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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Sinusitis

Hello, Developed my first severe headache, acute nerve type pain in right eye on 1/5/15 in the evening, headache included sinuses and on top of head, went away with sleep... came back the next evening with light and sound sensitivity... never had a migraine before- sinus surgery 8 years ago. Have been treated by FP with steroids and toradol which relieved the headache... but it continues to come back. Exacerbates with computer/tv or telephone usage. Have done a CT of the brain in ER which showed upper sinus congestion, have been to 2 ENTs that said chronic sinusitis. Have also done 15 days of Augmentin- White blood count elevated when had to visit the ER... treated for migraine and another steroid shot and toradol IV. Await CT results of sinus tomorrow. Went to optometrist and vision fine, tested visual fields and fine. With the headaches I get ptosis and inner eye lids redden and eye swells... eye doctor suspects sinus tumor or brain lesion... your opinion??? See ENT tomorrow and was going to ask for MRI and MRA.
Fri, 20 Mar 2015
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HIV AIDS Specialist 's  Response
Treatment for chronic sinusitis is Antibiotic such as Tab Augmentin thrice daily or Azithromycin once daily with some decongestants like Tab Diominic-dca or wikoryl thrice daily with Tab Rantac or Famotid twice daily before meals with steroid nasal spray such as betamethasone or fluticasone not more than seven days at one point of time. One can use otrivin nasal drop or nasoclear nasal drop as decongestants.
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Suggest Treatment For Chronic Sinusitis

Treatment for chronic sinusitis is Antibiotic such as Tab Augmentin thrice daily or Azithromycin once daily with some decongestants like Tab Diominic-dca or wikoryl thrice daily with Tab Rantac or Famotid twice daily before meals with steroid nasal spray such as betamethasone or fluticasone not more than seven days at one point of time. One can use otrivin nasal drop or nasoclear nasal drop as decongestants.