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What Causes Persistent Headaches?

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Posted on Mon, 27 Mar 2017
Question: sir,
am suffering from head ache from last 6 months.
doctor
Answered by Dr. V. N. S. Parinam (1 hour later)
Brief Answer:
Decongestant medicines to be added

Detailed Answer:
Hi,

You seem to have chronic sphenoidal sinusitis, the reason for daily headaches. Apparently the sinus which is under the brain is not able to drain well into the middle turbinates of the maxilla. That is why as per the CT scan the middle and inferior turbinates are also congested.

Most often the chronic sphenoidal sinusitis is because of small ostium (hole) which is not enough to drain the sinus. It has to seen with the endoscopy through the maxillary sinus (through nose) and widened.

If your doctor is suggested for endoscopy please go for it. It is a standard and regularly treated. Till then you can ask for decongestants like pseudoephedrine (sudafed) which can really help to relieve the congestion as evident in CT scan.

Hope this helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. V. N. S. Parinam (25 hours later)
From last two months doctor mention these below tablets
1. azithromycin 500mg 1-0-0 5days
2. levoday 500 0-0-1
3. XT para 1000 mg 1-0-1

1.     Moxikind CV 625 1-0-1 5days
2.     Wikoryl 1-1-1
3.     Pan 40mg 1-0-0

1.     ecof tablet 1-0-1 10 days
2. Sinsus nosal drop
3. nazomac f nasal spray
4. paracetamol with aceclofenac

Till now am suffering from head ache and cough regularly.
Even though every time when i had head bath serious head ache. .

Please suggest me the treatment.
doctor
Answered by Dr. V. N. S. Parinam (34 hours later)
Brief Answer:
A concoction of antibiotics

Detailed Answer:
hi

all your doctor was treating with antibiotics which was just fine. but what about prevention. what was the cause of frequently sinus infection? you should understand that and try avoiding that. an allergist with ENT surgeon right choice. the former will help understand the allergens with patch test while the later can increase size of ostium of spenoid sinus.

just let me know if you need clarification.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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What Causes Persistent Headaches?

Brief Answer: Decongestant medicines to be added Detailed Answer: Hi, You seem to have chronic sphenoidal sinusitis, the reason for daily headaches. Apparently the sinus which is under the brain is not able to drain well into the middle turbinates of the maxilla. That is why as per the CT scan the middle and inferior turbinates are also congested. Most often the chronic sphenoidal sinusitis is because of small ostium (hole) which is not enough to drain the sinus. It has to seen with the endoscopy through the maxillary sinus (through nose) and widened. If your doctor is suggested for endoscopy please go for it. It is a standard and regularly treated. Till then you can ask for decongestants like pseudoephedrine (sudafed) which can really help to relieve the congestion as evident in CT scan. Hope this helps.