Doctor insights on:
Most Common Steroid Injection For Sinus Infection
Usually none: Most are treated with oral medication.Get a more detailed answer ›
In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more
Which antiobiotic is 1) most commonly prescribed for sinus infection and 2) most effective at treating them?
Usually none: Antibiotics are not recommended for the majority of sinus infections, which are typically caused by viruses and get better on their own. When antibiotics are used for cases that are particularly severe or prolonged, the standard recommendation is Amoxicillin for those not allergic to penicillin. ...Read more
Depends.: Depends upon who you ask. Various specialty groups make different recommendations, local resistance patterns and patient characteristics may modify the choice. Top three are probably nitrofurantoin, Ciprofloxacin or levofloxacin, and septra (sulfamethoxazole and trimethoprim). All are potentially good choices. But there are many other good choices. If culture is done antibiotics may be tailored. ...Read more
Are nosebleeds common with a sinus infection or allergies? Currently taking amoxicillin for acute pharyngitis. The pain is less but nosebleeds remain.
Is antibiotic injection considered an appropriate treatment for persistent infection from nose surgery?
No: Maybe for what I call a "head start" on an ongoing infection, but not as stand-alone treatment. I believe the only time 1 dose of injected Rocephin is appropriate is for primary syphillis. Otherwise, for post-op infection, a daily antibiotic for 10-14 days is more appropriate. Therapy can be targeted if the pus is cultured. Sometimes post-op infections require surgical drainage. ...Read moreSee 1 more doctor answer
Can Kenalog (triamcinolone) cause secondary infection of the bladder or kidneys, if given as an injection for a torn rotator cuff, although Kenalog (triamcinolone) is listed an anaph?
Unlikely: Kenalog (triamcinolone) is a corticosteroid and systemic corticosteoids can increase the risk of infections. That being said we need to know more about your general health to answer your question. It is unlikely the injection you had is related to your kidney infection. This is something you can discuss with your physician. ...Read more
Can a nasal steroid spray mask the symptoms of a bacterial infection? Treated for allergy for 1 yr, but mucus sample shows Pseudomonas Aeruginosa.
Yes, if you: use it too much or too often. Now you have a bacterial infection that hopefully will respond to antibiotics, but you can also get fungus or other atypical infections. Antibiotics will not help these. You need to consult with an ENT specialist for definitive treatment. Surgery might be necessary. ...Read more
Often viral: Truth be told, most "nose infections" (often called sinusitis) are caused by viruses which do not respond to antibiotics at all, but instead are best treated with decongestants. The rare times when there really is a bacteria causing the infection, drugs such as Augmentin (amoxicillin and clavulanate) (amoxicillin/clavulonic acid), quinolones (such as levofloxacin), macrolides (azithromycin) and sulfa (bactrim), can all help. ...Read more
Is it possible for corticosteroid shots (like kenalog (triamcinolone) or prednisone) cause cancer?
Oral Steroids: Oral steroids, more often than not, tend to be anti-tumor and are actually used quite frequently in chemotherapy regimens. Anabolic steroids used for nefarious means can lead to cysts and/or tumors, most often on the liver. Usually the doses and uses of Anabolic steroids are significantly higher than the medications of which you speak. And are often obtained in illegal ways increasing there danger. ...Read more
Can an antibiotic sinus rinse be used in place of oral antibiotics for people who have chronic uris and sinus infections?
Yes: It is a good option for those who can't tolerate a long course (more than three weeks) of antibiotic or have another reason why they can't take the oral form. It can also be used in conjunction with a steroid mixed in the rinse. This might be the only option for some who have chronic sinus disease and whom surgery is not an option (or they are trying to avoid surgery). It is a worth a try. ...Read more
Higher but still low: Anti-tumor necrosis factor drugs have emerged as important agents in the treatment of many chronic inflammatory diseases. One of the risks of anti-tnf therapy is the small but significant risk of serious opportunistic infection. These include increased risks of certain fungal, viral and bacterial infections, but not to all pathogens. The risk is still small and should be balanced with benefits. ...Read moreSee 1 more doctor answer
Depends: There is no one antibiotic that is the best. It all depends on each situation. But i can tell you that zpack is particularly not good for a sinus infection (its better for lower respiratory infections). Unfortunately everyone loves taking in because you only have to take it for 5 days. ...Read moreSee 2 more doctor answers
Steroids and sinus: Sinusitis can be allergic reaction or infection, Allergic sinusitis can become infected. Medications used for allergic rhinitis/sinusitis do include nasal steroids. I prefer nasal/oral antihistamines to decrease the swelling and allergic reaction, though if severe rhinitis I have given steroids both injection and oral. If there are tender sinuses on touch I usually give antibiotics as well. ...Read more
A good specialist: Nasal polyps and sinusitis can be treated but each treatment should be tailored to the individual. Some patients respond better than others. Generally the treatment will entail a combination of different medicines (antibiotics and/or steroids - oral or nasal). I would consult a good ENT or allergist. ...Read moreSee 1 more doctor answer
Is singulair (montelukast) a common and typical allergic rhinitis treatment?or is it prescribed for the severe cases?
Yes, but: I usually use it when nasal steroid +/- antihistamine spray failed. In my experience, Singulair (montelukast) is uniquely effective in relieving nasal congestion in about 25% of the people and ineffective at all in 50% of the people. It does not reduce itching, sneezing, or runny nose however. In patients who also have mild asthma, this may be a good choice. ...Read moreSee 1 more doctor answer
J. Clin Microbiol.: Allergic fungal sinusitis due to trichoderma longibrachiatum was seen in a patient atopy and asthma. Trichoderma was recovered in culture with chlamydospores present. The patient was successfully managed with a combination of sinus lavage, oral corticosteroids, itraconazole, and allergen immunotherapy. ...Read moreSee 1 more doctor answer
What is the efficacy/safety of Saline Plus Gentamycin in Nasal Irrigation to Treat Chronic Sinusitis/ 6-7 bacterial infections per year (cultured) ?
Safe: It is effective and safe. With so many infections you need to find the cause that may be allergy or fungal sinusitis. If allergy tests are neg you need to use more sensitive method of Allegy testing called S.E.T. To find an allergist doing S.E.T search for American academy of Environmental Medicine on Internet ...Read more
If levofloxacin with methylprednisolone is common treatment for sinus infection? (I also have polyps in all sinuses and exercise asthma).
What is the efficacy/safety/side effects of Saline Plus Gentamycin in Nasal Irrigation to Treat Chronic Sinusitis?
Sinusitis: I don't recommend itGet a more detailed answer ›
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
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