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Doctor insights on: What The Different Tunneling Undermining And Sinus Tract

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What are dermal sinus tracts of the spine?

What are dermal sinus tracts of the spine?

Tunnels: Dermal refers to skin. So a female sinus tract usually refers to an open tunnel between the skin and an underlying sinus. Don't hesitate to be seen for an exam. ...Read more

Dr. Sewa Legha
3 Doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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Is there any way to aid the closing of sinus tract wounds on the skin for sufferers of hidradenitis suppurativa without surgery?

Is there any way to aid the closing of sinus tract wounds on the skin for sufferers of hidradenitis suppurativa without surgery?

Hidradenitis: This is a difficult problem to treat. If you are a smoker this definitely contributes to healing difficulty and persistence of hidradenitis. The only definitive treatment is direct excision and reconstruction. ...Read more

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My 12 yr old daughter is suffering w/sinus tract inf. & w/ asthma. She is currently takin nebulizer treatments & prednisone. Isn't working?

My 12 yr old daughter is suffering w/sinus tract inf. & w/ asthma. She is currently takin nebulizer treatments & prednisone. Isn't working?

May need antibiotics: Take her to your doctor. If she is not getting better, she may have an infection that is not being treated (such as bronchitis or pneumonia). She would need to be examined and possibly get a chest xray. If her asthma and her breathing is worsening despite nebulizer and steroids, you will need to seek medical care immediately as she may need more intensive asthma management. ...Read more

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I have a open wound and a sinus tract in my stomach that leaks, after 3yrs, and 4 surgeries is this normal? Were mistakes made? In 2009 I had my uterus removed and staples to close after it was removed my stomach leaked for 8 months, it closed but busted o

I have a open wound and a sinus tract in my stomach that leaks, after 3yrs, and 4 surgeries is this normal? Were mistakes made? In 2009 I had my uterus removed and staples to close after it was removed my stomach leaked for 8 months, it closed but busted o

Abnormal: The planned end result of most surgeries is a healed incision with intact skin. Anything else is abnormal but this does not mean anything was done wrong. Reopening after 8 months means there is a problem that may be severe. You need to go back to the surgeon right away and consultation with a wound healing expert may also be of benefit. ...Read more

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What is the difference between a wound sinus track and a wound tunnel?

What is the difference between a wound sinus track and a wound tunnel?

Same: Okay to ask your doc using these terms for clarification. They are basically the same, a long thin component to the wound. Sinus/tunnel can be difficult to treat. Okay to ask for referral to wound clinic or wound specialist. Be well. ...Read more

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Might I take two different sinus cold medicines at the same time?

Might I take two different sinus cold medicines at the same time?

Not wise: It is not wise to take 2 meds unless you are sure there won't be interactions between the meds. Many of these affect things like your heart rate, and combining them can be worse than additive. If you have symptoms you are trying to clear that one alone does not take care of, consider other measures such as humidity, fluids and sinus rinse that have no side effects. ...Read more

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I have sinus really really bad and I have. Taken all different medicine but it always keep coming back worse then before what can I do about it.

I have sinus really really bad and I have. Taken all different medicine but it always keep coming back worse then before what can I do about it.

Sinuses: Have your ENT (ear nose and throat) doctor do a culture of your sinuses. Some studies have shown that up to 90% of the cultured chronic sinus infections were actually due to fungus and molds. If this is what is going on in your case then antibiotics will not cure it, you would need an antifungal. ...Read more

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Does vtach feel different than sinus tachycardia?

Does vtach feel different than sinus tachycardia?

It can: Some patients do not have any symptoms. However, sustained v-tach is likely to cause hemodynamic compromise (your heart cannot supply blood to vital organs) and is a risk factor for sudden cardiac death. There may also be no pulsation with v-tach which you would not be able to tell! If this is a concern, er is a good place to be asap. ...Read more

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How are flu and sinus infection different?

How are flu and sinus infection different?

Different causes: Flu is caused by a strain of influenza virus. It usually is sudden in onset and causes high fever and chills. Antibiotics won't make it go away any faster. A sinus infection is a bacterial infection usually occurring as a complication at the end of a head cold, so it comes on gradually. Fever is less common, and bacterial sinus infections often get better faster with antibiotics. ...Read more

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I'm wondering why are my urinary tract infection symptoms different?

