Sinusitis

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    Dec 20, 2011 8:46 PM GMT
    What is the best antibiotic and intranasal corticosteriod combination for recurrent sinusitis? It went for about 4-5 weeks w/o treatment. It is not a viral URI, but is Left sided with radiating ear and dental pain. I tried a Z-pak, but am on day 7 and have noticed only a small amount of improvement, and there is still yellow/green discharge. Suggestions?

    Thanks!
  • LJay

    Posts: 11612

    Dec 20, 2011 11:15 PM GMT
    Having let it go for a month or so, it may take it a while to settle. The z-pac may have some residual action after you finish it, or you may need to get more from the doc.

    As for other treatment, you need to raise enough hell with the nice doc to make him realize that this has to stop. If he is not an ENT specialist, ask to see one.

    I suffered with recurrent sinusitis all my life until, 14 years ago, I had surgery. It took a year to calm down after that, but it is like a new life. The ENT started off with a course of prednisone and then did a CAT scan to find an amazing amount of deeply seated problems.

    So you need two things: immediate relief and a long-term plan.

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    Dec 20, 2011 11:20 PM GMT
    I had lots of sinus and allergy problems. (They are actually two separate things). - The nose spray Veramyst literally saved my life. LIterally.

    Before my sinuses got really bad, I was taking Singular for my allergies - It's asthma medicine. My insurance stopped paying for it and I went off of it. - If you try Claratin and Allegra and they don't work, you might ask your doctor if he can put you on Singular for your allergies.
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    Dec 21, 2011 12:33 AM GMT
    I had (what I thought was) sinusitis for over a year trying all sorts of sprays etc. to fix it. Eventually I found out I had nasal polyps in my right sinus which I had to get surgically removed. If I had known earlier it would have spared me money on needless prescriptions and doctor appointments. So get checked for these. Might be the solution and stop the annoying feeling that comes with it icon_biggrin.gif
  • Timbales

    Posts: 13993

    Dec 21, 2011 12:34 AM GMT
    Zpac never works for me. Neti bottle helps me a lot when I have sinus issues.
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    Dec 21, 2011 1:09 AM GMT
    Wow, these are some great suggestions. I get horrible sinus infections twice a year in the fall and spring (particularly when the temperature yo-yos erratically). Looks like it's time for a trip to my friendly neighborhood ENT guy. There's only so much Sudafed I can stand.
  • barriehomeboy

    Posts: 2475

    Dec 21, 2011 1:12 AM GMT
    You need a preventative thing, so get over the counter stuff that washes out your sinuses. That neti teapot thing is nonesence. You might as well get your ear's candled, which is also crap. Look for a saline solution in some sort of spray. Hose it up your nostrils every day when you get out of bed and you will soon be a guy with no sinus problems.
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    Dec 21, 2011 2:14 PM GMT
    I second the use of nasal lavage Its magic.icon_lol.gificon_cool.gif
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    Dec 21, 2011 2:17 PM GMT
    Ugh- been there this year myself - I'd get a set of swabs taken and a culture done to see what the actual bacteria you're getting infected with is.

    You can then get an anti-biotic that correctly targets the bacterium, rather than one that just inhibits it's growth for short periods.

    Other things to consider.

    Use a saline nasal spray, keeping the sinus cavity moist while using a cold / flu type medication will assist with reducing the pain and allow the tissues to recover from the inflammation.

    Replace your pillow or at least wash it with an antifungal / antibacterial, put a pillow protector on it - you'd be surprised how often we re-infect from pillows.

    Use a mouthwash with chlorhexidine, wash your hands with it too if possible - - also your toothbrush can soak in it - its possible that you're re-infecting from your toothbrush

    Get your GP to give you a referral to an Ear Nose Throat (ENT) specialist - they have the right gear to look at the problem and more specialised experience in the area.
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    Dec 21, 2011 4:41 PM GMT
    Depending on which sinus cavity it can take a while to clear. Sometimes I would be on antibiotic for up to 60 days and steroids to go along when I had sphenoid infections. Believe it or not running helped to prevent infections. The adrenalin would decrease inflammation and allow my sinuses to drain. It helped much more after I had surgery too.
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    Dec 21, 2011 4:43 PM GMT
    I used to get it all the time and it really knocked me out. I had sinus surgery a couple of years ago, which made a huge difference. I had several polyps removed and the doctor also repaired my deviated septum. I did get a few sinus infections afterwards but haven't had one for a long time.
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    Jan 05, 2012 8:19 PM GMT
    Thanks for the advice, its getting better.