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What Causes Phlegm Accumulation On One Side Of Nasal Cavity In A Diabetic Patient?

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Posted on Mon, 2 Jun 2014
Question: Hello Doctor,
My brother has been asked to take monocef 1gm IV to help him get over the bacterial infection in his nasal system. Just wanted to know if this was ok ..(does not the potency - 1 gm - seem too high ?) . My brother is 51 years old ..frequent traveler.. takes medication for diabetes .. was complaining of nasal blockages for about a week ..x-rays have revealed phlegm accumulation on one side of nasal cavity..

My google search reveals that this drug is also used to treat typhoid.. would appreciate if you could educate me on the 'phlegm accumulation issues - sinusitis (?)' and the effect of taking this 1gm injection.(antibiotic)

Thanks XXXXXXX
YYYY@YYYY (mine)
YYYY@YYYY (my brothers e-mail i.d)
doctor
Answered by Dr. T Chandrakant (42 minutes later)
Brief Answer:
Monocef in diabetic patient- 2 gms per day

Detailed Answer:
Hi.
Thanks Mr XXXXXXX for the query.

I have noted that your Brother is taking medicines for diabetes and cholesterol.

We have to be extra careful in a patient who is under treatment for diabetes (albeit controlled).

Phlegm accumulation on one side of nasal cavity along with X-ray finding is suggestive of sinusitis. It is always better to get the confirmatory finding by a CT scan. Only CT scan can reveal the actual finding.

Monocef should be given in a dose of 2 gm once a day preferably. Mono= single; this is a single dose /day injection. This is the right dose in a patient of 53 years age with 'diabetes with infection' in the nasal cavity or a sinus.
(But sometimes it is given twice a day as large doses can cause local thrombophlebits if given intra-venous)

Yes, very true. Typhoid is one of the many indications for Monocef. It is used in wide variety of infections and is good for respiratory tract infections too.


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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Phlegm Accumulation On One Side Of Nasal Cavity In A Diabetic Patient?

Brief Answer: Monocef in diabetic patient- 2 gms per day Detailed Answer: Hi. Thanks Mr XXXXXXX for the query. I have noted that your Brother is taking medicines for diabetes and cholesterol. We have to be extra careful in a patient who is under treatment for diabetes (albeit controlled). Phlegm accumulation on one side of nasal cavity along with X-ray finding is suggestive of sinusitis. It is always better to get the confirmatory finding by a CT scan. Only CT scan can reveal the actual finding. Monocef should be given in a dose of 2 gm once a day preferably. Mono= single; this is a single dose /day injection. This is the right dose in a patient of 53 years age with 'diabetes with infection' in the nasal cavity or a sinus. (But sometimes it is given twice a day as large doses can cause local thrombophlebits if given intra-venous) Yes, very true. Typhoid is one of the many indications for Monocef. It is used in wide variety of infections and is good for respiratory tract infections too.