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Suggest Treatment For Sinusitis And Rhinitis Medicamentosa

Posted on Tue, 2 Jun 2015

Question: Suffering sinusities since long time i.e. more than 2 years and can't breath unless put otrivin drops 2/3 times in a day. Though there was no nosal indischarge, but throat is irritating and thicky phlegm comes from throat. Viral attacks of cold & cough attacks frequently (every 3 months) and got fixed in 4-5 days, but sinus continus round the year. No other health problems except continus sinus and nose blocking. Prescribed Allegra M and used continusouly for 20 days, but no help. Generally treated with amoxocilin when serious cold & cough exist. Recently had CT-SCAN of PNS and send no need of surgery. It is said to be allergic. can you help me.

Answered by Dr. Krunal Karade (51 minutes later)

Brief Answer:
Suggestive of Rhinitis medicamentosa .

Detailed Answer:
Hi,

Thanks for the query.

I have read your query , reviewed your medications and understand your concern. Based on your description, I consider your clinical history as suggestive of Rhinitis medicamentosa. It occurs due to excess use of otrivin drops. Otrivin nose drops makes turbinates enlarge inside nose hence difficult to breath . It should not be used more than 7 days & now a days many patient comes with this situation due to self medication .

If I were your treating Doctor for this case , I would advice you
Saline nasal spray 4 puff each nostril 5 times daily like solspre ,
Combination Steroid nasal spray with antihistamine 2 puff each nostril twice daily like Duonase nasal spray ,
Tab Allegra M at night ,
Tab paracetamol twice daily ,
Antibiotic may be necessary if examination reveals features of infection.
Salt water gargle thrice daily .

You will get relief . Initial 5 days without Otrivin nose drops will be difficult since you become Addicted after that condition will improve day by day .

You can discuss about my views with your local doctor.

Hope this information helpful to you .If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Krunal Karade (39 minutes later)

Thank you for your advise. You have not mentioned no. of days for which the above medicine is to be continued.

Answered by Dr. Krunal Karade (15 minutes later)

Brief Answer:
Use above complete treatment plan for 1 month .

Detailed Answer:
Hi Mr XXXXXXX ,

Thanks for the follow up query.

Use above complete treatment plan for 1 month except antibiotic & paracetamol for 7 days only .

Make sure Otrivin nose drops should not be used any further otherwise nasal turbinates enlargement will not revert back to normal .

Revert back to me after 1 month complete treatment plan .

Regards.

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. Pradeep Vitta