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Suggest Treatment For Recurrent Nasal Infections

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Posted on Tue, 14 Apr 2015
Question: Hi. I am a 43 year old female that has had one child and passed a few kidney stones other than that i am in perfect health except for a possibly low thyroid. i have worked most of my life in health supplements and have taken many vitamins, omegas, liver cleansers and thermogenics. i dont exercise as often as i should but i stay pretty active. The only doctor i have seen for the past 10 years regularly is my OB/GYN I am allergic to general antibiotics with severe allergy to sulfa drugs. i have sensitive skin and have recently done some research on the fact that i get boils for the past 3 years. i get them on my neck and around my nose i get tiny infections. i understand that this is staph and had surgery to remove a carbunckle on the back of my neckline 2 years ago. QUESTION: I am only prone to this actively during the months of march and early april for the past 3 years in the same areas. I have used antibiotic gel, acne gel with salycilic acid and recently discovered hydrocortisone cream. the acne medicine seams to toughen the skin but not heal well, the antibiotic gel only works well overnight with a bandaid. i use sanitizer wipes and witch XXXXXXX to cleanse the skin when i can.... so what am i missing? what can i do to alleviate this situation better during these 2 months? besides wash my hands and take acidophilius, what do YOU suggest for the cream and or treatment and prevention.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
3 step approach to recurrent boils explained

Detailed Answer:
Hello and Welcome

I appreciate your concern

The most likely cause as you pointed to in your question is Staph colonization mainly in the nasal area ( nares). About 20% of population is persistently colonized with staphylococcus. Staph decolonization in a 3 step approach has been used as a mode of treatment for patients with recurrent infections. 1) Mupirocin alone topically or with antibacterial soap such as chlorhexidine along with diluted bleach baths or hexachlorophene soaps can be used as part of the decolonization strategy and to maintain adequate personal hygiene.
2) Household members can also be prophylactically treated with the same mupirocin based therapy if treating you alone doesn't work.
3) Systemic antibiotic therapy is resorted to as a last step. Doxycycline or minocycline can be a good option, in consultation with your doctor.

wishing you best of health

thanks

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


Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)
thank you so much. i realized after my question that it could be partially due to returning to a part time food service job (past 3 years) for extra income. it is very stressful(lowering immunity) and very hard to keep hands clean in constant contact with consumer waste. thanks again... i will take better precautions and use the diluted bleach and antibacterial soap until i can get the antibiotic ointment you referred to..... i have one Last QUESTION: upon blistering and breakout on the neck -how effective is the use of acne ointment and what do you think about the use of hydrocortisone cream....
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (18 hours later)
Brief Answer:
would advise against using acne oint or H.cortisone cream for the blisters

Detailed Answer:
Hello again,

Its good to identify any triggers associated with the condition. Try to avoid them to see for improvement. Both the Acne ointment and hydrocortisone cream should not be used for the blisters you described as they can be harmful and may worsen the blistering, further. Local triple antibiotic ointment commonly used in first aid kits can be applied initially after proper cleaning and then preferably examined by your doctor before continuing any other topical medication for the blisters.

Hope I have answered your query. If you have any further questions. I will be happy to help If you do not have any clarifications, you can close the discussion and rate the answer

Wish you good health.

Thanks.

Dr. M.S. Khalil
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Recurrent Nasal Infections

Brief Answer: 3 step approach to recurrent boils explained Detailed Answer: Hello and Welcome I appreciate your concern The most likely cause as you pointed to in your question is Staph colonization mainly in the nasal area ( nares). About 20% of population is persistently colonized with staphylococcus. Staph decolonization in a 3 step approach has been used as a mode of treatment for patients with recurrent infections. 1) Mupirocin alone topically or with antibacterial soap such as chlorhexidine along with diluted bleach baths or hexachlorophene soaps can be used as part of the decolonization strategy and to maintain adequate personal hygiene. 2) Household members can also be prophylactically treated with the same mupirocin based therapy if treating you alone doesn't work. 3) Systemic antibiotic therapy is resorted to as a last step. Doxycycline or minocycline can be a good option, in consultation with your doctor. wishing you best of health thanks Please consult your doctor before deciding on any further course of action. Dr. M.S. Khalil