question-icon

Suggest treatment for chronic sinusitis

default
Posted on Mon, 18 May 2015
Question: I have been diagnosed through a CAT scan as having a partial opacification of the lateral right sphenoid sinus recess and opacification of the upper basal passages bilaterally-which could either be mucosal thickening or small polyps. '
My question is can this be remedied through medication versus surgical procedures?
XXXXXXX
doctor
Answered by Dr. Satvinder Bakshi (2 hours later)
Brief Answer:
You can try medications

Detailed Answer:
Hello

From your endoscopy report and ct scan report it looks like you are having chronic sinusitis.

This can be due to persistent infection or an allergy , both of which need further blood tests and culture of the nasal secretions for confirmation.

In my patients , i would start on a course of nasal steroid sprays and antibiotics for a period of 2-3 weeks and re assess the patient with a repeat endoscopy.

If the patient responds , that is , the polyps and edema decrease in size and the patient is symptomatically better , i continue the sprays for another 4 weeks and then slowly taper them. If the condition does not improve then i advice them for surgical removal of the polyps and the diseased mucosa.

In my opinion , you can also try a course of medications and if you are not better , then opt for surgery.

Please discuss this with your doctor.

Take care!

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
default
Follow up: Dr. Satvinder Bakshi (7 hours later)
Thanks for your response Dr. Bakshi......

Also, I have a white patch on the inside of my left nostril....seemingly left over from my bout with Bronchitis a couple of months ago. I must admit that I frequently picked at this in order to remove the crust to breathe better. Any idea what this is....fungus, bacteria, etc.?
XXXXXXX
doctor
Answered by Dr. Satvinder Bakshi (1 hour later)
Brief Answer:
it can be a fungus

Detailed Answer:
Hello

Although without a culture from the white patch it is difficult to tell whether it is fungus or bacteria , but generally a white patch is due to a fungal growth.

This is however rare and needs to be investigated thoroughly , Please avoid nose picking and forceful nose blowing, it will spread the infection and make things worse.

The best thing would be to use normal saline nasal drops , they will loosen the crusts and help you breathe properly.

Take care!

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Satvinder Bakshi

ENT Specialist

Practicing since :2007

Answered : 2467 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for chronic sinusitis

Brief Answer: You can try medications Detailed Answer: Hello From your endoscopy report and ct scan report it looks like you are having chronic sinusitis. This can be due to persistent infection or an allergy , both of which need further blood tests and culture of the nasal secretions for confirmation. In my patients , i would start on a course of nasal steroid sprays and antibiotics for a period of 2-3 weeks and re assess the patient with a repeat endoscopy. If the patient responds , that is , the polyps and edema decrease in size and the patient is symptomatically better , i continue the sprays for another 4 weeks and then slowly taper them. If the condition does not improve then i advice them for surgical removal of the polyps and the diseased mucosa. In my opinion , you can also try a course of medications and if you are not better , then opt for surgery. Please discuss this with your doctor. Take care!