Brief Answer:
Needs management

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Sinuses congestion can be very prolonged and tricky some times. Antibiotics not always help as most of the time the infection is viral and self resolves. What you are having right now are sequelaes of the throat infection you had. Continue the nasal sprays and follow the below mentioned advice.

Use a humidifier or vaporizer.
Take long showers or -- very carefully -- breathe in steam from a pot on the stove.
Drink lots of fluids, which will thin out your mucus and may help prevent your sinuses from getting blocked up.
Use a nasal saline spray – simple unmedicated salt water – to help prevent your nasal passages from drying out.
To further ease your nasal congestion and sinus pressure, here are some other things you can try at home.

Irrigate. It may seem odd, but the time-honored technique of flushing out nasal passages with salt water has some good scientific evidence behind it. The water washes out mucus and other debris – including allergens or germs – while keeping your nasal passages moist. There are many different approaches. You could just use a syringe, a neti pot, or one of the more elaborate and expensive nasal irrigators available in stores. Use distilled, sterile or previously boiled water to make up the irrigation solution. It’s also important to rinse the irrigation device after each use and leave open to air dry.
Use warm compresses on your face. Sitting with a warm, wet towel on your face may relieve discomfort and open your nasal passages.
Prop yourself up. At night, lie on a couple of pillows. Keeping your head elevated may make breathing more comfortable.
Avoid chlorinated pools. Although you might think the moisture will help, the chlorine in pools can irritate the mucous membranes in your nasal passages.


As far as the pain in right rib cage on lying down is concerned, that is likely a gastric discomfort. Take some antacids like pepto and some anti spasmodics for the relief. Avoid NSAIDs as those exacerbate.

Getting chilled and tired earlier is just a hallmark of any disease and just a symptom and not any thing else. As the sinus congestion resolves, this issue will subside.

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan

---

Brief Answer:
No worries

Detailed Answer:
Thank you for getting back to me

Waking up at midnight is just a sequelae of this recent sinus issues. Once this resolves sound sleep will return. You don't have sleep apnea. Just try to lie down on a side and not straight. It shall help. Just waiting and seeing and doing as directed is advised.

I hope it helps.

Take care
Khan

---

Brief Answer:
Sinusitis sequelaes

Detailed Answer:
Thank you for getting back to me

As I mentioned earlier unless your congestion is taken care of and treated symptomatically these symptoms will keep coming. Insomnia is just the sequelae not an illness on its own.

All you need is some decongestants and home remedies mentioned above. Till then some antihistamines at bed times will work as sleep aid agents too.
Apart from it you need to maintain a blood pressure. Fluid retention and congestion of sinuses are not connected.

I hope it helps.
Take care
Khan

---