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Suggest Treatment For Fever And Nasal Discharge While On Augmentin

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Posted on Mon, 14 Nov 2016
Question: Saw Doc on Friday gave me Augmentin and I have only improved slightly. Last night I sweat so that I soaked 2 pajamas and I keep bedroom cool in the 50's. I did not "feel" feverish.
Doctor said if little or no improvement by Monday I may have MERSA and will need additional script for a sulpha drug.
The nasal discharge is still yellow ( less so and no orange!) and no longer smells, but I feel quite blah. More so than before the augmentin. I slept most of yesterday, and all night. Appetite normal.
This infection stems from dental implant surgery, sinus lift and bone grafting.
Sincerely XXXXXXX Connolly
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Steam inhalation would help.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. I would also insist you to get a blood count done. It would help in evaluating whether you have a chest infection and whether antibiotics would help. It would also help in understanding the allergic component that is often associated. If the WBC count is not raised and if there is no relative neutrophilia it would inidcate the absence of a bacterial infection and therefore antibiotics are unlikely to help anyway. Steam inhalaion would provide relief. Water in form of vapor would reach deep inside and would help in diluting the thickened mucus.

Please note that thick greenish or yellowish nasal discharge does not indicate infection. It is likely to be due to the dead cells of the nasal mucosa. Steam inhalation would help.

Let me know if you are seeking any specific guidance from me. I am eager to help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (4 hours later)
Went to E R. Blood work didn't show rampant infection but she felt infection was present in face. Changed script to clindamycin 300mg. X 6 Follow up with Dentist this week. So no MERSA which was a fear. Also rinse with diluted clorhexadine might help. ( have pint of concentrate, 1 oz per gallon water for use). Veterinary grade, but same thing.
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Let me know if I could be of further assistance.

Detailed Answer:
Thanks for the update. Clindamycin is a good medicine and I would hope that you get relief from its use. Do not hesitate to write back if you have any further queries.

Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Fever And Nasal Discharge While On Augmentin

Brief Answer: Steam inhalation would help. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. I would also insist you to get a blood count done. It would help in evaluating whether you have a chest infection and whether antibiotics would help. It would also help in understanding the allergic component that is often associated. If the WBC count is not raised and if there is no relative neutrophilia it would inidcate the absence of a bacterial infection and therefore antibiotics are unlikely to help anyway. Steam inhalaion would provide relief. Water in form of vapor would reach deep inside and would help in diluting the thickened mucus. Please note that thick greenish or yellowish nasal discharge does not indicate infection. It is likely to be due to the dead cells of the nasal mucosa. Steam inhalation would help. Let me know if you are seeking any specific guidance from me. I am eager to help. Regards