
Hi ENT Specialist , I Am A Retired Pharmacist So


Probably a viral infection, follow the advice below.
Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
I read carefully your medical history.
I see that you have recurrent sinus infections, which are a characteristic of chronic sinusitis.
Regarding the latest symptoms I agree with your doctor.
The symptoms seem to be related to a viral infection and no antibiotics are needed.
The low grade fever and muscle ache confirm this diagnosis.
So, I would recommend to use anti-inflammatory medication such as Ibuprofen 400 mg three times a day.
I recommend to continue using saline nasal sprays for local relief.
I recommend to use a vitamin C supplement to boost the immune system.
I also recommend to drink liquids and rest.
Only if the symptoms continue for more than three to five days, antibiotics may be needed.
In this case I recommend Azithromycine 500 mg one tablet a day for three days.
It is a prescription medication,so you should consult your doctor before using it.
Hope I have answered your query. Let me know if I can assist you further.

Probably a viral infection, follow the advice below.
Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
I read carefully your medical history.
I see that you have recurrent sinus infections, which are a characteristic of chronic sinusitis.
Regarding the latest symptoms I agree with your doctor.
The symptoms seem to be related to a viral infection and no antibiotics are needed.
The low grade fever and muscle ache confirm this diagnosis.
So, I would recommend to use anti-inflammatory medication such as Ibuprofen 400 mg three times a day.
I recommend to continue using saline nasal sprays for local relief.
I recommend to use a vitamin C supplement to boost the immune system.
I also recommend to drink liquids and rest.
Only if the symptoms continue for more than three to five days, antibiotics may be needed.
In this case I recommend Azithromycine 500 mg one tablet a day for three days.
It is a prescription medication,so you should consult your doctor before using it.
Hope I have answered your query. Let me know if I can assist you further.



You have to direct your query at 'Ask a Specialist' section.
Detailed Answer:
Hi again dear,
Thank you for your appreciation.
As a general and family physician, I treat commonly chronic sinusitis.
Nasal corticosteroids are the first line of treatment in my daily practice.
The steroid sinus sprays have a local effect and reduce nasal inflammation.
Sometimes oral corticosteroids may be needed.
Antibiotics are prescribed only if we suspect a bacterial infection.
Nasal endoscopy is the first examination recommended to confirm the state of inflammation.
CT is recommended only if we don't get enough information through endoscopy.
If you need another opinion from an ENT specialist, you have to direct your query at 'Ask a Specialist' section.
Wish you all the best.
Take care dear,
Dr.Dorina Gurabardhi

You have to direct your query at 'Ask a Specialist' section.
Detailed Answer:
Hi again dear,
Thank you for your appreciation.
As a general and family physician, I treat commonly chronic sinusitis.
Nasal corticosteroids are the first line of treatment in my daily practice.
The steroid sinus sprays have a local effect and reduce nasal inflammation.
Sometimes oral corticosteroids may be needed.
Antibiotics are prescribed only if we suspect a bacterial infection.
Nasal endoscopy is the first examination recommended to confirm the state of inflammation.
CT is recommended only if we don't get enough information through endoscopy.
If you need another opinion from an ENT specialist, you have to direct your query at 'Ask a Specialist' section.
Wish you all the best.
Take care dear,
Dr.Dorina Gurabardhi

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
