Brief Answer: Visit an ENT specialist... Detailed Answer: Hi, I see your brother suffers from chronic recurring sinusitis. Acute conditions can be handled with steam inhalation, nasal decongestants +/- antibiotics. However chronic conditions might need a lifestyle change, adequate preventive measures during seasonal change and may be even surgery. I recommend my patients to consult an ENT surgeon who after X-ray/CT scan can assess the severity of problem and guide him with appropriate management. Chronic recurring condition are preventable. Consider ENT surgeon to verify if surgical remedy is a feasible option. Hope this helps. Let me know if you need clarifications. Regards

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Brief Answer: Life style change... Detailed Answer: Hi, As I said earlier, chronic condition need life style adaptation. There is real need to identify what is causing the acute flare ups. The cause may be related to allergies, seasonal weather changes, co-existing nasal conditions or recurring infections secondary to poor general condition. Without clinical examination and detailed evaluation it would be extremely hard to confirm the cause. You are requested to discuss with a competent ENT surgeon and identify the causes. He will need to consult the doctor again. As you plan his visit doctor, some general recommendations that could help include: 1. Avoiding exposure to dust and pollens - using face mask while travelling; regularly cleaning bed spread, pillow cover, curtains and other indoor products. 2. Encourage him to use saline nasal spray such as nasomist spray whenever he develops recurring sneezing. 3. Encourage him to take colourful fruits and vegetables (all) 4. Antihistamines and nasal decongestants when symptoms become severe. 5. Explore alternative holistic therapy (ayurveda/homeopathy/natural medicine) to treat for allergies Treatment is going to be slow and gradual. So during acute episode continue the current treatment for sinusitis. Hope this helps. Regards

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