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Posts Tagged ‘sinus infection’

Laid low by my Sinuses

October 19th, 2009

I just spent a lovely weekend visiting my daughter at college. She is very happy, working hard, very much at home and thriving. And I have to say the weekend was a success story for me, because I managed a marathon week of preparation and a rather strenuous trip with only one mild Migraine. We flew out Thursday evening and were scheduled to take off at 8 pm, but due to winds and rain our flight was delayed 3 hours. On the other end there was a delay in getting to the rental car facility and then we had 50 miles to drive. We got into the hotel at 2 am, and got up before 7 to meet my daughter at an 8:30 class. My husband had a difficult night with his breathing, which meant he snored quite a bit, so I really didn’t sleep more than a few brief dozes. It’s amazing that I only had a very mild Migraine in the middle of the day, and taking a triptan and lying down in the college library for 40 minutes, followed by a nap at the hotel later on, took care of it for me.

It’s been unseasonably cold here in the East, and out in the upper Mid-west where we were as well, and I have encountered a number of people with colds. I started sniffling out there, and noticed the air was drier than I’m used to. We flew back last night and got diverted to a different airport – all flights into Newark were canceled due to more high winds, and we had to call a friend to get us at the airport, and got in pretty late.

I guess the strains on my stamina – two flights, two late nights, a lot of running and hustling through airports, and even two enjoyable but busy days when I was on my feet a lot – showed up in a weakening of my resistance. I didn’t have a flare up of body pain, like I sometimes do when I exert myself, and I didn’t have continual Migraines, which are common for me on trips where I fly. i have to say my Migraine management plan is working well. I just succumbed to this infection.

I woke this morning with a sore throat, swollen glands, green post-nasal drip, and a feeling like I’ve been hit by a truck. My old familiar friend the sinus infection. Only one of dozens I’ve had in the last 14 years. My nose isn’t particularly congested, it’s all back in my throat. It amazes me to be laid low by something that is nearly invisible, some microscopic invasion of small cavities in my head. No major cold preceded this, just a few days of an itchy nose and a need to sneeze. It seems like other people get great goopy colds and I encounter the virus or whatever it is and it immediately runs into the back of my head and starts this secret war on my system. It’s not that I want my nose to run, it’s just continually hard for me to believe in the thing that knocks me out. I lie around a few hours and then I think I must be well enough to get up, after all, I have no fever, no stuffy nose, no headache, nothing but a sore throat, and then I get up for a moment and ka-boom! Where’s the truck that hit me?

I did a lot of work last week, to get out Thursday afternoon, and leave all work behind for the weekend. Of course I didn’t accomplish everything I planned (the day that happens I can retire, I guess!), and all day today I have been thinking about the things I should be picking up and getting back to today. I barely have the mental stamina to write this, let alone do anything else. I think of something I need to do and then say “Umm…” and forget about it. The infection dulls my brain. I know I just need to rest. For today I am staying in bed and drinking lots of tea and juice and water and taking loads of vitamin C and echinacea and zinc. I have all kinds of important things I want to tell you about – topics for posts backed up, and a newsletter to get out. But… not today.

– Megan

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Posted in Musings | Comments (0)

Being Chronically Ill, and Feeling Well

March 5th, 2009

I woke up feeling well, and well rested, before my alarm went off this morning. That may not sound like a big deal, but it is very unusual for me, and worth commenting on. I went to bed last night with a Migraine that hadn’t fully resolved, and with a queasy stomach, which I thought was nausea from the Migraine. The head pain was completely gone this morning but now in early afternoon my stomach has gone back to feeling a bit queasy, so I am wondering in retrospect whether the stomach gripe yesterday was Migraine nausea or IBS or whatever else this may be that I am feeling today. Having multiple chronic illnesses is like that. Most of the time I’m grateful if nothing really major is going on. It’s rare that some degree of minor ick isn’t happening, and it’s also rare that I can sort it all out and say definitively what is bothering me on a given day.

I felt so well that I set my Facebook status this morning to say “Megan Oltman is feeling really well for the first time in weeks.” Within a few hours I found myself musing on what exactly “feeling really well” is, whether it’s a moving target, and whether it’s a claim I can make. I’m not feeling as well as I was when I got up this morning. On the other hand, I don’t have a Migraine, my stomach is only a little queasy with no major pain or cramping, I don’t feel fatigued, I am mentally clear, I am not congested, I am fairly energetic – this is a good day! I might even color it pink!

I have a Wellness calendar which I color code to indicate how well I am on a given day. This allows me to keep statistics and track trends. I calculate how many Migraines per month I have, how severe, how long they last, what triggers them and what I do to treat them. I calculate how many days I am sick but functioning, how many days semi-functioning, and how many completely out of action.  Each type of day has a color. Days I feel great I am “in the pink.”  Then I calculate percentages of wellness and illness for a given month, for two and four months trends, for a year.  Yesterday I caught my statistics up and discovered that 2008 was my worst year for wellness since I started tracking.  Not that I couldn’t have told you that by gut feel, too, but it’s a rude awakening to see it in black and white and pink and orange and brown… I really think I deserved a pink day after that.

A dear friend, who lives far away, and who I don’t talk to nearly often enough, read some of my writing recently and told me she was surprised to hear me describe myself as having been chronically ill for the past 14 years. She thought I must be uncomfortable talking about it, or why had I never told her? Laura’s a perceptive one, and of course it has been uncomfortable to talk about, especially in the first 8 or so of those years where I was trying to figure out what was wrong with me, blaming myself, thinking I was a hypochondriac, all the things that so many of us do. Now I think it’s not so much discomfort as just a long story to catch people up on. That’s part of what I try to do here. I am chronically ill. I have chronic Migraine disease, chronice fatigue syndrome, irritable bowel syndrome, multiple allergies, and chronic, or at least frequently recurrent, sinus infections. The good news is that I am actually up and functioning about 75% of the time!

February was a bad month. I was sick 14 out of 28 days, and that doesn’t even count days I was okay all day but was knocked out with a Migraine in the evening. Today I got out for a walk. I am clawing my way back to the top of the mess in the house and on my desk, and feeling caught up with my work again. The sun is shining, the snow is melting, and I feel well. Pink? At least pinkish!

– Megan

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Posted in Communicating, Musings | Comments (2)

Chronically Ill? What Are You Doing for Fun?

September 22nd, 2008

Fun?  Megan, come on, what do you mean fun?  I get up, I take meds, I go to work, I try to make it through the day, I come home in pain and try to do the minimum I can to get by, feeding myself, family, pets, doing laundry, paying the bills, I collapse as soon as I can.

Fun?  Everything I used to do for fun is gone – I can’t… drink, smoke, go out in the sun, exercise, go to rock concerts, go to noisy/smoky bars… fill in the blanks.

Fun?  I can’t afford to have fun.  My money all goes to doctor bills, medications, co-pays, insurance premiums…

Fun?  Look, I can’t have fun when my basic responsibilities aren’t being handled.  I’ll have some fun after I’ve felt well enough to finish the taxes, clean the house, mow the lawn…

Have I covered everything?  Any other objections you can think of?  I want you to know I have lived my life at times inside of every one of those objections.  Who has been my biggest killjoy?  Not Migraine disease, chronic fatigue, sinus infections, nasty bosses, demanding clients or disbelieving relatives, but little old me.  My own biggest Killjoy.

But I am taking a stand for Joy, alive and well.  This is my life.  Now.  Imperfect as it is.  If I wait to
get everything done first and then have fun, two things will happen.  I will never get it all done, and I will never have any fun.

Do I want this on my tombstone:  Got it all done?  By the way, even if I want it, it’s never going to happen.  As fast as I can do something, no, even faster, the more stuff to do gnomes are creating more stuff to do.

And even if I give up on trying to get it all done, I also have to give up that I will have fun when I feel better.  What if I don’t feel better?  Sorry guys, but what if this is as good as it gets?  Don’t stop hoping and working and fighting, but I could die tomorrow.  This is my life.  Now.

So what do you do for fun?

What gets you up in the morning?

What do you look forward to?

Your life is happening now, imperfect as it is.

What restores you, restores your perspective, where is your creativity?

Laugh.  Play.  Laugh some more.


I’m crocheting a granny square scarf.  Kind of silly and retro-60’s but I enjoy it.  I am clearing my front porch little by little preparatory to stripping off the ratty old indoor-outdoor carpeting and painting it. I’m walking in the park every day I feel well enough.  Sharing books to read with my kids & husband.  Taking DVDs out of the library.  Mostly I’m concentrating on finding fun things for when I’m sick or my head hurts, and taking time for fun on the weekends, whether or not we’ve gotten through our house projects agenda.  And making plans with friends and family, not worrying whether we might have to cancel them.  Making them anyway.

– Megan

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Posted in Managing | Comments (5)

Migraine, Chronic Illness and the Not So Happy Homemaker, or All in a Labor Day’s Work

September 1st, 2008

I do not claim to have ever been a great homemaker. I enjoy well organized space. I enjoy design, and
line, and tweaking the environment around me for comfort, beauty, and efficiency. So perhaps I am a perpetually frustrated homemaker, because these joys are rarely ever mine. I live in a state of clutter, disorganization, confusion and catch-up. Uh-oh, now I’ve told the truth. Will you ever listen to what I have to say again?

