Doctor insights on:
Best Antibiotic For Sinusitus
Greetings. I would like to know which is the best antibiotic for sinusitis. The best anti-inflammatory for the throbbing pain caused by sinusitis.
Sinusitis: Hello. You pose an interesting question. Each doctor may have a preferred antibiotic or anti inflammatory. I usually check to see which medicines (anti inflammatories/antibiotics) you have been treated with and ask which is any have helped. I usually recommend a generic such as high dose amoxicillin, doxycycline, or quinolone. Ibuprofen is my recommended anti inflammatory. ...Read more
The Best way to combat chronic sinusitis until I get health insurance to see an ENT? Antibiotics haven't helped, and I've accepted they won't. Any advice?
Saline Nasal Rinse:
Some people with chronic sinus congestion find relief with regular nasal irrigation using a neti pot. Good instructional video here: https://www.youtube.com/watch?v=EDSlUuAOnN0
Over the counter antihistamines and decongestants can also help (loratadine, cetirizine, sudafed). Use caution with sudafed if you have a history of high blood pressure. ...Read more
A CT scan confirmed sinusitis on my 6 yr old. What is the best treatment other than antibiotics and corticosteroids? He/she is on cifex, aerius, avamys, xylalin & sinarest.
Peds Sinusitis: Sounds like a pretty unhappy child, sorry about that. Lots of meds, too. We usually try to manage pediatric sinusitis with medications, like antibiotics and steroids. Can also use saline irrigation or spray in the nose. Further, a landmark study has shown that many children suffer from reflux and by treating, they often can get their sinusitis better. Consider reflux treatment and add saline. ...Read more
Ct scan confirmed sinusitis in 6 yr old. What is the best treatment other than antibtics & corticosteroids? On cifex, aerius, avamys, xylalyn & sinarest.
Depends: The best way to treat any infection is with culture directed antibiotic therapy. This is not always performed with routine sinusitis, but would be advised for complicated, chronic, or chronic acute sinus dz. Penicillin derivatives are probably the most widely used antibiotics (amoxicillin or augmentin). Hope this helps! ...Read more
Sinus rinses: Some of my patients have found neil med sinus rinses to be quite helpful in treating their sinus or nasal allergy symptoms. Give that a try. ...Read more
Can antibiotics make sinusitis worse before it gets better? I've been on them for three days so far and feel a lot worse than when I started.
Time will help.: First, increase hydration. Drink at least 8 glasses of plain water a day. Avoid drying agents, ie antihistamines (claritin, allegra, alcohol, caffeine etc) use a saline rinse kit twice a day. Decongest the nose for 3 days only (choice of afrin, (oxymetazoline) vics, etc) most will be better in 7 days. If symptoms worsen, see a physician. ...Read more
Diagnosed with sinusitis got antibiotics is there any self-help tips I could also use to relieve it?
Yes, there are tips!: Great question! I see you use Nasonex, (mometasone) & suggest you take a break from that for a week every 2-3 months. Periodic drug holidays from nasal sprays can help prevent bacterial infection and nosebleeds. Currently, try using plain saline spray and sterile saline nasal irrigation from a drug store. Inhaling steam in the shower or a steam room loosens secretions too. Stay hydrated. Clearing mucus is key. ...Read more
I think I have fungal sinusitis where would I go to get that treated and what antibiotics are there?
Help! I've been having chronic sinusitis. I have taken numerous antibiotics but still not getting better?
Chronic Sinusitis: Hello. Unfortunately many antibiotics commonly used for sinusitis have little effect on the bacteria causing these infections. You may also have structural abnormalities affecting you sinus function too. I would recommend seeing your ENT doctor for a full workup. This may include a CT scan of you sinuses, an allergy evaluation, and possibly surgery. If surgery is recommended, ask about a balloon. ...Read more
Diagnosed with sinusitis and prescribed antibiotics. Been taking for 4 days now and developed a cough that's getting worse. Why is this?
