Anyone with sinus issues / chronic inflammation

I've had several surgeries for my nose and sinuses to reduce inflammation up there. Just had another CT scan showing chronic inflammation and I'm considering surgery again to trim it out so I can breathe better through my nose.

Anyone know if lyme and coinfections and/or mold can cause this condition? Surgery will help me temporarily but it begs the question is this just going to come back again.

Cpoly yes i have it, full congestion on left nostril and sometimes right. In my case i think the herx is cause of it, especialy neuro herx, because my brain gets flooded with bacteria released from brain biofilms and the immune system changes to "survival mode" to kill all the bacteria released and it results in my nose to block in congestion due to that stress happening in the brain. I am saying that because after 3 or 4 days after the herx the nose tends to unblock, then when i hit with abx, everything starts again... I have to use a nasal steroid spray sometimes.

Mold and MCAS can cause this. If the surgeries have not helped in the past, then will something different will be done this time to yield a better outcome?

I personally would not have surgery for this. I saw 2 ENTs for chronic sinusitis before I knew I had Lyme. I read somewhere that Bartonella can cause sinusitis, which makes sense because mine flares up with my nerve pain. There are many, many other non-invasive things you can try before surgery.

Are you off dairy and gluten?

I know some people have had to resort to repeated surgeries.

I started having chronic sinusitis and bronchitis a few years back--13 months nonstop. I went through at least 9 different courses of different antibiotics, which only made me worse (and also happened to trigger very Lyme, Babs and Bart-specific symptoms, which finally ended a 16+ year quest for diagnoses since I was finally able to get to an LLMD for treatment). So at least it was "productive".

But my sinus problems were a fungal issue, resolved in a matter of days with antifungal treatment.

Before taking a mechanical approach I would explore/exhaust environmental causes like mold, fungus, autoimmune. And as someone mentioned dairy and gluten are common sinus infection-causing triggers, or even simply an immune overreaction trigger. These foods are notorious for inflammation due to the damage that can be caused to the mucosal linings within our bodes, some caused by these foods, and the immune system's response to these foods, the way they are prepared, the chemicals used to grow and produce these foods.

Interesting concept about nerve pain and sinusitis--makes a lot of sense. Again, when I started taking antibiotics for the sinusitis and bronchitis, one which was often prescribed for Bart, I started experiencing a lot of really obvious Bart symptoms. I think low doses of abx (which are commonly prescribed for sinus infections) can really mess with your immune system.

-p