There is definitely a hole in my sinus. I felt pretty good the first half of the day. A surgeon changed out my packing for me this morning. I got that jolt of sharp pain when he packed it and several times before I drove away. The packing began to settle and all was good until about 2pm. I started feeling pressure in my sinuses all over my face. The pressure and aching increased and went from under my eyes, my temples, my cheek bones, and my glands near under my ears and running down the sides of my neck. I began hearing the fluid pressure in my ears, and nose. Then around 4:30pm, the dry socket "popped" just like when your ears pop in altitude changes, and when that happened I had another jolt of pain from the site (or dry socket) except this one was much much more painful. Also, when this happened all the pressure released in my head. Then I noticed this same fluid leaking from the site... the packing for the dry socket pain is no longer in contact with the bone or whatever it is that is hurting. It didn't slowly move, it was pushed by pressure! I wasn't doing anything to cause that to happen. I have been really careful not to apply unnecessary suction or pressure in my mouth, because I know it makes the dry socket worse.
I continue experiencing this random extremely painful and strong jolt of pain from the site. It hits me out of nowhere and I am so emberassed by my reaction. I very obviously jump and gasp, and it's a reaction that I can't seem to prevent/control. I keep trying to figure out how to prep myself so I won't do it, but I react the same every time. It is so embaressing. I react to it in public and at work. It takes my breath away afterwards... and I don't know how to save face after I do it. It looks bizarre and I know it freaks people out. I look like someone that is shocked in front of just about everyone.

I get full of pressure like I mentioned and then it releases through the site. I was in so much pain from these jolts of pain, so I called the on-call. The same surgeon that packed it this morning. I explained what was going on, and asked to please call in a narc for me. I have gone without narcs for the pain up until now. I only used Ibuprofen after the extraction even. The shocking has slowed down since I've taken the narcs.

The surgeon said that the site did not appear red or have pus, and he said that I did not have a sinus infection, and he pointed out that I am back on antibiotics anyway. He went on to explain how he would treat a perforated sinus, and that included using nasal decongestant spray. He said that I just need to keep it clean and it will heal on it's own. That was the only thing I was not already doing so I bought some. I most definitely have a hoe in my sinus wall. When I sprayed the medicine into my nostril it went pouring into my mouth. That tasted disgusting. I sprayed it into my other nostril and none of it went into my mouth.

I am now taking narcs, and I continue to feel this build up of fluid and hear the fluid build up... and then it drains out of my extraction site.

Ugggg ... this sucks so bad.