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Author: admin, 13.09.2015
Sinuses are air-filled spaces behind the bones of the upper face: between the eyes and behind the forehead, nose and cheeks.
When the sinuses become inflamed or infected, the mucus thickens and clogs the openings to one or more sinuses. Common symptoms of acute sinusitis include nasal congestion, thick green nasal discharge, fever, headache, tiredness and facial pain. Frontal sinusitis (behind the forehead) can cause pain in the forehead and pain that gets worse when lying on your back.
Ethmoid sinusitis (behind the bridge of the nose) can cause pain between the eyes, eyelid swelling, loss of smell, and pain when touching the sides of the nose. Sphenoid sinusitis (behind the eyes) can cause earaches, neck pain or headache at the top of the head or deep behind the forehead. Maxillary sinusitis (behind the cheeks) can cause pain in the cheeks, under the eyes, or in the upper teeth and jaw.
A sinus infection can be difficult to diagnose in the early stages because it can mimic a common cold. Your doctor will diagnose acute sinusitis based on your symptoms, medical history and a simple office examination.
If your doctor is uncertain of your diagnosis, he or she may use other methods to see inside the sinuses. Decongestants — Congestion often triggers sinus infections, and decongestants can open the sinuses and allow them to drain. Pseudoephedrine (Sudafed) is available without prescription, alone or in combination with other medications in multi-symptom cold and sinus remedies. Oxymetazoline (Afrin, Dristan and others) and phenylephrine (Neo-Synephrine and others) are found in nasal sprays. Antihistamines — These medications help to relieve the symptoms of nasal allergies that lead to inflammation and infections. Nasal steroids — Anti-inflammatory sprays such as mometasone (Nasonex) and fluticasone (Flonase), both available by prescription, reduce swelling of nasal membranes. Saline nasal sprays — These salt-water sprays are safe to use and can provide some relief by adding moisture to the nasal passages, thinning mucus secretions and helping to flush out any bacteria that may be present. Pain relievers — Acetaminophen (Tylenol), ibuprofen (Advil, Motrin and others) or naproxen (Aleve) can be taken sinus pain.
Antibiotics — Your doctor may prescribe an antibiotic if he or she suspects that a bacterial infection is causing your sinusitis.
Not all cases of sinusitis require antibiotic treatment: Talk with your doctor about whether an antibiotic is right for you.
Contact a doctor if you experience facial pain along with a headache and fever, cold symptoms that last longer than seven to 10 days, or persistent green discharge from the nose.
If you have repeated bouts of acute sinusitis, you may have allergies or another treatable cause of sinus congestion.
Disclaimer: This content should not be considered complete and should not be used in place of a call or visit to a health professional. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. The temporomandibular joint (TMJ) is the area right in front of the ear on either side of the head where the upper jaw (maxilla) and lower jaw (mandible) meet. The temporomandibular joints are very complex and are made up of muscles, tendons, a disc and bones.You have a temperomandibular joint on each side of your jaw (right and left side). Micro trauma is considered internal, such as grinding the teeth (bruxism) and clenching (jaw tightening). TMJ pain can usually occur because of unbalanced activity, spasm, or overuse of the jaw muscles. Most patients are quite successful with conventional conservative therapy (such as resting the jaw or night guard). We are a full service dental practice that specializes in relaxation and cosmetic dentistry services, dental implants, TMJ disorder treatment, periodontal disease treatment, teeth whitening, porcelain crowns and porcelain veneers, and other restorative dental care. Mayo Clinic and expert physician provide authoritative comments on Morgellon's Syndrome and psychocutaneous disease. We include authoritative citations and references to relevant medical journal articles and similar expert sources. Our photo of an acute skin rash (left) provided by a client was diagnosed as contact dermatitis, not Morgellon's Syndrome.
Morgellons disease is a mysterious skin disorder characterized by disfiguring sores and crawling sensations on and under the skin. Our photo of a skin lesion (shown at left) is not associated with Morgellon's Syndrome and in fact was traced to an acute exposure to airborne Stachybotrys chartarum.
Typical Moregellons'-like complaints we have heard from building inspection clients and readers are summarized below, followed by some case histories and reader comments that may be helpful.
The common constituents of house dust are fabric fibers and skin cells, with a lower proportion of incidental pollen, mold, dust mite fecals, and where pets are or have been present, animal dander and hair. Above (left) a client photo shows a heavy and rapid dust accumulation on building surfaces.
It is also common to find some fiberglass particles in most buildings, usually traced to building insulation. Readers should note that the level of indoor dust varies widely in buildings building environments. OPINION-DF: various indoor environmental contaminants may in some cases be associated with skin irritation complaints, including exposure of insulation workers to high levels of contact with fiberglass insulation. Where we most experience as well as receive complaints of skin irritation traced to fiberglass exposure it is by people installing, demolishing, or stomping around on fiberglass building insulation, particularly in older buildings where foot traffic (in an attic without complete flooring for example) or other activities have damaged the insulation, increasing the proportion of small fiberglass fragments. In the indoor environmental samples and even some tape samples of skin surfaces where readers or clients have expressed concern or confidence that unidentified fibers are both cause and symptom, using light microscopy and polarized light microscopy to 1200x magnification we have never found identifiable fibers other than incidental house or clothing dust and fabric fibers at normal levels. In other words, a careful cross-sectional examination of superficial skin samples in using transmitted light microscopy for the samples we have studied showed without exception that fibers in the sample were adhered to the skin's exposed or outer surface; they were not found growing in or through the skin nor originating from inside the body.
This is particularly true if a surface sample is collected from a sore or lesion as such skin surfaces are typically more sticky than other skin areas.
The suggestion of our limited observations is that sufferers from Morgellon's Disease should consult carefully with their physician and if the physician agrees that it is appropriate, ask for a referral to a specialist in environmental medicine.
We have field and laboratory experience in investigation of the indoor environment and building related health complaints and we report here on the experience of a wide readership base, some of whom report undiagnosed skin irritations that the sufferers are confident are traced to unidentified fibers in their environment. The, Lydia, Sarah Wilson, Katherine Beattie, Maurizio Pellegrino, Lyn Batia, George Katibah, Daniel Estandian, and Diana Bautista. Zhao, Zhong-Qiu, Fu-Quan Huo, Joseph Jeffry, Lori Hampton, Shadmehr Demehri, Seungil Kim, Xian-Yu Liu et al. Continue reading at ITCHY FABRICS, FURNITURE or select a topic from the More Reading links or topic ARTICLE INDEX shown below. I took a look at your photos, but I cannot identify anything that is diagnostic or useful from those images other than to comment that I saw what appear to be hairs (and possibly other fibers) stored in plastic bags. Your QX5 microscope, while useful for general fiber examination at up to 200x, is unlikely to be adequate to the task of both fiber and small particle identification both because of limitations of the equipment and because training and experience in particle identification are important.
Unfortunately examining hairs or fibers at low power is probably not reliable nor diagnostic. GP there are not pathogens (including fungus) reported by medical experts to be at the root explanation of Morgellon's Syndrome. I keep finding lots of dust build up and a fine powder substance on the furniture and when I wipe it it is green. I am writing to you because I have been experiencing disturbances of a, as of yet, un-determined source.
For most of these sufferers and similar readers, you want to find an experienced, expert dermatologist or similarly qualified physician who is familiar with the complaints, literature on the subject, and methods of treatment. We have always put Frontline on her and never had any problems in the past with any kind of fleas,or other bugs. We have a extra large amount of a whitish dust, and other small fragments of stuff that we dona€™t know what it is.
From your note it seems that what might be helpful would be a more careful site inspection and perhaps a few dust samples that are examined to help you confirm that there are abnormal dust or particle levels, identify harmful or irritating materials that might be present, and track down the source of the material - since cleaning without fixing the source is just a short term Band-Aid. As for mailing settled dust samples, an easy way to collect a sample of settled dust for lab characterization is to use the procedure at TEST KITS for DUST, MOLD, PARTICLE TESTS. In some cases we will accept and process up to four dust samples at no fee (pro bono) for people in your situation but our lab is on assignment out of the country for several months, so you'll need to use a different forensic laboratory.
