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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sinus With Sore Throat Fluid In Ears?

Hi ,
Back in November I had a bad sinus infection, cough stuffy nose green mucus , headache and earache. I went to the doctor he gave me an antibiotic and the cough went away. However I can't smell or taste much other than strong smells. Few days ago I got a sore throat my ears feel like there is fluid in them and things have bitter taste. I don't know what's going on. What do you think it could be?
I'm on levothyroxine for the past 12 months could that affect anything?
Wed, 21 May 2014
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General Surgeon 's  Response
Hi.
Thanks for your query and an elucidate history.

Levothyroxin has nothing to do with this condition unless thyroid function is abnormal.

It seems that the past infection never settled completely.

I would advise such a patient:::
*High resolution T scan of the sinuses.
* collect the sample of the discharge for gram staining, culture and sensitivity test ( will help us in near future to alter the therapy if need be).
*Broad spectrum antibiotics and anti-inflammatory medicines, oral decongestant and topical one as nasal drops or spray
*Bed rest.
*Steam inhalations

All this management will help to solve the present problem.
The medicines should be given for at least 3 weeks.
If the CT scan is suggestive of an organic pathology and surgery if there is a need.

This is going to be bit difficult but you can be cured of the problems.
forever. Otherwise this will become a chronic/ recurrent affair and very difficult to treat at a later stage.


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What Causes Sinus With Sore Throat Fluid In Ears?

Hi. Thanks for your query and an elucidate history. Levothyroxin has nothing to do with this condition unless thyroid function is abnormal. It seems that the past infection never settled completely. I would advise such a patient::: *High resolution T scan of the sinuses. * collect the sample of the discharge for gram staining, culture and sensitivity test ( will help us in near future to alter the therapy if need be). *Broad spectrum antibiotics and anti-inflammatory medicines, oral decongestant and topical one as nasal drops or spray *Bed rest. *Steam inhalations All this management will help to solve the present problem. The medicines should be given for at least 3 weeks. If the CT scan is suggestive of an organic pathology and surgery if there is a need. This is going to be bit difficult but you can be cured of the problems. forever. Otherwise this will become a chronic/ recurrent affair and very difficult to treat at a later stage.