How Can Blocked Sinuses And Teeth Pain Be Managed When Allergic To Penicillin And Sulfa Products?

Posted on Wed, 20 Jun 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 20 Jun 2018 Answered on

Fri, 7 Jan 2022 Last reviewed on

Question : My wife's sinuses are blocked. her teeth are now hurting. She has bee to the doctor and is just finishing the Z pack. Nothing is working. She is allergic to penicillin and sulfa products. What can we do?

Answered by Dr. Suresh Heijebu (3 hours later)

Brief Answer:
Paranasal imaging is mandatory

Detailed Answer:

Hello,

As per your symptoms, the possibility of an obstructive rhinosinusitis is very high.

This require a HRCT( high resolution compact tomography) to identify the level of obstruction either at the level of nasal septum or within the paranasal areas.

In presence of penicillin allergy, other superior antibiotics like Azithromycin or Cefixime will be effective.

Please check with your physician if he shares my view and if can prescribe these medications and tests to her.

In most cases of obstructive rhinosinusitis, a surgical intervention is usually required.

Post your further questions if any.
Thank you

Above answer was peer-reviewed by : Dr. Prasad