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What Does My CT Scan Report Indicate?

Posted on Tue, 3 Feb 2015

Question: Hi my name is XXXX. I have had sinus problems for about 4 months straight. I have been prescribed (2) different antibiotics (1) Amoxicillin (2) CIPRO because my PC Doctor thought I had a Sinus Infection. I got "No" relief. I had a C-Scan and a Chest X-rays. C-Scan= some Inflamation but ( No ) infection. Chest X-Ray= clear. I am going to an ENT doctor on 1/16/15. I purchased an Air Purifier $350.00 . Not sure if it is helping or not. Started using Nasacort (24) seems to help a little. My question is "Could I have some allergy that I don't know what it is causing me all this sinus trouble? I do-not know what to do next. I am getting very frustrated and discouraged that the Drs. Can't Find Out What Is going on. Nasel rinse= Not Much help because my Nostrils are clear but sinuses are always congested. Terrible Headaches too.= Help!

Answered by Dr. Paparaja S (17 minutes later)

Brief Answer:
Nasal allergy should be ruled out.

Detailed Answer:
Hi,
Welcome to healthcare magic.
I had gone through your question. I can understand your suffering. There could be nasal allergy. Nothing to worry. Kindly provide the following history. I will definitely help you.
1) Is there any history of increased sneezing?
2) Is there any nasal discharge ?
3) Is there any itching in eyes and nose?
4) Watering of eyes?
5) Family history of asthma or any allergic disorders?
Kindly provide me the above information. Nothing to worry.
Wish you a speedy recovery.

Regards,
Dr Paparaja S MBBS MS

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Paparaja S (27 minutes later)

Dr. Paparaja, ENT Specialists, I have had this sinus congestion since August of 2014. I have done this question the doctor (3) times before without any positive results. I have taken different antibiotics, Nasel rinses, Nasel Sprays, you name it I have tried it. I have such terrible sinus headaches and the discharge never stops.
(1) No Sneezing (2)YES discharge and thick slimy mucus,clear(3)No Itchy Eyes.
(4)No asthma or Allergies. I am in pretty desperate situation . Headaches, Full
Sinuses, but clear Nasel passages Constant discharge (white thick pasty) mucus. Headaches are very painful, thanks XXXX

Answered by Dr. Paparaja S (35 minutes later)

Brief Answer:
You might need an endoscopic sinus surgery.

Detailed Answer:
Dear XXXX,
Thanks for your follow up question .
I can understand your concern. This is not due to any allergy. You got chronic sinus infection. At this stage you need an endoscopic sinus surgery to clear your disease. I recommend sinus surgery because :
You are not responding to medical line of therapy that is all medications, sprays for more than three months.

I will tell you how sinus surgery helps:
You know our sinuses are lined by mucus membrane, which continuously produce mucus , drained through a opening in each sinus. The recurrent infections cause narrowing of sinus openings and the pus builds up in sinuses and causes headache and nasal discharge. At this stage no medications can resolve the infection, no sprays can help to open up the narrowed sinus openings .
In such cases we enlarge the narrowed opening, so that the pus no more builds up in sinuses and we also remove a polypoid and unhealthy mucosa , so new healthy mucosa forms.
I am sure you will be benefited with sinus surgery.

Hope I have answered your question. If you have any further questions, I am happy to help you.
Wish you a good health.

Truly,
Dr Paparaja S MBBS MS

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Paparaja S (12 hours later)

Dr. Paparaja, Thank-You so much for giving the information concerning my Sinus condition. I think that you are absolutely correct in your findings and final solution to end this problem that I have had to deal with since summer of 2014. So I have had this congestion and headaches everyday all that time. I am going to see an ENT Dr. On Monday XXXXXXX 19, 2015, and will definitely tell him your thoughts in which I agree and what you suggest is the only remaining solution because I have tried everything else with "No" results. Again Thank You Dr. Paparaja for all your help in hopefully being the end of this painful sinus condition. XXXX

Answered by Dr. Paparaja S (11 minutes later)

Brief Answer:
Nothing to worry , you will be fine.

Detailed Answer:
Dear Mr. XXXXXXX
Thanks for your follow up.
When I was going through your question, each second I felt like, I should help him out. We are always with you. I am to help you.
Wish you a speedy recovery and a very good health.
Have a wonderful year ahead. Take care.

Thanks for your appreciation.
If you are happy with my answer, kindly close the discussion and rate my answer.

Truly,
Dr Paparaja S MBBS, MS

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T