I'm wondering why are my urinary tract infection symptoms different?

The organisms: Are different. Each organism can behave differently. Usually they cause burning, pain, frequency, malodor. But you can have any combination or even no symptoms at all. ...Read more

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What does interval opacification of the sphenoid sinus mean? Differences between the different sinuses?

What does interval opacification of the sphenoid sinus mean? Differences between the different sinuses?

Mucous: Basically when the sinus is opacified, it means that there is mucous or some sort of inflammation of the lining of the sinus. There are various sinuses: maxillary, sphenoid. What differentiates the sinuses is location. For instance maxillary is under your cheek bones. Try cleaning up your diet of starches and sugar, eat more greens and it may all clear up without antibiotics. Hope this helps! ...Read more

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What is a polyp in right maxillary sinus? What are the chances it is cancerous? Do the two look different

What is a polyp in right maxillary sinus? What are the chances it is cancerous? Do the two look different

Common collection: Polyps in the maxillary sinus area are relatively common. These are often picked up on routine dental radiographs. The chances of these being cancerous is very low, however all polyps should be evaluated by an ear, nose and throat surgeon in your area. ...Read more

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Had sinus surgery to relieve blocked sinuses 2 months ago but I still don't feel different my sinuses are still blocked why?

Had sinus surgery to relieve blocked sinuses 2 months ago but I still don't feel different my sinuses are still blocked why?

See ENT doc.: You should experience relief if the surgery was successful. Not all surgery is successful. There are varying skills among doctors. Go back and see your surgeon If not satisified, get another opinion from a ENT doc known as a sinus surgery specialist. ...Read more

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I've had a sinus infection for weeks now I've been taking different antibotics it doesn't seem to be going I want it gone will it ever go away?

See an ENT doctor: If you are not already seeing one, see one soon. This can become very severe with complications if the antibiotics are not covering the causative organism or you need adjunct measures to insure adequate drainage. See an ENT or get a second opinion. Hope you are better soon. ...Read more

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My nose is always itching and I do have sinus. I've been trying different herbal medications but nothing seems to work.

My nose is always itching and I do have sinus. I've been trying different herbal medications but nothing seems to work.

Antihistamines: A trial of over-the-counter antihistamines might help if the itching and sinus symptoms are due to allergic rhinitis. ...Read more

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What can I do to reduce sinus inflammation without mucus? I am very prone to sinus infections but this feels different since I have no other symptoms

What can I do to reduce sinus inflammation without mucus? I am very prone to sinus infections but this feels different since I have no other symptoms

Find/treat the cause: Chronic rhinitis is a common general term to describe allergic, non-allergic or mixed rhinitis. Allergic rhinitis is most commonly due to sensitization to pollens, animal dander, or dust mite. Non-allergic rhinitis can be due to irritants (eg perfumes, smoke), infection, structural defects etc. Repeat sinus infections could be due to chronic rhinitis or the cause (if immunodeficiency exists). ...Read more

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What is the best treatment for sinus infections? I have had a couple sinus infections in the past. I had different treatments each time. Is there any one treatment that is better or quicker? .

What is the best treatment for sinus infections? I have had a couple sinus infections in the past. I had different treatments each time. Is there any one treatment that is better or quicker? .

Typically: Typically bacterial sinus infections are managed with antibiotics. There are several antibiotic options depending upon your sensitivity and suspected infective agent. Severe chronic sinus problems may be managed with surgical procedures to improve drainage or remove the lining of the sinus. ...Read more

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How can I tell the different between a yeast infection and a urinary tract infection?

How can I tell the different between a yeast infection and a urinary tract infection?

Symptoms: Yeast usually causes discharge and/or itching. Bladder infections usually cause frequent urination and burning with urination. ...Read more

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Can a loop monitor pick up ventricular tachycardia? Does it look different than sinus tachycardia? If so how?

Can a loop monitor pick up ventricular tachycardia? Does it look different than sinus tachycardia? If so how?

