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Doctor insights on: Postural Drainage Sinusitis

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I ve bronchiectasis, how long should be the duration of postural drainage ie ; in minutes, and frequency during the day, thanks?

I ve bronchiectasis, how long should be the duration of postural drainage ie ; in minutes, and frequency during the day, thanks?

Thoughts: Several, times a day 10-15 minutes.
Change positions, front, back, side to maximize drainage if all lobes.
Longer if continuing cough and production.
Longer in most productive position.
The goal is effective gravity drainage for lower lung fields. ...Read more

Discharge (Definition)

Discharge can be a noun or a verb; it has multiple meanings in physics, chemistry, military, and legal usage. The most common medical meaning is a substance that is being excreted. Examples: pus is the discharge from a pimple; a vaginal discharge can mean infection; an ear discharge can mean an infection of the outer ear tract; a nasal discharge ...Read more


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How many times a day i need physiotherapy for bronchiectasis and how many times each day should I do postural drainage pls?

How many times a day i need physiotherapy for bronchiectasis and how many times each day should I do postural drainage pls?

Depends: It depends on how much sputum your lungs accumulate. Once daily is the minimum but the more often the better. If your problem is severe, i think 4 times a day would be a reasonable solution. ...Read more

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Is there any alternatives for doing postural drainage, it causes me sinus congestion, i ve bronchiectasis, chronic nasal issues and back problems?

Is there any alternatives for doing postural drainage, it causes me sinus congestion, i ve bronchiectasis, chronic nasal  issues and back problems?

No but: You can ask your doctor to give your something (antihistamine nasal spray ?) to decongest your nose or try breathright strip to keep your nose open while doing the drainage. Be sure that your aiming your Nasonex (mometasone) towards the outside direction of the nasal cavity and not the center. ...Read more

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Is there a substitute to doing postural drainage for bronchiectasis?I'm having hearing problem from ear which may be due this but need to drain regula

Is there a substitute to doing postural drainage for bronchiectasis?I'm having hearing problem from ear which may be due this but need to drain regula

No good substitute: Doubt your ear problem is related to the postural drainage but more to your nasal congestion. First make sure that you are using your Nasonex (mometasone) correctly and that you are aiming the nozzle towards the sides and not the center of the nose. If this doesn't help after a few days . Then you need to ask your doctor to prescribe something else for you. ...Read more

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I do postural drainage for about 30 min p/day, now can't hear from left side of my ear.Is it possible tht this activity has caused imbalanc in pressure?

Fluid in ear: You may have fluid in your ear as a result of your procedures. Often Pseudoephedrine can be helpful in such a situation. Take a break from daily postural drainage. See your md. You may have developed an ear infection. ...Read more

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I recover slowly from "cold" viruses, i also have chronic sinusitis. Cld my slow recovery from viruses and my sinusitis be caused by poor sinus drainage? I have had 2 sinus surgeries.

I recover slowly from "cold" viruses, i also have chronic sinusitis.  Cld my slow recovery from viruses and my sinusitis be caused by poor sinus drainage? I have had 2 sinus surgeries.

Multiple infections: Hello, i would recommend that you discuss an immune evaluation with your doctor. With the number of infections you are experiencing, i look outside the box and search for answers. A second opinion may also be helpful since you've had multiple surgeries. Finally, discuss allergy testing. Your "infections" may be allergy symptoms. I hope this helps. ...Read more

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Have sinusitis &was given 3 day z-pack 500mg. Finished it yesterday, but still have swelling, pain &drainage. Is this normal or should it be better?

Have sinusitis &was given 3 day z-pack 500mg. Finished it yesterday, but still have swelling, pain &drainage. Is this normal or should it be better?

More time: I think that 3 days is too short to pronounce your care as a failure. Drainage is good really, and swelling takes time to go down. If it does not get better soon, call and be seen as another antibiotic may be more effective. Good luck! ...Read more

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How long should I self treat for sinusitis/annoying sinus drainage before i need to see a doctor? Antihistamine helps but i still have thick drainage.

How long should I self treat for sinusitis/annoying sinus drainage before i need to see a doctor? Antihistamine helps but i still have thick drainage.

Any time: There are lots of causes of sinus drainage, and just as many ways to treat it. As long as there are no headaches, fever, or stomach upset due to the drainage, you don't need to see a doctor. But if it doesn't go away in a few days, why continue to suffer? Your doctor is there to help you feel well all the time - not just when you can't stand it any more. ...Read more

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Have pressure on bridge of nose over a yr now. Worse at the end of the day/at night. No drainage/mucus. Just dry nose. Is this still sinusitis?

Have pressure on bridge of nose over a yr now. Worse at the end of the day/at night. No drainage/mucus. Just dry nose. Is this still sinusitis?

Yes : They could be chronic sinusitis allergic nasal polyp bacterial sinusitis unlikely last this long. Recommend Dr. visit with your ear nose and throat or allergy specialist for specific diagnosis and treatment ...Read more

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Can you have a sinus infection with no cold, drainage, cough? Cat scan showed severe sinusitis, only symptom is facial/head pain, now on meds

Can you have a sinus infection with no cold, drainage, cough? Cat scan showed severe sinusitis, only symptom is facial/head pain, now on meds

Yes: Usually treated medically with decongestants and antibiotics. If recurrent, you you might have mechanical blockage at osteo-meatal-complex and need surgery to promote drainage. See an ENT. ...Read more

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Pressure in face, nose, upper mouth when bending over. No sinus drainage. Could it still be sinusitis? I have a deviated septum, could that cause it?

Pressure in face, nose, upper mouth when bending over. No sinus drainage. Could it still be sinusitis? I have a deviated septum, could that cause it?

Sinusitis likely: One can have a collection of mucus within the sinuses that are unable to drain leading to inflammation of the mucosal lining of the sinuses, and possibly bacterial collection. Sinus pressure can occur due to lack of drainage and become exacerbated when bending over. Your history of a deviated septum could be adding to the difficulty with sinus drainage. See PCP for treatment. ...Read more

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Mold in bathroom ceiling & above window in bedroom from drainage spout. Have asthma/allergies. Should i worry? Have sinusitis post flu since january.

Mold in bathroom ceiling & above window in bedroom from drainage spout. Have asthma/allergies. Should i worry? Have sinusitis post flu since january.

Absolutely: Mold is a common allergen and some types are very toxic. This needs to be cleaned up and the area evaluated for hidden mold or leaks. ...Read more

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Will Amoxcillin help if u have sinusitis? Like stuffy nose, nausea, tired, hot, cough up stuff, loss of appetite a little, drainage? Some drs say no.

Will Amoxcillin help if u have sinusitis? Like stuffy nose, nausea, tired, hot, cough up stuff, loss of appetite a little, drainage? Some drs say no.

Sinusitis: Sometimes, although not usually, antibiotics may be necessary in helping to resolve sinusitis. This has to be assessed on an individual basis and if there is any real question would recommend seeing a good ENT doctor and get a face to face evaluation. Hope this clears up soon. ...Read more

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M57, I have come to conclusion that best way to avoid sinusitis is to start antiallergics assoon as flu/cold starts, to suppress discharge, am i right?

M57, I have come to conclusion that best way to avoid sinusitis is to start antiallergics assoon as flu/cold starts, to suppress discharge, am i right?

Allergies: You need to be proactive in treating your allergies, yes, but don't call them flu/cold, because they are not an infection. The best way to manage them is to see an allergist and get tested and know your triggers and plan your treatment accordingly. ...Read more

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Taking keflex for sinusitis since tuesday (have taken 5 doses). Still have sinus pain and discharge. It is too soon to tell if it's working?

Taking keflex for sinusitis since tuesday (have taken 5 doses). Still have sinus pain and discharge. It is too soon to tell if it's working?

Maybe too soon: Sinus infections usually require longer treatment times with antibiotics so it is not unusual for it to take longer before the antibiotic starts to take effect. See your doctor if you are experiencing worsening symptoms, or don't notice substantial improvement as you near the end of the course of antibiotics. ...Read more

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Can there be chronic allergic sinusitis with only significant nasal congestion and malaise without any apparent mucus or nasal discharge?

Can there be chronic allergic sinusitis with only significant nasal congestion and malaise without any apparent mucus or nasal discharge?

Yes: You are basically describing chronic sinusitis. Patients with chronic sinusitis typically don't have the nasal discharge that you get with allergies or acute sinusitis. But it can lead to chronic nasal stuffiness/congestion/malaise. Best study for diagnosis: coronal ct of sinuses without contrast - essential for diagnosis. ...Read more

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Barely any nasal discharge, facial pain/pressure/burning/tingling sensation in face/temple pressure/gets worse went bending over. Is it sinusitis?

Barely any nasal discharge, facial pain/pressure/burning/tingling sensation in face/temple pressure/gets worse went bending over. Is it sinusitis?

Could be: Most "sinus" headaches aren't, but your pain could be. There are sinuses way in the back where you can have sinusitis without discharge or drainage. This may not be a benign problem. See your doctor. ...Read more

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I have taken 4 antibiotics for sinusitis and still have the symptoms plus fatigue, chills, and gree and yellow slimy discharge from nose.

I have taken 4 antibiotics for sinusitis and still have the symptoms plus fatigue, chills, and gree and yellow slimy discharge from nose.

Specialist: Many sinus problems start with different issues. It may be an anatomical problem, an obstruction, or something like a polyp . Or it may have a strong allergic component amongst other things that antibiotics will not help. My suggestion is that you see a specialist and have the problem investigated at many levels. ...Read more

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Can I have chronic sinusitis without nasal discharge? I feel 'blocked' but mri/x-ray revealed nothing. No allergies, been tested twice.

Yes: Chronic sinusitis can often be manifested by diffuse sinus mucosal thickening and pain/sensation of fullness without any discharge, but no discharge is rare. Ct scan of the sinsuses is the optimal modality for assessing sinus disease, not MRI or x-ray. ...Read more

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Nasal polyps and chronic sinusitis, but no discharge from the nose anymore, however, allot of green chunky discharge from lungs, chest xray is clear..

Nasal polyps and chronic sinusitis, but no discharge from the nose anymore, however, allot of green chunky discharge from lungs, chest xray is clear..

Time to see the dr.: With nasal polyps and chronic sinusitis, you need a thorough allergy assessment and likely sinus surgery to remove the nasal polyps. I wish i had an easier solution, but for long term control, no medicine is going to fix the problem. ...Read more

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When do I need antibiotics for sinusitis? It's day 4 of light yellow nasal discharge.Don't have a headache. Tender to touch and pressure left eyebrow.

When do I need antibiotics for sinusitis? It's day 4 of light yellow nasal discharge.Don't have a headache. Tender to touch and pressure left eyebrow.

Sinusitis: Usually when I get tenderness to palpation I start antibiotics because it is a bony area and the inflammation can be painful and it is hard to clear. Would also raise head of bed allows for better drainage and if reflux is causing the issue prevents reflux, take zyrtec in AM ,benedryl in PM . I prefernasal antihistamine to nasonex (mometasone) F/U today with doc/urgent care. ...Read more

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Nose feels tight & dry inside no discharge, pain across eyebrows, cheek bones, upper & lower jaws, back teeth & earache worse on one side, sinusitis?

Sinusitis: It sounds like you have a cold or sinus infections. Most of these are caused by viruses. Treat yourself accordingly with otc medications as needed. You should feel better in a few days. ...Read more

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Forehead and left eye pain. MRI from '09 cyst on left sinus. Left nostril always congested, produce discolor discharge, bad smell. Chronic sinusitis?

Forehead and left eye pain. MRI from '09 cyst on left sinus. Left nostril always congested, produce discolor discharge, bad smell. Chronic sinusitis?

Chronic sinusitis: This is very possible, but without an exam and imaging studies that are current it is impossible to diagnose. Certainly the symptoms you describe are compatible but before making assumptions you should be seen and evaluated by an ENT doctor. ...Read more

Dr. Creighton Wright
8 doctors shared insights

Sinusitis (Definition)

A condition caused by an inflammation or swelling of the tissue lining your sinuses. Acute sinusitis usually starts with coldlike symptoms such as a runny, stuffy ...Read more