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Suggest Remedies For Sinus Congestion

Posted on Tue, 12 Apr 2016

Question: Sinus congestion for one month. Tried saline spray, netti wash, decongestants. Not better. No allergies. Now having some upper chest tightness. Worse when prone. Only meds are Lexro and baby aspirin.

Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Brief Answer:
Infectious cause likely, needs workup

Detailed Answer:
Hello and Welcome

I appreciate your concern

Since the response to saline spray, netti wash and decongestants was not adequate, an infective cause should be looked for. This especially required with the history of chest tightness which you mentioned , got worse when you are in prone position. ECG, CBC, ESR, Chest x ray and pulmonary function tests can be advised after physical examination. ECG would be required to rule out a cardiac cause. As far as the treatment is concerned, Antibiotics, inhaled bronchodilators and steroids would be decided based on the results of the investigations and clinical signs. You may request a pulmonology consultation/referral via your GP.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar