an pns x-ray in India last year. Attaching it. Do I have sinus infection or not? How to know if I have any allergies or sinus ? Is it very urgent to take CT scan now or can I wait till this pandemic gets over. The swelling and ear , jaw pain with nose congestion is there for past 3 weeks. What could be the reason? Is it ok to delay or do we need to get CT asap? help pls.
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Xray pns is absolutely normal. Kindly Get a NCCT PNS to see the current status. Endoscopy can help in ruling out sinusitis but clear picture can only be seen in CT scan. Nose congestion could be because of allergy and jaw pain can be a joint issue
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Your old xray shows clear sinuses. If you have a swelling in the ear the doctor would have given medicines. If they did not find any infection in ENT it could be an allergy only or an inflammation in the jaw joint.Avoid hard foods,Do some hot fomentation and use some topical pain ointment over the jaw. Should resolve in a few days.
If still swelling dies not resolve get a CT
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Dr. Gladson Guddappa Uchil
Allergist/Immunologist
26 yrs exp
Bangalore
Suggest you get that CT scan of paranasal sinuses. X-Rays of PNS is an outmoded form of investigation as due to bony superimposition, it gives many false positive findings(eg in your case it seems to be bilateral frontal sinusitis). A CT scan on the other hand gives very accurate information of your sinonasal anatomy as well as the type of disease process
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.