Wherever you start on the spectrum from neat-freak to pig-pen, Migraine and chronic illness will hamper your ability to get it all done. I remember a time before my Migraines and sinus infections became frequent, before chronic fatigue reared its ugly head, and, let’s face it, before I had children, when my home was tidy on a weekly basis, at least. When Danny and I first moved in together I wanted to get up on Saturday morning and get the housework over with, and then enjoy the rest of the weekend. He wanted to lounge around on Saturday morning and get to it later. Which generally meant we’d be cleaning at 5 pm, when we had plans to go out later, and we would do less than I wanted, and I would worry about it and not get to relax at all. But this is a blog about Migraine, right, not about relationships?  I thought that issue was difficult at the time. What I deal with now is of a different order of magnitude.

I have a generous, hard-working and willing husband who tries to maintain order in our home, with or without my help. He is also a fabulous cook and does most of the cooking. I have a nearly adult daughter who is a willing helper when she has the time, and a son who has come a long way with being helpful. I am also the one of the four of us who is not diagnosed with ADHD. This means I am the only one who can really multi-task. It means I’m the only one who notices a lot of the clutter. It means that I am the Captain of this house. So if the Captain is in sick bay, the ship may end up on the rocks.

I have had, this past 12 months, the worst year for Migraine and the year with the most sick days, since I began my Migraine and wellness diary 5 years ago. That means the house is in an advanced state of mess. It had never been tidy, but it’s worse than usual. Deborah at Weathering Migraine Storms posts about her craft projects and I feel jealous – I love crafting too, but it seems pointless to decorate when everything is a mess. The energy I’d like to spend on creativity, or on organizing, is so often taken up with the basics, dishes, kitchen counters, laundry.

But I have to stop and count my blessings. Unlike some Migraineurs, I can still work for a living. So if my energy and time is limited, and I spend it helping to keep a roof over my family’s head, I can’t fault myself for the state of things under that roof.

My advice to you, and me: cut yourself some slack. Do the best you can and take the time to enjoy life.  Keep blocking out your time in the calendar to make the most of the time you have, working from your priorities.  See More Time Management for Migraineurs: Managing the Time we Have for some more ideas on how to do that.  As for me, today I’m post-drome and having some vertigo. I am doing my best to make my way through a back-log of dishes (the dishwasher is broken) and fold the laundry, with plenty of resting time in between. Happy Labor Day!

– Megan Oltman

Dirty dishes image courtesy of Easternblot – eva.

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Posted in Managing, Musings, Tips & Techniques | Comments (2)

Can Crying be Bad for You?

August 15th, 2008

I believe firmly that it is good to express our emotions, rather than suppress them.  Sometimes we
just need to cry.  Crying on a friend’s shoulder.  Weeping at a funeral.  I’ve had several such completely appropriate crying occasions this summer.  Both times I got Migraines.  Today I have a sinus infection.   It’s a crying shame!

I am speculating here, and make no claims to scientific accuracy in this post.  I’m wondering about the physiology of crying.  It’s more than just salty water running down your face.  I don’t know if anyone really cries like they do in the movies, or in literature, delicate trails of tears, without anything swelling, nothing disgusting.  I’ve certainly never been able to achieve that.  For me, crying involves swollen nasal passages, a red blotchy puffy face, a fountaining nose.  Altogether much yuck.  Crying is a well-known Migraine trigger.  I suspect the good old trigeminal nerve must be involved – it runs right through and controls all the regions involved in a sob-fest.  And then it must get irritated, and set those neurons on their merry way, doing their haywire Migraine thing.

I don’t know if I can explain the sinus infection this way, but I’ll try.  I’m not suggesting spontaneous generation – there must have been an infectious agent.  Who knows what rhinoviruses lurked at the airport, on the plane, in the rental cars, in the colleges and even friends’ homes we visited.   But I suspect that my crying must have swollen passages and shut down my tiny sinus ducts, trapping some opportunistic organisms, backing things up and leading to infection.

Yesterday I attended a very sad memorial service.  A friend lost his wife – a bright, funny, lovely woman of 37.  Witnessing his pain, and the pain of her parents and siblings, all of her friends, his friends…  Well there was much weeping.  Completely appropriate weeping.  I felt knocked out for the rest of the day, and by evening I had a Migraine, my throat was sore and my sinuses were doing their nasty thing.  Today I think the weeping is still going on – just inside my head rather than on my face.

Like so many things that can trigger us, crying can’t be avoided.  It’s part of life.  Probably I would have gotten this infection anyway.   So I will remember LM from my bed today, drink lots of tea, take my vitamin C and zinc and magnesium, and hope this clears up soon.

