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Had sinus infection, green mucous, post nasal drip, night sweats, fatigue. Improved on taking cortisone injection. Suggestions?

Good day, I got flu 4 weeks ago, the first week I rested and it seemed to clear up, so I travelled long haul to Europe for a course, the next day it came back with a vengeance especially into my sinus , I got amoxicillin which didn t help, after travelling home I went to my home GP, now in the third week, he gave me tamiflu , he did explain normally it s given early in the symptoms but felt it was worth a shot, this had little affect, but the main symptoms from there was green mucus from my nose and post nasal drip , and heavy night sweats and fatigue , I did get my senses back, taste smell etc, by the end of the course I was still suffering, returning to my GP he gave me avlon anti biotic for 5 days, this seemed to help but not completely my nose cleared up but the post nasal drip continued and the sweats, now I will go for a ct scan to check my sinus, he did give me a cortisone injection. Just yesterday, and this seems to have made a huge improvement, the slight sinus pain I was left with as gone and the green mucus seems less. So my question, Has the cortisone finally killed the virus after 4 weeks, or merely masked the problem? It worked within hours, although I couldnt sleep! How long does it last? Was it I did not allow enough time for the avelon to work, I waited only 4 days , the course was 5? Is there a good chance the ct scan will show sinus cavities needing drained.? Many thanks Richard
Asked On : Tue, 13 Nov 2012
Answers:  1 Views:  407
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ENT Specialist 's  Response

welcome in H.C.M.

I have gone through your query regarding nasal discharge, post nasal drip, severe headache after flu and you had no improvement by antibiotic while injection of cortisone had proven much benificial.

your clinical history clearly indicates that you are having sinusitis which is giving you headache, post nasal drip and green phlegm.You felt better by inj of cortisone because it reduces the mucosal swelling thus sinuses gets way to drain out and pain disappeared but soon after these symptoms will reappear.

For confirmation of diagnosis and treatment you should do-

1- C.T.Scan of paranasal sinuses.

2- Culture and sensitivity of nasal discharge.

3- Blood- CBC, ESR, blood sugar (F & PP).

By these investigations and a thorough examination one may made correct diagnosis and may be manage accordingly.

Answered: Fri, 8 Nov 2013
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