Cough on antibiotics: It may be a viral infection, in which case the antibiotic won't work. Could be the wrong antibiotic and ineffective for the bacteria you have (e.g. amoxicillin for beta-lactamase containing Haemophilus bacteria). Underlying asthma or COPD can flare up with the infection. You could also have progression of your infection to bronchitis or pneumonia. Some feels better but have drainage that persists. ...Read more
Are antibiotics a must if Sinusitis lasts more than ten days? I'm allergic to many and have a C Diff history. C Diff free for year but nervous of atx.
Not a must: I would not say they are a must. Our guidelines recommend treatment for sinusitis for symptoms of a cold persisting between 10 to 14 days with no improvement. That said, I prefer waiting the 14 days in patients who are not febrile, without facial pain and erythema. I would take this approach especially in a patient with multiple allergies and a c diff history. Feel better! ...Read more
Yes: Since antibiotics are only meant to fight off bacterial infection and are useless against viruses. Some sinus infections are fungal in nature and those need be adresssed with anti-fungals. ...Read more
Maxillary sinus: Usually nasal decongestants are given for three days to improve the flow. If the problem continues, you should see a doctor. ...Read more
Can sphenoid sinusitis be treated without surgery? How? With what? Are antibiotics always necessary?
Sinusitis in 12 month old 18 lbs was give second round of antibiotics high dose 400mg bid for 7 days. Does this seem right?
Sinusitis frontal for almost 1mth. Had 2 different types of antibiotics and at the end of the 2nd ones. Pain worse but mucus clear. Why still there?
Could be: Anatomical blockage, or just a stubborn or atypical infection. Consult with an ENT specialist. ...Read more
I have chronic sinusitis, I've been told to take antibiotics when showing symptoms, my symptoms come for a day then go for a day! How do I know when?
Sinusitis : That doesn't appear to be very sound advice. You need to be under the care of a good ENT who can do a more comprehensive approach with nasal endoscopy, cultures of your sinuses with culture directed antibiotics, imaging and possibly surgery. It doesn't seem appropriate to have you making the decision when to take antibiotics and you should not be on antibiotics all the time. ...Read more
My sinusitis won't go away even after multiple uses of antibiotics. Could this be a sign of an underlying issue? How do I get rid of it w/o antibiotic
Sinusitis: You need to be evaluated by a sinus surgeon. That doesn't mean you need surgery, but that is the ultimate treatment when you fail everything else. Other options for treatment include steroids, nasal saline rinses and limited balloon procedures. You probably need a CT scan to see what your sinuses look like and if that is even the correct diagnosis. Best of luck ...Read more
10-20 days: Typical treatment regimens for chronic sinus infection is a minimum of 10 days & often 20. ...Read more
I missed a dose of my antibiotic for my sinusitis; is that enough time for the bacteria to develop resistance?
Unlikely: Antibiotic dosage schedules are designed to have an overlap of coverage so that the level of the antibiotic does not get lower than needed for coverage when the next dose is given. If you missed a dose, you almost certainly had some available in your body and resistance development for this reason is unlikely. ...Read more
I currently have an acute (pretty severe) sinusitis. I also have Crohn's so antibiotics are an enemy. What could happen if I don't treat infection?
Sinusitis: Usually viral. So no worries abiotics won't help. Discuss with your team. ...Read more
Had Steroi Injection On T For Bad Case sinusitis. The Did Humaria. Worse So Dr Prescribed 3 Days Antibiotic And Cough Syrup. Night Bad All Do Is Cough?
On Humira (adalimumab) ,:
Call your doctor today.
Humira causes immunosupression and you are at risk for more severe infections, and coughs/bronchitis can develop into pneumonia. Since you have already had 3 days of antibiotics and are still, it appears, not better follow with your doctor he may want to do a CXR. ...Read more
I have IBS so I'm worried that taking zithromax for sinusitis will cause c. Diff colitis. Is there another way to rid sinusitis w/o antibiotics?
Cause of condition?: A majority of sinusitis are caused by viruses (e.g. Rhinovirus). Since antibiotics (abx) only treat bacterial infections, they are useless against virus infections. Supportive measures such as Acetaminophen for sinus pain can be used. If the sinusitis is caused by an allergy or some airborne irritant, remove yourself from the cause ; consider nasal irrigation with a netty pot. ...Read more
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