HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Sore Throat And Sinus Infection

Posted on Wed, 19 Apr 2017

Question: hi. im an active 62 yr old male, gym, cycling, etc. have had general joint pain for about a month, with fatigue, lack of energy, then sore throat, bronchial and sinus infection. flu like symptoms without fever. evaluated by nurse practitioner who diagnosed sinus infection and prescribed amox-clav 875-125mg 1 tab twice daily. dont see any improvement after 72 hours.

Answered by Dr. salah saad shoman (1 hour later)

Brief Answer:
Add an antihistaminic

Detailed Answer:
Dear sir,

Firstly, please complete the antibiotic course to see full improvement as it takes some time for the antibiotic to start acting.

Secondly, sinus infections are usually associated with allergic element. So you may accompany the antibiotic with an antihistaminic as Zyrtec once daily before going to bed.

I hope I answered your question. Feel free to ask further.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. salah saad shoman (14 minutes later)

I did try cimetidine for a coupke days. It dried out my respiratory passages, but body and joint aches still attended .

I should mention that i stsrted taking a 0.125mg dose of pramipexole for RLS in January. Thus is apprroximately coincident with thr onsetbof joint pain, particularly cervical pain, then wrists and hips.

Answered by Dr. salah saad shoman (1 hour later)

Brief Answer:
most likely side effect of pramipexole

Detailed Answer:
Dear Sir, Welcome back,

Muscle and joint pain are common side effects of pramipexole.

So you need to refer it to your doctor so that s/he either decrease the dose or switch to another drug.

I hope I answered your question. If you don't have any other clarifications then please close the discussion.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. salah saad shoman (3 days later)

I think I neglected to inform you about a med I was taking that gas side effects similar to my symptoms. I stopped taking it. Between the cessation and the amoxycillin the symptoms subsided so I'm not sure which was the cause, a bacterial infection or the med. I will need to offer more disclosure in the future. But thank you

Answered by Dr. salah saad shoman (1 hour later)

Brief Answer:
You are welcome..

Detailed Answer:
Dear sir,
I am glad your symptoms have subsided . if you want to know for sure what caused the symptoms then you could go back to the pramipexole. if the symptoms returned then this will prove that the symptoms were side effects of the medication. if the symptoms did not return then this will prove it was due to bacterial infection.

I hope I answered your question . if you don't have any other clarifications then please close the discussion.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj