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Severe sinus problem. Any treatment? - Online Doctor Chats

Date : 07-Oct-2013
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:hi I am facing with severe sinus problem
Doctor:How can I help you?
User:XXXXXXX here
User:I am facing severe sinus problem from last 2-3 days
User:I had a very bad cough a week back
User:i have recovered from the cough but not getting a releif from the sinus
User:my right jaw is paining now due to this
User:and I am using xylomist nasal drops but its not giving much releif
User:can you help
Doctor:Jaw in technical terms refer to the lower part of the mouth which moves during speech and eating.
Doctor:Do you mean this is the area that is paining?
Doctor:Can you specify the exact area which is in pain in relation to your teeth?
User:i mean when i open my mouth it pains problem with my teeth
Doctor:Which other area is aching?
User:only my right part of the face pains
User:towards the nose
Doctor:I shall take this as the area under your right eye adjacent to the nose.
User:very precise
Doctor:If yes, I would like to know apart from this ache what other symptoms do you have now?
User:i have a little cough too . .
User:lot of discolored mucus coming out
Doctor:Nasal discharge, stuffy nose, sore throat, something dripping into your nose, fever
Doctor:any of this list?
Doctor:Do you frequently suffer with sinus problems?
User:nasal discharge yes.. stuffy nose yes.. sore throat NO drippi nose yes fever NO
User:I am taking xylomist nasal drops and dolo 650 tab
Doctor:I am sorry for bothering you more with questions, but answer to these questions will help me frame my answer better.
Doctor:I hope you don't mind answer couple of more questions.
User:but i just started taking it today with reference to some old prescription which i preserved when i had a similar problem a few months back
User:please ask
Doctor:1. Do you frequently suffer from sinus problems or is this a rare event?
Doctor:2. May I know your age and do you have any other medical problems like diabetes, allergies, thyroid problems?
User:well once in a quater you may say
User:i have a high BP but i do not take any medication
User:my age is 29
Doctor:No problems of diabetes right?
User:no problem
Doctor:Thanks for providing additional details.
Doctor:Let me brief you.
Doctor:You seem to be suffering from right maxillary sinusitis where the symptoms of headache would be more during morning hours and gradually improve in the evening.
Doctor:You can continue to use xylomist nasal applicants.
Doctor:In addition you can take Dolo 650mg round the clock say every 4-6 hours
Doctor:depending on pain relief.
Doctor:Besides these two I also suggest the below measures
Doctor:1. Steam inhalation with Karvol plus capsule.
Doctor:This capsule is available over the counter,
Doctor:You can add the contents into warm water and inhale
Doctor:three or four times a day.
User:i would certainly get karvol plus today
Doctor:It relieves nasal congestion and clears sinus passages.
Doctor:2. you can add antihistamine drugs to the regimen.
Doctor:I write cetrizine 10mg tablets to be taken at night to my patients.
User:is it a tablet
Doctor:You can use one similar medications as per your doctors guidance.
User:what is antihistamine is it a tablet
Doctor:3. Sleep with your head slightly lowered.
User:do you suggest not to use a pillow
Doctor:It prevents secretions from collecting into maxillary sinus.
Doctor:Keep the head end slightly below your body.
Doctor:Yes avoid pillow; turn your head to the left and sleep.
Doctor:Antihistamines are drugs that prevents allergic manifestation.
User:ok will try this today
Doctor:It also helps by drying the nasal cavity.
User:so is cetrizine antihistamines
Doctor:4. If pain is very severe, you can also use warm compresses to the right face.
Doctor:It can be soothening.
Doctor:Yes, cetrizine is an antihistamine.
Doctor:5. With these measures your sinus issues should improve.
User:ok doctor
Doctor:However if pain becomes severe or if you develop fever
User:thank you very much
Doctor:you will need to visit an ENT surgeon.
Doctor:they can plan sinus wash and write antibiotics for further benefits.
User:ok thanks for the advice i'll try the measures suggest by you today.. if needed will visit ENT on a monday
Doctor:Do you have any more questions?
User:that is it thank you and wish you a happy weekend
Doctor:if you are satisfied with this chat
Doctor:I see that you have posted the same question for answers
Doctor:to my dash board
User:yes i am satisfied
User:yes it is all answered
Doctor:Can I ignore the questions and choose not to answer that
Doctor:or do you wish me write the same thing there?
User:yes please ignore the questions
Doctor:Thanks for confirming.
User:no i understood the measures it is ok if you don't ans
Doctor:Wish you a speedy recovery.
Doctor:Bye for now.
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