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Suggest Treatment For Chronic Rhino Sinusitis
Question: Hii my age is 24 and i am suffering from constant cold allergies like cough ,sneezing and other symptoms this symptoms remains but its severity are less but it did not completey rid off as i have taken constant treatment for this ,now for past few months i am troubling with earpain and headache moreover headache pressure is troubling me most everytime i got 85% cured i filled some tickling sensation in my throat and those symptoms start again please suggest any treatment or lifestyle measure i am worried that this type of allergies wont cause respiratory diseases like asthma as my Father is affected with asthma,after consulted with ent specialist and medicine for couple of months the ear pain and pressure do not rid off as doc says there is no problem with ear
Brief Answer:
CRS, Two week trial with nasal steroid/steam, Sinus CT. I/A, Oto-Endoscopy.
Detailed Answer:
Hi,
Thank you for your query.
1. This seems to be Chronic Rhino Sinusitis (CRS).
2. In addition to the treatment that you have been using, an anti-allergic mucolytic, a nasal steroid spray and steam inhalation will help reduce your symptoms.
3. If the symptoms are not better after two weeks of these medications, get a plain Sinus CT Scan done. The headaches may be due to the chronic sinusitis or long term use of nasal decongestants containing xylometazoline (such as Otrivin). The ear pain is usually due to Eustachian Tube Dysfunction (ETD) and this can be assessed by ear drum examination and Impedance Audiometry (Tympanometry).
4. Yes, any asthmatic tendency will decrease if this allergic rhinitis is treated.
5. If you can upload endoscopic images of your eardrums, Sinus CT images and Impedance Audiometry graph, I will be able to give you an accurate assessment.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
CRS, Two week trial with nasal steroid/steam, Sinus CT. I/A, Oto-Endoscopy.
Detailed Answer:
Hi,
Thank you for your query.
1. This seems to be Chronic Rhino Sinusitis (CRS).
2. In addition to the treatment that you have been using, an anti-allergic mucolytic, a nasal steroid spray and steam inhalation will help reduce your symptoms.
3. If the symptoms are not better after two weeks of these medications, get a plain Sinus CT Scan done. The headaches may be due to the chronic sinusitis or long term use of nasal decongestants containing xylometazoline (such as Otrivin). The ear pain is usually due to Eustachian Tube Dysfunction (ETD) and this can be assessed by ear drum examination and Impedance Audiometry (Tympanometry).
4. Yes, any asthmatic tendency will decrease if this allergic rhinitis is treated.
5. If you can upload endoscopic images of your eardrums, Sinus CT images and Impedance Audiometry graph, I will be able to give you an accurate assessment.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Continue Allergra-M, add Duonase, steam for 2 weeks. Upload the X-ray PNS.
Detailed Answer:
Hi,
Thank you for your query.
1. These sensations around the edges of the eyes and on the nose may be due to allergy, dryness or a mild infection..
2. Start with an anti-allergic such as cetrizine/ levocetrizine/ fexofenadine/ ebastine once a day, preferably after consultation with a local ENT and an Eye Specialist. Moisol eye drops can be used.
3. The timing suggests either a sleep disturbance or an allergy to something in the house and specifically your bedroom/ bathroom. Dust mite allergy, water temperature while washing the face, new soaps and so on may be the cause.
4. Some times, mild infections including fungal infections from rubbing the yes and nose (transferred from elsewhere in the body) may be the cause. Avoid self treatment for these and let a Skin Specialist check if the above treatment does not control the symptoms.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Continue Allergra-M, add Duonase, steam for 2 weeks. Upload the X-ray PNS.
Detailed Answer:
Hi,
Thank you for your query.
1. These sensations around the edges of the eyes and on the nose may be due to allergy, dryness or a mild infection..
2. Start with an anti-allergic such as cetrizine/ levocetrizine/ fexofenadine/ ebastine once a day, preferably after consultation with a local ENT and an Eye Specialist. Moisol eye drops can be used.
3. The timing suggests either a sleep disturbance or an allergy to something in the house and specifically your bedroom/ bathroom. Dust mite allergy, water temperature while washing the face, new soaps and so on may be the cause.
4. Some times, mild infections including fungal infections from rubbing the yes and nose (transferred from elsewhere in the body) may be the cause. Avoid self treatment for these and let a Skin Specialist check if the above treatment does not control the symptoms.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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