Hi

Thanks for the query

After going through your description I do feel you are suffering from acute sinusitis and pharyngitis.

During nasal congestion, because of which there will be blockage of the sinus opening leading to stagnation of the secretions in the sinus and increased viscosity. Stagnation of the secretions gives rise to headache, facial pain and nasal infection. When the infected secretions trickle down into the throat it can cause irritation of the throat, followed by cough and difficulty in swallowing.

When the infection is acute there will be associated fever, headache, cough, throat pain, difficulty in breathing, etc.

Meanwhile you can try the following:
1. Drink plenty of warm water – this helps in improving the blood circulation, keeping the mucosa moist and relief from pain
2. Try taking antibiotic such as a combination of amoxicillin and clavulanic acid or cefuroxime
3. Try taking anti-inflammatory medicines such as diclofenac or ibuprofen for the relief of pain.
4. Use saline nasal spray followed by steam inhalation 3-4 times a day - this helps in removing the thick secretions from the sinuses and thus reduces the nasal block.
5. A mucolytic such as bromhexine or ambroxol is beneficial in reducing the consistency of secretions, thus reducing the block and headache.
6. Also, avoid smoking/chilled food & beverages/alcohol/coffee till you recover.

Hope I have answered your queries; I will be available for the follow-up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

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