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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sinus Congestion In Spite Of Taking Prednisone And Sudafed?

I have had sinus congestion for weeks now. It appeared to get better after taking prednisone and Sudafed. Now it is back again. My nasal passages are clear but my sinuses are very full. Sometimes I have to forcibly blow my nose to get it to drain. Today, when I blew hard, my ear became plugged and I heard a loud noise. Now, when I blow my right side of my nose, my left ear makes a squeaking noise. Is this just congestion or something to be concerned about?
Tue, 19 Jan 2016
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Dentist,  's  Response
Hi Dear ,

Welcome to HCM.

Understanding your concern. As per your query you have symptoms of sinus congestion in spite of taking Prednisone and Sudafed which is due to severe upper respiratory tract infection. The infection is probably a strep throat. Need not to worry. Avoid giving cold beverages. You should take mast cell stabilizers to prevent from infection. You should take steam inhalation. For now do warm saline rinses , take rest. You should avoid hot, sharp and spicy foods. I would suggest you to start with course of antibiotics and anti-inflammatory drugs. You should consult ENT specialist without any delay. Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with mucolytic agents. You should get an x ray of the chest done and start treatment accordingly.

Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari
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What Causes Sinus Congestion In Spite Of Taking Prednisone And Sudafed?

Hi Dear , Welcome to HCM. Understanding your concern. As per your query you have symptoms of sinus congestion in spite of taking Prednisone and Sudafed which is due to severe upper respiratory tract infection. The infection is probably a strep throat. Need not to worry. Avoid giving cold beverages. You should take mast cell stabilizers to prevent from infection. You should take steam inhalation. For now do warm saline rinses , take rest. You should avoid hot, sharp and spicy foods. I would suggest you to start with course of antibiotics and anti-inflammatory drugs. You should consult ENT specialist without any delay. Doctor may order blood test , throat swab test or virus culture test. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with mucolytic agents. You should get an x ray of the chest done and start treatment accordingly. Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari