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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Sinusitis

Hi, I have had a series of issues going on over the course of a few years ... I will try to go through them in order .. I started having stomach issues during college .. 18-21.. Had an endoscopy and colonoscopy at around age 21.. Showed a hiatal hernia and further testing showed gastroparesis. I ve felt light headed and fatigue for years now .. Where I get blurred vision and have to sit down or get tired easily. At 23 I had pilodonal cysts that were drained .. A few months after that I was getting numbness and tingling through one side of my body.. My lips and fingers would go numb.. Neck pain.. This occurred on an off for a few months.. One episode sent me to the ER where they did a CT of my head which came back negative ... I also had an mri of my spine and brain. Showed one small white spot on brain and neurologist said it was insignificant bc of the area it was in and wouldn t relate to my symptoms. About a year after this I was getting severe stragulating pain in the middle of my chest .. It kept me awake at night where I had to sleep sitting up at times .. When I was able to eat I would get a pulsating feeling through my arms and legs .. Felt my heart race as if it was struggling to digest any food. got to the point where I Couldn t consume any food or drinks for about a week or two..Felt numbness again in my extremities .. My lips and fingers while I felt a strangulating pain in my esophagus .. Had an endoscopy done which showed only large hiatal hernia .. Some time after this episode I began having pain and discomfort in the left upper abdomen above my rib cage .. Felt like heart palpitations at times .. Pressure and a dull acheyness... Keeping me awake again.. Symptoms worse during the night.. I will wake up not being able to catch my breath.. Keeps me up for hours. Feeling like I had trouble breathing ... One night I woke up to go to the bathroom.. Noticed I had a huge red dot in my left eye .. I wound up sitting on my bed afterwards then getting a rush of nausea .. I stood up to walk towards the bathroom thinking I was going to get sick and instead I fainted and collapsed on my bed room floor.. I woke up in a cold sweat confused and panicked .. Blurry vision and pale white ., called 911 and went to hospital.. Blood work came back ok, EKG came back and I was released. A month later I went to the ER again bc of the severe pain in my left chest and abdomen .. Did cat scan of lungs and ekg again which came back fine. Went to a cardiologist and wore a 24 hour heart monitor, also had a heart echo come back fine. At this point I am still feeling the pressure and discomfort on my left side on my ribs.. Feels like a dull acheyness .. Goes into my back ribs as well... it isn t much of a pain but a feeling like I have sores along my rib cage or that my left side of my upper abdomen is swollen ... I can no longer sleep on my left side.. If I do I wake up having to catch my breath during the night ... Feel often that I have to gasp for air and have trouble sometimes swallowing feeling like I am dehydrated even if I am not... No one is able to find what s wrong and I m getting exhausted feeling this way... And getting worse .. Other non related issues I have are: chronic sinusitis, dry bumpy skin, shakey hands and legs, sweating and frequent urination. Only surgeries I have had are tonsillectomy, adenoids and deviated Septom. Shorty after Adonid surgery I was hospitalized bc of an infection near my brain. Was fine after a few days. Never cleared my sinus symptoms though. I m sure there are some things I am Leaving out but that s a start.. I am a 25 year old female. Thanks!
Mon, 27 Apr 2015
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General & Family Physician 's  Response
Dear patient.


Thank you very much for your full medical history, I really appreciate this.

Frist I will recommend some general interventions:
- avoid smoking and secondhand smoke.
- drinking extra fluids helps to loosen secretions and hydrate the body.
- use medications as prescribed. OTC medications such as antihistimines and decongestants should be used with caution.
- application of warm, moist compresses to the face several times a day will help with discomfort.
- humidifiers should be used daily.
- nasal saline to the nares three times a day will help to keep nasal passages moist. Do not use longer than 3 days to prevent causing rebound side effects from this medication.


I think you have a risk for antibioitic resistance or failed initial therapy so taking Augmentin 2,000 mg orally twice daily for 3 to 4 weeks.



Hope you will recovery ASAP!
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Suggest Treatment For Chronic Sinusitis

Dear patient. Thank you very much for your full medical history, I really appreciate this. Frist I will recommend some general interventions: - avoid smoking and secondhand smoke. - drinking extra fluids helps to loosen secretions and hydrate the body. - use medications as prescribed. OTC medications such as antihistimines and decongestants should be used with caution. - application of warm, moist compresses to the face several times a day will help with discomfort. - humidifiers should be used daily. - nasal saline to the nares three times a day will help to keep nasal passages moist. Do not use longer than 3 days to prevent causing rebound side effects from this medication. I think you have a risk for antibioitic resistance or failed initial therapy so taking Augmentin 2,000 mg orally twice daily for 3 to 4 weeks. Hope you will recovery ASAP!