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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chronic Sinusitis. Prescribed Antibiotic And Sudafed. Help

Hi doctor I have suffered from chronic sinusitis for the past two years,which resulted in surgery one year ago,at the moment I have been prescribed an antibiotic and sudafed by my own GP and am currently useing flixenase, I am also an asthmatic from when I was very young and use all the proper medication to controll my asthma ,could you please help me with some advice as i am in pain at the moment and for the past seven days,I was at my own GP yesterday who in turn precribed all the above but to be quite honest doctor I feel that im getting nowhere,dont feel I need hospital attention,maybe you can give me alternative advice please.Thankyou Dolores
posted on Sat, 2 Feb 2013
Twitter Sun, 3 Feb 2013 Answered on
Twitter Mon, 4 Feb 2013 Last reviewed on
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General & Family Physician,  's  Response
Hi,
you certainly got chronic sinusitis which has a more peculiar manner to be managed. I am afraid persistence of the pain might be an indication of other specific sinus X rays to exclude a sinus collection. Considering the fact you are on an atopic/asthmatic terrain, drugs like flixonase might have to be taken continuosly even up to two years at times. Antihistaminics, steroids and in case its a collection, a culture and sensitivity test to orient anti biotherapy might be useful.
For the moment, you got to avoid any nasal congestion, use flixonase as prescribed and see your ENT specialist for a reevaluation. Delayed treatment could lead to spread of the germ, in case its a collection to near by structures like the brain and could cause meningitis, ethmoiditis which are serious.
I would suggest you meet an ENT specialist for a reevaluation and discussion of an appropriate management plan,
hope this helps,
Luchuo, MD.
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Have Chronic Sinusitis. Prescribed Antibiotic And Sudafed. Help

Hi, you certainly got chronic sinusitis which has a more peculiar manner to be managed. I am afraid persistence of the pain might be an indication of other specific sinus X rays to exclude a sinus collection. Considering the fact you are on an atopic/asthmatic terrain, drugs like flixonase might have to be taken continuosly even up to two years at times. Antihistaminics, steroids and in case its a collection, a culture and sensitivity test to orient anti biotherapy might be useful. For the moment, you got to avoid any nasal congestion, use flixonase as prescribed and see your ENT specialist for a reevaluation. Delayed treatment could lead to spread of the germ, in case its a collection to near by structures like the brain and could cause meningitis, ethmoiditis which are serious. I would suggest you meet an ENT specialist for a reevaluation and discussion of an appropriate management plan, hope this helps, Luchuo, MD.