Hey guys, How do you know when you actually have a sinus infection?  I'm assuming the chronic ones I've been diagnosed with even as a child were always CH, and I've assumed that for the last 9 years or so since I got diagnosed.

For the past week, my chronic CH has gotten a lot worse.  I've not quite been in remission, but have been doing a lot better on the high vitamin D3, until this week.   I think maybe the heat wave on Monday brought it on. 

I would assume it was just CH except for two things:  a lot more pain in my ear than usual, and sometimes during fairly bad ear pain my eye is completely clear.  This pain is between hits, and feels a lot like a bad shadow except its centered in my ear.

How do I decide whether to ask for antibiotics?  Should I request a white blood cell count to confirm infection?

Only a question that a M.D. or R.N. could answer.

Life does go on, even with CH, so it's reasonable to believe you might have an ear infection or sinus trouble.  I'd be having a doc look in my ear for sure.