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Doctor insights on:
Steroid Injection For Sinus Infection
1
Does a cortisone shot help a sinus infection?
Yes: Steroids are potent anti-inflammatories. They should help decrease swollen nasal passages associated with sinusitis. ...Read more
Sinus (Definition)
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
2
Does an epidural steroid injection treat excessive inflammation?
Improves Pain: and decreases Inflammation around the nerve roots with hopes of Increased return to activity level as your body is healing from the herniated disk. ...Read more
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3
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 more
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4
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
5
Which is better for seasonal allergies: nasal steroid sprays like Dymestra or steroid injections?
Allergy nasal sprays: Steroid injections are not appropriate treatments for seasonal allergies. Usually, a combination of antihistamines and nasal sprays can be helpful. Steroid nasal sprays reduce inflammation inside the nose in order to allow improved breathing. They must be used daily and they take about 1 week to achieve peak efficacy. ...Read more
6
I had the kenalog (triamcinolone) injection yesterday for allergic rhinnitis. Post nasal drip has not cleared. Should kenalog (triamcinolone) have worked by now?
Not likely: Steroids have a delayed onset of action due to the mechanism of how they work. If the allergy symptoms are significant, it may take even longer to see significant relief. In the U.S. The use of injectable steroids for the treatment of allergic rhinitis has fallen out of favor due to the risks and the availability of effective nose sprays. An allergist can provide a plan without those risks! ...Read more
7
Is sinus surgery better than always taking steroids and antibiotics for chronic sinusitis?
Good question: This is very patient dependent and it requires an honest discussion with your ENT doctor. If you have failed maximal medical therapy, then surgery is the next best step. However you still might need to take sinus medication to control the sinus disease. Ideally surgery will decrease the need for oral antibiotics but you still might need nasal steroids. ...Read more
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8
Is oral augmentin (amoxicillin and clavulanate) nasoneb, netamethasone vanco+tobramycin realistic treatment for extensive opacification sphenoid sinus/ polypoid mucosial thickening?
Might work: Not a bad way to start. I find that in cases like yours medical therapy can help in most cases. It sounds as if your ENT is doing the right thing. ...Read more
9
Is an epidural steroid injection effective for back pain?
It can be: Depends on the reason for why you have back pain, a herniated disc, spinal stenosis or even facet arthropathy? Then yes an epidural injection can be helpful. Speak with a pain/spine specialist to determine what is right for you. ...Read more
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10
What shots are usually given for a sinus infection?
Usually none: Most are treated with oral medication.
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11
Is it possible for a bacterial sinus infection to resolve using sinus rinses without using antibiotics?
Sometimes yes.: It is worth a try to clear it up with decongestants, postural drainage, and humidified air. Antibiotics are generally overused, in these cases. ...Read more
12
Can I get an epidural steroid injection while taking doxycycline medication for acne?
Yes: Should not be an issue. Doxycycline is also given with oral steroids too in certain lung conditions. ...Read more
13
Sinus issues for months. Ige, cbc, wbc, sinus xray normal. Have tried decongestant, sinus rinse, steroid spray, antihistamine. Now what?
May need CT scan: You may need to see an allergist or ENT specialist. If no help consider a CT Scan of the sinus area to be certainof the diagnosis ...Read more
14
I was given a steroid shot a nasan ty ear infection, . Can steroids raise heart rate. It's been 112-120 for hours. Can the infection cause tachycard?
Infection can/pain: Steroids are a natural stress hormone the body also makes in response to illness/stress. It shouldn't raise your heart rate, but the infection and the pain involved can release other stress chemicals ,mainly Adrenalin that does raise the rate. ...Read more
15
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
16
Is Prednisone ok to take for sever congestion relief from a sinus infection?
Yes: If the prednisone is being administered by your doctor and he is monitoring the dosage and response than the prednisone may be helpful for inflammation. But do not take it without a physician's consent and monitoring as steroids (prednisone) can be harmful if not used appropriately. ...Read more
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17
Which is better for nasal allergies: nasacort (triamcinolone) or flonase?
Equal: When it comes to nasal steroid sprays they are all effective and it typically becomes a "patient preference." Flonase smells like flowers and requires a doctors prescription (until spring 2015 when it goes over the counter). Nasacort (triamcinolone) is tasteless and odorless and has been available without a prescription since spring 2014. ...Read more
18
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
19
What urgent signs should I be aware of -being agressively treated sphenoid/maxilary sinus infection? Using oral +inhalled steroid, antibiot, decongest
Sinusitis treatment : Sinusitis should be treated and followed up using ct scans and symptoms as a guide to success. Other contributing factors such as allergy, immune compromise, polyps, deviated septums, gerd, fungal infections, chemical, environmental and toxin exposure should be considered and controlled. Long term medications, enhanced allergy management and surgery can be indicated. ...Read more
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20
Since starting cpap therapy I have been getting sinus infection after sinus infection. Antibiotics, nasonex, (mometasone) prednisone work in short term. Any ideas?
CPAP intolerance: CPAP is a gold standard for the management of the obstructive sleep apnea. For some patients, though, CPAP doesn’t effectively do what it was created to do or leading to side effects (e.g. Sinus irritations). The alternative is an oral appliance therapy delivered and monitored by dental sleep provider. The combination of both, CPAP and oral appliance could be the answer in many cases. ...Read more
Infection (Definition)
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
Sinusitis (Definition)
A condition caused by an inflammation or swelling of the lining of the facial sinuses. It usually starts with cold-like symptoms such as a runny, stuffy ...Read more
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