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Suggest remedy for nose congestion, headache, jaw pain and recurrent fever

Answered by
Dr.
Dr. Krunal Karade

ENT Specialist

Practicing since :2009

Answered : 1000 Questions

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Posted on Tue, 7 Jun 2016 in Ear, Nose and Throat Problems
Question: Hi, I am having nose conjunction , headache, jaw pain, frequent fever (100.6) around from last 2 weeks. I've gone through some medical test as prescribed by doctors
As per ent specialist and physician it's sinus problem.
Took all type of medicines from last 2-3 days no relief.
Please suggest if any medication.

Attached all report and doctors follow-up.
doctor
Answered by Dr. Krunal Karade 5 hours later
Brief Answer:
I would advice investigation like CT Scan nose with sinuses .

Detailed Answer:
Hi Mrs XXXXXXX
Thanks for the query.

I have read your query , seen your reports , reviewed your medications and understand your concern.

As per your clinical history it appears that you are most probably having sinusitis with post nasal drip (PND).

If I were your treating doctor , I would advice
investigation like CT Scan nose with sinuses .
Till then for relief Use
Saline nasal rinse or spray thrice daily like solspre nasal spray ,
Antihistaminic levocetirizine + Montelukast combination like Tab Montek Lc at night ,
Tab combiflam twice daily for Pain , headache with fever &
Tab Rantac twice daily .

Continue clarinova & momeflo nasal spray twice daily. Stop Nasivion nasal spray they are habit forming & rebound nose congestion is common .

Gargle with water 20 mins after nasal spray use to remove any spray coming to throat .

You will get relief .

Hope this information helpful to you .If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Krunal Karade 11 hours later
Thanks Doctor for response.
Following follow-up questions :
1) Can you please let me know why I am having continuous fever (it was not there until medicine is there).
2) I am getting sever teeth pain (only single teeth) lower jaw. I went to dentist also he did x-ray and nothing is there. This is is also because of nerves ?

in general ho much time it take to get release at least from pain and fever ?

I'll change some sprays as you mentioned and follow some instructions.

Early and quick repose will be really helpful.

thanks

doctor
Answered by Dr. Krunal Karade 7 hours later
Brief Answer:
Continuous fever may be because of pus formation in sinuses .

Detailed Answer:
Thanks for follow up query .

Continuous fever may be because of pus formation in sinuses .

Severe dental pain may be due dental nerve stimulation . Use Antiseptic chlorhexidine Mouth Wash twice daily .

For pain & fever to subside further 3-5 days may be required .
Follow treatment plan , you will get relief .

Regards.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Krunal Karade 42 hours later
Attached x-ray report with new medicines. Please suggest next step. No fever now without medicines.
doctor
Answered by Dr. Krunal Karade 6 hours later
Brief Answer:
Next step is CT Scan nose with sinuses to know detail & extent of disease

Detailed Answer:
Hi Mrs XXXXXXX
Thanks for the follow up query.

Next step is CT Scan nose with sinuses to know detail & extent of disease inside sinuses .
Follow treatment plan , you will get relief .

Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Krunal Karade 5 days later
Hi,
done with CT scans, attached both reports. currently on antibiotics and some homeopathy medicine. little relief but pain in lower jaw and upper part of eyes are remain same until painkiller is there.
doctor
Answered by Dr. Krunal Karade 9 hours later
Brief Answer:
Your CT scans report is not uploaded in this forum till now .

Detailed Answer:
Hi ,
Thanks for the follow up query.

Your CT scans report is not uploaded in this forum till now .
Kindly re upload the report to give opinion .

Most probably you are getting neuralgia (condition that causes repeated severe pains ) . For which you will need to continue tegrital till pain subsides .

Hope this information helpful to you .

Regards.




Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Krunal Karade 17 hours later
Hi,
Attached Ct scan copy again, I don'w know why you are not able to see.
file name ct-scan1, and ct-scan2.
doctor
Answered by Dr. Krunal Karade 2 hours later
Brief Answer:
CT scan nose & paranasal sinuses show allergic rhino-sinusitis .

Detailed Answer:
Hi ,
Thanks for the follow up query.

I have read your CT Scans report . CT scan nose & paranasal sinuses show allergic rhino-sinusitis .

I would advice , use
Saline nasal rinse or spray thrice daily like solspre nasal spray ,
Antihistaminic levocetirizine + Montelukast combination like Tab Montek Lc at night &
Combination Steroid nasal spray with antihistamine 2 puff each nostril twice daily like Duonase nasal spray .

Gargle with water 20 mins after nasal spray use to remove any spray coming to throat .

You will need to see your doctor to get a prescription .

Hope this information helpful to you .

Regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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