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What Causes Air Bubble Feeling Under Upper Eye Lid?
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. The air bubble feeling under the upper right eyelid has to be due to a mild inflammation, dryness or allergy (related to mild sinusitis).This would also explain the occasional lymph node enlargement.
2. The cracking ears denote Eustachian Tube Dysfunction (ETD) and the Post-nasal drip is likely to be the result of nasal allergy and mild sinusitis.
3. Since your eye examination and Sinus CT is within normal limits, just add an anti-allergic medication and regular steam inhalation to your current medication. Your symptoms should improve in a few weeks.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. The air bubble feeling under the upper right eyelid has to be due to a mild inflammation, dryness or allergy (related to mild sinusitis).This would also explain the occasional lymph node enlargement.
2. The cracking ears denote Eustachian Tube Dysfunction (ETD) and the Post-nasal drip is likely to be the result of nasal allergy and mild sinusitis.
3. Since your eye examination and Sinus CT is within normal limits, just add an anti-allergic medication and regular steam inhalation to your current medication. Your symptoms should improve in a few weeks.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. Can lack of sleep and hormonal changes add to this? Am breastfeeding a toddler and have not slept through the night in 15 months. Also re allergies - could this be food allergies or rather environmental?
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, lack of sleep (and hormonal fluctuations) may be the cause.
2. There are food intolerance tests available (IgG based).
3. Environmental allergies are extremely difficult to avoid. These, too can be easily tested (IgE based).
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, lack of sleep (and hormonal fluctuations) may be the cause.
2. There are food intolerance tests available (IgG based).
3. Environmental allergies are extremely difficult to avoid. These, too can be easily tested (IgE based).
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. I also seem to have a fake smell of smoke in my nose. Nobody smokes though. Comes and goes. My gp reckons its linked to sinuses. Could rhis also happem withprolonged use of steroidal nasalspray? On doctors advice i was on it for 1.5 years ongoing. Can postnasal drip be caused by fungus? Or the steroidal nasal spray? Thank s
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. The bad smell that you get through your nose when you inhale is most likely due to a mild sinus infection or stagnant mucus including drying up of normal nasal secretions. Overuse of nasal steroid sprays can lead to this.
2. Have you had a recent cold, cough or fever? The inflammation may be fungal. Foreign bodies are rare in adults but must be ruled out if it is one sided.
3. You may discuss the possibility of Biofilm formation in your sinuses with your physicians. Sometimes there are fungal infections and build up of waste products of inflammation, infection, immune system by-products and gases like nitric oxide and ammonia. This would explain the burnt smoke like smell which you experience.
4. Due to their unique design, airflow through our sinuses and their ventilation occurs gently and passively during expiration. This may explain why you get the smell comes and goes.
5. Oral infections, inflammation including gum and dental (any recent root canal or dental extraction?), acid reflux and Tonsilloliths are leading causes for a bad smell in the nose.
6. Get a general check-up done as many diseases such as diabetes, liver diseases, nasal polyps, tumors and so on should be ruled out.
7. The sinuses may harbor silent infection. Fungal infections may exist only within the sinuses (as against invasive fungal infections) and yet cause allergic reactions. This constitutes Allergic Fungal Rhino Sinusitis (AFRS). Such fungal infections may be missed out on CT Scans and requires MRI Scans to detect. If there is nasal and sinus inflammation you may take a trial of treatment including antibiotics, anti-allergic decongestants, saline nasal washes, mouthwashes, tongue cleaning, anti-reflux medication and probiotics.
8. If no cause is found, it may be a an olfactory hallucination. This a commonly seen with damage to the olfactory mucosa or olfactory bulb and tract, esp. some years after a head injury. This will show up on imaging such as CT/MRI. Do you have any occupational exposure to extreme cold, constant air conditioning or chemicals? Conditions like atrophic rhinitis, post nasal drip and acid reflux may also co-exist.
9. You may follow up with the answers to the above questions, results of the above investigations and treatment for further recommendations.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. The bad smell that you get through your nose when you inhale is most likely due to a mild sinus infection or stagnant mucus including drying up of normal nasal secretions. Overuse of nasal steroid sprays can lead to this.
2. Have you had a recent cold, cough or fever? The inflammation may be fungal. Foreign bodies are rare in adults but must be ruled out if it is one sided.
3. You may discuss the possibility of Biofilm formation in your sinuses with your physicians. Sometimes there are fungal infections and build up of waste products of inflammation, infection, immune system by-products and gases like nitric oxide and ammonia. This would explain the burnt smoke like smell which you experience.
4. Due to their unique design, airflow through our sinuses and their ventilation occurs gently and passively during expiration. This may explain why you get the smell comes and goes.
5. Oral infections, inflammation including gum and dental (any recent root canal or dental extraction?), acid reflux and Tonsilloliths are leading causes for a bad smell in the nose.
6. Get a general check-up done as many diseases such as diabetes, liver diseases, nasal polyps, tumors and so on should be ruled out.
7. The sinuses may harbor silent infection. Fungal infections may exist only within the sinuses (as against invasive fungal infections) and yet cause allergic reactions. This constitutes Allergic Fungal Rhino Sinusitis (AFRS). Such fungal infections may be missed out on CT Scans and requires MRI Scans to detect. If there is nasal and sinus inflammation you may take a trial of treatment including antibiotics, anti-allergic decongestants, saline nasal washes, mouthwashes, tongue cleaning, anti-reflux medication and probiotics.
8. If no cause is found, it may be a an olfactory hallucination. This a commonly seen with damage to the olfactory mucosa or olfactory bulb and tract, esp. some years after a head injury. This will show up on imaging such as CT/MRI. Do you have any occupational exposure to extreme cold, constant air conditioning or chemicals? Conditions like atrophic rhinitis, post nasal drip and acid reflux may also co-exist.
9. You may follow up with the answers to the above questions, results of the above investigations and treatment for further recommendations.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. Very detailed answer. Will have follow up appt with my ent this week as well as woth ophtamologist. Ive had colds and work in environment with air con as well as open windows. Am prone to drafts and have taken oral antibiotics 7 times in last 20 months. What is your thoughy on postnatal thyroiditis? General vbloods have been checked and are fine. Iron a little on low side.
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Your work environment does impact the symptoms.
2. Discuss these issues with your specialists.
3. Postpartum Thyroiditis will cause many more symptoms depending upon the levels of the thyroid function. To diagnose this condition, Thyroid Function Tests as well as Anti-thyroid antibody tests should be done. Since a year and a half has passed since your delivery, you may have recovered from this (and hence require no active treatment) or may be in early hypothyroidism.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for writing back.
1. Your work environment does impact the symptoms.
2. Discuss these issues with your specialists.
3. Postpartum Thyroiditis will cause many more symptoms depending upon the levels of the thyroid function. To diagnose this condition, Thyroid Function Tests as well as Anti-thyroid antibody tests should be done. Since a year and a half has passed since your delivery, you may have recovered from this (and hence require no active treatment) or may be in early hypothyroidism.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
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. Chakravarthy Mazumdar
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