Loop monitor: ventricular tachycardia looks different from sinus tachycardia. It is not usual to confuse them. A loop monitor can demonstrate either or both rhythms if they occur while the monitor is in place and working ...Read more

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What are the differences between a urinary tract infection and a kidney infection? What symptoms are different?

What are the differences between a urinary tract infection and a kidney infection? What symptoms are different?

UTI: "uti" includes all types of infections in the urinary tract. Cystitis is specifically a term describing inflammation of the bladder. Most often cystitis, although quit irritating, does not cause systemic symptoms such as fever, body aches etc. Pyelonephritis (also a uti) on the other hand is an infection of the kidney causing significant systemic symptoms. ...Read more

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Ents from two different practices reccomend revision sinus surgery, . What would prevent scar tissue from reforming after revision surgery?

Ents from two different practices reccomend revision sinus surgery, . What would prevent scar tissue from reforming after revision surgery?

Nothing - scar will: Scarring is inevitable. However the pattern and location of scarring is the critical issue. As long as the scar does not obstruct the flow of mucous, the surgery should be successful. More aggressive treatment may also produce better results. Addressing previously untreated sinus cavities may also yield an improved outcome. ...Read more

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I have severe narrowing of digestive tract plus severe sigmoid diverticulosis in different parts of colon. Constant niggling pain in low left side.

I have severe narrowing of digestive tract plus severe sigmoid diverticulosis in different parts of colon. Constant niggling pain in low left side.

Sounds: Like you are having low grade diverticulitis or intermittent intestinal obstruction. Depending on why you developed your narrowing, it could mean that an operation is necessary to relieve the obstruction. Ask your GI specialist for recommendation. ...Read more

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Why is it that I get sinus pains or headaches whenever I have heart palpitations? My tests say that everything is fine, do I have something different

Why is it that I get sinus pains or headaches whenever I have heart palpitations? My tests say that everything is fine, do I have something different

Possible migraine: Migraine like headache can be caused by a bone spur in the nose. A ct scan of the sinuses is indicated and if the spur is present a septoplasty to remove it is indicated. I provide relief to almost 90% of patients with this problem. Could your palpitations be caused by the pain? Visit my website for more information at www. Kevinsmithmd. Com. ...Read more

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I have innapropriate sinus tachycardia, my pupils are different sizes is this related to this heart condition?

I have innapropriate sinus tachycardia, my pupils are different sizes is this related to this heart condition?

No: Anisocoria (different pupil sizes) can be a)normal, b)due to eye disease or c)due to very serious brain disease. Since you're on the internet writing this question, "c" has been excluded! It's not due to your heart rhythm. ...Read more

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I have vertigo. No neurology problem was found. Slight front sinus cyst found. Eng/vng hearing test normal. 20 differnt medicines and no cure?

I have vertigo. No neurology problem was found. Slight front sinus cyst found. Eng/vng hearing test normal. 20 differnt medicines and no cure?

Spinning?: Vertigo is defined as an hallucination of movement. The feeling that the room is spinning or that you are moving. As such, it is not the result of sinus infection. It is the result of inner ear or central problems. The one test that you did not describe is an eng which is a specific vestibular exam to determine whether the balance mechanism of the inner ear is normal. Are you sure it's vertigo. ...Read more

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Spring of this year, treated for ongoing asymptomatic sinus infections w/3 different meds, ending with clarithromycin w/o true relief. Tired of compl

Spring of this year, treated for ongoing asymptomatic sinus infections w/3 different meds, ending with clarithromycin w/o true relief. Tired of compl

Allergies?: If you have problems that come and go like that and if the antibiotics don't make a difference, then maybe you should be checked for allergies. ...Read more

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My xray said all 4 sinuses hazy-pansinusitis. Is it some different form of sinusitis? Can ibd cause chronic sinus problems?

Effects all sinuses: This is not likely related to your ibd but may be associated or aggravated by immunosuppressive therapy. This may require treatment with decongesting or irrigation or drainage. ...Read more

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What can an ENT do to improve hearing? Whenever I have sinus issues, it backs up into my ears. Are there different options?

What can an ENT do to improve hearing? Whenever I have sinus issues, it backs up into my ears. Are there different options?

