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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 36099
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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Hello doc.. A question for you.. I asked this earlier today

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Hello doc.. A question for you.. I asked this earlier today but you were offline, just want your opinion on it.. Last night when I went to sleep and was lying on my right hand side my left nstrl kept leaking lots of watery fluid, I had to keep going and blowing it out, this only happened when I lay on my right.. As well as this the all my teeth mainly on the top right of my jaw felt very sensitive.. But the pain subsided when I lay down.. Also my eye sockets were hurting.. So what do you reckon?
Hi. This only happened the one night?
Customer: replied 3 years ago.
Yes.. Just lastnight
Sorry for the delay guy--site problems. This liquid was perfectly clear? How are your doing right now?
Customer: replied 3 years ago.
I'm ok now.. Yes it was watery and clear.. I thought it was sinusitis because of the pain in the eye sockets and upper teeth pain.. My nose has been blocked for the past few days and I have been using a decongestant spray.. Anyway my mind started thinking of the worst and thought it was a CSF leak so I went to A&E and had a CT scan.. Results were : normal intracranial appearances, no skull bone or calvarial fracture, mucosal thickening in the right maxillary antrum
Just one question here--what made you think it was a CSF leak?
Customer: replied 3 years ago.
Just the way it leaked, clear and watery like a dripping tap.. Usually if I've had anything from the nose it's a little thicker in appearance .. What would you have thought it was?
I was just wondering how you knew about CSF leaking from the nose and what it looked like. Without a major blow to the head--usually the frontal bone, nose, and the orbits, we never see a leak since it takes a skull fracture in the sinuses, the orbits, or the base of the skull for that to happen. I would have told you it was just a sinus leak--probably something like allergic rhinitis.
Customer: replied 3 years ago.
Oh ok.. I've picked up a lot of medical knowledge over the years and jump to the worst case scenario when it comes to symptoms eg like my leaky nose.. I know the ct has confirmed that theres no fracture but you really think it could just be a sinus issue and nothing worse?
Nothing worse my friend and always remember a little knowledge can be a dangerous thing
Customer: replied 3 years ago.
I agree.. Sometimes I wish I didn't know so much.. So the sensitive teeth, eye pain both linked to leak?. Can sinus fluid be totally watery and clear?
Yes if it's just an allergy and not an infection. The mucosal thickening is where the fluid is coming from
Customer: replied 3 years ago.
Ah ok that was my next question.. The mucosal thickening is in the right maxillary antrum, but it was my left nostril that was filling up
Sorry--missed that. Nevertheless that means allergies and it must be affecting you left sinus too
Customer: replied 3 years ago.
That mucosal thickening in the right maxillary sinus was picked up back in 2012 too.. It might have something to do with the septoplasty I had a few years ago.. They had to clear one of the sinuses at the time because it was just complety full or blocked, they called it FESS I think
Well, all the same, you don't need to worry about this my friend
Customer: replied 3 years ago.
Ok well I don't want to have to worry about this on top of everything else ive worried about recently.., if it had been a CSF leak it wouldnt have resolved itself this quickly would it? It would still be leaking wouldnt it?
Worthless hypothetical my friend--it isn't a leak--you have no skull fracture. But just to answer, no, it would still be a problem at this point
Customer: replied 3 years ago.
Lol ok thanks.. I probably wouldnt have gone for a ct scan if I had chatted to you earlier today .. I think I just panicked and went
That's OK
Customer: replied 3 years ago.
Thanks doc, you on here for a few more hours yet?
For another six hours or so
Customer: replied 3 years ago.
Ok good night for now .. And thanks.. Defo not a CSF leak?
Absolutely not
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