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Suggest Treatment For Frequent Cold, Sneezing And Heavy Headedness
Question: I frequently get cold, sneezing and head heaviness, attack is frequent, if I sweat and take a glass of cold water immediately sore throat or some sort of cold and aggravates until next dose of antibiotics. not sure what is the issue, appreciate your guidance. this has been the pattern for two decades now. I really want to exercise and get fit, but want a permanent solution for this chronic issue.
Brief Answer:
Nasal endoscopy, Sinus CT, Medication
Detailed Answer:
Hi,
Thank you for your query.
1. Since this is a chronic issue, get a nasal examination and endoscopy done. A plain (non contrast) Sinus CT will also reveal if the heaviness in the head is due to chronic sinusitis.
2. A chronic post nasal drip (due to chronic sinusitis) will lead to the normal lymphoid tissue in the throat being infected and inflamed. This makes the throat sensitive.
3. Antibiotics will not help in allergy and will only reduce secondary bacterial infections. However viral and fungal infections will not responds and may even flare up.
4. Request a two week trail with a non-sedating anti-histamine (such as fexofenadine), an anti-leukotriene (such as montelukast), a steroid nasal spray (such as fluticasone or mometasone) and regular steam inhalation. If the medication helps, continue and taper off over a few months.
5. If the above medication fails, further surgical treatment options may be discussed along with uploaded CT images.
Hope I have answered your query. If you have any follow up queries, I will be available to answer them.
Regards.
Nasal endoscopy, Sinus CT, Medication
Detailed Answer:
Hi,
Thank you for your query.
1. Since this is a chronic issue, get a nasal examination and endoscopy done. A plain (non contrast) Sinus CT will also reveal if the heaviness in the head is due to chronic sinusitis.
2. A chronic post nasal drip (due to chronic sinusitis) will lead to the normal lymphoid tissue in the throat being infected and inflamed. This makes the throat sensitive.
3. Antibiotics will not help in allergy and will only reduce secondary bacterial infections. However viral and fungal infections will not responds and may even flare up.
4. Request a two week trail with a non-sedating anti-histamine (such as fexofenadine), an anti-leukotriene (such as montelukast), a steroid nasal spray (such as fluticasone or mometasone) and regular steam inhalation. If the medication helps, continue and taper off over a few months.
5. If the above medication fails, further surgical treatment options may be discussed along with uploaded CT images.
Hope I have answered your query. If you have any follow up queries, I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I liked the answer, did not understand the medicine recommended. Can u please help me with that. Thanks.
Brief Answer:
You will require a prescription.
Detailed Answer:
Hi,
Thank you for writing back.
1. The medication will require a prescription from a local doctor.
2. It includes a two week course with a combination anti-allergic tablet (such A Allegra-M) once a day and a steroid nasal spray (such as Nasonex or Avamys nasa spray) once a day along with regular steam inhalation for 15 minutes at a time.
3. The above medication should be taken under the supervision of a local doctor.
Hope I have answered your query. If you have any follow up queries, I will be available to answer them.
Regards.
You will require a prescription.
Detailed Answer:
Hi,
Thank you for writing back.
1. The medication will require a prescription from a local doctor.
2. It includes a two week course with a combination anti-allergic tablet (such A Allegra-M) once a day and a steroid nasal spray (such as Nasonex or Avamys nasa spray) once a day along with regular steam inhalation for 15 minutes at a time.
3. The above medication should be taken under the supervision of a local doctor.
Hope I have answered your query. If you have any follow up queries, I will be available to answer them.
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. Chakravarthy Mazumdar
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