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Equilirium problem

couple of month ago I began experiencing sinus pressure build up and awoke in the middle of the night to the room spinning. I went to an ENT where he diagnosed BPPV (Vertigo) and performed a procedure which seemed to eliviate the problem.  

However, over the last couple of months I have been enduring bouts of intense sinus pressure accompanied by mild to moderate of case of equilibrium imbalance (but nothing to the point of the vertigo episode). As pressure increases so does my imbalance in my equilibrium.

I touch the top of my head and feel the frontal sinus passages wanting to explode. I went to an ENT who ran sinus CT Scan which came up mostly negative aside slight mucus build up. A touch to the forontal passages and my ears want to explode. Aside from daily doses of Nasonex, which don't appear to be working is there

I went to another general doctor who ran blood test, carotid doppler test, ekg  head CT scan of the head which all came back negative.  There doesn't appear to be an sever sinus infection but could sinus pressure build up arise from some type of on-going irritation in the environment?Aside from daily doses of Nasonex, which don't appear to be working!  

Could the vertigo diagnosis go in hand with the sinus pressure build up???  I'm also going to take a glucose test (for diabites) and have a hearing test scheduled for next week.  In the meantime since the original vertigo attack I was okay for about a week and then I started experiencing  an equilibrium problem ever since.  Everytime I turn my head I can feel the pressure affecting my eyes and ears. I went back and was prescribed the ear patch, flonaise and Astelin  which don't seem to be working.  Could balance or equilibrium problems be realated to sinus pressure build up?? Do you think ordering a glucose test would be benefical. When should and MRI be performed? Equilibrium issue seems to be daily and chronic now.

Are these tell tale signs of Menieres because I was under the impression that Menieres was more eposodic while my imbalance issue appears to be more chronic?  Just looking for some answers.  
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Avatar universal
If glucose results come back normal does that mean it might be meniers? I just received the results from my hearing test and it detected only slight high frequency hearing loss.  Low frequency checked out alright.
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Avatar universal
Glucose testing is commonly ordered for meniers

http://alternative-medicine-and-health.com/conditions/menieres.htm
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Avatar universal
I foggy headed which is irritating, its all I can do to concentrate when I'm in a meeting, this is definitely affecting my social life too as I consider myself pretty active and enjoy the outdoors. I need to avoid falling into a depression which would only the condition to worsen. What remedies have you tried, I'v ebeen on nasal inhalers nasonex, astelin, flonaise clarinex but no improvement. I've been told it might be inner ear pressure that I'm really feeling which causes the dizziness.  sometimes I get so woosy I have to lay down for a time to gather myself.
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Avatar universal
I too suffer the same symptoms, today I had to pull off to the side of the road and rest for a while. I have had allergy tests and seem to be allergic to everything under the sun but do not have the normal sneezing and runny nose. My symptoms are just like yours with tons of ear pressure. The pressure makes me feel disoriented and week as well as dizzy sometimes. I have tried most of the know remedies and once in a while they work but nothing works all of the time. I will see my doctor today and talk about surgery but feel that I am going in circles with doctors.
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Avatar universal
I appreciate your comments and will read up on migraines.  Thanks again.
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152264 tn?1280354657
I'm not sure why a glucose test would be relevant--presumably this is to look for diabetes? I would certainly do the test if your doctor advises it, but I'm not sure if it's relevant to dizziness.

Many times, self-diagnosed "sinus headaches" are in reality migraines. I used to think I had sinus headaches (pain centered high up behind my nose), but years later I got my first ocular migraine (at age 42) and only then realized that I was a migraineur! But we do have a strong family history of migraines.

Migraines can have a lot of symptoms that people don't know about or expect. I'm not saying you have migraines, only that you might read more about them and see what you think. They can DEFINITELY cause dizziness.

As far as getting an MRI, I would follow the advice of your ear specialist.
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Avatar universal
Thank you for your thoughts, comments and information.   I had sinus pressure headaches on and off for the last month and a half above my eyes although I don't have a family history of migraines.  Do  you think that I should proceed with the glucose test??? I think I will request an MRI  just to rule out the above mentioned as I'm assuming an MRI would catch either a brain tumor or MS.

I'll keep you posted.
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152264 tn?1280354657
Does not sound like Meniere's, which is overdiagnosed. Meniere's is classically episodes of spinning, hearing loss, and roaring in the ears, sometimes with nausea and vomiting.

I think sinus problems CAN affect dizziness, although I don't think sinuses would be the actual underlying cause of it. Especially if your scan showed no significant sinus problems.

Are you sure the pressure is due to sinuses? Do you have headaches? Any family or personal history of migraines? Migraines can feel like pressure in the front of the head, and they can certainly cause dizziness, even in the absence of a headache. People with migraine-associated vertigo (MAV) can be dizzy between episodes as well. Just a thought.

I would think that any person with dizziness that doesn't resolve in a matter of weeks or months, and whose cause can't be determined, should have an MRI, although MRIs rarely reveal a cause for dizziness. Things like brain tumor or MS are possible but really unlikely, especially in the absence of other neurological problems.

If your ENT cannot find the cause of your dizziness, see a neuro-otologist (if your ENT is not one). These are super-specialists in the inner ear and its connections to the brain. To find a neuro-otologist (also spelled neurotologist), see the Web sites of the American Neurotology Society and the Vestibular Disorders Association.

Best of luck,
Nancy T.
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