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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Suggest remedies for sinus and nasolacrymal duct blockage

Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4371 Questions

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Posted on Sat, 4 Jun 2016 in Ear, Nose and Throat Problems
Question: my sister has been suffering from synise and nasolacrimal blocked for 2 years. this made my sister’s normal life to unbearable these days. i hope you would help me in choosing right treatment for her.
my sister is a house wife and live in a small village - andra. she has a lot of work to do in routine. she cannot take rest. i want to take her a proper medical facility for treatment.
problem started:
synise: this infection really makes her life worst. it starts when she leaves bed - continues sneezes upto 10 to 15 she need to face with heavy head blocked nose in early morning. thick water like Belgium running from her eye whole day. If she feel thirsty of water and water she drinks is little chill then again the sneezes starts. Normally she afraid to drink water even the day is XXXXXXX She is very strict about her food and clothing of clean but she need to work in field and with castles.
nasolacrimal blocked: i am not sure but it seems like one. the right eye started watering for a few days then the water became thicker and thicker - finally it feel and seem like Belgium (liquid that comes from nose when we suffer from cold) while suffering under synise.
went to medical: doctor stated that there would be a need of surgery but not possible due to sneezes. provided some drugs but no sign of cure found.
ayurvedic medicine: she wanted to see an ayurvedic doctor - same - no sign of recovery found.
Then homeo medicine: finally we reached to homeo physician - there we saw some hope. homeo medicine only helps in little lowering the symptoms but not fully curing.
please sir help me.
doctor
Answered by Dr. Prof. Kunal Saha 3 hours later
Brief Answer:
Steam inhalation is likely to provide relief

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through the details provided. I find a direct correlation between the blockage of her nasolacrymal duct as well as her sinus problem. In either case the culprit seems to be thick mucus. My suggestion would be to ask her to take steam inhalation a few times a day. Alternatively, nebulization with 3% NaCl can also be taken. The water in form of vapor will reach deep inside and would help in diluting the cough and would thus provide relief. This has to be continued. Some antiallergic like cetiritizine can be taken once daily off and on for a few days. I would also insist on gentle stroking from the angle of eye on each side downward to the ala of the nose. This should help in opening of the nasolacrymal ducts. Probing can be done but unless the thick mucus is taken care of, thing are unlikely to improve.

I do not think that anything else is likely to be helpful.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha 19 hours later
Thank you Mr. Dr. Prof. XXXXXXX Saha. I have explained her that in answer. My sister some-how disturbed psychologically assuming that she never be cured and she will die soon with this disease. My question is that is a chronic Synise dangerous - due to which people die? I think my sister simple afraid of this disease. In considering her situation my family asked me to take her to some good Doctor- from where she would believe that she will be cured. If requires my family even ready to go for surgery. Is it a case of surgery – doctor? Doctor – is there any alternative method to find level of chronicity and type of infection or may be any type of test that would help you in understanding her better. If she intends where should I take her so that the required treatment can be pursued with good care. Doctor please help me with this..
doctor
Answered by Dr. Prof. Kunal Saha 6 minutes later
Brief Answer:
It is not a lethal disease.

Detailed Answer:
Thanks for writing back. I can understand your apprehension (both yours and hers). Let me assure that it is not a lethal disease and she is not going to die. This is a treatable condition and sinusitis does not kill anyone. However, getting nebulization is very important. I do not see the role of any surgery.

Numerous people have diabetes. But even though it is not curable, with treatment people can lead a normal life and can have a long life. Similar is her case. So, ask her to stop panicking.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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