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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ethmoid Sinusitis Disease

Hi I was diagnosed with ethmoid sinusitis disease. Why is disease attached to diagnosis? The ENT put me on an antibiotic called cefdinir 300 mg. Is this the correct type of antibiotic that i should be on? The doctor feels that if it doesnt help come back and will talk. Mean while if been back and fourth 4 times and the problem hasnt gone away. Ive had Ct scan and MRI and Doctor doesnt think there is a problem even though both CT and MRI both say its mild to moderate ethmoid sinusitus disease. Every day I have a headache and pressure by eyes,nose etc.. Please write back and let me know what I should be doing.




Mon, 27 Apr 2015
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General & Family Physician 's  Response
hi,
Welcome to health care magic,

Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti inflammatory drugs.

And yes all your pain over head and pressure by eyes,nose is most likely due to ethmoid sinusitis.

Surgery is not a must for everyone. But if sinusitis does not reduce with conservative medicines ,and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery.

And if the sinusitis is associated with nasal poylp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is a endoscopic surgery.

In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride, drain and then clear the sinuses.

It's a day care procedure, patient can go home the same day. Once the surgery is done,, there are very less chances for sinusitis to recur. And yes the operated area is treated as problematic area until and otherwise you are undergoing second surgery.

In my opinion if this is your first episode of sinusitis then you can wait and watch. If you are a chronic patient of sinusitis then I suggest you choose surgery.

Hope this information will be helpful.

Regards
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Suggest Treatment For Ethmoid Sinusitis Disease

hi, Welcome to health care magic, Sinusitis can be treated with medicines like antibiotics, decongestant, antihistamines and anti inflammatory drugs. And yes all your pain over head and pressure by eyes,nose is most likely due to ethmoid sinusitis. Surgery is not a must for everyone. But if sinusitis does not reduce with conservative medicines ,and if sinusitis is recurring very frequently, may be 3 episodes in 6 months then we advise for surgery. And if the sinusitis is associated with nasal poylp, nasal mass, fungal sinusitis then also surgery is a must. Surgery for sinusitis is a endoscopic surgery. In this surgery mainly we clear the sinuses and provide good ventilation for the sinuses. We do have to cut the soft tissue, debride, drain and then clear the sinuses. It s a day care procedure, patient can go home the same day. Once the surgery is done,, there are very less chances for sinusitis to recur. And yes the operated area is treated as problematic area until and otherwise you are undergoing second surgery. In my opinion if this is your first episode of sinusitis then you can wait and watch. If you are a chronic patient of sinusitis then I suggest you choose surgery. Hope this information will be helpful. Regards