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Suggest Treatment For Chronic Sinusitis And Terrible Sinus Headaches

Posted on Mon, 12 Jan 2015

Question: (1) I have Chronic sinusitis and I have terrible Sinus Headaches. What can I do about this to get some relief? When I was young I broke my nose and have a deviated Septuim and this is a problem that is very debilitating. I am going to see an ENT in January 15, 2015.

Answered by Dr. Hariom Sharma (1 hour later)

Brief Answer:
Go for CT Scan PNS

Detailed Answer:
Hi Sir,
I have gone through your query and your image; and suggests you that you may go for CT Scan Paranasal sinuses for better management.

You are on good treatment just want to add (under your doctor's guidance)

1. Macrolide antibiotic for fifteen days such as azithromycin or roxithromycin.
2. Systemic steroid such as prednisolone for fifteen days if there is no contraindication such as diabetes, hypertension etc.
3. Netiwash nasal wash once a day for atleast 6 weeks.
But for better line of treatment or to rule out other disease it is absolute necessary that you may go for CT Scan PNS (ParaNasal Sinuses) and send me the images.

Thanks

Wish you good health.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Hariom Sharma (16 hours later)

Dear XXXX this is XXXX this is what I have done so-far for treatment.
(1) have taken (2) different antibiotics : CIPRO HCL 500 MG. AMOXICILLIN 500 MG
(2) Nasel Rinse
(3) Flononase
(4) CT-Scan= everything was clear except for some Inflamation
(5) Chest X-ray= everything clear except for some scar tissue

I don't know what else to : All Medication give by my P.C. Dr. and my ENT Dr.
I need some relief: Headaches are bad. Sinus pressure!
Thank-You, XXXX

My question is what area of the sinus's is by the nose and on both sides of the nose. The pain and pressure is in my nose that is always congested and there is pain in my cheek area on both sides of my nose. What is the name of those sinus's in that area. Is it the "Paranasel" sinus's ?

Thank-You Very Much. XXXX

Answered by Dr. Hariom Sharma (11 hours later)

Brief Answer:
Yes, it is the paranasal sinuses

Detailed Answer:
Hi Sir,
I have gone through your follow up query; and for your kind information paranasal sinuses are a group of four paired air-filled spaces that surround the

1. Nasal cavity i.e. cheek region (maxillary sinuses),
2. Above the eyes (frontal sinuses),
3. Between the eyes (ethmoidal sinuses), and
4. behind the ethmoids (sphenoidal sinuses).
The sinuses are named for the facial bones in which they are located.

And again I also suggest you above mentioned treatment.

Thanks

Wish you good health

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

Follow up: Dr. Hariom Sharma (3 days later)

Seeing that I am having a lot of problems with my sinuses. Is it possible to develop
"Vertigo" the last (3) days I get somewhat dizzy, lightheaded, ETC whenever I get up from laying on the floor or when I first get up in the morning. I feel so dizzy and Ihave a very hard time keeping my balance. Is this caused by my Sinus problem?

Thank-You, XXXX

Answered by Dr. Hariom Sharma (11 hours later)

Brief Answer:
This may be caused by your sinus problem

Detailed Answer:
Hi sir,
I have gone through your query; and suggests you that all the above symptoms may be cause by your sinus problem. It may be subside within seven days. If they not subside within seven days then go for vestibular battery test to reach the near diagnosis.

Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (2 hours later)

Thank-You very much Dr. XXXXXXX I have been struggling with this for over (6) weeks now. I will mention to my Dr. Your suggestions. Thank-You Again, XXXX

Answered by Dr. Hariom Sharma (8 hours later)

Brief Answer:
Most welcome

Detailed Answer:
Hi sir,
I have gone through your response. You are most welcome. If you have another any query then I will be available.

Thanks

Wish you good health

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. Yogesh D