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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heaviness In Head, Clogged Ears, Hearing Loss, Mucus Discharge. Taking Zithromax. Treatment Options?

I have had a heaviness in my head over 10 days now. My ears are both clogged up, the right more than the left. I can hardly hear. I feel very sleepy but can t sleep. I feel worse when I am straight up. I have been discharging a lot mucus (white and yellow; no green). I ve been to the doctor and they have prescribed zithromax and promethanize (syrup). I ve been taken them for 3 days and I don t have any relief.
Thu, 20 Dec 2012
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

In your complaints , we can make out that you have developed Acute Exacerbation of Chronic Maxillarysinusitis with Eustachean Catarrh spreading through to both Ears.The middle ear communicates with throat through Eustachean tubes and during ENT infections the same speards through this route.Your clogged ears could be due to impacted Wax which will be cleared by a minor procedure of removal by ENT Surgeon.

You are hereby advised to do steam inhalation to clear off the Nasal congestion/Use decongestant nasal drops such as Xylometazoline/and continue the antibiotics as prescribed by your MD.

In addition ,please undertake to investigate with Baseline Blood Counts/Urinalysis/Sputum for Culture/X-Ray of Paranasal Sinuses .

Approach an ENT Surgeon to assess you through complete ENT check up including Sinus and Eustachean Endoscopy.Submit your above reports.If required undergo a sinus clearance by endoscopic lavage and antibiotic course as per C/S report.

Wishing you a speedy and Safe recovery.,

Best Regards.,

Dr Lt Cdr ASN Bhushan.,

Ex-Navy

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Pathologist and Microbiologist,  Dr. Anju Choudhary's  Response
hi there, it appears that you are suffering with common cold with probabely sinusitis. The medications prescribed should work. The sleepiness is probably the side effect of promethazine and it would be agood idea to sleep your illness off for a few days. You can relieve the congestion by taking steam inhalations with some vix vaporub. You could try some other anti histaminics with the help of your local doctor. complete the course of this antibiotic and still if you do not get any relief you may get an x-ray PNS done to rule out sinusitis and may be change of antibiotics after doing culture of the sputum might help. You need to take plenty of rest at this time and taking time off from work and complete rest would be a good idea. Take care.
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Heaviness In Head, Clogged Ears, Hearing Loss, Mucus Discharge. Taking Zithromax. Treatment Options?

Dear Concerned., Thanks for writing to us. In your complaints , we can make out that you have developed Acute Exacerbation of Chronic Maxillarysinusitis with Eustachean Catarrh spreading through to both Ears.The middle ear communicates with throat through Eustachean tubes and during ENT infections the same speards through this route.Your clogged ears could be due to impacted Wax which will be cleared by a minor procedure of removal by ENT Surgeon. You are hereby advised to do steam inhalation to clear off the Nasal congestion/Use decongestant nasal drops such as Xylometazoline/and continue the antibiotics as prescribed by your MD. In addition ,please undertake to investigate with Baseline Blood Counts/Urinalysis/Sputum for Culture/X-Ray of Paranasal Sinuses . Approach an ENT Surgeon to assess you through complete ENT check up including Sinus and Eustachean Endoscopy.Submit your above reports.If required undergo a sinus clearance by endoscopic lavage and antibiotic course as per C/S report. Wishing you a speedy and Safe recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-Navy