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My kid had her sinuses drilled out this past summer. Her ENT is cautious, so prior to surgery he had her take targeted antibiotics based on the infection(s) in her head. He had her treat her allergies. He did steroid treatments. She cut out potential triggers (dairy, sugar, wheat). But after a few years of throwing things at it and the concrete junk in her sinuses not clearing out, surgery it was. It was out patient. She was in significant pain for a week and then was generally exhausted and spacey for another few weeks. But she can breathe now. She doesn't have constant pain in her face. She doesn't catch every bug that comes along. She can get sick without bleeding out of her eyes (cool party trick!)
I recommend seeing an ENT. You can probably find one who will jump straight to surgery, but it might be worth making sure none of the "easier" things will fix it. My kid was truly miserable for about a week and my husband was almost to the point of calling her doc and begging for pain meds beyond Motrin + Tylenol. OTOH months later she's glad she had the surgery and seems to have halfway forgotten how miserable she was while healing.
That sounds rough. I got a single shot of tramadol after the surgery and that's it, they offered a nightcap shot, but I refused it and didn't need any meds after that, just felt like shit for three days.
I think hers was an extreme case. Every single sinus cavity she had was full of gunk and had been for years. And I think she was really sensitive to pain in her face. She also ended up with necrotic uvula (no big deal, the dead bit falls off, but it was additional pain).
Good pain meds would have been nice. But a humidifier and heat and ice packs and parents at her beck and call worked. The surgery worked wonders but I think it's definitely worth it to try other possible solutions first.
My sinuses were completely full as well and the doc was quite surprised I had no complaints about them: no headaches, no sensitivity. I guess I was lucky.
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