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Suffering from Sinusitis and Viral infection - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Hi, please help me as I am scared. I am being treated with chronis sinusitis and feel rough, however, I am day 5 of my antibiotics and beginning to feel better, and started to eat etc. I have never had sinus problems knowingly before and feel these could be started by poor teeth etc. I visited the dentist and had thorough private check up and I have one poss 2 teeth which need removing. 1 definately the other to be checked out first and poss new filling. One other filling and I have lost 69% of bone under 2 teeth and have gum disease. Is this contributing to my sinus issues and general feeling of ill health. I am normally very helathy and fit etc
Doctor :   ok
Doctor :   I am reading give me 1 min
User :   I am having the tooth removed tomorrow and other treatment throughout next week, then 4 hygeine sessions. Can this kill me? I am so scared, or am I just feeling very down and low, eventhough better yesterday and even better today but not 100%?
Doctor :   Acute sinusitis usually follows a viral infection in the upper respiratory tract, but allergens (allergy-causing substances) or pollutants may also trigger acute sinusitis.
Doctor :   Acute sinusitis usually follows a viral infection in the upper respiratory tract, but allergens (allergy-causing substances) or pollutants may also trigger acute sinusitis.
Doctor :   The obstruction disrupts the process that removes bacteria normally present in the nasal passages, and the bacteria begin to multiply and invade the lining of the sinus. This causes sinus infection symptoms. Allergens and pollutants produce a similar effect.
User :   my question too is, should I go and have everything done, all at once that needs doing tomorrow, can I afford 2 wait; eventhough the dentist seems ok it can and has taken all xrays. I am on amoxycillin now for 14 days and this is day 6.
Doctor :   please ask 1 by 1
User :   I did have the flu end of January badly and recovered, only to come down with this a week later. sorry, ok.
Doctor :   wait a min
User :   my chest is clear my doctor says.
Doctor :   ok
Doctor :   So dental problems are different from sinus problem
Doctor :   Ok
User :   yep
Doctor :   When you are getting treatment for sinusitis , you ca get the the tooth fixed
Doctor :   Because you will be taking antibiotics, so tooth extraction will not cause any further infection
Doctor :   Did this answer your question?
User :   ok, i am on treatment for this now. can bad teeth and gum disease kill me, as I am scared so much its making me feel worse with worry.
User :   thats last question
Doctor :   no
Doctor :   dental problems will not kill you
Doctor :   They have better treatment options
User :   not even gum disease?
Doctor :   They need many sessions and treatment is expensive and painful
Doctor :   Yea even gum disease will not kill you
Doctor :   Do you have any other medical problems ?
User :   presumably, the sinus issues should clear up after 14 days amoxycillin?
Doctor :   It should if you are on 1gram min 2-3 times day
User :   500mg capsules 3 times per day
Doctor :   still the dose is low but fine
Doctor :   but continue the treatment for 14 days
Doctor :   14 days should be min .
User :   ok, and if it returns then go back again?
Doctor :   If sinusitis recurs, you need CT scan for further evaluation of the reason
User :   do you feel lethargic, irritability and just run down with sinusitas
User :   constantly going to the toilet, presumably as I am drinking so much?
Doctor :   Yes, Sinusitis makes very sick
Doctor :   you feel all the above symptoms
User :   did have fever but gone now and palpitations etc
Doctor :   Loose motions is due to Amoxicillin
User :   yeh, thought so, but only slightly, thank goodness.
User :   little appetite but great thirst
Doctor :   Drink plenty of water
Doctor :   Take pills after food
User :   could dental issues be making sinus worse.
Doctor :   they are different problems
User :   pills say take capsule 3 times per day at regular intervals and complete.ok. so 2 problems at same time, thus why I must have felt awful. thanks
Doctor :   Sure
Doctor :   Thank you for consulting.
User :   o feeli do seem to take after food anyway. thanks you. I just want t
Doctor :   Have a great Day
User :   I just want to feel normal again.
Doctor :   You will be alright
User :   thank you.
Doctor :   Sinusitis makes you depressed because of bad symptoms
Doctor :   Bye
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