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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nose Congestion And Severe Fatigue?

Hi, just looking for possible answers.. I work in a daycare so I go to work andcome home with everything. I have been struggling with a nasty head cold for over a month now. From nasal congestion that will not go away. And just when I think I am getting better, I end up with pretty bad exhaustion. This is two weekends now where I have no energy to do anything, I have a loss of energy and jjust want to sleep. I just want to get better, my fiance and I have been trying to conceive now for over a year and a half now and I have a feeling that my health is what has been ruining y chances of conceiving. I have tried taking Buckley s and that did not work. Would you recommend something that I could take that does not contain ASA, Penicillin, Azithromycin, or Clarithromycin. (I think that is how you spell it) those are my allergies
Thu, 15 Mar 2018
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Anesthesiologist,  's  Response
Hello,

Your symptoms make me think of chronic rhinosinusitis. As you work in a day care, risk of repeated viral infections is present.

The following medical treatment is usually recommended:
1) Tablet Sinarest or tablet Wikoryl twice daily for maximum of 7-10 days
2) Nasal decongestant sprays like Oxymetazoline, Xylometazoline for maximum of 5 days
3) Steam inhalation 2 times a day
4) If any Eosinophilia or allergy history, tablet Monteleukast once daily at night for 6 weeks
5) Regarding antibiotic, you can go for Fluoroquinolone group - Levofloxacin 500mg once daily, for 10 days.

Even with the above mentioned treatment for 10-14 days if no improvement is seen, you can go for surgical modality.

FESS (Functional Endoscopic Sinus Surgery) is a very good option with the following salient features:
1) Very good cure rate
2) Very less complications
3) Hospital stay is only 1-2 days
4) Less chance of recurrence

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pallavi.m
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What Causes Nose Congestion And Severe Fatigue?

Hello, Your symptoms make me think of chronic rhinosinusitis. As you work in a day care, risk of repeated viral infections is present. The following medical treatment is usually recommended: 1) Tablet Sinarest or tablet Wikoryl twice daily for maximum of 7-10 days 2) Nasal decongestant sprays like Oxymetazoline, Xylometazoline for maximum of 5 days 3) Steam inhalation 2 times a day 4) If any Eosinophilia or allergy history, tablet Monteleukast once daily at night for 6 weeks 5) Regarding antibiotic, you can go for Fluoroquinolone group - Levofloxacin 500mg once daily, for 10 days. Even with the above mentioned treatment for 10-14 days if no improvement is seen, you can go for surgical modality. FESS (Functional Endoscopic Sinus Surgery) is a very good option with the following salient features: 1) Very good cure rate 2) Very less complications 3) Hospital stay is only 1-2 days 4) Less chance of recurrence Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Pallavi.m