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Sneezing, coughing, yellow nasal discharge, ear congestion. Sinus infection or allergies?

i have been sick for almost a month but i did have a well spell in this time i have been sneezing coughing and have a runny nose first it was clear but now it is yellow and im not sneezing anymore my head feels full and sometimes my ears feel stopped up the sides of my nose is puffy could this be a sinus infection or allergies?
Asked On : Wed, 9 Jan 2013
Answers:  2 Views:  54
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Pathologist and Microbiologist 's  Response
hi there, initially what looks like a simple cold or viral infection has been compunded with a bacterial infection now which explains the yellow expectoration. It could be just a upper respiratory infection or could be sinus infection. You could get it ruled out with an x-ry of the PNS. In the meanwhile you will require a course of antibiotics to take care of the infection.,do visit your health care provider and get yourself checked and evaluted. It doesn't look like allergy and you will need antibiotics coverage . Take care.
Answered: Wed, 9 Jan 2013
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Your symptoms are suggestive of rhinosinusitis.
Allergy testing may help determine whether the rhinitis component is allergic - with specific IgE blood test or skin prick test.
Allergies to house dust mite, fungal spores are common at this time of the year. Knowing the triggers will help taking avoidance steps to decrease further exposure. Also timing the antihistamine tablets and nasal sprays depending on the allergic triggers will help in the long term.

A CT scan paranasal sinuses will be required if there is little improvement with cetirizine 10mg once daily and flixonase nasal spray 2 sprays per nostril twice daily for 2 months.

I hope this was useful.
Best Wishes.
Answered: Wed, 9 Jan 2013
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