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Purulent rhinosinusitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2308 Questions
User :   Hi, I was diagnosed with Purulent Rhinosinusitis & PND. I was advised to take these for 5 days - Levoday 500 (Once a day), Deflazacert 6mg (thrice a day) and Zeet Expectorant tab (thrice a day) - for 5 days. After 5 days, with no change in the symptoms - constant heaviness in breathing in upper part of nose, strain in upper part, right and left part of the head and the back part of head (slightly above the neck) - the doctor advised to take Mobizox (1 + 1/2 + 1/2) for 48 hours now and get back to him after that. Can you please suggest what is the problem here? Thanks.                                                            
Doctor :   Hi
Doctor :   Let me read your query
User :   Hello
User :   sr
Doctor :   Ok
Doctor :   If it is purulent rhinosinusitis
Doctor :   it obviously requires an antibiotic
Doctor :   to settle the infection
Doctor :   has your doctor not mentioned about it?
User :   no
Doctor :   Ok
Doctor :   You should discuss about it with him
User :   I'll on Monday whn I meet again
Doctor :   Ok
User :   but what about mobizox
Doctor :   Meanwhile mobizox
Doctor :   is for pain
Doctor :   do you have any pain?
User :   as i wrote above in my query - almost half of my head at various points always feels strained
Doctor :   Ok
Doctor :   it does help in relieving that
Doctor :   but not the nose part
User :   ok
Doctor :   for that you should take steam inhalation
Doctor :   that shall be very much helpful
User :   just wanted to know if there could be any other problem
Doctor :   and antibiotic would be of great help
User :   i am taking steam
User :   ok
Doctor :   Purulent means
Doctor :   there is pus
Doctor :   that is due to bacterial infection in the nose and sinus
User :   ok
User :   well to tell you about it completely -
Doctor :   after you recover a good exercise shall be helpful
Doctor :   to avoid such in future
Doctor :   Yes, go ahead
User :   ok
User :   i use to sneeze 10-12 times daily
User :   since childhood
User :   but from past 6-8 months or so
User :   i started feeling this continuous strain in the head and nasal blockage kind of thing
Doctor :   Ok
User :   head feel heavy most of the time
User :   difficulty in sleeping sometimes
Doctor :   Ok
Doctor :   I would suggest you to consult an ENT surgeon about this
Doctor :   and also speak about the allergy problem
Doctor :   and allergy test as well
Doctor :   that shall be able to figure if there is any allergy
User :   i consulted an ENT surgeon and he only suggested the above medicines
Doctor :   and that shall help in the treatment decision
Doctor :   ok
Doctor :   You should visit an ENT surgeon with specialization in allergy
User :   he wrote something related to allergy in the prescription but i can't understand the handwritin :)
User :   ok
Doctor :   Ok
Doctor :   Allergy can be treated in 2 ways
Doctor :   avoid the allergen
Doctor :   or Immunotherapy if avoiding it is not possible
Doctor :   for either of which an allergy test woud be necessary
User :   ok
User :   what is imunotherapy
Doctor :   That is a form of treatment for allergy
User :   what lifestyle changes should be made?
User :   i mean - things that i should take care of in normal day-to-day life?
Doctor :   Exercise is the only part which can be done from your end
Doctor :   if you know the allergen, then you can avoid it
Doctor :   if you dont know
Doctor :   then it has to be found out
Doctor :   by the allergy test
User :   i amjust worried it there can be something deeper than this..
User :   in brain or something?
Doctor :   Such anticipations are not required
Doctor :   as you have been examined
Doctor :   Do you have any other query?
User :   no, thank you. may please know your name and specializtion?
User :   thank you sir.
Doctor :   Thanks for consulting me, bye for now
User :   i'll just take mobizox and consult ENT speacialist on Monday.
User :   thansk and bye
Doctor :   Sure

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