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Suffering from acute Sinusitis and Bronchitis - 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 : 2408 Questions
User :   Hi i am not sleeping due to sore throat, sore neck and shoulders and lots of phlegm when i lie down. i also have pain in my back which moves around, I have really inflames sinuses, I have allergies could this be the cause or can it mean something else i am afraid to go to doctors as family member has lung cancer and this is on my mind
Doctor :   HI
User :   Hi I am wondering what to do about the above symptoms
Doctor :   Please Let me go through the query
User :   Would my upper back pain and shoulder pain be connected to my allergies
Doctor :   May I ask you a few more questions pertaining to your problem ?
User :   yes
Doctor :   What si your age and sex ?
User :   I am a 44 year old female
Doctor :   Ok
Doctor :   Do you smoke ?
User :   yes i do !!
Doctor :   How many cigars/cigarettes a day ?
User :   i also have an underactive thyroid gland i smoke around 10 per day
Doctor :   Ok.
Doctor :   Since how long have you been smoking and did your cigarette consumption increase or decrease over the past ?
User :   i have smoked for years and no change in consumption
Doctor :   Ok.
Doctor :   Do you have any of the following symptoms : Doctor :   1. Fever for long
Doctor :   2. Easy fatigue
Doctor :   3. Any weight loss
Doctor :   4. Swellings in Neck or Face ?
Doctor :   5. Bleeding and blood clots in sputum ?
User :   no weight loss at all .... i do get tired but perhaps this is my thyroid, i have no swelling in face, i feel quite hot and cold sometimes, not blood at all in sputum but in morning it is slightly yellow , tinge. I feel drainage from my sinus alot running back my throat
Doctor :   Ok.
User :   rather that pain in my back it sometimes feels like a hot burning feeling
Doctor :   How about any hoarseness in voice ?
Doctor :   Ah ok.
Doctor :   Any Harsh sounds while breathing (stridor)
User :   i also have a horrible taste in my mouth especially when i lie down,
Doctor :   Ok.
User :   sometimes i get a little wheezzy
User :   i have a ventolin inhaler due to my allergies
Doctor :   Ok
Doctor :   Now let me put them together in a nutshell and let you know some facts which you already might be knowing : User :   ok
Doctor :   1. I stongly first feel that you are not a lung cancer patient , so you can rule out that possibilty now.
User :   thank u
Doctor :   2. You might have a very bad Sinusitis aggravated by Eosinophilia and also Bronchitis which might be the sum total of the cause for your symptoms.
User :   because i am nursing my aunt i am so worried about it as this horrible feeling is with me day and night... it does get better during the day while i am standing up
User :   what is eosinophilia
Doctor :   And which very commonly manifests as Rhinitis and Cough & Posterior nasal drip.
Doctor :   Eosinophilia is being highly sensitive to dust or pollen or fog or smog or anything cold which causes a rise in eosinophil cells in blood which are anti-allergen cells.
User :   what can i do to get a good nights sleep and stop this horrible taste... i know i must stop smoking....... i am using steroid nasal spray.
Doctor :   I first recommend you to follow these steps : User :   Ok.. I carry epi pens so my allergies are bad and had an anaphylactic shock last year. I am just so pleased u do not think it is lung cancer as this is my worst fear
Doctor :   1. Please use luke warm water & common salt to rinse and gargle at least 5 times a day.
Doctor :   Ok
User :   ok
Doctor :   2. Please continue the medication that you are using , will be of help.
User :   ok
Doctor :   3. Please use steam inhalation with Sinarest inhalation drops better respiration at night before you sleep.
User :   i work as cabin crew so flying will prob aggrivate things. is the shoulder and neck pain also related to allergies
Doctor :   4.It could be related , as in most cases. So use a Tab.Advil or Brufen 400mg daily thrice for 3 days.
User :   ok thank you very much, you have eased my mind and i will try these things and also try not to get so anxious now about it which may also help lol
Doctor :   5. I recommend to take an X-ray done for the Paranasal air sinuses and consult an ENT
Doctor :   To see Sinusitis better
Doctor :   Thank you for consulting me.
User :   ok i will go see my doctor this week
User :   good bye
Doctor :   Take care.
Doctor :   Bye for now.
Doctor :   Hope you get well soon.
User :   thankyou
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