I have been diagnosed with chronic pansinusitis about 3 years ago and have struggled with various symptoms, mostly during the winter months. Just last month, I went to dr with pressure in chest and just a general malaise. I ve had chest X-ray and ct which were both clear. I was referred to cardiologist and have had an EKG and stress test which were also normal. Ive had my cortisol and adresnals checked but amnstill awaiting results. I also have an appointment with a gi dr. My question is: can I have sinus infection without having an abnormal white count and without having the usual symptoms of an infection. I have a pressure behind my nose with some tingling sensations and a whooshing in my right ear when I bend over. I still have pressure just under my throat behind my sternum and feel the need to cough but its unproductive mi just feel like crap and constantly feel like I m coming down with something but never do. I spray a nasal spray 2x per day and steam daily. I feel my ent is missing something.