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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 44414
Experience:  Board Certified Oncologist
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I have a severe pain in my nose it feels as if something is

Resolved Question:

Hi I have a severe pain in my nose it feels as if something is there it also goes up my nose and into my head and feels like a knife going up there it is so painful even breathing hurts I have been to the doctor's and he thought it might be trigeminal neuralgia but I am already on neurotic and they are not helping, he put me on antibiotics and they did help but the pain came back I am now on my third lot of antibiotics, it hurts all the time not just now and again can and is worse if I blow my nose although i am not particularly blocked up can you please help
Cheryl
Submitted: 8 months ago.
Category: Oncology
Expert:  Dr. David replied 8 months ago.

This is Dr. David

I am sorry you are having this pain

I'm surprised you haven't seen an ENT doctor yet

you need a sinus CT scan and an ENT doctor needs to do a sinoscopy scope procedure to look into your sinuses.

you could have a mass pressing on nerves in your sinuses or raw or exposed nerves in your sinus mucosa

in the UK, it can take a long time to be referred to a specialist.

Customer: replied 8 months ago.
Thanks it is getting my doctor to agree to refer me I did think of going private but unfortunately I am on a pension and can't afford itbut like me you don't think k it's trigeminal neuralgia
Expert:  Dr. David replied 8 months ago.

usually trigeminal neuralgia symptoms get better with carbamazepine, also called Tegretol.

usually neurontin or pregabalin usually doesn't work as well.

you would need a brain MRI scan to help the symptoms.

ask your doctor to try carbamazepine and see if it helps

and get with an ENT doctor asap

and ask for a brain MRI scan with contrast to look at the trigeminal nerve and see

also viral infections like shingles or herpes can sometimes infect nerves and cause severe pain.

ask to try an antiviral agent like acyclovir and see if that helps

let me know if you have other questions.

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Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 44414
Experience: Board Certified Oncologist
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