{"id":1296,"date":"2023-10-09T14:47:59","date_gmt":"2023-10-09T18:47:59","guid":{"rendered":"https:\/\/www.allergy-associates.com\/?p=1296"},"modified":"2023-10-09T14:47:59","modified_gmt":"2023-10-09T18:47:59","slug":"dear-dr-k-i-read-something-that-indicated-chronic-sinusitis-can-predispose-to-stroke-it-scared-me-is-it-true","status":"publish","type":"post","link":"https:\/\/www.allergy-associates.com\/?p=1296","title":{"rendered":"<strong><em>Dear Dr. K;\u00a0 I read something that indicated chronic sinusitis can predispose to stroke.\u00a0 It scared me.\u00a0 Is it true?\u00a0 <\/em><\/strong>"},"content":{"rendered":"\n<p>The short answer to your question is yes. But, the best answer to your question is maybe.&nbsp; First of all, it is important to know that vascular problems in general whether due to blockage from plaque or due to a clot have inflammation as a common denominator.&nbsp; Whether you\u2019re talking about a coronary artery or a carotid artery or an intracranial artery its arterial inflammation that sets the stage for the problem.&nbsp; By way of example, its arterial inflammation that acts as the \u201cVelcro effect\u201d enabling cholesterol plaque to build up.&nbsp; As it turns out any repository of inflammation in the body can contribute to this \u201cVelcro effect\u201d.&nbsp; Thus, chronic sinusitis has this potential.&nbsp; But what is important to understand is that its untreated, smoldering chronic sinusitis that has this potential.&nbsp;<\/p>\n\n\n\n<p>There is some evidence that the proximity of the sinus inflammation to the carotid arteries and the intracranial arteries gives this a more potent negative effect in terms of stroke initiation.&nbsp;<\/p>\n\n\n\n<p>In your particular case you treat the chronic inflammation with your allergy shots, your Singular (a non-steroid respiratory anti-inflammatory) and your topical nasal steroid spray.&nbsp; However, some people choose not to treat a chronic sinusitis and therein lies the potential mischief.&nbsp;<\/p>\n\n\n\n<p>The worst case I have personally seen was a patient of mine who had chronic infected sinuses producing yellow and green mucus who declined therapy from me, her PCP and an ENT.&nbsp; She suffered both a stroke and a brain abscess from the condition.<\/p>\n\n\n\n<p>Another way that chronic sinusitis might lead to stroke is due to self-medication with either topical or oral decongestants.&nbsp; Both have the potential to raise blood pressure and pulse and<\/p>\n\n\n\n<p>if used as a chronic therapy (as opposed to brief and occasional use) they can add to the hazard of stroke.&nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The short answer to your question is yes. But, the best answer to your question is maybe.&nbsp; First of all, it is important to know that vascular problems in general whether due to blockage from plaque or due to a clot have inflammation as a common denominator.&nbsp; Whether you\u2019re talking about a coronary artery or a carotid artery or an intracranial artery its arterial inflammation that sets the stage for the problem.&nbsp; By way of example, its arterial inflammation that&#8230;<\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/www.allergy-associates.com\/?p=1296\"> Read More<span class=\"screen-reader-text\">  Read More<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[634,635],"class_list":["post-1296","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-chronic-sinusitis","tag-stroke"],"_links":{"self":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1296","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1296"}],"version-history":[{"count":1,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1296\/revisions"}],"predecessor-version":[{"id":1297,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1296\/revisions\/1297"}],"wp:attachment":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1296"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1296"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}