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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sneezing With Phlegm Only During Early Mornings?

Hi Doctor,
I am writing this for my daughter who is 8 1/2 yrs. old. We were earlier in Dehradun(Uttarakhand),where this problem started.When she wakes up in the morning after washing her face with water she will have sneezing for a couple of minutes with phlegm.After sometime it vanishes. Now we are in Trivandrum.After reaching here also it continues. As she has to go early in the morning to school,she wakes up 5.00 am in the morning.Please tell us what to do? as she says tired of this disease.We noticed this 4yrs.before when she had started to go to school.
Wed, 22 Feb 2017
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General Surgeon,  's  Response
Hello,
Thanks for using healthcaremagic.com
I have gone through your query and I can understand your concerns.

Probable diagnosis : chronic sinusitis
Investigations needed: routine blood investigations,CT PNS
Plan of treatment : conservative,endoscopic in selected cases
Outcome : moderate to good

All the symptoms you have mentioned suggest the possibility of a "chronic sinusitis".
As a first line therapy she needs a short course of antibiotics like "moxclav" for five to seven days.She can also take antihistamines like "cetrezine" and nasal decongestants for symptomatic relief.
Steam inhalation for twenty minutes is advised on a regular basis.
If symptom persist despite all these I suggest you to consult an ENT surgeon and get a CT scan of her PNS(para nasal sinuses) done.
Depending on the severity of the disease and CT findings she might require surgical intervention to treat the infection.Nowadays endoscopic procedures like FESS(functional Endoscopic Sinus Surgery ) is the preferred procedure and it is highly effective for chronic sinusitis.
Hope this information helps.
Regards.
Dr.Shinas Hussain
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What Causes Sneezing With Phlegm Only During Early Mornings?

Hello, Thanks for using healthcaremagic.com I have gone through your query and I can understand your concerns. Probable diagnosis : chronic sinusitis Investigations needed: routine blood investigations,CT PNS Plan of treatment : conservative,endoscopic in selected cases Outcome : moderate to good All the symptoms you have mentioned suggest the possibility of a chronic sinusitis . As a first line therapy she needs a short course of antibiotics like moxclav for five to seven days.She can also take antihistamines like cetrezine and nasal decongestants for symptomatic relief. Steam inhalation for twenty minutes is advised on a regular basis. If symptom persist despite all these I suggest you to consult an ENT surgeon and get a CT scan of her PNS(para nasal sinuses) done. Depending on the severity of the disease and CT findings she might require surgical intervention to treat the infection.Nowadays endoscopic procedures like FESS(functional Endoscopic Sinus Surgery ) is the preferred procedure and it is highly effective for chronic sinusitis. Hope this information helps. Regards. Dr.Shinas Hussain