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Suggest treatment for sinusitis - Online Doctor Chats

Date : 11-Apr-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:I want to check some thing ENT specilist
Doctor:We don't have specialists available for chats
User:I have sinusitis
User:should I check with specialist only or you can also guide me
Doctor:I can guide you
User:is there any medication for this to cure
Doctor:There are medicines for sinusitis
Doctor:but first you need to confirm if it is sinusitis
Doctor:can you tell me your symptoms please?
User:I hv done with CT scan
Doctor:Did a doctor tell you to do the CT scan?
User:in that only it came
Doctor:when did you do this CT scan?
User:3 days back
Doctor:what are your symptoms?
User:blocked nose always
Doctor:anything else?
User:sometime not able to sleep also
User:can I share you the report
Doctor:There are medicines for this
Doctor:please use the upload reports option
Doctor:that will give me a better picture
User:ok, 1 sec
User:uploaded it
User:can u pls check it
Doctor:I have checked it
User:what is your view on this
Doctor:You have sinusitis and deviated nasal spetum
User:what is the solution
Doctor:Deviated nasal septum can not be treated with any medicines
Doctor:but the sinusitis can be intially treated with medicines
Doctor:and if the medicines are not effective
Doctor:then you might require a surgery
User:actually when I will take med like flomist spray , anti allergic and steroid for 2 weeks
User:I feel better
User:but as soon I stop the medication it is coming back
Doctor:Antiallergic medicines will give only a temoprary relief
User:then what med should I use for permanent relief
Doctor:you need to take a long course of antibiotics
User:that also I hv tried for 1 week
Doctor:You need to take antibiotics for a minimum of 2 weeks continuously
User:which med.
User:I should use as antibiotic
Doctor:I would normally prescribe my patients a combination of Levofloxacin with Cefexime for 14 days
Doctor:Along with I would also add a nasal decongestant like epinephrine
User:ok, this time I am taking Cefexime 200 mg also with monket lc + Flomist
User:+ 1 steroid tablet
Doctor:That generally clears the sinusitis
Doctor:I would avoid steroids
Doctor:but each doctor has a different way of treating the problem
Doctor:if your doctor has prescribed you these medicines, please continue them
User:steroid name is cortimax 6 mg
Doctor:and please follow up with your treating doctor as advised to you
User:5 days course
Doctor:But the problem with deviated nasal septum ans sinusitis is, sinusitis comes back because of the deviated nasal spetum
User:I think it will be followed by flomist..
Doctor:You need to take the antibiotic for 14 days
User:so for DNS should I go for surgery
Doctor:it is best to go for surgical correction of the DNS
Doctor:Once that is corrected, the chances of getting sinusitis will reduce
User:I hv seen the people with DNS problem, but they are not suffering from Cold
User:why is it so
Doctor:It depends on the severity of deviation
User:what ever condition I hv , same is there for my friend
User:but I did nt see the cold problem for him
Doctor:each individual is different surgery is painfull, how much % I will get benefit..
User:in future also DNS problem can come or not
Doctor:Once DNS is corrected, it will not come back
Doctor:The amount of benefit you get should be asked to the surgeon
Doctor:I am not the right person to answer that question
Doctor:is there anything else I can help you with?
User:thanks a lot to ans my query
User:gd night :)
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