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Suggest Treatment For Chronic Sinusitis

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Posted on Mon, 3 Nov 2014
Question: I have had a respiratory/sinus type of infection with no fever for almost 4 weeks now, and in the last few days I have noticed that when I blow my nose, my left eye fills with tears, and there is a great amount of pressure which takes about one minute to subside. what is causing this?
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Answered by Dr. Jagdish Chaturvedi (18 minutes later)
Brief Answer:
Chronic sinusitis and Dacryocystitis

Detailed Answer:
Hi. Thank you for writing to HCM.

It appears that you have had chronic sinusitis suggested by no fever and lasting for 4 weeks. The possible reason as to why your eyes fill up with tears when you blow your nose is probably due to the back flow of nasal secretions into your tear duct (Lacrymal duct).

The tear duct opens from the side of your eye into the nasal cavity (beneath the inferior turbinate). During chronic sinusitis or allergy, due to excessive secretions within the nose, there is a possibility that on blowing the nose, secretions enter into the tear duct and pushes its way upwards causing you to have excessive tearing. Since the one way valve in the tear duct is very narrow and it slowly pushes the thick secretions down, it can explain the increased sense of pressure and why it takes a minute or two to subside.

In my opinion you need an ENT evaluation to examine the nasal cavity and the tear duct opening in more detail. A nasal endoscopy may be necessary. Based on the evaluation specific management may be initiated.

Hope this information was helpful. Do let me know if you have any other questions.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Jagdish Chaturvedi (13 minutes later)
Thank you! Your answer has been very helpful.
doctor
Answered by Dr. Jagdish Chaturvedi (2 minutes later)
Brief Answer:
You are welcome

Detailed Answer:
Thank you for writing back. Glad that I could be of some help.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Jagdish Chaturvedi

ENT Specialist

Practicing since :2007

Answered : 209 Questions

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Suggest Treatment For Chronic Sinusitis

Brief Answer: Chronic sinusitis and Dacryocystitis Detailed Answer: Hi. Thank you for writing to HCM. It appears that you have had chronic sinusitis suggested by no fever and lasting for 4 weeks. The possible reason as to why your eyes fill up with tears when you blow your nose is probably due to the back flow of nasal secretions into your tear duct (Lacrymal duct). The tear duct opens from the side of your eye into the nasal cavity (beneath the inferior turbinate). During chronic sinusitis or allergy, due to excessive secretions within the nose, there is a possibility that on blowing the nose, secretions enter into the tear duct and pushes its way upwards causing you to have excessive tearing. Since the one way valve in the tear duct is very narrow and it slowly pushes the thick secretions down, it can explain the increased sense of pressure and why it takes a minute or two to subside. In my opinion you need an ENT evaluation to examine the nasal cavity and the tear duct opening in more detail. A nasal endoscopy may be necessary. Based on the evaluation specific management may be initiated. Hope this information was helpful. Do let me know if you have any other questions.