Thanks for the query
The clinical description given by you seems to be the features of acute sinusitis
with associated complications.
Swollen eyelids, cheeks and earache are all the features of acute sinusitis. You will require a CT scan of the nose and the paranasal sinuses
to rule out sinusitis and osteomeatal complex blockage.
Secondly, the lymph nodes in the neck and over the angle of the jaw are the nodes popped up due to some insignificant infection in the throat and the neck. Most of the times, these nodes might not regress even after taking the antibiotics.
Finally, the chest discomfort
is because of the reflux of the acid from the stomach into the esophagus.
My suggestions to you are:
1. Drink plenty of warm water – this helps in improving the blood circulation, keeping the mucosa moist and relief from pain.
2. Continue taking augmentin and finish the course.
3. Try taking anti-inflammatory medicines such as diclofenac or ibuprofen for the relief of pain.
4. Use saline nasal spray
followed by steam inhalation 3-4 times a day - this helps in removing the thick secretions from the sinuses and thus reduces the nasal block and earache.
5. A mucolytic such as bromhexine or ambroxol will help in clearing the blocked secretions in the sinuses.
6. Also, avoid smoking/chilled food & beverages/alcohol/coffee if any.
7. Try taking medicines such as proton pump
, Pantoperazole) and a prokinetic (Domperidone
), this helps in reducing the acid reflux and heart burn.
8. Get a CT scan of the paranasal sinuses to assess the extent of sinusitis.
Hope I have answered your queries; I will be available for the follow-up queries.
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon