Brief Answer:
investigations to go to the root cause

Detailed Answer:
Hi XXXXXXX

The foremost questions are :
Since when are you suffering this problems?
What sort of factors add to start this sort of infection ?
Is there any fever, coughing, phlegm associated with this? If phlegm is present, what color is it during the attack ?

There has to be 2 types of factors :
1. External, in the form of instigating factors like allergy to something.
2. Internal - reduced resistance power of the respiratory system to fight the infection

The external factors can be exposure to fumes, dust, scents, pets, molds, mildews in damp area, Air conditioner, mites in the bed and sofa and so on . The list is unending.

The internal factors can be- diabetes, asthenia, reduced resistance of the body in general or respiratory system. his can be enhanced by taking therapeutic dose of Vitamin A and D.
Antibiotics are given only if there are signs of infection in the form of fever, colored phlegm, or positive results on culture and sensitivity.

Get Investigated:
X-ray of the chest
blood examination particularly blood sugar,
Examination of the phlegm for gram staining, AFB staining, culture and sensitivity.
CT scan of the Chest and the sinuses as sinusitis can be one of the reason for recurrent respiratory tract infections. Also get an opinion of an ENT surgeon

I hope this helps you to get a correct diagnosis and treatment accordingly .

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Brief Answer:
As detailed / avoid allergens

Detailed Answer:
Thanks for your feedback, XXXXXXX

The history of recurrent attacks of mild fever, sneezing, cold and chest ache is suggestive that this is basically an allergic problem. The fever can basically be due to severe attack of the allergy. This may not be an infection at all.

Investigations are normal, ESR has no diagnostic value at all so you may please forget about it.

I would suggest the following.
CT scan of the Sinuses and Chest to 'rule out' any underlying problem as a primary cause or as aftereffect / sequel of the allergy as you have a problem of more than a year.
In consultation with your Doctor / ENT Surgeon.
Tapering dose of oral steroids like deflazacort over 3 weeks.
Cetirizine with montelukast.
Vitamin A & Vitamin D in therapeutic dosage.
Continue with multivitamins- supports the immunity system.
Steroid nasal spray as was prescribe already.
Antibiotics only if there are signs and symptoms of infection.
Steam inhalation.
And
Most important to keep away from the allergens causing gall such problems. Your keen observation alone can find what to avoid. This is basically the mainstay of your treatment.

Get a Doctor with whom you can discuss this and get a proper examination and prescription.

This helps almost all my patients and would help you too.

Dr T Chandrakant
ENT and General Surgeon.
I hope this helps you, you may please rate this answer also.
Feel free to ask for more if you need to.

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