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Re: Ask ENT doctor to order this test
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Published: 9 years ago
This is a reply to # 2,082,872

Re: Ask ENT doctor to order this test

Here's some more information for clarification. Remember that the Mayo Clinic's study also states Antibiotics may cause mold in nose, which must also travel to your mouth...especially through postnasal drip.

"Exciting New Research About The Causes And Treatment Of Chronic Sinusitis

It has always been assumed that chronic sinusitis is caused by a bacterial infection within the sinuses; thus, patients have been treated with Antibiotics to fight the infection. However, a recent study by the Mayo Clinic appears to refute the bacterial infection hypothesis. In fact, the Mayo Clinic stated that " Antibiotics don't help chronic sinusitis in the long run because they target bacteria, which are not usually the cause of chronic sinusitis."

So if a bacterial infection is not the root problem causing millions to suffer from chronic sinusitis, then what's to blame? Fungus or mold (words used interchangeably), said the Mayo Clinic study. While mold is a known allergen that many of you are likely sensitive to, this study shows that mold in the air and in the nose is directly linked to sinus inflammation. Further research to support this discovery was just published by Dr. Donald Dennis who, between 1989 and 2003, studied 639 of his chronic sinusitis patients. Using a variety of treatments, he found that those patients who were treated with a protocol to eliminate fungus from their nose and environment saw significant results in their chronic sinusitis conditions. In fact, the aforementioned Mayo Clinic study demonstrated that 93% of all chronic sinusitis was caused by mold.

Here is what Dr. Dennis has to say about the development of chronic sinusitis:
"In order to achieve and maintain wellness, it is necessary for you to understand why you have sinusitis... How Does Chronic Sinusitis Happen? You breathe airborne mold particles that are in the air. Then you have an allergic reaction to these mold fragments. This reaction causes small pits to form in the membranes that line the sinuses. These pits trap mucous so that it cannot drain. The stagnant mucous gets infected, which can cause nasal polyps [benign growths within the nasal passages] and thickening of the lining which obstructs the outflow of mucous. The polyps then cause more infection and the infection causes more polyps. Thus, there is a vicious cycle which perpetuates itself. If you get rid of the mold in the nose and in the air you breathe and establish drainage in blocked sinuses you can get long term relief."
A more recent Mayo Clinic study proposes that exposure to airborne mold can even cause chronic rhinosinusitis (stuffy nose). All of this new research has also changed the way some doctors go about treating patients with Chronic Sinusitis or Rhinosinusitis. The exciting part is that since mold is an environmental problem, many of the steps suggested by Dr. Dennis and others are non-invasive, practical healthy-home solutions.

Control The Mold! (Don't forget hidden mold on shower caps which should be cleaned in vinegar 1x/month.)

In accordance with the hypothesis that mold is the infection-causing culprit for much of our chronic sinusitis, the two most important factors to maintaining drainage in blocked sinuses are removing the mold in your sinuses and removing the mold in the air you breathe. Dr. Dennis emphasizes that a patient must strictly follow the protocol to remove mold from the nose and environment to see results. You can read more specific instructions at
You can also view a pdf version of Dr. Dennis' recently published article, "Chronic Sinusitis: Defective T-Cells Responding To Superantigens, Treated by Reduction of Fungi in the Nose and Air."

Here is a brief overview of the sinus protocol used in the study. To control the fungal load in his patients' noses, Dr. Dennis administered saline nasal irrigation with an irrigator, like the Hydro Pulse, which removes fungi mechanically. He also had the study participants take antimicrobial nasal sprays. The second major step in getting his chronic sinusitis sufferers to feel better was to remove the mold from their environment. In fact, much of the treatment he uses is the same as what any allergy sufferer should do to avoid exposure to airborne mold particles.

The most important factor to remember is to locate and deal with the source of any incoming moisture. Research Mold and Indoor Air Quality and the importance of Dehumidification for specific tips on controlling mold in your home.

Can Chronic Sinusitis Be Prevented?

Continued exposure to mold in your environment that lodges in your nose can inhibit the draining of mucous in the nose. Stagnant mucous can become infected and harbor bacteria, causing further infections. It is important to note that a deviated septum or other obstruction of the nose may create pockets of fluid in the nose that can become infected. Also, in some cases dental infections can spread into a sinus cavity and infect it directly. However, if you fear that mold may be at the root of your sinus irritation, it is important to know what kind and how much mold may be in your environment.

Many doctors recommend taking an air sample for mold using specialized COLLECTING PLATES. Typically, such plates contain a substance such as agar, which allows mold to grow readily once collected. A plate should be placed in the bedroom, kitchen, living room and/or attic - or wherever mold is suspected. The plates are to be exposed to normal airflow for 1 hour, then wrapped in foil and sent to a lab for analysis. If the lab analysis of your test plates shows airborne mold counts of more than four colonies then you should implement a mold-reduction regimen. During Dr. Dennis' clinical trials, patients were instructed to maintain environments with mold counts below 4 colonies. Those who maintained this level experienced dramatic improvement in their symptoms.

Some helpful tools for reducing mold counts in a room include using goodmorning Purifying Spray, which is odorless GRAPEFRUIT SEED EXTRACT - a natural enemy to mold. In lab tests, CitriSafe, which uses cartridges of filter solution, reduced mold counts in a 200 square foot area to safe levels. For larger areas, we recommend placing two CitriSafe Refill Cartridges with wicks exposed on top of or within a HEPA room air cleaner. This will ensure the solution is properly disseminated throughout the affected room.

Another helpful item for those concerned with airborne molds, germs and other bacteria is the Wein Personal Ionizer. Tests show that it reduces the number of mold colonies to zero within its area of coverage. The Wein Personal Ionizer is a convenient solution for anyone who wants clean air on the go - in airplanes or other transportation, city streets, department stores, hotels, movie theatres, etc.

In order to wash out the fungus and bacteria in the sinuses and maintain healthy mucous production, many doctors recommend saline sprays and washes, as well as nasal irrigators, like the Hydro Pulse. Other irrigation options include the Nasaline Nasal Irrigator - a syringe style delivery system that offers portable, positive-pressure irrigation. All of these irrigators use positive pressure to gently clean and moisturize the nasal cavities with saline solution and can provide relief for chronic sinusitis. The SinuCleanse is a durable, convenient irrigator modeled after the same neti-pots that have been used for centuries for nasal cleansing."


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