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Suffering From Sinusitis. Feeling Lethargic, Breathless And Flatulence. No Relief From Antibiotic. Cause And Cure?
Question: Hello Doctor,
I have been suferring from sinusitis for the past few years. My head pains and I feel very lethargic. Breathing is heavy and at time I feel breathless (specially while having food). After undergoing medications the thick yellow discharge has stopped. But the nose feels blocked and I have to spit out the discharge in my mouth after every meal. Antibiotics dont seem to be effective now. I also suffer from flatulence. Can you please tell me what could be the possible cause for the same and recommend a soution. I stay in Mumbai, can you suggest a good doctor.
I have been suferring from sinusitis for the past few years. My head pains and I feel very lethargic. Breathing is heavy and at time I feel breathless (specially while having food). After undergoing medications the thick yellow discharge has stopped. But the nose feels blocked and I have to spit out the discharge in my mouth after every meal. Antibiotics dont seem to be effective now. I also suffer from flatulence. Can you please tell me what could be the possible cause for the same and recommend a soution. I stay in Mumbai, can you suggest a good doctor.
Hi
Thanks for posting the query
The symptoms mentioned by you such as lassitude, headache, heaviness of the head and breathing difficulty are the features of chronic sinusitis.
Appropriate, potent and broad spectrum antibiotic when taken for 10-14 days can give you relief from the symptoms. Apart from this, you need to take few more medicines such as:
1. A mucolytic (bromhexine or ambroxol) to reduce the consistency of the secretions.
2. Saline nasal spray for 3-4 days followed by steam inhalation to open up the sinuses and clearing of the nasal and sinus secretions.
Also, you need to drink plenty of warm water; avoid coffee, chilled food and beverages and smoking. These above mesaures are very important and beneficial in the management of chronic sinusitis.
If you are not improving with the above measures, you need to get a CT scan of nose and para nasal sinuses done to assess the anatomy of the sinuses, and disease extent.
Hope I have answered your query; I will be available for the follow-up queries.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Thanks for posting the query
The symptoms mentioned by you such as lassitude, headache, heaviness of the head and breathing difficulty are the features of chronic sinusitis.
Appropriate, potent and broad spectrum antibiotic when taken for 10-14 days can give you relief from the symptoms. Apart from this, you need to take few more medicines such as:
1. A mucolytic (bromhexine or ambroxol) to reduce the consistency of the secretions.
2. Saline nasal spray for 3-4 days followed by steam inhalation to open up the sinuses and clearing of the nasal and sinus secretions.
Also, you need to drink plenty of warm water; avoid coffee, chilled food and beverages and smoking. These above mesaures are very important and beneficial in the management of chronic sinusitis.
If you are not improving with the above measures, you need to get a CT scan of nose and para nasal sinuses done to assess the anatomy of the sinuses, and disease extent.
Hope I have answered your query; I will be available for the follow-up queries.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much Dr. XXXXXXX
Can you please suggest me some medications (broad spectrum antibiotic, mucolytic, Saline nasal) and the dosage and period of use. If the problem still persists I would undergo a CT scan of the nose and para nasal sinuses. Is the flatulence a result of chronic sinusitis.
Regards, XXXXXXX XXXXXXX
Can you please suggest me some medications (broad spectrum antibiotic, mucolytic, Saline nasal) and the dosage and period of use. If the problem still persists I would undergo a CT scan of the nose and para nasal sinuses. Is the flatulence a result of chronic sinusitis.
Regards, XXXXXXX XXXXXXX
Hello XXXXXXX
Thanks for writing back
Antibiotics such as (1) combination of amoxycillin and clavulanic acid or (2) cefuroxime would be the right choice for treating sinusitis and it has to be taken for at least 10-14 days. A mucolytic such as bromhexine or ambroxol is also very helpful. I am sorry, I cannot mention about the dosage or duration in the online consultation, as it is against the online consultation policy.
Flatulence could be indirectly related to the swallowing of excess of air because of the nasal block and there is no enough evidence to prove the same.
If your problems are not improving you can consult Dr. XXXXXXX Kirtane, ENT specialist at Hinduja or Breach candy hospital.
Wish you good health and good luck.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Thanks for writing back
Antibiotics such as (1) combination of amoxycillin and clavulanic acid or (2) cefuroxime would be the right choice for treating sinusitis and it has to be taken for at least 10-14 days. A mucolytic such as bromhexine or ambroxol is also very helpful. I am sorry, I cannot mention about the dosage or duration in the online consultation, as it is against the online consultation policy.
Flatulence could be indirectly related to the swallowing of excess of air because of the nasal block and there is no enough evidence to prove the same.
If your problems are not improving you can consult Dr. XXXXXXX Kirtane, ENT specialist at Hinduja or Breach candy hospital.
Wish you good health and good luck.
Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
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. Chakravarthy Mazumdar
Answered by
Dr. Naveen Kumar Nanjasetty
Otolaryngologist / ENT Specialist
Practicing since :2001
Answered : 2543 Questions
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