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Suggest Treatment For Chronic Sinusitis
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
My question is can this be remedied through medication versus surgical procedures?
XXXXXXX
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!
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
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
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
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!
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!
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. Vaishalee Punj
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