It certainly reflect the views of psychiatrists and doctors who never went much further than what they learned at medical school.
Whilst some who claim to suffer from this disease are actually suffering delusional parasitosis (the whole thrust of the entry), there are hundreds of thousands who have very real clinical conditions. I am not a doctor but a sufferer who has met and spoken to researchers and medics working at the cutting edge in this field. Thank you for your article critique and remarks about Morgellon's syndrome - it helps us realize where we need to work on making our text more clear or more complete. We have examined both environments (air, dust, materials, HVAC, mechanicals, IAQ etc) in buildings where an occupant has complaints that resemble those associated with Morgellon's Syndrome as well as examining in our forensic laboratory samples from skin, hair, even some bodily secretions, to check for the presence of the fibers and particles described by complainants.
We also have some experience with neurologically-induced itching and skin complaints and have in some cases observed skin irritations, even severe lesions that resulted from an individual whose discomfort led to repeated scratching.


Given our combination of direct (if limited) experience, forensic investigation experience, lab results, and literature review, we are compelled to refer our readers to the most authoritative sources we can find, and have done so for Morgellon's Syndrome as well as other topics discussed at InspectApedia.
We understand with sympathy the frustration that arises when dealing with a frightening or troublesomeA complaint that lacks a clear explanation as to its root cause, and thus can understand the ensuing temptation to assign a particular cause regardless of the research and expert opinions to the contrary.
In our OPINION, people should indeed seek expert diagnosis & appropriate treatment when suffering from any complaint, but at the same time we should be cautious about over-confidence in our own self-diagnosis or in explanations which cannot be verified by empirical evidence and good science. Our own editorial guidelinesA prefer the most un-biased and most-expert sources we can find. We are dedicated to making our information as accurate, complete, useful, and unbiased as possible: we very much welcome critique, questions, or content suggestions for our web articles.
The authors assessed the relation between exposure to dampness and molds in dwellings and the development of allergic rhinitis in childhood in a 6-year, population-based prospective cohort study of 1,863 children aged 1a€“7 years at baseline in 1991 (follow-up rate, 77%) from Espoo, Finland. The American Journal of Epidemiology is the premier epidemiological journal devoted to the publication of empirical research findings, methodological developments in the field of epidemiological research and opinion pieces. Abstract:a€‚ Neuropathic and psychogenic itch are two entities that have not been well studied. Conclusion: Neuropathic and psychogenic itches remain challenging diagnostic and therapeutic conditions.
Adkins and Adkins Dictionary of Roman Religion discusses Robigus, the Roman god of crop protection and the legendary progenitor of wheat rust fungus.
Fifth Kingdom, Bryce Kendrick, ISBN13: 9781585100224, is available from the InspectAPedia online bookstore - we recommend the CD-ROM version of this book. Our recommended books about building & mechanical systems design, inspection, problem diagnosis, and repair, and about indoor environment and IAQ testing, diagnosis, and cleanup are at the InspectAPedia Bookstore. The Illustrated Home illustrates construction details and building components, a reference for owners & inspectors. The lining of the sinuses are made up of cells with tiny hairs on their surfaces called cilia.
Acute sinusitis lasts three weeks or less and the person should have no more than three episodes per year. The doctor will ask about your symptoms and how long they last, look into your ears, nose and throat, and may tap or press on your face to test for tenderness over specific sinuses. Some physicians may insert a nasopharyngoscope (a thin, lighted tube with a camera on the end) into your nose to look for abnormalities. Breathe deeply while standing in a hot shower, or inhale the vapor from a basin filled with hot water while holding a towel over your head.
However, several medications may speed recovery and reduce the chance that an infection will become chronic.
They are effective and may be less likely to cause the side effects seen with pseudoephedrine.
However, some doctors advise against using antihistamines during a sinus infection because they can cause excessive drying and slow the drainage process. If you start taking an antibiotic, complete the entire course so that the infection is completely killed off. Keep in mind that antibiotics can cause side effects, such as allergic reactions, rash and diarrhea. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Muscles attached to and surrounding the jaw joint control the position and movement of the jaw. Patients may complain that it is difficult to find a  comfortable bite or that the way their teeth fit together has changed.  Chewing on only one side of the jaw can lead to or be a result of TMJ  problems. This continuous pounding on the temporomandibular joint can change the alignment of the teeth. This trauma can fracture the jawbone, cause dislocation of the TMJ, or cause damage to the cartilage disc of the joint. It is very common for people under stress to release this nervous energy by either consciously or unconsciously grinding  and clenching their teeth.
About 80% of patients with a TMJ disorder complain of headache and about 40% report facial pain, and ear pain.
About one half of patients with a TMJ disorder notice ear pain and do not have any signs of ear infection.
Grinding, crunching, clicking, or popping sounds (medical term = crepitus) are common for patients with a TMJ disorder. If your symptoms persist, your doctor may recommend medications or a night guard to help keep you from grinding your teeth at night.
Dentist or doctor will recommend over the counter medications (like Aleve or Motrin), or prescription medications such as Dolobid are a first option to relieve pain.
Antidepressants prescribed to be taken at bedtime have been successful in relieving TMJ pain in some patients.
These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders. Injecting botulinum toxin (example Botox) into the jaw muscles may give relief to pain associated with TMJ disorders. For patients who grind their teeth patients may gain from wearing a  firm custom made appliance. For patients whose main symptom is from stress or anxiety they may benefit from a visit to a psychotherapist.
The success of treatment depends on how severe the symptoms are and how well you comply with treatment. Marielaina Perrone's advanced training and years of experience translate into greater confidence and convenience for your entire family.
We include descriptions of the complaints, case histories, and references to additional details about the different types of particles commonly found in the indoor environment.
Our page top photograph shows a lab photo of ordinary human skin cells, along with some animal dander, fabric fibers stained with acid fuchsin. Most often your own doctor can give the best advice on seeking treatment or further consultation with suitable experts. Other common but lower frequency particles include starch granules, soil particles, and depending on the building and its mechanicals, soot. At above right our lab photo shows that the prime contents of the dust were fabric fibers and starch granules, not building insulation in this case.
Carpets in buildings are often a significant source of indoor dust (fabric fibers) as may be other fabrics in environments that use heavy curtains and lots of upholstered furniture.
In our experience skin irritation from fiberglass insulation generally diminishes rapidly and stops within 24-48 hours of bathing and thorough washing of dusty clothing.
Such samples can be collected from individuals who have no Morgellon's syndrome complaint as well as people who do. Here we describe common observations & complaints described by some who might be described as suffering from Morgellon's Syndrome. To examine and identify fibers or small particles, including fungal spores, insect fragments, or non-fungal debris, requires both proper forensic training in the type of particles being examined and training in microscopy, including the use of high powered light and polarized light microscopy, typically from 400x to 1200x. You should of course discuss your symptoms and concerns with a physician who is expert in environmental medicine.
But indeed people suffering from these complaints need to find an experienced, expert dermatologist or similarly qualified physician who is familiar with the complaints, literature on the subject, and methods of treatment.
I was told by the assistant attorney "that was foolish to tell your social worker-that's your best witness". We had a roof leak that went on for quite awhile it came through my textured ceiling and my husband just knocked down the big lump it made on the ceiling and patched the roof but the mold itself was never cleaned. When I put on my clothing if there is any black specks on it my body will immediately start itching and burning wherever the black specks are touching. In my experience the best place to start is with your own physician who knows you and your medical history. I have kept some of the fragments that I have found on myself,and on furniture in our house,and off some of our clothing. Choose a horizontal surface that has a week or two of settled dust on it, located in a room where you spend a lot of time. In this respect the article is highly incorrect especially about the emergence of the fibres. In no case have we been able to detect fiberglass nor other fibers (nor biological creatures such as bugs) actually erupting from within body tissues as sufferers describe.
