Gurdev (Dave) Judge MD, an Allergist
Board Certified in Allergy, Asthma and Immunology
Board Certified in Pediatrics
Allergy Doctor, Specializing in Pediatrics and Adult

Cary Office: (919) 859-5966
North Raleigh: (919) 870-6440
Wake Forest: (919) 562-7195
Accepting New Patients

Gurdev (Dave) Judge MD, an Allergist

Board Certified in Allergy, Asthma and Immunology
Board Certified in Pediatrics
Allergy Doctor, Specializing in Pediatrics and Adult
Cary Office: (919) 859-5966
North Raleigh: (919) 870-6440
Wake Forest: (919) 562-7195
Accepting New Patients
Schedule An Appointment

Dr. Judge an Allergist, was Trained at Duke University Medical Center as a Allergy Doctor
Recurrent Sinus Infections, Nasal Polyps & Immunodeficiency Diseases, Practicing in Cary, Raleigh & Wake Forest

Chronic Sinusitis

 
What is Chronic Sinusitis?
 

Sinusitis is an inflammation of the sinuses. It is often caused by bacterial (germ) infection. Sometimes, viruses and fungi (molds) cause it. People with weak immune systems are more likely to develop bacterial or fungal sinusitis. Some people with allergies can have "allergic fungal sinusitis." Acute sinus disease lasts three to eight weeks. Sinus disease lasting longer than eight weeks is considered chronic.

 
Common symptoms of sinusitis include:
 
  • Postnasal drip
  • Discolored nasal discharge (greenish in color)
  • Nasal stuffiness or congestion
  • Tenderness of the face (particularly under the eyes or at the bridge of the nose)
  • Frontal headaches
  • Pain in the teeth
  • Coughing
  • Fever
  • Fatigue
  • Bad breath

Nasal Polyps

 
Overview
 

Nasal polyps are growths of mucosal tissue within the nose that can block nasal passagesor sinuses.Most nasal polyps start to grow near the ethmoid sinuses at and start to fill up empty space. Nasal polyps can grow large enough to block sinuses and the nasal airway, resulting in recurrent episodes of sinusitis and difficulty breathing through the nose.

 
Nasal Polyp Symptoms
 
  • People with nasal polyps may experience chronic nasal congestion that has lasted for months or years. Other symptoms include mouth breathing, a sensation of the nose being obstructed, loss of smell, and a runny nose.
  • Headaches and pain are not usually symptoms of nasal polyps but may arise if there is a sinus infection.

Immunodeficiency Diseases & Recurrent Infections

 
Primary Immunodeficiency Disease Symptoms & Diagnosis
 

According to the leading experts in immunology, when part of the immune system is either absent or not functioning properly, it can result in an immune deficiency disease. When the cause of this deficiency is hereditary or genetic, it is called a primary immunodeficiency disease (PIDD). Researchers have identified more than 150* different kinds of PIDD. The immune system is composed of white blood cells. These cells are made in the bone marrow and travel through the bloodstream and lymph nodes. They protect and defend against attacks by "foreign" invaders such as germs, bacteria and fungi.

 

Serious PIDDs typically become apparent in infancy. In milder forms, it often takes a pattern of recurrent infections before PIDD is suspected. In some cases, a PIDD is not diagnosed until people reach their 20s and 30s.

 
Important signs that may indicate a PIDD include:
 
  • Recurrent, unusual or difficult to treat infections
  • Poor growth or loss of weight
  • Recurrent pneumonia, ear infections or sinusitis
  • Multiple courses of antibiotics or IV antibiotics necessary to clear infections
  • A family history of PIDD
  • Recurrent deep abscesses of the organs or skin
  • Swollen lymph glands or an enlarged spleen
  • Autoimmune disease