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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Sinus Congestion Be Treated?

I feel like my sinuses are congested on the left side of my face only. I have been taking an over the counter allergy medication. It doesn t seem to be working. I did use saline spray last evening before bed, but relief did not last long. Do you have any suggestions for relief?
Fri, 3 Mar 2017
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General & Family Physician 's  Response
Hi, thank you for asking on this forum. I understand your concern.
Is there any fever, headache and postnasal drip? Are the symptoms there for more than a week? It might be an infection called sinusitis. Infection can be viral or bacterial. Viral infection should have been subsided within a week. If its not subsided for more than a week and you have post nasal drip, headache, facial pain or mucus discharge, then its probably bacterial. Then you will need to take an antibiotic. Like augmentin or moxifloxacin. Plus you need to take acetaminophen/paracetamol like tylenol to relieve any pain, and a decongestant. Decongestants are available as sprays, capsule or tablets, liquids or syrups, and flavored powders for dissolving in water, whichever way you prefer them. Have you tried fexofenadine and pseudoephedrine in combination for decongestion? You can keep using saline spray for temporary reliefs. And take steam from plain water for inhalation. This also helps relieve congestion and breaks down mucus accumulated in the sinuses. You can also get guaifenesin.

Frequently recommended treatments include pain and fever medications (such as acetaminophen [Tylenol]), decongestants and mucolytics (medication that dissolve or breakdown mucous, for example, guaifenesin) and antibiotic if it is bacterial.
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How Can Sinus Congestion Be Treated?

Hi, thank you for asking on this forum. I understand your concern. Is there any fever, headache and postnasal drip? Are the symptoms there for more than a week? It might be an infection called sinusitis. Infection can be viral or bacterial. Viral infection should have been subsided within a week. If its not subsided for more than a week and you have post nasal drip, headache, facial pain or mucus discharge, then its probably bacterial. Then you will need to take an antibiotic. Like augmentin or moxifloxacin. Plus you need to take acetaminophen/paracetamol like tylenol to relieve any pain, and a decongestant. Decongestants are available as sprays, capsule or tablets, liquids or syrups, and flavored powders for dissolving in water, whichever way you prefer them. Have you tried fexofenadine and pseudoephedrine in combination for decongestion? You can keep using saline spray for temporary reliefs. And take steam from plain water for inhalation. This also helps relieve congestion and breaks down mucus accumulated in the sinuses. You can also get guaifenesin. Frequently recommended treatments include pain and fever medications (such as acetaminophen [Tylenol]), decongestants and mucolytics (medication that dissolve or breakdown mucous, for example, guaifenesin) and antibiotic if it is bacterial.