Yes: I addressed one about nasal septoplasty. Depending on the cause of your hearing problems an ENT may be able to help. Sinus infections are treatable if you have ear infection that is also treatable. ...Read more

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How would Atrial flutter or fib feel different to normal sinus tach or PSVT? Are there telltale symptoms, or must need to be caught on ECG to tell?

How would Atrial flutter or fib feel different to normal sinus tach or PSVT? Are there telltale symptoms, or must need to be caught on ECG to tell?

Arrhythmia: Variable, symptoms can be none to an awareness of palpitations or a general sense of being unwell-a wide range exists;diagnosis can often be made on exam;certainty requires an ECG ...Read more

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Repeated Neg allergy tests by different allergist no structural sinus issues. Past 40 yrs chronic thick post nasal drip. Could it be related to UCTD?

Repeated Neg allergy tests by different allergist no structural sinus issues. Past 40 yrs chronic thick post nasal drip. Could it be related to UCTD?

Post nasal drip: This can be a chronic problem for some people. It is due to thick mucin, not too much like people often think. Dry mucus can be caused by insufficient water intake, too much caffeine, medication side effects, deviated septum, small polyps that maybe haven't shown on allergy or CT exams, and laryngopharygeal reflux. I suggest seeing ENT if not done to get nasal and laryngeal endoscopy to evaluate. ...Read more

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Have head tightness/pressure. Sometimes feels better w/ different position. Had cold symptoms st last week. Bothering me. Serious? Cold/sinus? Anxiety?

Have head tightness/pressure. Sometimes feels better w/ different position. Had cold symptoms st last week. Bothering me. Serious? Cold/sinus? Anxiety?

Head tightness: This does not sound serious, so try to relax more and do meditation. You probably have congestion of sinus cavity due to the cold virus. Usually sinus discomfort is worse when bending over. May need treatment if not improved in a week or so. ...Read more

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Husband on amox generic for seven days for sinus infection...Took last pill 7 days ago. As of last night, has fever 103.3. Felt better after starting amox. Does he need a different type of antiobiotic? Time for er?

Husband on amox generic for seven days for sinus infection...Took last pill 7 days ago. As of last night, has fever 103.3. Felt better after starting amox. Does he need a different type of antiobiotic? Time for er?

Typically: Typically sinus infections are treated for a minimum of ten days. If he is still having fever after 7 days then the antibiotics were not sufficient to cover his infection or the treatment was not long enough. He needs to be reevaluated. He should follow up with his primary care provider, if he is unable, an urgent care is a good choice.
Good luck. ...Read more

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I have viral myocarditis since three weeks. At my last check-up I had sinus tachycardia and ejection fraction of 26%. I'm on three different meds but I'm not getting better. What is the probability for full recovery? How long does it usually take?

I have viral myocarditis since three weeks. At my last check-up I had sinus tachycardia and ejection fraction of 26%. I'm on three different meds but I'm not getting better. What is the probability for full recovery? How long does it usually take?

Silly patient: The best answer for your question is provided by the treating physicians, who have the benefit of your history, exam and an understanding of the tests you have had to date. While it is understandable you want answers. We have no crystal ball with great incite based on your present ejection fraction. This is a serious illness, pay attention to your docs advise and you might do well. ...Read more

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Is a respiratory and sinus infection different from the flu /virus?

Yes: Influenza virus can cause respiratory tract symptoms and can produce changes that may lead to secondary sinus infections. You are talking apples and oranges. One is the causative agent of infection and the others are the anatomic sites and symptoms which may occur. ...Read more

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When is it better to get a sinus CT or a nasal endoscopy exam? Does one reveal more information? Are they used for different purposes?

When is it better to get a sinus CT or a nasal endoscopy exam? Does one reveal more information? Are they used for different purposes?

Sinus exam: Unless you've had sinus surgery, the maxillary sinus openings are somewhat difficult to see with a scope. We can usually see the sphenoid sinus openings, but the remainder are not easily visualized routinely. Further, being able to see inside the sinuses is likewise not possible. Endoscopy helps us see polyps, infection, crusts, etc. Ct shows us what's in the sinuses. They're complimentary. ...Read more