Hi there.

There are a few possible causes of your symptoms. These include infection (most likely fungal considering you have been on so many rounds of antibiotics), eye strain, allergies, and vitamin/mineral deficiency to name a few.

I would suggest the following: These suggestions can be difficult but they are doable. It takes a little bit of time and energy but may help significantly. Ready?

1) Avoid all artificial ingredients. This includes artificial colors (yellow #5 - tartrazine, red, blue, etc), artificial sweeteners (splenda - sucralose, saccharin, aspartame - nutrasweet, acesulfame K), and artificial preservatives (sulfites, nitrites, BHT). Tis requires reading the labels and asking alot of questions when buying food. If you stick to whole foods - fruits, vegetables, meats (not processed), and whole grains, this is much easier to accomplish.

2) Water - drink at least 5 cups of water per day.

3) Magnesium (citrate or malate form) - in about 50% of headache sufferers, magnesium alone helps. Oral magnesium in dosages of about 300-500 milligrams has been helpful for my patients. You must discuss this with your doctor before starting as not all natural medicines are safe for everyone.

4) Food sensitivity testing. I have found much success in my practice after running a specific type of food allergy testing...especially if all other tests are negative. Often people are experiencing food sensitivities and do not realize it. You can find more information about this type of testing here: www.betterhealthusa.com I highly encourage you to visit this website and talk about this testing with your doctor. I used to get sinus issues and do not any longer after removing the foods that I was sensitive too. I run this test often on my patients with unexplained symptoms and in about 80% they have complete relief. I am not promising that this is the answer for you, but I believe it is worth investigating.

In addition you may want to try the following (after discussing the options with your doctor):

1)Remove dairy products from your diet. Products made from cow's milk (milk, cheese, yogurt, ice cream, etc) are mucus forming foods and are also considered highly allergenic foods. It may be worth a trial of eliminating these foos and watch for improvement.

2) Nasal irrigation. Washing your sinuses with warm water and salt solution may help improve drainage and improve symptoms. You can use a neti-lota pot or bulb syringe. You can find more information here: http://www.mayoclinic.com/health/nasal-lavage/MM00552

3) Decrease sugar in your diet. Sugar is also mucus forming and also lowers immune function.

4) Dry pillows and bedding on high heat for 20 minutes 1 time per week (or more frequently if you like). This kills dust mites which are a common allergen and also cleans the pillow pretty well (do not throw temperature sensitive pillows into the dryer such as Tempurpedic pillows).

I think the MRI is a good idea. If it is negative, I would encourage you to look into the food testing. Also, antifugals may still be a good idea. The Mayo Clinic did a study and showed that greater than 90% of individuals with chronic sinus problems (which mane of your symptoms correlate with) are secondary to fungal infections. A nasal spray composed of terbinafine + beta glucan may help. I would consider talking to your doctor about a trial with an anti fungal nasal spray.

I have found sinus issues to often occur secondary to digestive problems - not always but often. Correcting the digestive function and removing food sensitivities may help with the sinus issues. Also, fish oil (good brands are Carlson and Nordic Naturals) because they may have anti-inflammatory properties may help. The essential fatty acids found in fish oil (specifically cod liver oil) are important for optimal health as the membrane of every cell in our body is composed of these fats. In addition, cod liver oil contains vitamin A which has been shown to be antimicrobial. Fish oil is also antiinflammatory. It is important to talk to your doctor before beginning any treatment.


It is important to discuss testing as well as treatment options with your doctor. Natural medicines are still medicine and need to be discussed with your doctor before beginning.

I hope you find this information helpful.

-Dr.John

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