Another day another specialist... My tear duct is still swollen and inflamed. Ongoing flucon drops are helping to manage it in the meantime, but I was referred to the ENT who did my sinus surgery years ago to check whether it might be related to my nose or sinuses. Saw him yesterday and things look ok from the nose end, so next step is some imaging of the tear duct system. Turns out he does tear duct surgery, hoping it won't come to that.

Peripheral and axial AS diagnosed October 2011 aged 50, more than 15 years after the symptoms started. Also PCOS, GERD/oesophagitis/dysphagia, IBS, asthma,chronic rhinitis. Taking enbrel, methotrexate, folic acid, omeprazole, vitamin D, metformin, steroid inhaler and eating low starch/low GI.