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What Causes Chronic Sinusitis In A Patient Taking Gamma Globulin For Primary Immune Disease?

Posted on Wed, 12 Sep 2018

Question: I am on Gmma Globulin. Sb Q for Primary Immune disase
Sinus infections are almost daily
It takes me 3 weeks of exhaution, laringytis which I now have. Why does it take so long?

Answered by Dr. Priyanka Aggarwal (1 hour later)

Brief Answer:
Chronic sinusitis with laryngitis.

Detailed Answer:
Hi,

Thanks for putting up the query.

The chronic sinus infection might be due to some nasal pathology. It also leads to post nasal drip which can cause laryngitis.

Are you taking any medicines other than gamma globulins? Any investigations done like a x-ray paranasal sinuses?

Follow up with the required information so that I can suggest you better.

Take care,
Dr. Priyanka Aggarwal, ENT Specialist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Priyanka Aggarwal (7 hours later)

You skipped over the main reason is I have low IgG, Primary Immune Deficiency. Do U what that is? Yes ENT ordered numerous test.

Answered by Dr. Priyanka Aggarwal (47 hours later)

Brief Answer:
Chronic sinusitis with laryngitis.

Detailed Answer:
Hi,

Low IgG leads to low immunity and may lead to recurring infections. However in my opinion, we should first rule out nasal pathologies.

I will insist you to get X-ray paranasal sinuses done and send me the picture. Use a Fluticasone nasal spray twice daily for a week and take steam inhalation. This will help to relieve symptoms.

Follow up with the reports.
All the medicines I have prescribed will be available only on prescription. As the spray is a topical application, it won't cause any side effects.

Hope I have answered your query. Any further questions are always welcome.

Regards,
Dr. Priyanka Aggarwal, ENT Specialist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Priyanka Aggarwal (18 days later)

Still have sinus problems, post nasal drip. fluid rt. Ear. Saw allergist yesterday. Using Flonase, Astilin starting to day. If not better going for digital sinus screening. My sinus problems, lung problems were symptoms of PI.

Answered by Dr. Priyanka Aggarwal (9 hours later)

Brief Answer:
Chronic sinusitis with eustachian tube blockage.

Detailed Answer:
Hi!

You should take a combination of Levocetrizine plus Phenylepherine twice daily along with the nasal spray. This will help you with your symptoms. Take steam inhalation.

Follow up with the X-ray picture of the sinuses. Thus will help to diagnose the disease better and advice you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Wishing you a speedy recovery.

Regards,
Dr. Priyanka Aggarwal, ENT Specialist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Priyanka Aggarwal (21 minutes later)

What R the 2 medicines U recommended? I asume they R Rx.

Answered by Dr. Priyanka Aggarwal (26 hours later)

Brief Answer:
Chronic sinusitis.

Detailed Answer:
Hi,

Take the medicines as prescribed. You will definitely be benefited with your symptoms.

Nasal spray is available over the counter. Tablet Levocetrizine plus Phenylepherine twice daily will be available only on prescription.

Hope I have answered your query.

Wishing you a speedy recovery.
Regards,
Dr. Priyanka Aggarwal, ENT Specialist

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