Brief Answer:

Possible diagnosis: sinusitis

Detailed Answer:

Hello,

The feeling of plugged ear and nose with nagging headache is concerning for possibility of sinus infection or sinusitis. ENT examination and Xray of sinuses can confirm the diagnosis.

I would also like to add that the dizziness you are experiencing can be due to low blood pressure, especially since you are taking diazepam.

I would recommend following up with your treating physician to reduce the dose of diazepam.

Using older antihistamine like doxylamine can cause a headache, dizziness and tiredness.

I recommend that you switch to Loratidine at bedtime and discontinue doxylamine.

Please schedule an appointment with your primary provider to confirm or rule out sinusitis.

Meanwhile, take Loratidine, use saline nasal drops thrice daily, steam inhalation twice daily and Tylenol for a headache. If sinusitis is confirmed you will need an antibiotic (amoxicillin)

Hope I have answered your query.

Take care

Regards,
Dr Lekshmi Rita Venugopal, General & Family Physician

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