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How Should Chronic Sinusitis From An Allergy Origin Be Treated?

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Posted on Sat, 14 Jul 2018
Twitter Sat, 14 Jul 2018 Answered on
Twitter Tue, 16 Aug 2022 Last reviewed on
Question : •     Contracted Influenza A in March 2018
•     Fever and flu symptoms dissipated in April
•     Since April
o     Virtual continual burning in the ethmoid and sphenoid sinuses
o     Sinus pressure
o     Runny nose – clear mucous
o     Post nasal drip
o     Coughing fits – clear phlegm
o     Sneezing fits
o     Dizziness, lack of balance, most acute in the mornings
•     PC diagnosed it as sinus infection
o     Two different antibiotic regimens did not affect the symptoms
•     Referred to an ENT
o     Did CT scan – No obstructions or infections in the sinuses
o     Deviated septum
o     Perforated septum
o     Offered no symptomatic or corrective recommendations
•     Referred to an allergist
o     Comprehensive skin test
o     Only allergies are to trees and grass not indigenous our area
o     Offered opinion that there is no allergic reason for the symptoms
•     Referred to second ENT
o     Read the CT scan and concurred with the first ENT
o     Did a hearing test and found mild hearing loss in left ear
     Left ear has had mild tinnitus for 20+ years
o     Offered no symptomatic or corrective recommendations
o     Referred me to a neurologist
     First available appointment in November
•     PC ordered a brain MRI for 7/18
Other factors:
•     Diabetes, hypertension and cholesterol medically under control for last 5 years
•     Overweight
•     Healthy eating lifestyle
•     Workout with trainer 3 days a week (2 years+)
•     73 years old
•     Extremely mentally acute until these symptoms started.
doctor
Answered by Dr. Olgeta Xhufka (3 hours later)
Brief Answer:
Allergic sinusitis

Detailed Answer:

Hello,

It seems that you are suffering from chronic sinusitis and looks like it has allergy origin.
I would like to see your reports because something went wrong and they cant be seen.
Avoid your trigger.
Also you can consider other to get allergy shots, a long-term treatment that gradually makes you less sensitive to the things that set off your symptoms.
Also continue anti histamine and decongestant medications you are taking.
Your doctor may prescribe you inhaled corticosteroids.

Hope I have answered the question. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olgeta Xhufka (1 hour later)
See the results of my skin test attached. None of the allergens noted are in this area
doctor
Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
Cross reactivity suspected

Detailed Answer:

Hello,

Sometimes may be a crossed reaction which means you may develop allergic reaction to a certain tree or plant family without having allergy directly to one.
The proteins in one substance are like the proteins in another. As a result, the immune system sees them as the same.
It can also happen between pollen and foods or latex and foods.
There is not another explication for it.

Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10098 Questions

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How Should Chronic Sinusitis From An Allergy Origin Be Treated?

Brief Answer: Allergic sinusitis Detailed Answer: Hello, It seems that you are suffering from chronic sinusitis and looks like it has allergy origin. I would like to see your reports because something went wrong and they cant be seen. Avoid your trigger. Also you can consider other to get allergy shots, a long-term treatment that gradually makes you less sensitive to the things that set off your symptoms. Also continue anti histamine and decongestant medications you are taking. Your doctor may prescribe you inhaled corticosteroids. Hope I have answered the question. Let me know if I can assist you further.