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Suggest Treatment For Persistent Congestion In Sinuses

Posted on Tue, 3 Feb 2015

Question: Hi my name is XXXXXXX XXXXXX. 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!

Answered by Dr. Abubakar Siddiqh (36 minutes later)

Brief Answer:
sinusitis secondary to allergy

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having severe head-ache.

As per your clinical details, it appears to be chronic sinusitis secondary to allergy.

I suggest you to consult ent surgeon and get detailed ent examination (deviated nasal septum, polyp ), nasal endoscopy (fungal debris secondary to allergy). Depending on the examination reports further treatment is required accordingly.

Nasocort, is a steroidal spray best works for allergy but not for the congestion of sinus mucosa. Instead of nasal rinse, you can try over the counter nasal decongestant drops (xylometazoline, 3drops/3times) and simple dolo (paracetamol 650mg) for your head-ache. Antibiotic course can be started after consulting the ent surgeon.

In case of chronic sinusitis (more than 6 months) surgery is the choice. Decision of surgery can be taken on findings of CT scan.

If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

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

Follow up: Dr. Abubakar Siddiqh (47 hours later)

Dr. Siddign, this is XXXXXXX XXXXX and I have some follow-up questions concerning my Chronic Sinusities. What is it when you say that I may have Chronic Sinusities with secondary To allergy Fungal Debris. I had a Ct-Scan that came back clear and the same with my chest X-Ray. For Headaches = What is Paracetamol ? and What is Xylometazoline Nasel Spray. Can I get these items ( Over The Counter ).

Thank-You, XXXXXXX XXXXX

Answered by Dr. Abubakar Siddiqh (34 minutes later)

Brief Answer:
SINUSITIS SECONDARYTO ALLERGIC RHINITIS.

Detailed Answer:
Hello again,

Thanks for considering my answer and for your follow up.

Answers for your queries.

1. As per your previous details CT scan show some inflammation but not infection. Sinusitis refers to inflammation secondary to allergy. Allergy shots and on nasocart nasal spray usage suggests allergy.

2. Fungal debris seen in fungal sinusitis is common in allergic rhinitis individuals.

3. Paracetamol is otherwise also called as acetaminophen. It should be useful during headache. It is available over the counter as tylenol.

4. Nostrils are clear, but sinuses are always congested (your history). Xylometazoline (decongestant nasal drops), best works in reliving congestion of sinuses. It is a prescription only medicine. Discuss with your doctor for a prescription.

Hope, I have answered your query.

All the best. Take care.

Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Prasad