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Suggest Treatment For Chronic Sinus Infection

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Posted on Mon, 16 Feb 2015
Question: Hi my name is XXXXXXX XXXXX. I have had sinus problems for about 4 months straight. I have been prescribed (2) different antibiotics (1) Amoxicillin (2) CIPRO because my PC Doctor thought I had a Sinus Infection. I got "No" relief. I had a C-Scan and a Chest X-rays. C-Scan= some Inflamation but ( No ) infection. Chest X-Ray= clear. I am going to an ENT doctor on 1/16/15. I purchased an Air Purifier $350.00 . Not sure if it is helping or not. Started using Nasacort (24) seems to help a little. My question is "Could I have some allergy that I don't know what it is causing me all this sinus trouble? I do-not know what to do next. I am getting very frustrated and discouraged that the Drs. Can't Find Out What Is going on. Nasel rinse= Not Much help because my Nostrils are clear but sinuses are always congested. Terrible Headaches too.= Help!
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Answered by Dr. Paparaja S (3 hours later)
Brief Answer:
This could be chronic sinus infection.

Detailed Answer:
Dear XXXXXXX XXXXXX,
Thanks for your question .
I can understand your concern. If you don't have any symptoms of nasal allergy like nasal itching, watering of nose and eyes, itching in eyes, increased sneezing frequency, then its unlikely due to nasal allergy. This could be chronic sinus infection. At this stage you need an endoscopic sinus surgery to clear your disease. I recommend sinus surgery because :
You are not responding to medical line of therapy that is all medications, sprays for more than three months.

I will tell you how sinus surgery helps:
You know our sinuses are lined by mucus membrane, which continuously produce mucus , drained through a opening in each sinus. The recurrent infections cause narrowing of sinus openings and the pus builds up in sinuses and causes headache and nasal discharge. At this stage no medications can resolve the infection, no sprays can help to open up the narrowed sinus openings .
In such cases we enlarge the narrowed opening, so that the pus no more builds up in sinuses and we also remove a polypoid and unhealthy mucosa , so new healthy mucosa forms.
I am sure you will be benefited with sinus surgery.

Consult your ENT specialist and take opinion regarding surgery.

Hope I have answered your question. If you have any further questions, I am happy to help you.
Wish you a good health.

Truly,
Dr Paparaja S MBBS MS
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Paparaja S

ENT Specialist

Practicing since :2010

Answered : 615 Questions

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Suggest Treatment For Chronic Sinus Infection

Brief Answer: This could be chronic sinus infection. Detailed Answer: Dear XXXXXXX XXXXXX, Thanks for your question . I can understand your concern. If you don't have any symptoms of nasal allergy like nasal itching, watering of nose and eyes, itching in eyes, increased sneezing frequency, then its unlikely due to nasal allergy. This could be chronic sinus infection. At this stage you need an endoscopic sinus surgery to clear your disease. I recommend sinus surgery because : You are not responding to medical line of therapy that is all medications, sprays for more than three months. I will tell you how sinus surgery helps: You know our sinuses are lined by mucus membrane, which continuously produce mucus , drained through a opening in each sinus. The recurrent infections cause narrowing of sinus openings and the pus builds up in sinuses and causes headache and nasal discharge. At this stage no medications can resolve the infection, no sprays can help to open up the narrowed sinus openings . In such cases we enlarge the narrowed opening, so that the pus no more builds up in sinuses and we also remove a polypoid and unhealthy mucosa , so new healthy mucosa forms. I am sure you will be benefited with sinus surgery. Consult your ENT specialist and take opinion regarding surgery. Hope I have answered your question. If you have any further questions, I am happy to help you. Wish you a good health. Truly, Dr Paparaja S MBBS MS