Itching reactions can also be drug induced, such as as a side effect of some pain-killers and narcotics. Working together and exchanging information makes us better informed than any individual can be working alone.
The studied exposures were history of water damage, presence of moisture and visible mold, and perceived mold odor in the home, based on parent-administered questionnaire.
It is aimed at both fellow epidemiologists and those who use epidemiological data, including public health workers and clinicians. Cutaneous manifestations of psychiatric disease that commonly present to the dermatologistA a€“ diagnosis and treatment. Neuropathic itch is related to pathology located at any point along the afferent pathway of the nervous system.


Environmental Protection Agency US EPA - includes basic advice for building owners, occupants, and mold cleanup operations. The text is intended as a reference guide to help building owners operate and maintain their home effectively.
However, a common cold usually will improve in five to seven days, while an untreated sinus infection can last three weeks or longer. X-rays and computed tomography scans (CT) also can provide a look at the sinuses, especially those that are deep within the head.
However, using a nasal decongestant for more than three days can cause worse symptoms when you stop the medication. Over-the-counter antihistamines include diphenhydramine (Benadryl and others), chlorpheniramine (Chlor-Trimeton and others) and loratadine (Claritin). In addition, overusing antibiotics eventually leads to the spread of bacteria that no longer can be killed by the most commonly prescribed antibiotics. When the muscles are relaxed and in balance and both jaw joints open and close comfortably, we are able to talk, chew, or yawn without discomfort or pain. A problem with either one can lead to stiffness, headaches, ear pain, bite problems ( also called a malocclusion), clicking sounds, or locked jaws. Teeth grinding as a habit can result in muscle spasm and inflammatory reactions, thus causing the initial pain. Pain in the TMJ can also occur following dental treatment whereby the joint is stretched open for extended periods of time.
50% of those patients will have resolution of their tinnitus after successful treatment of their TMJ disorder.
Your dentist will conduct a careful patient history, dental examination, and take necessary x-rays to determine the cause of your symptoms. This night guard prevents your teeth from coming together in contact, and repositions teeth to decompress the jaw joint.
This would allow the patient to become self aware of stress triggers as well learning relaxation techniques to relieve stress. As always, it is best to maintain regular appointments to see your dentist and let them know if there any TMJ issues developing.
You’ll find complete dental expertise, utilizing the latest advancements in dentistry, all here under one roof.
In some cases that we have researched we could identify the probable fiber source by careful comparison of sample fibers to fiber sources in the building such as carpeting or furnishings.
Of interest to people suffering from skin complaints described as itching and diagnosed as Morgellon's disease, a subject person of the Times article was noted to suffer from having been mis-diagnosed as having a mental issue treated by antidepressants when in fact the individual had a rare disease causing itching. And if the physician obtains medical samples from skin surface or sub-surface areas and that need identification, in addition to medical lab examination, a particle or forensic lab might then be of service. The biggest problem we have is,all this extra heavy dust fibers,and other fragments of possibly some kind of insulation, being on the inside of our house. If we could get someone to check this stuff out,and tell us what it is,it may help us in finding out where it is coming from,and how to fix our problem. One sample of representative dust, or a sample of settled dust along with a second of the material you suspect of being a problem should be enough for a competent forensic laboratory to determine if there are unusual particles in the sample as well as what the dominant particles are.
I do hope you will amend the entry as it is not only misleading and highly biased but could lead to people being unable to seek real treatment that would alleviate their symptoms. We have detected clothing and other fibers stuck to the exterior surface of both skin and skin lesions in areas of scratching, scabs, etc.
It could be related to damage to the peripheral nervous system, such as in postherpetic neuropathy, brachioradial pruritus, notalgia paresthetica, and in central nervous system damage as a result of spinal cord tumors and demyelinization diseases such as multiple sclerosis.
Future studies in this field and in particular therapeutic controlled trials will enable us to provide better treatment to these tormenting types of itch.
Every aspect of the fungi, from aflatoxin to zppspores, with an accessible blend of verve and wit.
Sinus infections also are more likely to cause a green nasal discharge, fever and facial pain. The temporomandibular joint functions to move the jaw, especially in biting and chewing, talking, and yawning.
We can also feel the joint motion if we put a little finger against the inside front part of the ear canal. Changes in the normal stimuli or height of the teeth, misalignment of the teeth, and changes in the chewing muscles may cause temporomandibular joint changes.
Teeth grinding and clenching are habits that may be diagnosed in people who complain of pain in the temporomandibular joint or have facial pain that includes the muscles involved in chewing. Massage and heat application following your dental appointment can help relive the discomfort. These symptoms are usually caused by Eustachian-tube dysfunction (structure responsible for the regulation of pressure in the middle ear). Conventional treatment consists of a diet of soft foods along with warm compresses to settle down the tension of the muscles. Readers should therefore view with caution photographs published at some websites purporting to provide hard evidence that Morgellon's sufferers indeed have unusual or pathogenic fibers erupting from their skin. We don't really know for sure what it is, or what is causing it.We have had a few people look at it,one of the contractors thought that the heating and cooling system may be starved for air,with not enough air returns going into the system. A cross-sectional analysis of those samples we've examined did not find evidence of a source of fibers emanating from the body interior. I missed the best years of my life, when my children were growing up because I was in bed crying from pain.
The 24 chapters are filled with up-to-date information of classification, yeast, lichens, spore dispersal, allergies, ecology, genetics, plant pathology, predatory fungi, biological control, mutualistic symbioses with animals and plants, fungi as food, food spoilage and mycotoxins.
Special Offer: For a 10% discount on any number of copies of the Home Reference Book purchased as a single order. By identifying the allergen (the substance causing the allergic reaction) and avoiding it, you can help prevent sinusitis. If a patient is experiencing TMJ difficulty the simple act of opening and closing your mouth can cause considerable pain. Opening your mouth allows the rounded ends of the lower jaw (condyles) to glide along the joint socket of the temporal bone. These can include arthritis, trauma to the jaw, or muscle fatigue from clenching or grinding your teeth. Ear specialists are routinely called on to make the definitive diagnosis of a TMJ disorder. It is believed that patients with TMJ syndromes have hyperactivity (muscle spasms) of the muscles responsible for regulating the opening and closing of the Eustachian tube. My wood paneling in my living room is turning black in places and then it will rot through in some places. And the fine powder substance was all over my duffle bag and had 4 holes all the way through it.
There is some kind of fragments of insulation possibly and other kinds of fragments that are floating around in our house and we dona€™t know what it is, and we dona€™t know for sure where it is coming from.
We were going to try to send some samples of this stuff in but, we dona€™t know how much it will cost us for each sample we send in . Of the individual indicators, water damage and moisture on the surfaces were consistent determinants of allergic rhinitis. Thanks to Alan Carson and Bob Dunlop, for permission for InspectAPedia to use text excerpts from The Home Reference Book & illustrations from The Illustrated Home. TMJ disorders most commonly occur in women between the ages of 30 and 50, but can occur in teens after braces, and in both men and women at any age. At first that did help,but now over time of a few weeks,it's getting bad.and continues to get worse each day the way it seems. The results of this cohort study, which assessed exposure before the onset of allergic rhinitis, strengthen considerably the evidence of the role of indoor dampness problems as determinants of allergic rhinitis in children. Carson Dunlop Associates' provides extensive home inspection education and report writing material.
I was in mid 20's & didn't want to ruin their wallpaper when we moved in to get the white stuff off the walls. Although no controlled studies have been conducted for treatment of neuropathic and psychogenic itch, medications that are part of the treatment armentarium for neuropathic pain, depression, and anxiety seem to be effective. Special Offer: For a 5% discount on any number of copies of the Home Reference eBook purchased as a single order. Special Offer: For a 5% discount on any number of copies of the Home Reference eBook purchased as a single order. If you could let me know something as soon as possible it would be greatly appreciated I am concerned for me and my children's health. We have had some problems in the past with this new system we had put in back in around 2003. So many times I wish I had too but I believe in justice and for the last 9 years have been trying to find out what made me so sich .




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