Acute sinusitis won’t go away Can someone explain a typical course?

Posted by sb4ca @sb4ca, Sep 17, 2023

I got a minor cold like others in the household but within days I had the full flu symptoms with it and coughed up colored phlegm. That’s a whole month ago now. I saw my ENT after a round of Ampicillin +Clovanix didn’t budge it and he prescribed a different antibiotic plus a Medrol steroid pack. I still feel horrible and now have laryngitis plus probable bronchitis. What’s up with this? I don’t understand how it can get worse while Im being treated. My doctor did order a CT but that’s more than a week away. I do have a primary immune deficiency but my doctor knows that. I had a brain MRI this year that incidentally found I had some opacification of my frontal sinuses though the implications of that I really don’t know. I also really wonder if this was Covid. I tested myself twice and was negative Then today CNN had a reference to the old test kits and whether they’re picking up the newer strains. Just looking for others experience when these things drag on endlessly while still feeling so crappy

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@sb4ca

I haven't had a I've sinus infection(s) or URI infection in a long time that I remember. Is that what causes opacity? I had terrible ones about 15 yrs ago. Can you explain "residual" (above) in more detail? Wishing for info that includes why I still have a stuffed nose? And why I would get laryngitis at this late date. I won't even see the ENT until the first week in October but if. I'll be able to see the CT and report before then.

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“Residual” meaning some inflammation that can hang around for a while with stuffiness.

Stuffiness and feeling ill are two different things.

If you are sounding stuffy but don’t feel I’ll anymore, that means that the virus has most likely gone-but the inflammatory response to the virus can stick around for a bit.

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@chzuck

Why is it so hard to find a doctor that will listen on the patient. I am going on my fourth ENT, trying to find the one that will listen and answer my questions.

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I can explain this, albeit 1 1/4 years later, is a PRETTY comprehensible fashion.

As adults, more so than kids, we can QUANTIFY our discomfort. PART of that issue is we cannot differentiate A from B. For me it was "MY knees hurt bad" followed by several forms of NSAIDs, Hydrocodone, steroid shots. BECAUSE this is a progression path doctors use as it is MOST successful. Where I ran into a wall is my GP said "Ya know, let's get an MRI". I had been in an accident as a teen. 40 years later that undiagnosed fracture in my right tibia was reacting to age and the atmosphere and the pain was simply transferring a few inches north to my knee. There is nothing to be done for a poorly healed bone 🙂 Point being I simplified my understanding based on what I "Felt" which led to a lengthy process of discovery.

So when you say A,B,C, then the doctors are going to follow a path of progression. If D and E are left out initially, the path will be for treatments to A,B,C and introducing D and E will be "distractions" and disregarded by most doctors. Not that they don't care or are less concerned about your health, but we ALL have hammer and nail tendencies in our daily lives and a profession that caters to specific issues more so than nay other. To a hammer, everything is a nail. I was diagnosed with a heartattack . No matter what course we took, even though ti was ineffective, my cardiologist never once deviated. It was an esophageal tear. Tropoin being released, as well as a cath showing 3 blockages (So small a stint would dwarf then as they were on feeder veins on the underside of the heart, so slightly larger than capilaries) . Not a BLOACKGE that would cause a heart issue. BUT 1+1+1= in that math. Blockage that can be found, troponin elevated, chest pain. It was not bad care or a poor diagnosis. it was simply rote, mechanical, diagnostics because that is the normal path of progression.

So that's more than likely your issue. 1+1+1=3 and not a dismissive stance based on your concerns.

Sorry for the lengthy post

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