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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Sinus Pain, Ear Congestion And Green Nasal Discharge

I am a 75 yo fe with maxillary sinus pain, ears congested, green exudate draining (yuk). Symptoms started about 10 days ago (slight) and became serious yesterday. I was given Cefdinir at an urgent care yesterday. Will a 10 day (bid) be enough? Should I take decongestants with it? They seem to make the drainage thicker. I am using a Nettipot.
Thank you
Mon, 11 Sep 2017
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Dentist,  's  Response
Hi..
Thanks for the query.

As per your complain it seems that discharge of green exudate from nose along with sinus pain and ear congestion is most probably due to infection in the sinuses leading to Sinusitis and as the sinuses drains through nostrils, therefore fluid/pus accumulation in sinuses can drain through nose..

I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly..

You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room..
You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline..
Avoid spicy and chilled foods..
Do warm compresses around nostrils..

Hope this helps..

Regards.
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Suggest Treatment For Severe Sinus Pain, Ear Congestion And Green Nasal Discharge

Hi.. Thanks for the query. As per your complain it seems that discharge of green exudate from nose along with sinus pain and ear congestion is most probably due to infection in the sinuses leading to Sinusitis and as the sinuses drains through nostrils, therefore fluid/pus accumulation in sinuses can drain through nose.. I would suggest you to consult an Otolaryngologist and get evaluated and a thorough clinical evaluation and investigations like PNS view x ray or MRI scan can help in diagnosis and treatment can be done accordingly.. You can be advised a course of antibiotics, anti-inflammatory painkiller like Ibuprofen, decongestants like Pseudoephadrine, do saline nasal irrigation, steam inhalation and use a humidifier in your room.. You can also be advised decongestant nasal sprays containing Xylometazoline or Oxymetazoline.. Avoid spicy and chilled foods.. Do warm compresses around nostrils.. Hope this helps.. Regards.