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Suggest Treatment For Blocked Nose, Nausea, Heaviness In Head And Arm Pain

Posted on Mon, 29 Dec 2014

Question: For many years and I have a blockage in the nose and when you use a nebulizer own nose and the use of antibiotics to improve the situation, but within a year now and I have a condition such as the common cold, but without nominated and I feel the weight in my head and nausea in my stomach, burning eyes and pain in my shoulder and my forearm and my feet.
I checked the doctor gave me Barsatamol and anti-allergic and antibiotic cefaor mr 750 mg.
Is there any solution for that ?

Answered by Dr. Abubakar Siddiqh (47 minutes later)

Brief Answer:
Detailed ENT examination required- Might be chronic sinusitis.

Detailed Answer:
Hi,

I have gone through your question and understand your concerns. I would like to ask you few more details.

Is there any sequence of sneezes?
Is your nasal block associated with dripping of secretions (behind the nose, into throat)?

Kindly get back to me with details.

As per your clinical details, it appears to be
1. Chronic sinusitis secondary to allergy : causes head-ache and post nasal drip (secretions), which induces regurgitation of partial digested food or nausea.

2. Cervical spine instability can cause painful neck movements, pain radiates to arm.

I suggest you to consult an ENT surgeon and give detailed history (allergic rhinitis), get detailed ENT and neck examination (deviated nasal septum, cervical spine), blood tests (absolute eosinophilic count, IgE and hb%). If necessary CT scan of para nasal sinuses (to know bony abnormalities and sinus blockage).

Treatment can be started according to the investigations.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Abubakar Siddiqh (53 minutes later)

Hi Dr
I did before ct scan to sinus and the said I have a deviation on noise and problem on sinus also I have a problem on spine XXXXXXX c5,c6 .
In this case and if I am your paritent what you will advice me.
Note that I don't have snoozing but secretion on throt yes.

Answered by Dr. Abubakar Siddiqh (1 hour later)

Brief Answer:
surgery is the choice in chronic sinusitis.

Detailed Answer:

Hello again,
Thanks for considering my answer and for your follow up.

Dripping of secretions behind the nose and duration (5years) suggests chronic sinusitis with deviated septum.

As such, medications will not help in chronic cases, because deviation(bony septum) and blockage of osteomeatal complex can be corrected only through surgery. Kindly go ahead.

Related to your cervical spine problem, soft collar with physiotherapy will be beneficial.

Hope, I have answered your query.

Take care.

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. Vaishalee Punj