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Suggest Treatment For Post Nasal Drip And Foul Odor In Nose

Posted on Mon, 26 Oct 2015

Question: I had a respiratory infection in late May- early XXXXXXX It ended w post nasal drip. Realized in July I had a foul odor in my nose. It didn't go away. Decided I better find out what this is, went to the dr and had a sinus culture. It was found to be enterobacteria cloacae. How could I have gotten this? Why would I have gotten this? I'm 57 years old and in good health.

Answered by Dr. Munish Sood (30 minutes later)

Brief Answer:
Symptomwise approach

Detailed Answer:
Dear
Thanks for contacting with your health concern and do let me know in addition to your present history about following:

1. Since infection with Enterobacter cloacae is RARE and also you are in good health thus please provide with following details:

a. Any SYMPTOM of nasal obstruction , anosmia, foul smell from nose (present) ?

b. Any history of epistaxis?

PS. (LRTI- lower respiratory tract infection) is one cause of the same which is provided in history)

2. Any consultation with ENT Surgeon taken regarding Examination of nasal cavity along with Biopsy of the same for any malignancy?

Do revert back with your clarifications for further necessary assistance.

Dr. Munish Sood
Consultant & Physician
Naimittika

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Munish Sood (2 hours later)

Was prescribed an antibiotic prior to culture which didn't work. Have taken 2 of 7 pills of new medication. No change yet. No hx of epistaxis. Have not consulted ENT yet. Worried.

Answered by Dr. Munish Sood (6 hours later)

Brief Answer:
Initially E.N.T. Opinion and then Symptomwise Approach/Management is required

Detailed Answer:
Thanks for reverting back.

1. Since resistance can develop easily with anti microbial therapy thus initially consultation with expert in infectious disease and microbiology is usually indicated and also get an E.N.T. opinion immediately to know about the prognosis and outcome of disease only then some concrete medicine (herbal/alternate/tradituonal) can be adviced.

2. In Ayurveda I usually prefer powdered decoction (CHURNA) and/or powdered ash (BHASMA) to help control/prevent the disease but require modern techniques like disc diffusion method to standardise and bring out best quality herbal products owing to complex nature of the BHASMA.

3. In nut shell prior to any Alternate Management's do get an E.N.T. Opinion and all possible treatment option and then get back to me with all your reports, so that best possible Advice can be initiaed from my side.

PS. You can contact me directly then by typing the following link:
bit.ly/drmunishsood

Dr. Munish
Naimittika

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Munish Sood (2 hours later)

Thank you

Answered by Dr. Munish Sood (5 minutes later)

Brief Answer:
You are welcome

Detailed Answer:
Dear
Thanks for reverting back.

I will be waiting to address your future concern(s) so do let me know directly (on my link provided earlier) for further necessary assistance and management.

Dr. Munish
Naimittika

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D