Thanks for writing to us.
You may be having exacerbations and remissions of Chronic sinusitis
due to repeated infections and also aggravated by your smoking
habit.Do you also have loss of weight/ loss of weight and evening rise in temperature?
Pls investigate with routine Blood counts/blood chemistry/urinalysis/sputum for microscopy and routine/AFB Test for Sputum /PAP Smear
test of Sputum sample.
In addition Radiologiocal Tests for Paranasal Sinuses
such as X-Ray PNS and CT as required.
Consult an ENT Surgeon for endoscopic lavage of the sample and analysis for its pathology for a definitive diagnosis and institution of therapy.
Taking empirical treatment without proper investigations will only lead to postponement of definitive diagnosis. So please follow the above protocol.
Wishing you a quick recovery.,
Dr Lt Cdr ASN Bhushan,