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Hi Docotr Hope All Well With You I Have Been

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Posted on Fri, 30 Aug 2019
Question: hi docotr hope all well with you
i have been dignost with chronic sinusities for long time i was been trated by antibiotices and nasil spry like nasonax

the thing is before 3 months back i got bad smell from my nose i went to tte ent docotr and he told me it is allregy reaction and he gave xzal tablets and nasonaz spary for one month the symptoms disappear and gone but after one month again the bad smell came again and there was pressure and pain in my sinus
they did blood test all was ok and normal
then he did form me ct scan and also it was normal
i told to the docotor to do for me nasil cuture test but he told me no need for it . i went to the gp doctor and request for culture of naisl for bactria and fungal the result came negative for bactria and postive for fungal . so in this case what shall i do shall i need to take anti fungal tablets ?

also i forgot to mention that i have chronic gastaraities for long time since 2008 and i am eating nexum tablet amd got last time h.pilory infection and got treated

so my question what i should do for the fungal though it is a contamenated

regards
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
No need to take antifungal drugs.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
I don't think you need antifungal drugs.
Possibility of contaminated culture is more likely.
Your CT scan is normal.
Usually fungal Sinus infection causes abnormality on CT image.
So I don't think you are having fungal sinusitis.
You are mostly having allergic sinusitis.
So in my opinion, you should not take antifungal drugs.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
Hi Doctor
So what can
I use to reduce the smell ? And pain in my sinus I am taking ciprofloxien 500mg for 7 days it is my 4th day and no improvement I feel all these problems are from candida ( fungal ) in my nose
doctor
Answered by Dr. Drkaushal85 (9 hours later)
Brief Answer:
Start montelukast and fexofenadine combination.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Sorry for late reply as I was busy.
In my opinion, you should start combination of antihistamine (fexofenadine) and anti allergic (montelukast).
If you wish, you can try fluconazole for candida but I don't think it will help you.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Take for atleast 1 month.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Take it for atleast 1 month and get back to me after 1 month.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Drkaushal85 (0 minute later)
Thanks a lot
For how long I need to take the medicin which u told me

Regards
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14997 Questions

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Hi Docotr Hope All Well With You I Have Been

Brief Answer: No need to take antifungal drugs. Detailed Answer: Thanks for your question on Ask a doctor forum. I can understand your concern. I have gone through the detailed history you have given. I don't think you need antifungal drugs. Possibility of contaminated culture is more likely. Your CT scan is normal. Usually fungal Sinus infection causes abnormality on CT image. So I don't think you are having fungal sinusitis. You are mostly having allergic sinusitis. So in my opinion, you should not take antifungal drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks