Suggest Treatment For Chronic Rhinosinusitis
Diagnosis: Chronic Rhinosinusitis Advice to consult an immunologist
Detailed Answer:
Hello,
Thank you for your query at HealthcareMagic,
I have gone through your history and understand your concern. The symptoms you are describing are probably due to Chronic sinusitis associated with allergic rhinitis.
I see that there are certain known allergens triggering your symptoms. Avoid exposure to already known allergens. But it is equally important to look for any new/other allergens causing your symptoms. I'd recommend that you undergo allergy testing to look for potential allergens.
Chronic rhinosinusitis is treated with saline nasal spray, nasal decongestant (not preferred for long term use), anti histamines, steroid nasal spray, immune modulators and most importantly- avoiding exposure to allergens.
Meanwhile, here are few things to help control your symptoms--
- Avoid exposure to already known allergens
- use saline nasal spray and saline nasal wash
- over the counter antihistamine like cetirizine (10mg once daily at bed time)
- steam inhalation twice daily
- avoid long term use of over the counter nasal decongestants,as it can cause problems to nasal mucosa
- Tylenol (if not allergic) for pain
The pain and swelling of the feet may be due to the medication lyrica or preipheral vascular disease.I recommend that you regularly take cilostazol and exercise regularly like walking for at least 30 minutes and follow up with your treating physician.
CONSULT AN IMMUNOLOGIST/ALLERGY SPECIALIST to get allergy testing, further evaluation and appropriate management.
Hope I was able to answer your question
Please feel free to address any more concerns and questions.
Regards,
Dr.Lekshmi
Diagnosis:Post Nasal drip, possibility of swollowing problems/GERD
Detailed Answer:
Hello,
Thank you for following up.
The symptoms you are describing of secretions going down the back of head towards the throat is post nasal drip.Post nasal drip occurs generally due to increased secretions from nose and sinuses dripping back to throat.It is commonly seen in chronic allergic rhinosinusitis.
But since you have been on long term management for allergies and the symptoms are still persistant other possibilities like swollowing difficulties and Gastro Esophageal reflux disease(GERD,it is a condition where gastric acid reflux back into Esophagus) should be considered. Both swollowing difficulties and GERD can present with increased secretions in the throat and is usually more symptomatic while sleeping or at night.
GERD is treated with medications to decrease stomach acid like pantoprazole and swollowing difficulties are treated depending on it's cause.
There are few things you can try to belp relieve GERD
-Avoid spicy fatty fried food
-Avoid coffee,chocolate,carbonated drinks
-raise the head side of bed by using blocks underneath bed posts
-never go to bed/sleep immediately after eating.Give atleast 3 hours between meal and bed time.
Mean while I advice that you continue the appropriate management for allergies.
I also recommend that you consult your Primary care provider for evaluation of swollowing problems/GERD and management accordingly.
Hope I was able to help you.
Please feel free to address any more concerns.
If you do not havd further clarifications, please close and,rate this discussion.
Wishing you good health
Dr.Lekshmi
has brought it up , I do beleive its call spread the money around and keep haveing me jump thru hoops , about to give up and just deal with it , but I'm sure their is other people out their that has this ,nobody knows , I even had doctor say its a old ladys drip ,hello I don't feel old and I won't let this keep me from doing what I want to do
Post Nasal drip,advice videofluroscopic barium swallow
Detailed Answer:
Hello,
I have gone through your question and I understand your concern.
Your symptoms are due to excessive secretions in throat,The cause of which has to be looked for.
Since you have undergone extensive investigations,The only thing that need to looked for at this point is presence of swallowing difficulties in particular with the muscles of mastication(muscles for chewing and swallowing)
Certain neurological problems like parkinson's can present with similar complaints in very early stages without any other obvious symptoms.
You will need to undergo a test called videofluroscopic barium swallow to look for the problems with muscles of mastication.
I recommend that you consult your primary care physician who can refer you to a Gastrointestinal specialist for further evaluation.
Hope I was able to help you.
Please feel free to address any more concerns.
If you do not have further clarifications, please close and,rate this discussion.
Wishing you good health
Dr.Lekshmi