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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is ER For Eval Advisable?

3 days ago I went into walk-in clinic with fever, severe HA, thick yellow-green productive cough with right mid lung pain and bilateral lung burning sensation and thin, clear constant running nose. Typical sinusitis symptoms of itchy eyes, ears and throat. RN, NP prescribed Amoxicillin 500 mg 1 PO TID X 10 days. Been taking since Friday morning but still have fever, aches and no better today than I was Friday. I m an LVN-LPN so my patient are very important to me and I can t risk their health. What should I take to help with these continued symptoms or should I go to ER for eval and TX? Thanks for your time.
Fri, 26 Jun 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

All these symptoms could be due to acute sinusitis.

Runny nose,itchy eyes,throat pain is mostly due to viral infection because of our low immunity or allergic to certain substances like dust,pollens or grass.

You can take symptommatic treatment,

1) Take antibiotics (quinolones like ofloxacin or macrolides like azithromycin) to prevent super-infection.

2) Take antiallergic drugs like antihistamines (cetrizine or levocetrizine) with mast cell stabilizers( montelukast) to combact allergic symptoms.

3)Take decongestants like phyenylephrine if you have congestive symptoms in nose or throat.

4) Steroid nasal spray like rhinocort,flonase or beconase.

5) Nebulisation twice daily with saline or take steam inhalation 2 to 3 times a day.

The best way to cure allergy is to avoid contact with the allergen,so you can make out which particular substance is causing it and try avoid contact it.

If still problem persists then you should consult ENT specialist who can recommend you certain blood tests with ESR and X-ray of face to make a diagnosis clear.

Hope this information will help you.
Regards,
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Is ER For Eval Advisable?

Hi, Welcome to health care magic, All these symptoms could be due to acute sinusitis. Runny nose,itchy eyes,throat pain is mostly due to viral infection because of our low immunity or allergic to certain substances like dust,pollens or grass. You can take symptommatic treatment, 1) Take antibiotics (quinolones like ofloxacin or macrolides like azithromycin) to prevent super-infection. 2) Take antiallergic drugs like antihistamines (cetrizine or levocetrizine) with mast cell stabilizers( montelukast) to combact allergic symptoms. 3)Take decongestants like phyenylephrine if you have congestive symptoms in nose or throat. 4) Steroid nasal spray like rhinocort,flonase or beconase. 5) Nebulisation twice daily with saline or take steam inhalation 2 to 3 times a day. The best way to cure allergy is to avoid contact with the allergen,so you can make out which particular substance is causing it and try avoid contact it. If still problem persists then you should consult ENT specialist who can recommend you certain blood tests with ESR and X-ray of face to make a diagnosis clear. Hope this information will help you. Regards,