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Acute sinusitis won’t go away Can someone explain a typical course?
Ear, Nose & Throat (ENT) | Last Active: Sep 19, 2023 | Replies (11)Comment receiving replies
God Bless You! I have battled chronic bronchitis, pneumonia & sinus infections from the first week of July until last week. I had sinus surgery back in 1994 and have been plagued with sinus infections since 1983 along with allergies. The GOLD antibiotic for me was Levaquin 750 mg for 7 days and then I had to do another round of Levaquin 500 mg for 5 days. Irrigating the sinus daily is important to keep the bacteria down. Drink water to thin out mucous. I also use Afrin for 3 days....then come off when I feel an infection coming on. Afrin causes rebound stuffiness if you go past 3 days. Ask your ENT or primary about all of these. My old ENT doctor who passed away was wonderful, as he would culture my sinus to see what bacteria was growing and treat accordingly. I can't get the new ENT to do that. Also, there is a Neosporin antibiotic solution that has to be compounded in a pharmacy that lasts about a month. You irrigate your sinus with this. It worked wonders for me. You could ask your ENT if he would do that for you. Unless you are doing the Amoxicillin (Augmentin 875) I found it usually doesn't work for sinus infections. It's too mild. I also use Flonase, Cromyalyn spray (over the counter) & Asteline spray for drainage (Prescription) The Levaquin with a steroid taper knocked out the bronchitis & sinus infection. I find Z-pac only works on the bronchitis and not the sinus. Use a hepafilter to pull impurities out ot he air in your bedroom and a cool mist humidifier. I feel for you. This has been a very hard summer for upper respiratory infections. The fatigue, sinus pressure & headaches are brutal. Praying you find someone who listens, get some answers & help.
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Bless you for replying. I'm terribly sorry for all you've been through and continued anguish from non-stop sinusitis, pneumonia and bronchitis. Have you ever had your IgG levels tested as people with immune deficiencies experience exactly what you do? Exactly!. I originally went to this ENT because I keep getting a sore in my nose. And he DID culture it, lol. It was MRSA last time so I used mupirocin for 10 days and next culture was fine. For my infection he prescribed doxycycline hyclate 100mgX2/day plus the steroid pack and ordered a CT. I had originally gone to. my primary doctor's office and they put me on 850mg Amox-C. I had 1 (giant) pill to go and my dermatologist gave me 500 mg Amox-C since I was still sick. I took both antibiotics for a while and now I'm just finishing the doxy. My mucus is a normal color so no infection that's visible. I'll keep Levaquin in my notes, thanks. My main issue now is that my nose is stilled clogged or running. Plus now I have some laryngitis. What's up with that? I didn't bring up that at the end of June I got a sudden area of bright flaming red skin on the side of my nose that extended up over my eye. It started weeping and then my vision got bad. I thought I had herpes because I've gotten that in my eyes before. Initially the eye doctor said it was probably a dacryocystitis fissure but then a rash developed so it wasn't that. But the eye docs felt sure I had a herpes infection in my eye. Then it went into my other eye. So honestly I worry that something left over from whatever it was ended up clogging my nostril as it's on the same side. And I did get more sores in my nose during that time too. I'm taking a mucous thinner everyday and usually sudafed. Some days I'll use Afrin but I don't really like the feeling it leaves so don't use it often. What does the Cromalyn spray do? I also use just plain saline that comes in a bottle to shoot up there. I used to get sinus infections a lot but I don't ever remember having a real "clogged" sinus. I'm dying to know what's causing it.