– Megan

Crying clown face image courtesy of Prakhar Amba.

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Posted in Medicine, Musings | Comments (2)

Not a Happy Camper

March 20th, 2008

I’m not really even up to a rant.  The nasty sinus infection has spawned several days of set my teeth on edge migraines.  Then today my computer died, taking several power cords down with it.  Conspiracy?  You could only call me a grumpy camper right about now.  I will write you all a nice juicy post as soon as things clear up in my brain and my world.  Can’t be long now!  Right?

– Megan

Please feel well – someone has to!

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Posted in Rant | Comments (1)

The Weather Report inside my head (Sinus and Migraine locked in competition)

March 16th, 2008

Sniffly with a chance of coughing?  Yesterday’s migraine has transitioned into today’s sinus infection.  You don’t really want to hear about the nasty greenish glop going down the back of my throat!  I seem to have two major weather systems duking it out in here.

I’m going to try to make sense here, but the brain is not quite up to par today, so no promises.  It’s hard to think with stuff pressing on the brain – whether that’s from the inflamed blood vessels of a migraine or from blocked up sinus cavities.

I’ve been wondering for some time about the sinus/migraine connection.  In a thought-provoking article, Sinuses giving you a headache?  It’s probably Migraine! Teri Robert tells us that ” nearly 9 in 10 people with sinus headache symptoms likely are suffering from Migraines,” and Migraine not only causes pain in the sinus area, but can lead to nasal congestion as well! According to a research study  presented in 2004 at the 46th Annual Scientific Meeting of the American Headache Society (AHS), “real” sinus headache is only present when there is a sinus infection, which typically involves fever, lots of green or yellow mucus, and swollen lymph nodes.I have to say, as one who has clear and obvious Migraines, (pounding pain in one or both temples, with extreme light and sound sensitivity) and clear and obvious sinus infections (with the green glop of doom, swollen glands and fever), the study raises as many questions as it answers.  To quote Teri Robert further:

Ironically, researchers believe a few of the people in the study may have acquired sinus infections as a result of having a Migraine. Lengthy Migraine attacks can lead to swollen nasal membranes and closed off sinus passages, creating the perfect environment for an infection, said Dr. Eross.

I had one neurologist (not a headache specialist) tell me my sinus problems are probably Migraine.  Without asking any further questions about my history, it sounds like he read the research, but I don’t think he was giving me useful information.  I don’t generally have those suspect sinus “headaches,” I have months of recurrent infection symptoms.

This is the essential chicken and egg dilemma.  Do my Migraines lead to sinus infections? Does the pressure and swelling of infection trigger Migraines?  Both look likely from my own history.  My internist is intrigued by the question but has no answer for me.  I’ve got my hopes pinned on the headache specialist appointment in June.   What difference does it make?   If I can work out a good preventive regimen for either ailment, I’d love to have it help both!

In the meantime, I try to live in the way that will best take care of both the sinuses and the Migraine brain, which for me involves avoiding dairy, keeping my supplements up (including magnesium and B for the head and C and zinc for the immune system), eating in a way that takes care of my gut (high fiber, not a lot of processed foods, using a pro-biotic supplement), keeping my nasal passages moist with a neti pot and saline spray, and using relaxation to keep the ole brain calm cool and collected (more or less).

Megan Oltman

Free my Brain from Migraine Pain, Free my Head from Sinus Dread?

Vitamin photo courtesy of DRB62/Daniel R. Blume

Gargoyle photo courtesy of ClatieK/Katie Claypoole

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Posted in Communicating, Managing, Medicine | Comments (1)

This is snot about migraine…

February 9th, 2008

Okay, I just had to share this.  I’m up past my bed time, getting punchy.  In the continuing quest for relief from my recurrent sinus infections we are considering whether surgery to remove nasal polyps might be helpful.  Apparently there is a frequent correlation between seasonal allergies or asthma (I’ve got the allergies, not the asthma), aspirin allergy (which I have) and nasal polyps.  My doctor wants me to research this connection, known as Samter’s Triad.

So I’m on pubmed.gov reading these medical studies all written in medical jargon and all very serious… So here’s one about “Medical and surgical considerations in patients with Samter’s triad” and they’re going on about doing “functional endoscopic sinus surgery (FESS)” and then the patients were CT scanned and they measured the FESS results by a test called (I kid you not) the “Sino-Nasal Outcome Test (SNOT-20).”

So if I go through with this – you can ask me “hey, how’d your SNOT test come out?”  “We were hoping for a better outcome – but all we got was the same old SNOT…”

Who said doctors have no sense of humor?

– Megan

Gotta laugh, otherwise we’d cry.

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Posted in Medicine, Silliness | Comments (0)

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