Hello lybrate-user. Hope you are safe. To begin with, your symptoms are not the usual presentation of a chronic sinusitis case. You should get a ct pns (all views) and hrct temporal bone for the affected side of the ear to have an accurate diagnosis. With a proper consultation, we can manage you well with a medical or a surgical intervention as per your findings on the scans.
Thank you for your query.
I would like to ask a few questions related to your sinus complaint.
1. Do you have unilateral or bilateral nasal obstruction?
2. Any fever / headache / facial heavyness?
3. Any recurrent sneezing or running nose associated with your symptoms.
These answers are important as they will distinguish between an allergic or infectious etiology.
Please start the following treatment and follow up with the answers for comprehensive advise.
1. Tab. Montair fx twice a day
2. Nasal spray duonase 2 puff twice a day
3. Steam inhalation twice a day.
Start this for 7 days and follow up.
Otrivin nose drops are not recommended for longer duration you need to visit ent specialist in person so exact cause of obstruction is know accordingly can get treatment. In current covid situation you can have teleconsultation. Hope answer is helpful.
Hello lybrate-user. Hope you are safe. All of us have a physiological nasal cycle in which there are episodes of nasal obstruction 2-3 times a day and is considered as normal. But when this cycle is altered, one tends to have prolonged periods of nasal obstructions at odd times of the day. It could be due to a lot of reasons which can be best understood through a proper consultation. But one of them, could be a condition known as vasomotor rhinitis which needs proper diagnosis and management. As a radiological investigation, I would always suggest you to to for a ct scan in place of an x ray as it gives much more and finer anatomical details.
Dear Lybrate user as per your mentioned symptoms you are most probably suffering from allergic rhinitis. Use antiallergic when required. You can also do yoga (anulom vilom) to improve the ventilation of your sinuses and enhance immunity. Lifestyle modification is very important in reflux disease management increase fibres and decrease intake of spices from your diet. You may consult an ent specialist at Lybrate for detail evaluation and management.
Hello. It seems you are having a lot of acid reflux. It would be better to take combination of pantoprazole and domperidone. You can also add an antacid. It is important to follow dietary precautions when dealing with acid reflux. Avoid fried and spicy food. Cut down on tea and coffee. Drink plenty of water. And make sure to keep a 2 hour gap between your meal and lying down.
MD- General Physician-RU- Equi. MBBS, Diploma in Laryngology & otology
ENT Specialist, Hyderabad
The first foremost important thing is ask your husband to relax, he is not sick, he need not get into depression, and this small disease will go away over time. Ask him to take good steam inhalation
small meals in divided portions multiple times a day
avoid all spicy, cold,oily and sour foods he needs to loose weight, walking for 15 mins and gradually increasing to -30 mins twice a day avoid carbohydrate rich foods
avoid stress and take good antacids for 15 days until he gets over this reflux any issue please consult in private, and if possible post all previous reports and medications if any.
Hello lybrate-user. Hope you are safe and well. It is good to know the measures you have taken until now to control your sinus symptoms. I would suggest you to find out if your sinuses are harboring any nidus of fungal or bacterial infection. We would get a better idea by having a look at your ct scan pns. Just remember that chronic sinusitis is an antigen meditated pathology and needs evidence based management for long term relief.